Annual Report
2017-2018 Contents
Our strategic goals...... 4 Our organisation...... 5 Our services...... 6 Thomas Embling Hospital 6 Prison Mental Health Service 6 Service locations 7 Community Forensic Mental Health Service 8 Board chair and CEO report...... 10 Greater accessibility to services 10 Meet new challenges and drive change 12 Innovation in everything we do 12 Outstanding organisational performance 13 Appreciations 13 Forensicare board 14 Board directors 15 Board committees 18 Audit, Security and Risk Management Committee 18 Clinical Governance Committee 18 Executive Performance, Remuneration and Succession Planning Committee 18 Finance Committee 18 Research Committee 18 Strategic Planning and Oversight Committee 18 Organisational chart 20 Executive leadership team 22 Executive Director, Clinical Services’ report...... 24 Thomas Embling Hospital...... 26 Hospital development 27 Early Intervention Support Team 27 Model of Care pathways workshops 27 Telehealth partnership with Austin Health 27 VICTORIAN INSTITUTE OF FORENSIC MENTAL HEALTH Access flow 27 Safewards 27 Yarra Bend Road Fairfield 3078 Community Forensic Mental Health Service...... 28 Tel 61 3 9495 9100 Forensic Mental Health Implementation Plan 29 Fax 61 3 9495 9199 Victorian Fixated Threat Assessment Centre 29 [email protected] ABN 32 807 323 885 Community Transition and Treatment Program 29 ISSN: 11442-990X Review of the non-custodial supervision order system 29 www.forensicare.vic.gov.au Forensicare Serious Offenders Consultation Service 29 Family violence 30 This publication is copyright. Performance, safety and quality improvements 30 No part may be reproduced by Prison Mental Health Service...... 32 any process except in accordance with the provisions of the Women’s services – Dame Phyllis Frost Centre 34 Copyright Act 1968. Melbourne Assessment Prison 34 © Victorian Institute of Forensic Metropolitan Remand Centre – Mobile Forensic Mental Health Service 34 Mental Health 2018 Port Phillip Prison 34 Ravenhall Correctional Centre 35 Research overview–Centre forForensic Behavioural Glossary...... Disclosure index...... Financial statements2017–18...... Attestations...... Summarising ourfinancialperformancein2017–18...... Statement ofPriorities2017–18...... Disclosures...... Corporate Services...... Science andForensicare Research...... Part C:Activityandfunding Part B:Performancepriorities Part A:Strategicpriorities Details ofinformationandcommunicationtechnologyexpenditure Consultancies usedin2017–18 Additional information IndustryParticipationPolicy Local JobsFirst–Victorian National CompetitionPolicy Carers RecognitionAct Protected Disclosure Act Freedom ofInformationAct Building Act Sustainability –ourenvironment Human Resources –ourpeople Legal Services Research dissemination Research andevaluationhighlights Safer Communities,RelationshipsConference Staff highlights Research Strategy2018–20 Training and Professional EducationProgram WorkCover 46 Occupational healthandsafety Occupational violence Workplace bullying Counselling services People MatterSurvey Workforce recruitment andplanning Length ofserviceawards Executive officers Workforce profile Crimes (MentalImpairmentandUnfitnesstobe Tried) Act
122 120 60 59 57 56 55 52 52 51 50 49 49 49 48 48 48 48 48 47 46 45 45 44 44 44 44 43 43 42 42 40 40 40 39 38 38 37 37 36
ANNUAL REPORT 2017-2018 3 FORENSICARE 4 Our vision • • • • clinical servicesthat: We willprovide high-qualityspecialist Our mission goals strategic Our and meaningfullivesinasafercommunity. research enableconsumerstoleadfulfilling Clinical excellenceandtranslational • • • • to achieve better and safer outcomes to achievebetterandsaferoutcomes work collaborativelywithstakeholders build ourtranslationalresearch capacity support ourworkforce focus ontherecovery ofconsumers for consumersandthecommunity. performance Outstanding organisational Innovation ineverythingwedo drive change Meet newchallengesand Greater accessibilitytoservices
Our values promoting andsupportinghumanrights. human rightsandactivelyimplementing, and providing adviceconsistentwith Responsibilities bymakingdecisions in theCharterofHumanRightsand promote thehumanrightssetout Human rights–We willrespect and promote andsupportthese values. Leadership –We willactivelyimplement, basis. views toimprove outcomes onanongoing harassment andbullying,usetheir ensure freedom from discrimination, communityfairlyandobjectively,Victorian other publicofficials and members ofthe Respect –We willtreat colleagues, submit ourselvestoappropriate scrutiny. seek toachievebestuseofresources and responsibility forourdecisions andactions, objectives inatransparent manner, accept Accountability –We willworktoclear equitably. policiesandprograms government facts andfaircriteriaimplement fairly byobjectivelyconsideringallrelevant caprice, favouritismorself-interest, act provide adviceonmeritand withoutbias, Impartiality –We willmakedecisionsand sustain publictrustofahighlevel. conflicts ofinterest and andstrivetoearn conduct, avoidanyreal orapparent powers responsibly, report improper transparent inourdealings,use Integrity –We willbehonest,openand and promote bestpractice. communityandidentify to theVictorian provide Government, high-qualityservices impartial andtimelyadvicetotheVictorian Responsiveness –We willprovide frank,
specific needsofbothsectors. mental healthservicestailored tomeetthe We are abletoprovide specialistforensic on mentalhealthandpublicsafety issues. giving Forensicare aunique perspective mental healthandcriminaljusticesectors, services thatspanallcomponentsofthe that provides clinicalforensic mentalhealth Forensicare istheonlyagencyinVictoria mental healthservicesinVictoria. statewide specialistprovider offorensic Health, knownasForensicare, isthe InstituteofForensicThe Victorian Mental Our organisation broader mentalhealthandjusticefields. professional educationtoourstaff andthe We deliverspecialisttrainingandongoing ongoing developmentofclinical services. Behavioural Sciencetosupport the independent Centre forForensic UniversityofTechnology’swith Swinburne research program operates inpartnership prisoners andclients.Acomprehensive and managementofforensic patients, the effective assessment,treatment framework. Theseservicesinclude clinical serviceswithinarecovery Forensicare’s primaryfocusistoprovide agreements withprivateprisonoperators. of JusticeandRegulationthrough Services Agreement withtheDepartment provided underaFundingandHealthcare funding. Ourprison-basedservicesare Human Services,provides muchofour through theDepartmentofHealthand Government, Health. TheVictorian accountable totheMinisterforMental a board ofninedirectors whoare by Health Act2014andisgoverned Forensicare operatesundertheMental
ANNUAL REPORT 2017-2018 5 FORENSICARE 6 under theMentalHealthAct. from thegeneralmentalhealth system 1991. Patientsmayalsobeadmitted Health Act2014ortheSentencing Unfitness tobe Tried) Act1997,theMental under theCrimes(MentalImpairmentand hospital from thecriminaljusticesystem Patients are generallyadmittedtothe women’s unit. care programs, includingadedicated provide bothacutecare andcontinuing secure hospitalwithsevenunitsthat Thomas EmblingHospitalisa116-bed Hospital Thomas Embling Our services
• • • • • • Our servicesinclude: Centre andPortPhillipPrison. operators includingRavenhallCorrectional prisons, andprisonsmanagedbyprivate provided atlargerpubliclymanaged Specialist mentalhealthservicesare Health Service Prison Mental rehabilitation service. mental healthandpsychosocial a 30prisonbedspecialistforensic St Paul’s Unit(PortPhillipPrison)– Tarrengower prisons. Middletonand Loddon, Marngoneet, Hopkins, Barwon,Dhurringile,Karreenga, as sessionsbyvisitingpsychiatristsat Kal andLoddonprisonsaswell practitioner sessionsatHopkins,Langi visiting consultantpsychiatricandnurse State-managed Prisons– CorrectionalMarngoneet Centre. services atBarwonPrisonand and incorporatingsatellitepsychology including outreach tootherprisons a mobileforensic mentalhealth service (Metropolitan RemandCentre) – Mobile Forensic MentalHealth Service for women. and atherapeuticdayprogram program, intensiveoutreach program Centre) –a20prisonbedresidential Marrmak Unit(DamePhyllisFrost unit andanextensiveoutpatientservice. Correctional Centre) –a75prisonbed Mental HealthUnit(Ravenhall Ballerrt Yeram-boo-ee Forensic assessment program. outpatient servicesandareception acute assessmentunit,specialistclinics, Assessment Prison)–a16prisonbed Acute AssessmentUnit(Melbourne
Hamilton Horsham Mildura Warrnambool
Ararat Stawell Swan Hill Colac Ballarat Geelong Bendigo Echuca Melbourne Shepparton Warragul Mansfiled Wangaratta Traralgon Wodonga Bairnsdale Sale Hamilton Horsham Mildura Hamilton Horsham Mildura Warrnambool Warrnambool Ararat Ararat Stawell N Stawell 1 mental healthservices Specialist forensic Service locations 8 7 6 5 4 3 2 Centre Hopkins Correctional Marngoneet CorrectionalCentre Swan Hill omnt Forensic Community VICTORIA Langi KalPrison Ravenhall Correctional Centre Assessment Centre FixatedThreatVictorian Thomas EmblingHospital Port PhillipPrison Metropolitan RemandCentre AssessmentPrison Melbourne Dame PhyllisFrost Centre Mental HealthService Swan Hill Colac Barwon Prison Ballarat Geelong Tarrengower Prison
