1. “The challenges in delivering impact in resilience”
Prof Maree Teesson AC
The Matilda Centre
University of Sydney
A Better Start is funded by the Ministry of Business, Innovation and Employment

2. The burden of mental and substance use disorders now accounts for lost years of health globally
1 IN EVERY 10
[Click to emphasise 1 in 10]
Source: Patel et al, 2015

3. The burden falls heavily on youth
Half of all disorders begin before leaving school

4. The burden falls heavily on youth
Depression
Road traffic accidents
Schizophrenia
Bipolar Disorder
Violence
Alcohol use
HIV/AIDS
Self-inflicted injuries
Tuberculosis
Lower Respiratory Infections
5/10
Conservatively costs $74B
Annually in Australia
[click to show 5/10]
[click to show cost]
Source: Gore et al., 2011
Source: Collins & Lasley, 2008; Niel et al., 2010, KPMG, 2013

5. than die in motor vehicle accidents
Suicide
Every year:
Over
65,000 Australians make a suicide attempt
3,128 Australians died by suicide in 2017
Suicide is the leading cause of death for Australians between 15 and 44 years of age 
Young Australians are more likely to take their own life
than die in motor vehicle accidents
[click to reveal each tile]
Over 65,000 Australians make a suicide attempt
3,128 Australians died by suicide in 2017
Suicide is the leading cause of death for Australians between 15 and 44 years of age 
Young Australians are more likely to take their own life than die in motor vehicle accidents

6. The changing landscape of resilience
[Click to emphasise 1 in 10]
Source: Patel et al, 2015

7. Young people want a better future
Mission Australia’s asked over 24,000 young Australians what they think are the most important issues in Australia today
Mental Health 1
Drugs and Alcohol 2
Equity and Discrimination 3
[click to reveal top 3 – speech bubbles]

8. Opportunity: Building effective prevention programs
6 trials involving 157 schools and > 14,000 students across Australia and London
17 published papers reporting effectiveness :
Decreases in use of alcohol, cannabis and ecstasy
Preventing anxiety and depression
Sustained reduction in binge-drinking at 3yrs after program
Reduced harms related to alcohol
National Register of Evidence based Prevention Programs
One such school-based program found to be effective is Climate Schools

9. Opportunity : Increasing our reach
&
357,991 site users
Tweets
Following
Followers
Likes
2,467
1,466
1,379
849
Page Likes
Followers
1,295
1,325
Maree: Could use something like this to talk about translation

10. Opportunity : creating enabling environments

11. Positive Choices Aboriginal and Torres Strait Islander Project
The Positive Choices portal now provides culturally appropriate resources for Aboriginal and Torres Strait Islander people. Resources include:
Organisations that we have consulted & collaborated with:
So overall, what appears to work is: culturally-adapted programs, communities being involved in program development, including cultural knowledge enhancement, skill development and AOD education into the program content. Having Indigenous facilitators and/or trained facilitators, promoting health, including recreational activities an providing booster sessions post program completion.