New South Wales
At the Marrickville hub in the Sydney Local Health District, 11 interviews were undertaken with key stakeholders.
Interviews highlighted the barriers that we need to address if service providers are to better detect and respond to children and families living in adversity, as well as associated mental health problems in children aged newborn to 8 years old.
Some of the common key barriers and enablers that were identified across stakeholder interviews for both NSW & VIC included:
- Lack of knowledge or awareness of available supports
- Lack of services available; and
- Services focusing on a narrow definition of parent.
Enablers to address these include: raising awareness of supports that are available, providing support to families to enable them to navigate the system, and ensuring that services take a ‘whole of family’ approach.
The CRE have been working in partnership with Wyndham City Council and IPC Health to co-design a Child and Family Hub in Wyndham Vale, Victoria.
Co-design is the active involvement of a diverse range of participants in exploring, developing, and testing responses to shared challenges (Blomkamp, 2018).
To hear about our Co-design experience, please checkout the video below:
Prioritising interventions (at a local level)
An Australian consensus study was undertaken on prioritising interventions for preventing mental health problems for children experiencing adversity using a modified nominal group technique.
This study aimed to reach consensus on local priority interventions for preventing mental health problems for children living with adversity in Wyndham (Victoria), and also aimed to understand the enabling factors and barriers to implementing these interventions.
Six evidence-based intervention types were considered. These included nurse home visiting programs, parenting programs, community-wide programs, school-based anti-bullying programs, psychological therapy for children exposed to trauma; and economic and social programs. Among the mixed stakeholder groups, 3 of the 6 evidence-based intervention types included in this study, reached consensus being nurse home visiting programs, parenting programs; and community-wide programs.
These interventions scored as a ‘high’ or ‘very high’ priority for implementation in Wyndham given their potential to act as a gateway for families to increase their knowledge about topics like parenting. In contrast, school-based anti-bullying programs, and psychological therapy for children exposed to trauma did not reach consensus as some providers and caregivers felt that these interventions were not a priority given they were not a first course of action. Read more
The below video provides an overview of each of the six different evidence based intervention types:
To learn more, checkout this research snapshot...