Loddon PrisonPrecinct Bendigo Echuca Colac
4 8 5 2 16 Ballarat 3 7 13 9 1 Geelong 14 Melbourne 12 6 • • • • • • • • the followingprisons Visiting sessionsat 10 11
Tarrengower Prison CorrectionalMarngoneet Centre Loddon PrisonPrecinct (Middleton) Langi KalPrison Karreenga Annexe Hopkins Correctional Centre (Ararat) Dhurringile Priso Barwon Prison 15 Dhurringile Prison Shepparton Bendigo Echuca Warragul Mansfiled n 4 8 5 Wangaratta 2 16 Traralgon 3 7 13 9 1 14 Melbourne 12 6 Wodonga 10 11 Bairnsdale Sale 14 13 12 11 10 9 and ResponseService Court MentalHealthAdvice 16 15 15 Melbourne Magistrates’Court Melbourne Heidelberg Magistrates’Court Frankston Magistrates’Court Dandenong Magistrates’Court Broadmeadows Magistrates’ Court Moorabbin Sunshine Magistrates’Court Ringwood Magistrates’Court Shepparton JusticeCentre Warragul Mansfiled Wangaratta
Traralgon
ANNUAL REPORT 2017-2018 7 Wodonga Bairnsdale Sale FORENSICARE 8 in thecommunity. high-risk individuals management of areas focusedonthe of emergingprogram participate inanumber and departments agencies government consultations with and program advice, assessment, policy Our staff provide clinical
Hospital intothecommunity. of civilpatientsfrom Thomas Embling program alsosupportsthe direct discharge leave andlivinginthecommunity. This applying forandparticipatinginextended voluntary andisaconditionofsuccessfully group, participationinthe program isnot Thomas EmblingHospital.Forthisclient on ‘extendedleave’undertheActfrom to beTried) Actintheleaduptoand Crimes (MentalImpairmentandUnfitness on acustodialsupervisionorder underthe care andcasemanagement toindividuals We provide comprehensive psychiatric and Treatment Program Community Transition following programs. Services are provided through the practitioners. agenciesandprivate other government Thomas EmblingHospital,prisonservices, courts,theAdultParoleVictoria, Board, Area MentalHealthServices,Corrections multidisciplinary servicescomefrom community safety. Referralsforspecialist individuals andcontributingtoincreased aimed atimproving outcomesfor treating andmanaginghigh-riskclients based andincludeeffectively assessing, the community. Servicesare evidence- mental healthandjusticesectors, the needsofmentallyilloffenders, the forensic mentalhealthservicestomeet Service provides specialiststatewide The CommunityForensic MentalHealth Mental HealthService Community Forensic
sentence supervisionorders. correction orders, parole orders orpost- Services forindividualsoncommunity program are from CommunityCorrectional significant proportion of referrals tothis of related group programs are offered. A for specialistongoingtreatment. A number secondary consultationandacceptsclients The program includesassessment and andfire-setting. childpornography internet including possession ofchildpornography as indecentexposure), collection and sexual behaviourrelated to offending (such and rape,paedophilia,otherproblematic kill orharmothers,adultsexualassault physical violence,stalking,threats to Services are provided inrelation toserious services are notavailableelsewhere. offending, andforwhompubliclyfunded of problem behavioursassociatedwith and treatment forpeoplewitharange psychiatric andpsychologicalconsultation This isaspecialistprogram providing Problem BehaviourProgram Mental HealthService. this group isprovided byalocalArea Unfitness tobe Tried) Act.Treatment to under theCrimes(MentalImpairmentand on anon-custodialsupervisionorder of allpeoplewithamentalillnessinVictoria We provide supervisionandmonitoring order consultationandliaison Non-custodial supervision engagement isproblematic. Area MentalHealthServicesorwhere who are eithernotcurrently engagedwith targets communitycorrections clients violent orsexualoffending. Theprogram needs, includingahistoryofserious mental illness/disorder and complex in managingindividualswhohaveaserious Services andarea mentalhealth services We supportCommunityCorrectional Consultation Service Forensicare SeriousOffender
Court Programs Victorian Fixated Threat Mental health primary The Mental Health Advice and Response Assessment Centre consultations Service is a court-based assessment Opening in March 2018, the Victorian Forensicare provides expert advice and and advice program operating in eight Fixated Threat Assessment Centre (VFTAC) support to Area Mental Health Services metropolitan Magistrates’ Courts: is a statewide service jointly staffed by and other referrers such as general Melbourne, Broadmeadows, Ringwood, a team of senior forensic mental health practitioners in managing complex and Heidelberg, Dandenong, Frankston, clinicians employed by Forensicare high-risk clients. Moorabbin and Sunshine. Forensicare and senior police officers. VFTAC deals clinicians undertake clinical assessments specifically with fixated individuals and Forensic Clinical Specialist and provide feedback based on these grievance-fuelled lone actors. The primary Program Coordination assessments to the court. They liaise with purpose of the service is to identify those court staff, police, lawyers, the custodial engaging in inappropriate or threatening We provide coordination of the Forensic nursing service and local mental health communications and actions, assess Clinical Specialist Program, which is services to ensure that the needs of people individuals of concern using combined funded by the Department of Health and appearing before the court who have intelligence holdings, and develop Human Services. The program employs significant mental health issues are met. management plans that may involve forensic clinicians in Area Mental Health They also provide clinical assessment engaging or re-engaging the individual Services across Victoria to build the and advice to inform the Community with the public mental health system or specialist capability of the clinical adult Correctional Services’ Court Advisory other mental health services. Through mental health workforce to assess, treat Service regarding recommendations for treatment of mental illness and intervention and support people with severe mental including a mental health treatment and with identified risk factors, potential risks illness who are high-risk, violent or rehabilitation condition on a community towards the community are reduced. A aggressive and have a forensic/criminal correction order. memorandum of understanding between history. Forensicare also provides pre-sentence Forensicare and Victoria Police facilitates psychiatric and psychological reports to appropriate exchange of information. The Youth Justice Mental Health judges and magistrates for people with VFTAC model is proactive, preventative Program Coordination mental disorders or problem behaviours and targeted towards early intervention. to assist in sentencing dispositions, and to We provide coordination of the Youth the Adult Parole Board to assist in decision Justice Mental Health Program, which making regarding parole. employs five forensic clinicians in child and youth mental health services across Victoria who support linkages with Youth Justice. Our coordinator also delivers direct services to Youth Justice staff as part of the program at Parkville and Malmsbury Youth Justice Centres.
External workshop program We deliver a calendar of specialist professional development workshops for external agencies and staff on areas of interest and stemming from our expertise in forensic mental health. The past year has seen the opening of the Ballerrt Yeram-boo-ee Forensic Mental Health Service at the new Ravenhall Correctional Centre; the commencement of operations at the St Paul’s Psychosocial Unit at Port Philip Prison; significant expansion in our community programs; the planning and recruitment of staff for new positions at Thomas Embling Hospital; and the continued building of the 18 additional beds funded by the government. Our staff continue to provide clinical assessment, policy and program advice, consultations with government agencies and departments and participate in a number of emerging program areas focused on the management of high- risk individuals in the community. While we recognize the importance of these collaborations, they do add time and resourcing pressure to our operations. The details of such examples and many
10 more areas of exemplary practice are provided in this Report of Operations. Later in the year we will report in more detail on service outcomes and improvements in our Quality Account. Suffice to say they represent another year of considerable achievement by staff in the face of rapidly increasing demand and complexity.
FORENSICARE Greater accessibility to services
Perhaps the most visible indicator of success in providing better access to care for mentally ill prisoners has been the opening of the Ballerrt Yeram-boo- ee Forensic Mental Health Service at Board chair Ravenhall Correctional Centre. This service provides accommodation and treatment for 75 prisoners who need mental health and CEO report care and a range of outpatient services across the prison. It has significantly improved access to care for men in the prison system. Since it opened we have treated more than 285 prisoners in the This year’s Report of Operations sets out the four units and provided services to more than 300 prisoners through the outpatient ongoing growth for Forensicare. As part of service. We also began operating the St the government’s response to higher levels Paul’s Unit at Port Phillip Prison, which provides rehabilitation-based treatment of demand, Forensicare’s budget has nearly and services in a 30-bed unit, and we have doubled in size in the past five years. treated 34 prisoners. We have worked closely with the Department of Justice and Regulation to monitor access and flow The recruitment of additional staff and the through all prison services. This includes opening of the new beds in the coming the services we provide at the Melbourne months should help address some of these Assessment Prison, where the Acute issues. However, the reality is that, even Assessment Unit has been closed since with 18 additional beds, there will continue December 2017 as Corrections Victoria to be waiting lists for people to be admitted begins construction of a better and safer to the hospital. The increases in the environment for prisoners and staff. number of prison beds in Victoria, has not been matched by a proportional growth Construction has continued at the Thomas in the number of beds for compulsory Embling Hospital on the 18 additional beds treatment of prisoners at Thomas Embling funded by the government and, at the end Hospital. In our Report of Operations last of the reporting period, these are almost year we indicated our intention to keep fully completed. We have been assertively working with government to build on its recruiting for the additional staff required previous funding commitment for planning to open these units, and the additional for a new hospital service, but the funding beds are expected to become operational for this new hospital has not eventuated. in the first half of 2018-19. This increase The board remains critically concerned represents a very welcome gain in our about the ability of our existing services current capacity of 116 beds of 16%, to respond to the mental health needs of however at the same time demand for our the increasing prison population. Despite beds has grown more than threefold. There changes to our clinical processes, too remains great pressure on hospital beds many prisoners, both men and women,
from all three sources of patients, forensic, 11 are detained in circumstances where they prisoners and civil, with the inability to are not receiving the treatment they need meet appropriate levels of timely access in prison for want of adequate bed to treatment. capacity at Thomas Embling Hospital. Our access performance has continued In our community service we have to improve when we look at the transfer consolidated the expansion of our of male prisoners who require compulsory Problem Behaviour Program and treatment under the Mental Health Act to increasingly engaged more with Thomas Embling Hospital. We admitted Community Correctional Services to work 65 men for treatment from the prison with people with a mental illness with system, an 8 per cent increase on the complex needs who present a high risk of previous year. Inevitably and regrettably violence or serious offending on community there will still be an ever-increasing correction orders. We have also worked to number of women and men, often refusing prepare for the increased services funded medication, waiting for admission to the by government in the Magistrates’ Courts hospital, despite the many achievements through the new Mental Health Advice and improvements that our clinical teams 2017-2018 ANNUAL REPORT and Response Service. The collaborative have made. The past six months has work we have undertaken with Victoria seen the advent of waiting times for Police has also seen the commencement female prisoners who require compulsory of the Victorian Fixated Threat Assessment treatment, and at the end of the reporting Centre where our staff work closely with year there are 12 men held in prison where police to intervene with people whose the Supreme or County Courts have found behaviour poses a threat to public safety them liable for supervision and detention so that they receive the services they at the hospital as forensic patients, but at need for the risk to be reduced. Thomas Embling Hospital there is not an available bed. Meet new challenges Innovation in Guided by an external and drive change everything we do review of our clinical governance systems, The commencement of services at We worked with consumers and staff Ravenhall Correctional Centre and Port to implement the ‘Safewards’ model staff are to be Phillip Prison were massive change on the Bass and Daintree Units at commended on projects that saw the recruitment and Thomas Embling Hospital, which is moving to a new training of more than 120 staff at both a model aimed at reducing restrictive Best Care system sites. In a labour market where mental practices and patient aggression. We health clinicians are in short supply participated in a benchmarking study of clinical governance this is an amazing achievement. Our of restrictive interventions with other and monitoring of collaborations with the GEO Group at forensic services in Australia and New safety, quality Ravenhall Correctional Centre and G4S Zealand, which has led us to set more at Port Phillip Prison have enabled us ambitious, benchmarked targets for the and performance. to develop new and innovative ways of use and duration of seclusion and other working in these settings and we are restrictive interventions. New funding from appreciative of their support. government has enabled us to have more nursing staff on our acute wards at the During the year the board developed the hospital as part of an Early Intervention Strategic Plan 2018/19-2020/21 to guide Support Team, though recruitment to our organisation through the coming three these new positions was slower than years. This was informed by extensive
12 we had hoped. consultation with internal stakeholders including consumer and carer groups Independent research and evaluation and staff and 20 external stakeholder by the Swinburne University Centre consultations. for Forensic Behavioural Science has continued to help us improve our services. Guided by an external review of our The evaluation of the Mobile Forensic clinical governance systems, staff are Mental Health Service at the Metropolitan to be commended on moving to a new Remand Centre was completed. At Best Care system of clinical governance Ravenhall Correctional Centre we have also and monitoring of safety, quality and developed a comprehensive evaluation FORENSICARE performance. Our board Clinical framework, with data collection due to Governance Committee has met more begin later this year. This will underpin frequently to ensure appropriate board our evidence-based service provision and oversight of these activities, and the board assist with ongoing service development. has focused more on the care experience As Corrections Victoria have been building of consumers and carers. a new mental health and wellbeing precinct In our community programs we have also at the Dame Phyllis Frost Centre to house responded to the changes in policy in the Marrmak program, we have also relation to monitoring and supervision of critically analysed the demand issues at the serious sex offenders and violent offenders, women’s prison to identify the resources working in tandem with the Department required to meet the mental health needs of Health and Human Services and the of female prisoners; these are more Department of Justice and Regulation complex than their male counterparts. to implement these important reforms. We have also begun examining how to improve the clinical pathways for women at Thomas Embling Hospital. This last piece of work is part of a broader overarching review of our model of care that has continued through the year and will come to fruition in the coming year. It is a high priority for the board and executive. We also acknowledge the contribution Outstanding of independent members of our board committees for their valuable contribution. organisational Ms Ann Clark on the Finance Committee and Mr Brian Keane on the Audit, Security performance and Risk Management Committee and Professor Janet Hiller on the Research Staff at all levels of the organisation have Committee. performed with excellence in the context of the major growth in our services and the even greater growth in the demand for Appreciations those services. Performance on many of our key indicators has improved and we Board directors, management and staff have done so while maintaining the quality in general continue in their various ways of the services we provide. Our financial to contribute to a remarkably high level performance this year, with an operating of quality of service. We also appreciate surplus of $1.63 million, reflects the how government and key departmental advent of new contracts with our private staff in the Department of Health and prison partners and a number of staffing Human Services and the Department of vacancies in the earlier part of the year Justice and Regulation work to respond as we struggled to recruit nurses to the to the critical needs of consumers in Early Intervention and Support Team the context of strained resources and at the hospital. Our organisation community sensitivities to perceived risks
continues to benefit from the input of that relate to offenders and, in this case, 13 active Consumer Advisory Groups and those who also suffer from forms of mental a Family and Carer Group. Their important illness. Imperfect though our combined contributions enable us to keep improving responses might be, there is nonetheless our services in so many respects. a considerable level of commitment to growing the quality and safety of our Many new staff have joined our services. Our appreciations and thanks organisation this year, and we welcome to all concerned in supporting Forensicare the contribution they bring with new ideas through another year of challenges and and experience in other systems and achievements. agencies. Our staff are our biggest asset and we value their continued commitment to working with consumers in prison, at Thomas Embling Hospital and in the community. This year has seen changes Adjunct Professor Bill Healy in our board composition and we Chair, Forensicare Board would like to acknowledge the valuable contribution of Mr John Rimmer as a 2017-2018 ANNUAL REPORT director, who retired on 30 March 2018. We have welcomed Ms Sally Campbell Tom Dalton as a new director on the board. We Chief Executive Officer particularly acknowledge the hard work of the executive over the past year in managing the growth and continuing to work to maintain and improve the quality of services we provide to consumers and the broader community. FORENSICARE 14 Governance • • • • • • • • • • Our statutoryfunctionsare: Mental HealthAct2014. Act 1986andcontinuedunderthe under section117BoftheMentalHealth Forensicare wasestablishedin1998 Act 2014oranyotherAct. conferred onitundertheMentalHealth to performanyotherfunctions services inVictoria of forensic mentalhealthandrelated to promote innovationsintheprovision related servicesinVictoria safety offorensic mentalhealthand and innovationsinthequality to promote continuousimprovements associated fields forensic behaviouralscienceand forensic mentalhealth,forensic health, to conductresearch inthefieldsof education programs legal, generalhealthandother forensic mentalhealthwithin medical, teaching of,andtrainingin,clinical to provide, promote andassistinthe in thefieldofforensic mental health education andtrainingofprofessionals undergraduate andpostgraduate to provide, promote andassistin health generally Forensicare andforensic mental relation totheservicesprovided by to provide communityeducation in services specialist assessmentandtreatment forensic mentalhealthservices and to provide inpatientandcommunity other relevantagencies government to courts,theAdultParole Board and to provide clinicalassessmentservices related servicesinVictoria provision offorensic mentalhealthand to provide, promote andassistinthe
the board. Ms SallyCampbellwasappointedto the board attheexpiryofhis appointment. In 2017–18MrJohnRimmerretired from accountancy orfinancialmanagement. has theknowledgeof,orexperiencein, mental healthservices,andatleastone reflect theperspectiveof people receiving members, ofwhomatleastoneisableto 1986 andbetweenfoursevenother Minister administeringtheCorrectionsAct anomineeofthe Attorney-General, The board includesanominee ofthe Minister forCorrections. quarterly report isalsoprovided tothe performance oftheorganisation.The Health quarterlyontheoperationand reports totheMinisterforMental which consistsofuptoninedirectors, Minister forMentalHealth.Theboard, terms ontherecommendation of the inCouncilforthree-year by theGovernor The board ofForensicare isappointed Forensicare board health servicesweprovide. for Forensicare andtheforensic mental Mental Health,istheMinisterresponsible The HonMartinFoleyMP, Ministerfor Responsible Minister
Ms Julie Anderson Mrs Sally Campbell Board directors CertBus(Acc), CertTheo, completion BA, LLB, GAID AICD course During 2017–18 Forensicare’s board Appointed on 31 March 2018 directors were: Appointed to reflect the perspective of • Senior roles in Victoria and New people receiving mental health services South Wales, most recently within the Adjunct Professor Bill Healy on 1 December 2013 MA, DipSocStud executive at Melbourne Health and • Senior Consumer Advisor, Office of Barwon Health Chair the Chief Psychiatrist, Department of • Experienced board director, including Health and Human Services, Victoria Appointed as the Forensicare board chair current director of Alfred Health; former on 10 April 2013 • Member of Mental Health Australia appointments include Bio21 Cluster • Adjunct Associate Professor, School National Register of Consumer and Ltd and commercial/private boards Carer Leaders; consults with federal of Social Work and Social Policy, • Internationally experienced business and state governments on mental La Trobe University leader in commercial and government health issues from a lived experience industries including senior executive • Formerly Associate Professor perspective of Mental Health and Social Work, roles with the UK NHS/Department of La Trobe University and the • Past director, Neami National (1998 Health, New Zealand Health Funding Psychosocial Research Centre, –2013), president (2000–2011), vice Authority and Capital and Coast NorthWestern Mental Health president (2011–2012) Hospital • Extensive academic background • Past chair, Victorian Mental Illness • Experience in leading legal, corporate, and widely published on mental Awareness Council (May 2015– commercial and information technology health issues October 2015) programs, organisational change, capital developments and system • Graduate of Leadership Plus • Director of Mind Australia (1992–2013) development in a diverse number of Program and National Mental Health and chair (1999–2011) industries such as legal practice, health Commission Future Leaders Program • Community member, Mental Health and telecommunication and intellectual Review Board, from 2000 and the • Experienced consumer leader with property fields Mental Health Tribunal since July 2014 lived experience of recovery
Ms Janet Farrow OAM Mr Andrew Buckle OAM BSW, MBA, GradDipLaw, GAID, Appointed on 10 April 2013 Churchill Fellow, Williamson Fellow • Extensive corporate management Deputy chair experience in wide-ranging portfolios, Appointed on 27 April 2011 including commercial and non- government organisation directorships • Adjunct academic staff member, School of Social Work, The University • Awarded an OAM in 1992 for his of Melbourne work with disadvantaged and underprivileged youth • Director, Children’s Protection Society Board; chair, Quality and Risk • Consultant with Activetics, focusing Committee on providing solutions to challenges driven by an ageing workforce • Awarded an OAM in 2016 for service to community health through a range of roles FORENSICARE 16 • • • • Appointed on10April2013 MBA, FCPA, FAICD Mr Greg Pullen • • • • • • General on10April2013 Appointed asthenomineeofAttorney- MBBS, FRANZCP Dr CristeaMileshkin qualifications and board director trainingand Has formalaccounting,management Melbourne Health, Former CEOofNorthern and metropolitan Melbourne care industryinregional Victoria senior roles withinthepublic health 33 years’experienceinvarious provider inthenot-for-profit sector Homes, anagedcare anddisability MariaCatholic Formerly CEO,Villa Health Service at theMaroondah Hospital Mental Previously Director ofPsychiatry Health Service the StVincent’s HospitalMental Most recently ClinicalDirector of mental healthservice public positions intheVictorian More than30yearsinsenior Health Tribunal Current memberoftheMental of Melbourne Faculty ofMedicine,TheUniversity Sessional academicteacherwiththe New ZealandCollegeofPsychiatry Award bytheRoyalAustralianand 2010 recipient oftheIanSimpson
Mr JohnRimmer • • for Corrections on1December 2016 Appointed asthenomineeofMinister BASocSci Ms JennyRoberts • • • • • 30 March 2018 Appointment 12May2015– MA, DipSocStud,AMusA,FAICD women’s, drugsandeducationareas community corrections servicesand management roles inprisons, operational, policyandproject in corrections, includingsenior More than30years’experience Division, Corrections Victoria Correctional Servicesinthe Operations Acting AssistantDirector, Community Acuity Ventures PtyLtd2004tocurrent Principal, AcuityConsultingPtyLtdand (2004–2014) Children’s Hospital,Melbourne Former board director, TheRoyal Information Economy(2001–2004) then CEOoftheNationalOffice forthe 1995–1997and Multimedia Victoria Founding ExecutiveDirector of Cabinet (1992–1995) DepartmentofPremierVictorian and 1992) andDeputySecretary tothe (1989– Health DepartmentVictoria Former Director, PolicyandPlanning, 1989) andActingDirector (1989) (1986– Psychiatric ServicesVictoria and Program Development,Office of Former AssistantDirector, Policy
• • • • • Appointed on12May2015 MBBS, FRANZCP, LLB Associate Professor Ruth Vine management ofmentallyilloffenders mental health,disabilityandthe legislation andpolicyinareas including has contributedtothedevelopmentof Holds medicalandlawdegrees and Health Plan develop thefourthNationalMental Department ofHealthandAgeingto Worked withtheCommonwealth community healthsetting in forensic mentalhealthand ina Worked asaconsultantpsychiatrist (2009–2012) Psychiatrist forVictoria Health (2003–2008)andChief of HealthastheDirector of Mental Previously workedintheDepartment Mental Health Executive Director, NorthWestern
ANNUAL REPORT 2017-2018 17 FORENSICARE 18 members. include non-board the board, andsome committee reports to responsibilities. Each the board tofulfilits Six committeeshelp Officer andtheexecutive. and successionoftheChiefExecutive the review ofperformance,remuneration to fulfilits responsibilities in relation to This committeehelpstheboard Planning Committee and Succession Remuneration Executive Performance, of Forensicare’s clinicalservices. evaluating thesafetyandquality advice totheboard inassessing and byproviding governance leadershipand a keyrole inensuringeffective clinical Committeeplays The ClinicalGovernance Committee Clinical Governance auditfunctions. and external risk managementsystemsandtheinternal structure, legalandregulatory compliance, financial control reporting, internal responsibilities inrelation toForensicare’s andoversight its corporategovernance Committee’s role istohelptheboard fulfil The Audit,SecurityandRiskManagement Management Committee Audit, SecurityandRisk Board committees
and governance framework. and governance board onForensicare’s strategicplans and todeveloprecommendations forthe prioritise keystrategicchallengesandrisks Committee workstoidentify, review and The StrategicPlanningandOversight Oversight Committee Strategic Planningand across theorganisation. of research. Italsoencouragesresearch of andadherence toethicalstandards develops guidelinesandensures progress priorities andactivities,monitors This committeedeterminesresearch Research Committee responsibilities.governance to helptheboard tofulfilitsfinancial The FinanceCommittee’s role is Finance Committee committees. Forensicare’s board the membershipof Table 1breaks down
Table 1:Boardcommitteemembershipasat30June2018 Adjunct Prof. BillHealy Ms JennyRoberts Executive member(s) Independent member Assoc. Prof. RuthVine Mr Greg Pullen Dr CrisMileshkin Ms JanetFarrow Ms SallyCampbell Mr Andrew Buckle Ms JulieAnderson Management and Risk Audit, Security
Chair Governance Clinical
Chair Planning and Succession Remuneration Performance, Executive
Chair Finance
Chair Research
Chair and Oversight Planning Strategic
Chair
ANNUAL REPORT 2017-2018 19 FORENSICARE 20 Business Services Ian Holland Finance & Executive Director Figure 1:Organisationalchartasat30June2018 Organisational chart organisational structure. Forensicare’s current Figure 1shows
Wendy McManus Resources Human Human Executive Director Lisa Wright Chief Social Chief Social Worker
General Counsel ICT Manager Nadia Baillie Chris Guest Operations Ryan Dube Dube Ryan Prison Prison Executive Director Occupational Therapist Occupational Danielle Ashley Office oftheCEO
Acting Chief Acting Chief
Operations Inpatient
Les Potter Executive Director Communications Communications Board Support Melissa Iskov Melanie Starr Manager Officer
Dr ClareMcInerney Dr Kate Roberts & Roberts& Dr Kate Director of Clinical Director ofClinical
Services Prisons Director of Director of Jo Ryan Jo Ryan Nursing
Director of Clinical Director ofClinical Dr MarkRyan Danny Sullivan Danny Forensicare Tom Dalton Inpatient Services Executive Services Clinical Clinical Director Director Board CEO
& Strategic Development & Strategic Community Operations Community Operations Dr Anthony Cidoni Dr Anthony Jonathan Norton Jonathan Director of Clinical Director ofClinical Community Executive Executive Services Director
Psychological Services Services &Research Services Anthea Lemphers Prof. JimOgloff Psychological Director of Director of Executive Executive Director
ANNUAL REPORT 2017-2018 21 FORENSICARE 22 the organisation. development of and strategic overall management Executive Officer inthe group assiststheChief An executiveleadership Chief ExecutiveOfficer. appoints Forensicare’s the Secretary’s approval, The board, subjectto leadership team Executive mentally disordered offenders. great expertiseinassessing andtreating position asahigh-qualityservice,with team. HeiskeentocementForensicare’s the organisationandheadsupmedical ofclinicalservicesacross and governance Danny isresponsible forthe leadership Services inJune2017. appointed asExecutiveDirector ofClinical throughout theorganisation.He was has heldarangeofconsultantpositions Danny joinedForensicare in2004and Executive Director ofClinical Services AFRACMA, FRCPsych,FRANZCP MBBS, MBioeth,MHlthMedLaw, Dr DannySullivan of Forensicare. for themanagementandperformance been CEOsince2009.Heisresponsible in 1999ascorporatecounselandhas HejoinedForensicareand forgovernment. in private practice, community legal centres A lawyerbybackground, Tom hasworked Chief ExecutiveOfficer BA, LLB,EMPA Tom Dalton
the Royal Melbourne Hospital. the RoyalMelbourne six ofwhichasthebusinessmanagerfor Health, for almosteightyearsatMelbourne Centre from 2014until2017andworked of FinanceforPeterMacCallumCancer to joiningForensicare IanwastheDirector public healthformore than 10years.Prior management services.Ianhasworkedin maintenance, procurement andcontract financial managementandcompliance, to theCEOforForensicare’s overall Chartered Accountants.He isresponsible He isamemberoftheInstitute Ian joinedForensicare inApril2017. and BusinessServices Executive Director, Finance BBus(Admin), CA Ian Holland services. and performanceofForensicare’s prison isresponsible forthemanagement Ryan and psychiatricintensivecare units. years’ experienceofmanagingforensic registered mentalhealthnursewith18 isaUK-trained intensive care unit.Ryan oversight ofthestatewidepsychiatric Unit atTheAlfred, withoperational operations managerfortheAcuteInpatient Prior tojoiningForensicare, wasthe Ryan joinedForensicareRyan inMay2016. Executive Director, PrisonOperations PGDipForensic(MenHlth), MBA(Hlth) RN(MenHlth), BA(Hons)HlthAdmin, Ryan Dube
Wendy McManus Professor James Ogloff AM Jo Ryan GradDipMgt, DipSocSc, BA, MA (ClinPsych), JD, PhD, FAPS RN, BEd, CertForPsychNurs, PGC-VRAM CertIVTrngAssmnt, CertIVOHS, CAHRI, Executive Director, Psychological Director of Nursing LEADR Accredited Mediator, FAICD Services and Research Jo was appointed as the Director Executive Director, Human Resources Professor Ogloff was appointed to of Nursing in December 2013. Jo is Wendy joined Forensicare in August 2008 Forensicare in November 2001. Jim is responsible for providing nursing leadership and is responsible for the development responsible for delivering psychology and embedding a nursing culture that and implementation of Forensicare’s services and research across the values professional standards and the occupational health and safety and organisation and helps provide vital delivery of best-practice nursing care. She human resources strategies, policies service development advice. Jim serves has extensive experience as a psychiatric and guidelines. She provides high-level on many boards and advisory groups on nurse in forensic mental health settings as advice and services to meet the needs matters pertaining to forensic mental health a clinician, manager and educator. of the whole organisation. Wendy’s and justice, and has led many service management of the human resources reviews and evaluations nationally and area helps the organisation to build and internationally. He also holds the positions maintain a positive work environment that of Foundation Professor of Forensic engages a valued, skilled and appropriately Behavioural Science at Swinburne credentialled workforce. University of Technology and Director of the Centre for Forensic Behavioural Science. Jonathan Norton BA, BSc(Hons), MSc(CounsPsych), EMPA, MAPS Les Potter RN, BAppSc(AdvNurs), Executive Director, Community Administration (Dist) Operations and Strategic Development Executive Director, Inpatient Operations A psychologist with more than 25 years’ experience in the health, community Les was appointed as Executive Director, and higher education sectors, Jonathan Inpatient Operations in May 2014. He joined Forensicare in October 2011. He is is responsible for managing Inpatient responsible for oversight and all aspects of Services at the 116-bed Thomas performance of the Community Forensic Embling Hospital facility and the strategic Mental Health Service and plays a key role management and planning of service in the strategic development and reporting changes or enhancements. He provides of all Forensicare services. leadership to drive the development of services that are sensitive to the needs of consumers and carers and ensures the delivery of clinical excellence, the maintenance of staff morale and community confidence in service delivery. Our clinicians manage complex patients in a complex system
This has been a year of astonishing expansion of beds in the prison directorate, of restructuring and development of the community programs, and of an increase in hospital beds (in progress). Our clinicians are managing an increasingly complex and acute cohort of patients with limited bed capacity to meet demand. I am proud of our staff, who work in a highly challenging field and maintain focus on the core tasks of patient care despite these pressures. Recruiting a skilled workforce to meet growth has been a significant challenge. Opening our new services in the prisons with a full staff complement was a major achievement. We have focused on both 24 international recruitment and retaining local trainees who have placements in our service. Our diverse workforce brings new ideas and dynamism to our services. Our challenge is to maintain a reputation that preferentially attracts staff by focusing on training, professional development and innovation in what we do for patients. Forensicare has close links with the Centre for Forensic Behavioural Science, which FORENSICARE enables ongoing translational research that explores questions of direct relevance to patient care and generating evidence for what we do. Our burgeoning prison directorate has benefited from new procedures to manage Executive Director, patient flow within prisons and to Thomas Embling Hospital. In addition to the new Clinical Services’ Ballerrt Yeram-boo-ee service at Ravenhall Correctional Centre, we began services at St Paul’s Psychosocial Rehabilitation Unit report at Port Phillip Prison. At St Paul’s we aim to meet the needs of many of those found liable to supervision under the Crimes (Mental Impairment and Unfitness to be Tried) Act 1997 who are awaiting a bed at Thomas Embling Hospital. In the past, we Our challenge is to maintain a reputation could transfer these patients promptly to that preferentially attracts staff by focusing hospital, but the demand for beds within the hospital is increasingly outstripping the on training, professional development and supply of beds available. innovation in what we do for patients. As outlined elsewhere, our court-based We have embarked on an ambitious services are expanding, and the Victorian model of care project to review our entire Fixated Threat Assessment Centre (VFTAC) complement of services. Consumers As our service has began operation in March 2018 as a joint and staff told us that the patient journey service involving the Department of Health between different services and units grown at a rapid pace, and Human Services, Victoria Police was difficult to understand and lacked Forensicare remains and Forensicare. It already has an active cohesion. I am leading a project to explore a flourishing forensic caseload and is expanding. what we need to do to ensure that our mental health service services are clearly defined and effectively The building of Apsley Unit, an eight-bed linked; this will also lead to changes to with solid and sound secure psychiatric intensive care unit at our therapeutic programs and the scope values and has a strong Thomas Embling Hospital, offers for the of units over coming years. It offers an first time the opportunity to admit patients reputation for forensic opportunity to reinvigorate our services and from prison into a unit focused on the ensure that we are utilising contemporary, mental health care of the acute management of mental disorders. evidence-based and effective interventions. highest standards. Thomas Embling Hospital has long lacked a high-dependency unit and this offers the I am honoured to work in an organisation chance to manage a selected cohort of with a thriving culture of excellence. As patients in an appropriately secure small our service has grown at a rapid pace, unit setting. The unit is proposed to open Forensicare remains a flourishing forensic in early 2019 once the appropriate staff mental health service with solid and sound profile has been recruited. values and has a strong reputation for forensic mental health care of the highest
standards. I am particularly grateful to my 25 Our clinical predecessor, Dr Maurice Magner, who left the Clinical Director post in June 2017, and governance framework to our cadre of staff and leaders who keep Forensicare on task to do great work for and model of care are consumers. evolving to remain at the cutting edge of practice
The past year has seen the implementation Dr Danny Sullivan of a new clinical governance framework, Executive Director, Clinical Services building on the 2017 Mullins Clinical Governance review. Local, directorate and organisation-wide Best Care Committees 2017-2018 ANNUAL REPORT have engaged staff in identifying opportunities to improve our services. This is a work in progress but shows promise in allowing staff to set priorities and drive changes. In line with the pivotal state government Targeting Zero report of 2016, staff have been recruited to quality and health information management posts, which increases our capacity to implement improvements to quality and safety of care. FORENSICARE 26 39,944 Hospital Thomas Embling Occupied beddays 111 (As at30June2018) Patients Separations 92 15 3 0 + + + Strait Islanderpeople as AboriginalandTorres (9.43 percent)identified 10 admissions, Admissions. Occupancy rate 94.34% 94 76 11 6 = = = 6 14 91 patients Compulsory patients Security patients Forensic
2017-18 Average waittimeforadmission 159 certification to beadmittedfollowing for female securitypatients Days, onaverage, waittime 20.47 certification to beadmittedfollowing for malesecuritypatients Days, onaverage, waittime 38.1 Embling Hospital supervision order at Thomas to thecourtfor acustodial following arecommendation in prisontobeadmitted time for forensic patients Days, onaverage, wait Hospital development Model of Care Access flow For the second consecutive year, Thomas pathways workshops This year Thomas Embling Hospital Embling Hospital provided substantial admitted 94 patients. This included 16 input for developing a business case to The Model of Care Pathways Project is female prisoners (a 27 per cent decrease construct a high secure hospital, building the first phase of a much larger body of on last year) and 65 male prisoners (an upon the 2016–17 State Budget case, work required to implement the proposed 8 per cent increase on last year) admitted which provided $40 million for land changes to Forensicare’s model of care. for treatment as well as 12 forensic acquisition and planning. patients (five new custodial supervision The project has three initial objectives: orders, two forensic patient remandees, In June, an eight-bed secure psychiatric • use a range of communication four apprehended non-custodial order intensive care unit (the Apsley Unit) was strategies to increase awareness patients and one suspended extended completed and was subject to minor among staff, patients and leave patient). The average length of defect rectification work. The project for key stakeholders about key admission for male patients from prison the additional 10 beds added to existing recommendations in the Proposed who are discharged back to prison has units and refurbished laundries, accessible Model of Care Report (2017) decreased by almost 17 per cent to 68 bathrooms and common rooms were days, and for women discharged to prison completed. The phased commissioning • map out current clinical pathways has decreased 12 per cent to 31 days. of the new bedrooms has allowed across the forensic mental health This reflects the focus on timely access refurbishment of 60 existing bedrooms in system, identifying gaps in current to care and the provision of good-quality Atherton, Argyle, Bass and Canning units. pathways and thresholds for admission care. The newly funded roles of the prison This is the first significant development, to each stream/program access flow coordinator and the hospital refurbishment, and bed expansion in the • implement the trial of a structured access flow coordinator have worked hospital since it opened in 2000. clinical judgement tool used to support hard with clinical teams in prison and the triaging/streaming patients in a hospital to ensure the timely movement of methodical and transparent manner. secure treatment order patients between Forensicare prison-based services and Early Intervention Workshops across the hospital have Thomas Embling Hospital. occurred to develop these objectives. Support Team Key themes emerging include: • opportunities for greater consistency As a part of the 2017 Forensicare in how and when patients progress Enterprise Bargaining Agreement, Thomas Safewards through the system Embling Hospital was funded an additional The objectives of the Safewards model 17.8 EFT to assist in reducing occupational • improved identification of the needs of is to reduce conflict and containment violence and aggression, providing support patients with a variety of comorbidities in mental health inpatient units. The to unit-based staff in a timely manner, • the need to identify pathway planning introduction and evaluation of the increase clinical and therapeutic time across a patient’s entire admission to Safewards model into the medium- engagement with patients, and provide clarify therapeutic/offending work to to long-term Canning Unit in 2016–17 early intervention and de-escalation. be achieved by patients. at Thomas Embling Hospital identified The Early Intervention Support Team, opportunities to change the perception led by a practice development nurse, of the ward atmosphere. In keeping with provides nursing coverage to units during the Department of Health and Human team meetings, handovers, staff meal Telehealth partnership Services’ commitment to expand the breaks, clinical supervision and debriefing; implementation of Safewards to all public it also provides cover at patient meal with Austin Health mental health services across Victoria, in times and medication rounds. The team 2017–18 Thomas Embling Hospital has engages patients through individual and Thomas Embling Hospital has entered into continued to roll out the implementation group sessions, sensory modulation a partnership with Austin Health to provide of Safewards across a further four inpatient and distraction techniques. The team is a telehealth service to inpatients to improve units. Safewards will continue to be rolled enhancing support in the hospital where care and outcomes by enhancing access out across all hospital units in 2018–19. multiple responses are necessary. to Austin Health specialist clinics while reducing cost and risks to consumers, staff and services associated with transfers between Thomas Embling Hospital and Austin Health. The process will be fully implemented by January 2019. FORENSICARE 28 Mental HealthService Community Forensic all sources total servicehours– 23,896 by Forensicare seniorclinicians Victoria PoliceDivisionND2 reviewed assessments undertaken bypolicein family violencecomprehensive risk 806 on acommunitycorrection order treatment andrehabilitation condition being considered for amentalhealth assessments completedfor individuals 1,550 (at 30June2018) supervision orders clients onnon-custodial 57 very goodorexcellent survey rating theserviceasgood, community servicefeedback of clients completingthe 97.3% Behaviour Program clients seenbytheProblem 324 risk clientswithmentalillness Mental HealthServicesfor high- accepted referrals from Area 22 (at 30 June2018) extended leave clients 14
216 reports for peopleonbail pre-sentence court 117 Parole Board for theAdult reports prepared 44 (began inMarch 2018) Assessment Centre Victorian Fixated Threat referrals acceptedbythe 32 Offender Consultation Service by theForensicare Serious cases beingcoordinated Correctional Servicesfor contacts withCommunity 722 Group program ‘Handling AngerWisely’ sessions delivered of the 19 (Office ofPublic Prosecutions) for criminaltrials court reports prepared 78 for peopleincustody pre-sentence courtreports
We have partnered in a highly collaborative Forensic way with Victoria Police to implement this Review of the non- service, which began accepting referrals in Mental Health March 2018. We have been lucky to attract custodial supervision back to Forensicare Dr Michele Pathé to Implementation Plan provide clinical leadership for VFTAC, given order system Dr Pathé’s international renown in this We have continued to work closely specific area. We will continue to work with In 2017–18 we were pleased to with government departments on the stakeholders including the Department of participate in a review commissioned by government’s Forensic Mental Health Health and Human Services and mental the Department of Health and Human Implementation Plan. In particular, we health services that have also received Services examining the functioning of were pleased to receive significant funding to provide an enhanced response the non-custodial supervision order additional funding to expand and integrate to individuals identified as in need of mental system. This considered the respective our services to the Magistrates’ Court. health intervention by VFTAC. roles, responsibilities and expectations of We have worked with government to Forensicare as the supervising agency, implement this initiative, which formally Area Mental Health Services as treatment began in mid-2018. providers, and the Department. The review was conducted by external Community consultants and we look forward to Transition and working with the Department to implement Victorian Fixated actions in response to the review’s recommendations. Threat Assessment Treatment Program To improve bed flow through Thomas Centre Embling Hospital, this year we expanded the focus of the community service in Forensicare During the year Forensicare participated assisting patient flow and discharge from in the government’s review of individuals the hospital. As part of this, the former Serious Offenders with complex needs and in discussions Community Integration Program was regarding the need for a service to renamed the Community Transition and Consultation Service respond to the threats posed by fixated Treatment Program, and we formally and grievance-fuelled lone actors. We handed over the component of the The former Enhanced Forensic were pleased that in October 2017 the previous program that assisted with prison Consultation Service, has now become the government announced the establishment discharges to Forensicare’s Prison Service. Forensicare Serious Offender Consultation of the Victorian Fixated Threat Assessment The Community Transition and Treatment Service. The new name more clearly Centre (VFTAC). This is a statewide service Program now provides dedicated time describes the functions of this program, jointly staffed by a team of senior forensic in hospital units working with forensic which supports Community Correctional mental health clinicians (employed by patients and treating teams in preparing Services and mental health services in Forensicare) and senior police officers. pathways for recovery progression from managing individuals on an order who The primary purpose of the service is to: early in the patient journey all the way have a serious mental illness and complex needs, including a history of serious violent • identify people engaging in through to discharge. Staff from this or sexual offending. This service has inappropriate or threatening program are also actively assisting with the focused much attention during this year on communications and actions direct discharge of civil patients from the hospital to the community. This includes individuals on post-sentence supervision • assess individuals of concern former security patients whose sentences orders who reside at Corrections Victoria facilities at Corella Place and Emu Creek. • develop management plans that may have expired while in the hospital and are Forensicare has also been engaged in involve engaging or re-engaging the placed on community treatment orders. discussion with the Department of Health individual with the public mental health and Human Services to review the level system or other mental health services. of resourcing available to the local mental health service in Ararat to respond to the needs of the complex and high-risk population at these Corrections Victoria facilities. FORENSICARE 30 Psychiatrist. health servicesproduced bytheChief violence practiceguidelinesformental contributed tothedevelopmentoffamily of riskassessmenttools.Forensicare also expert riskconsultantadvisingontheuse TeamEnhanced FamilyViolence asan a seniorclinicianembeddedwithpolice Universityinhaving Police andSwinburne we extendedourpartnershipwithVictoria around accesstochildren. Inaddition, offenders inthecontextofdecisions with riskassessmentsoffamilyviolence continued toprovide ChildProtection this importantarea ofpublicpolicy. We Forensicare hasmaintaineditsactivityin Family violence which are scheduledforSeptember2018. we are infullplanningfortheseworks, our CliftonHillpremises. Astheyearends safer waitingroom andreception area in and capacitytocreate alargerand major upgradestointerviewroom safety PreventionHealth ServiceViolence fundfor Health andHumanServicesfrom the works fundingfrom theDepartment of Finally, wereceived confirmationofcapital andexternally.both internally performance indicatorswereport against our intakesystemandthesuiteofkey (Community). We havebegun toreview chaired bytheDirector ofClinicalServices alignment withtherest ofthe organisation, a CommunityBestCare Committee in More broadly, wehaveimplemented Forensicare staff. the proliferation ofservice sites with our dispersedstatewidenetworksand This isparticularlyhelpfulconsidering multi-party video-conferenced meetings. record trainingsessionsandtosupport room, whichincludesthecapacity to upgrades toourmaintrainingandseminar also installedamajorsetofaudiovisual informed approach torecovery. We have for staff aboutimplementingaconsumer- consumer consultantconductedasession As afeature ofthistraining,oursenior of staff developmentforumsaccordingly. with ourstaff anddesignedaprogram a comprehensive trainingneedsprocess plan forthecommunity. We alsoundertook Aboriginal andTorres StraitIslanderaction in 2017–18.Thisincludesdevelopingan performance, safetyandqualitysystems a rangeofinitiativestoimprove our The CommunityServicehasintroduced improvements safety andquality Performance, ANNUAL REPORT 2017-2018 31 FORENSICARE 32 Health Service Prison Mental CENTRE DAME PHYLLISFROST Marrmak Unit occupancy rate inthe 78.53% stay intheMarrmakUnit days average lengthof 31.91 Marrmak Unit admissions tothe 156 ASSESSMENT PRISON MELBOURNE reception assessments 8,268 works. having closedforrefurbishment July 2017and12December2017, was onlyinoperation between1 Note: TheAcuteAssessment Unit 8,072 Acute AssessmentUnit occupancy rate inthe 88.5% in theAcuteAssessmentUnit days average lengthof stay 45 Acute AssessmentUnit admissions tothe 52 (outpatients) occasions of service
REMAND CENTRE METROPOLITAN 3,179 reception assessments 897 Service Forensic MentalHealth clients seenbytheMobile 295 Health Service the MobileForensic Mental occasions of serviceby 9 September2017. operation of StPaul’sUnit from Note: Forensicare tookover (outpatients) occasions of service 992 the St Paul’sUnit occupancy rate in 90% stay intheSt Paul’sUnit days average lengthof 115.15 St Paul’s Unit admissions tothe 34 PRISON PORT PHILLIP CENTRE RAVENHALL CORRECTIONAL of stayintheTambo Unit days average length 63.3 of stayintheMoroka Unit days average length 57.6 of stay intheErskineUnit days average length 45.4 of stay intheAire Unit days average length 36.4 Health Service boo-ee Forensic Mental admissions toBallerrtYeram- 285 assessments reception 530 in theAire Unit occupancy rate 91% until wellinto 2018. it didnot becomefullyoperational staged implementation and from 13November2017with operating BallerrtYeram-boo-ee Note: Forensicare began case management outpatient intensive 152 consultations outpatient specialist 203 in theTambo Unit occupancy rate 65.1% in theMoroka Unit occupancy rate 86.3% in theErskineUnit occupancy rate 96%
ANNUAL REPORT 2017-2018 33 FORENSICARE 34 an assessmentorder are transferred safely. admission toamentalhealthserviceunder to ensure thatthosewomen requiring also engagingArea MentalHealthServices Health toreview themodelofcare. We are We havecontinuedtoworkwithJustice and transfertoservicesinthecommunity. lot ofassistancetoprepare fordischarge periods oftime,mostwhomrequire a prisoners admittedtotheunitforshort This hasseenasignificantincrease in increase offemaleprisonersonremand. was underparticularstrainduetotherapid our MarrmakUnit.Thisyeartheservice at theDamePhyllisFrost Centre through There wascontinueddemandforservices Centre Dame Phyllis Frost Women’s services– increased security. including improved office spaceand to patientrooms andstaff amenities, project thatwillseeimprovements Unit iscurrently goingthrough arenovation Care framework.TheAcute Assessment system through implementing theBest established arobust clinical governance trauma-informed care. We successfully the bestpossiblerecovery-oriented and continued toworkveryhard toprovide Despite thesepressures, theteamhas remained unabatedthroughout theyear. AssessmentPrisonhas Melbourne The pressure toaccessservicesatthe Assessment Prison Melbourne under consideration. the findingsofthatevaluationare currently completed anevaluationoftheserviceand Centre forForensic BehaviouralScience bed-based services.In2017–18the not ordinarily covered byoutpatientand high-prevalence psychiatricdisorders to servicealargenumberofclientswith service deliveryofferings. Itcontinues within ourprison-basedmentalhealth remains aninnovativeanduniqueservice The MobileForensic MentalHealthService Health Service Forensic Mental Centre –Mobile Metropolitan Remand patient andstaff amenities. be undergoingarefurbishment toimprove rehabilitation. TheunitatSt Paul’s willsoon reserved formenrequiring psychosocial that accesstothebedsatStPaul’s is care. We havealsomanagedtoensure now providing excellentrecovery-oriented teamwork hasemerged.Thisteamis a newculture ofahighperformance and has cometogetherexceptionallywelland the teamatStPaul’s Unit.Theteam Forensicare staff from elsewhere tobuild new recruits andanumberofexisting Vincent’s Correctional Healthcare Service, We brought togethercliniciansfrom St Phillip Prisonon10September2017. We beganoperatingtheservice atPort Port Phillip Prison operations. will bereplicated inotherparts ofprison consumer andcarer engagement that we haveestablishedarobust systemof excellence isemerging.Ofparticularnote, strength tostrength andanewculture of at Ravenhallhavecontinuedtogofrom of well-definedpathways.Ourservices right bedatthetimethrough asystem to ensure thatpatientshaveaccesstothe priority hasbeentointegrateallservices within theprisonsystemasawhole.Our increase ofourbed-basedservicesto141 the BallerrtYeram-boo-ee servicesawan capacity smoothly. Thecommissioningof and wemanagedtobringtheservice to thebed-basedservicewasasuccess patients inNovember2017.Theramp-up Correctional Centre beganaccepting Mental HealthServiceatRavenhall The BallerrtYeram-boo-ee Forensic Correctional Centre Ravenhall proactively managed. that emergingriskstothesystemare available beds.Weekly meetingsensure in atimelyfashionwithintheconstraintsof security patientsare movedtothehospital Thomas EmblingHospitaltoensure that also liaiseswiththeircounterpartat are movedwithoutdelay. Thecoordinator identified as requiring abed-basedservice ThisensuresVictoria. thatpatients coordinator workingwithCorrections led byaForensicare accessflow establishing abedmanagementsystem transfer andflow. Thisculminatedin of Corrections toreview Victoria prisoner and theSentenceManagementDivision services, weworkedwithJusticeHealth In preparation forgrowth inbed-based to ourservices managing access Throughput and
ANNUAL REPORT 2017-2018 35 This year marked a significant milestone for the Centre for Forensic Behavioural Science (CFBS) and the Forensicare research program. In 2017, the CFBS marked the 10th anniversary since its inception. To celebrate, we hosted an event at the new CFBS premises in Heidelberg Road in June 2018, which was attended by almost 100 senior staff from Forensicare and Swinburne University, current and former students, and other guests. The CFBS was initially established in 2006 and began operating in 2007. The CFBS is uniquely situated as both the research and training arm of Forensicare and as a research centre in the Faculty of Health, Arts and Design at Swinburne University, which we joined in January 2014. The research program receives outstanding support from both Forensicare and Swinburne University. The CFBS is a community of scholars and
36 practitioners, and we have a wonderful team of staff, honorary staff, research fellows, research assistants and of course students. Here is a snapshot of some our accomplishments over time: • We have published more than 450 peer-reviewed journal articles, 11 books, 135 book chapters and many reports to government.
FORENSICARE • We have graduated 67 doctoral students, plus many master’s and honours students. • We have been awarded more than $10 million in research grants and contracts. Research overview – • The CFBS currently has 25 Doctor of Psychology students and 10 PhD Centre for Forensic students. • There are 160 unit enrolments this semester in the forensic behavioural Behavioural Science and sciences courses. • Staff members regularly present Forensicare Research at conferences nationally and internationally. • We have contributed to, given evidence at and been cited by royal commissions, law reform commissions, parliamentary committees and other policymaking bodies. • Staff members have held leadership positions in national and international collegial bodies. to thecommunity. differences tothelivesofconsumersand mostly translationalandapplied;itmakes Most importantly, theworkwedois related agenciesinAustraliaandabroad. human services,police,parole boards and engages regularly withcourts,corrections, to research excellence.Thecentre also Forensicare’s longstandingcommitment recognisedinternationally andreflects Work generatedfrom theCFBSis obstacles. achieve ouraimswhileovercoming such 2018–20 are targetedathelpingus The objectivesintheResearchStrategy staff, servicemangersandconsumers. dissemination ofoutcomestoForensicare between thisactivityandthedirect outcomes, there isoftenadisconnect publication andpresentation ofresearch CFBS) hasanimpressive track record of While Forensicare (inpartnershipwiththe organisations nationallyandinternationally. practice research produced byother and toremain informedregarding best based innovationinpracticeandoutcome, responsibility todemonstrate evidence- and internationally. Forensicare hasa and translationoffindingsbothnationally impetus toprogress thedissemination the comingyears,there issignificant increased across theorganisationover and evaluationactivityissupported strategic objectives.Ifformalresearch can assisttheorganisationtomeetits focusing onhowresearch andevaluation aligns withForensicare’s StrategicPlan by Research Strategy2018–20.Thestrategy Forensicare recently approved the The executiveandtheboard of 2018–20 Research Strategy
in the CFBS on fixed-term contracts. in theCFBSonfixed-termcontracts. Benjamin Spivakwere appointedlecturers is richlydeserved.DrDanSheaand knownandthispromotion internationally significant contributions.Herworkisnow its inceptionandhasmadenumerous Troy hasworkedwiththeCFBSsince Professor ofClinicalForensic Psychology. McEwan waspromoted toAssociate to theCFBSandForensicare. DrTroy Michael’s longstandingcontributions welcome appointmentthatrecognises Deputy Director oftheCFBS. Thisisa Professor MichaelDaffern wasappointed Staff highlights the UnitedKingdom. corrections administration in Australiaand experience inoffender rehabilitation and Advisory Committee.Markhasextensive Queensland, asthechairofCatalyst former CommissionerofCorrections for and DrMarkRallings,psychologist Fullam asmanageroftheconsortium Notably, we have appointedDrRachael developing research andethicsproposals. foundational, includingmeta-analysesand Most oftheworkinfirstyearhasbeen and cognitiveimpairment. disorders), substancemisusedisorders mental disorders (includingpersonality interpersonal violence,includingthosewith Our worktargetspeoplewhocommit that willincrease communitysafety. people whoengageinviolenceamanner violence andtointerveneeffectively with our understandingofthecausalfactors the CatalystConsortiumistoenhance Regulation andForensicare. Theaimof by theDepartmentofJusticeand and sexualoffending fundedjointly expertise toreduce persistentviolence which focusesresearch andclinical of operationtheCatalystConsortium, This yearalsomarkedthefirstfull Consortium The Catalyst corrections. regarding theuseoftechnologyin for hislongstandingresearch contributions services andJeff’s award hasbeenmade bodyforcorrectional peak international conference inLondon.TheICPA isthe was bestowedattheassociation’s annual Prisons Association(ICPA). Theaward from Corrections theInternational and Correctional ExcellenceResearch Award and CFBS,wastherecipient ofthe2017 Department ofPsychologicalSciences Associate Professor Jeff Pfeifer, from the providing oversight. and IlanaLauria.JimOgloff assistedby Senkans, SamMuir, JuliaNazarewicz Nixon, DanShea,MelSimmons,Svenja Melisa Wood, Darcy Coulter, Margaret along withBenSpivak,StefanLuebbers, McEwan ledtheworkwithinCFBS, Project.Violence AssociateProfessor Troy the EnhancingPoliceResponsestoFamily Canberra. Theaward was bestowed for in October2017atParliamentHouse PreventionViolence Awards announced Award inthe2017AustralianCrimeand CFBS were therecipients ofaGold Police,ForensicareVictoria andthe scholarly workandearlycareer research. outstanding scholarinrecognition oftheir Services. Theaward isgivenannuallytoan Association ofForensic MentalHealth Young Scholar Award from theInternational also awarded theChristopherWebster Johns HopkinsUniversity. Stephanewas the BloombergSchoolofPublicHealthat most ofthisyearasavisitingprofessor in 2018 forthree years.Stephanespent Research CouncilthatwillbegininJuly Research Award from theAustralian a prestigious DiscoveryEarlyCareer Dr StephaneShepard wasawarded develop andleadtheresearch portfolio. Forensicare foralmost10years,helpingto United Kingdom,Rachaelhasworkedwith research manager. Originallyfrom the Officer, waspromoted tothepositionof our Research LeadandDevelopment Dr RachaelFullam,whohasworkedas
ANNUAL REPORT 2017-2018 37 Two completing Doctor of Psychology students, who are now research fellows Research and Most importantly, the at the CFBS, also won awards. Dr Nina Papalia was awarded the 2017 APS evaluation highlights work we do is mostly College of Clinical Psychologists Student translational and applied; Prize and Melanie Simmons won the The CFBS completed an independent evaluation of the Mobile Forensic Mental it makes differences to Faculty and the University Three Minute Health Service and has established an the lives of consumers Thesis competition in September. Melanie also took out the People’s Choice awards evaluation framework for the Forensic and to the community. at each stage and competed in the Trans- Mental Health Services operated by Tasman finals in Brisbane in September, Forensicare at Ravenhall Correctional with representatives from 55 universities in Centre. Australia, New Zealand and Asia. Forensicare and the CFBS conducted a Lastly, Professor James Ogloff was review of the operation of the Forensic awarded the American Psychology- Disability Act 2011 and Queensland’s Law Society’s Award for Distinguished forensic disability service system for Contributions to Psychology and Queensland Health and the Department Law Annual Congress in Memphis, of Communities, Child Safety and Tennessee in March. The award is made Disability Services. only occasionally and recognised his We have been engaged by Corrections outstanding contribution to ‘making Victoria to develop a reintegration distinguished theoretical, empirical, assessment package and to review their
38 and applied contributions to the field Motivational Interactions Implementation of psychology and law’. Model. We have also conducted a validation study of the Violence Risk Scale and are reviewing the efficacy of programs operated by Corrections Victoria for Safer Communities, serious violent offenders. The Department of Home Affairs has Safer Relationships engaged the CFBS to validate national Conference assessment tools employed by fixated
FORENSICARE threat assessment and counter violence extremism agencies. In early October 2017 the CFBS hosted the Safer Communities, Safer Relationships We have also been awarded a contract conference at Monash University’s Prato with Yooralla focusing on Aboriginal and Centre in Italy. The conference was Torres Strait Islander engagement in attended by more than 100 people from disability services. Australia, New Zealand, Europe, the United Kingdom, Ireland, North America, Asia and The CFBS has been awarded a contract South America. The conference focused by the Correctional Service of Canada to on generating solutions for reducing enable them to operate advanced mental persistent violence and other serious strength training for correctional officers. offending, drawing on cross-disciplinary approaches. In closing, I want to express my sincere Research gratitude to Mr Brett McIvor, the Coordinator of the CFBS, and Dr Rachael dissemination Fullam, our Research Manager, for their fantastic support and leadership. After We hold two research dissemination 16 years working as my executive seminars each year for Forensicare staff assistant, Maree Stanford, began long members. During these sessions, which service leave at the end of this fiscal year. run for a half day, research and clinical staff She has been a wonderful support who present their work. The events this year has ably assisted me for most of my time were well attended and covered a range at Forensicare. I remain grateful to Tom of topics relevant to our clinical staff. Dalton, the CEO of Forensicare, to the The CFBS hosts a series of seminars executive and the Forensicare board for where invited speakers share their work the support they provide for research with research staff from the CFBS and and the value they place on our work. clinical staff from Forensicare. This year’s Also, we continue to benefit greatly from presentations included: the work of many research students, research fellows, CFBS staff members • 20 July 2017 – Professor Sarah and Forensicare members of staff, Brown (Coventry University, UK), without whom the important research Child sexual abuse: Understanding we undertake would simply not happen. risk and vulnerability • 26 July 2017 – Professor Scott Lilienfeld (Emory University, US), 39 Behind the mask: The search for successful psychopathy
• 20 September 2017 – Dr Michele Pathé (QFTAC), Mental health and Professor James Ogloff AM FAPS violent extremism: Practising in an Executive Director of Psychological age of modern terrorism Services and Research and Director, • 14 November 2017 – The Hon Centre for Forensic Behavioural Science Justice Peter McClellan AM, Reflections on the Royal Commission into Institutional Responses to Child Sexual Abuse • 28 March 2018 – Mr Tim Marsh (Victorian Legal Aid), Perverse
outcomes: where ethics and law 2017-2018 ANNUAL REPORT compromise clinical care • 2 May 2018 – Dr Rajan Dargee (Forensicare and CFBS, Swinburne University of Technology) Sexual homicide • 6 June 2018 – Dr Deb Bennett (Victoria Police), Complexities in cold case investigation and analysis. FORENSICARE 40 Corporate Services adjourned inthesecircumstances. adjourned there were 12menwhosecasehadbeen supervision order. Attheendofyear Hospital totreat thepersononacustodial not sufficient bedsatThomasEmbling services availablebecausethere were Forensicare indicatedthatthere were no in 23criminaltrials.In11trials This yearwereceived requests forreports certificate thatthere are servicesavailable. request areport from Forensicare anda under Forensicare’s supervision, theymust placing apersonwithmentalillness Court makeafinalorder in acriminaltrial Before theSupreme CourtorCounty impairment orunfittoplead. are foundnotguiltybyreason ofmental supervision andtreatment of peoplewho thedisposition, This legislationgoverns and Unfitnesstobe Tried) Act Crimes (MentalImpairment framework fortreating consumers. to beTried) Act1997provide thelegal Crimes (MentalImpairmentandUnfitness Court. TheMentalHealthAct2014andthe Board, PoliceandtheCoroners’ Victoria Forensic LeavePanel,theAdultParole lawyers, theMentalHealthTribunal, the of PublicProsecutions, criminaldefence justice systemincludingcourts,theOffice interaction withthebroader criminal Our organisationhashighlevelsof Legal Services 268 daysonaverage. average andthemaleprisonerswaited The femaleprisonerswaited54dayson order wasmade(anaverageof161days). 50 daysand359before theirfinal cases peoplewaitedinprisonbetween already atthehospitaland intheotherfour six neworders made,two were forpatients orders in11casesthrough theyear. Ofthe Thomas EmblingHospitalforthemakingof given thatthere were notenoughbedsat representative ofthedemandforthisorder, new custodialsupervisionorders isnot two bytheCountyCourt.Thenumberof were madebytheSupreme Courtand with ninein2016–17.Fouroftheseorders orders were madebythecourtscompared In 2017–18sixnewcustodialsupervision Custodial supervisionorders these courthearings. attended courttogiveevidencein62of hearings undertheAct.Forensicare staff 60 different consumerswhohadcourt Forensicare staff prepared 76reports for supervision orders. (extended leave)and57non-custodial orders, 13custodialsupervision orders orders comprised87custodial supervision supervision orders undertheAct.These 157 peoplewithamentalillnesson orders. At30June2018there were the yearand16revocations ofsupervision 16 newsupervisionorders madeduring unchanged from lastyear. There were supervision orders in2017–18remains The cumulativenumberofpeopleunder
custodial supervisionorder bythecourt. custodial supervisionorder variedtoanon- Two peopleonextendedleavehadtheir of 12months. able tograntextendedleaveforaperiod months. UndertheAct,courtisonly renewed bythecourtfora further12 Nine peoplehadtheirextendedleave to ThomasEmblingHospital. revoked bythecourtandwas admitted One personhadtheirextendedleave with eightintheprevious year). community onextendedleave(compared Embling Hospitaltolivefulltimeinthe Four patientsmovedfrom Thomas under theCrimesAct1914(Cwlth). custodial order at Thomas Embling Hospital In addition,apersonwasplacedon order. a custodialsupervision prison tobeplacedon the peoplewaitingin graph doesnotinclude Embling Hospital.This of patientsatThomas of increasing numbers Figure 2showsthetrend 100 160 180 140 120 Figure 2: The number of supervision ordersat30Junefrom2003to2018 Figure 2:Thenumberofsupervision 60 80 40 20
0
2003 supervision order. supervision order variedtoacustodial One personhadtheirnon-custodial conditions. person canliveinthecommunitywithout completes theorder andmeans thatthe compared with19in2016–17.Revocation supervision orders revoked bythecourt Sixteen peoplehadtheirnon-custodial Embling Hospital. resulted inanadmissionto Thomas following abreach oftheirorder. Four orders were issuedapprehension orders Five peopleonnon-custodialsupervision with 10in2016–17. were madebytheCountyCourtcompared Ten newnon-custodialsupervisionorders Non-custodial supervisionorders 2004
2005
2006 Supervision Orders as at 30 June 2003-2018 June 30 at as Orders Supervision 2007 CSO
2008
2009 CSO (Extended Leave) (Extended CSO
2010
2011
2012
2013
NCSO 2014
2015
2016
2017
2018
ANNUAL REPORT 2017-2018 41 FORENSICARE 42 principles ofmeritandequity. has inplacepoliciesandprocedures toensure allrecruitment andemployment-related practicesare inlinewiththekey required tomeetthestandards PublicSectorCommission’s setoutintheVictorian CodeofConductatalltimes.Forensicare All Forensicare employees are correctly classifiedandemployedinaccordance withthe relevant enterpriseagreement andare Human Resources–ourpeople Table 2:Forensicare’s workforceprofile,2016–2018 Forensicare’s workforce profile forthepastthree yearsispresented in Table 2. Workforce profile Men Women Gender Total Over 64 55–64 45–54 35–44 25–34 Under 25 Age Total staff Corporate support Administration Corporate/admin Medical total Officers/registrars Consultants/medical Medical Allied healthtotal Welfare worker Family advocate Consumer consultant Art therapist Occupational therapist Social worker Psychologist Allied health Clinical support Nursing Clinical staff Staff Staff number 240 429 669 113 132 194 175 669 125 359 24 31 13 63 64 64 24 34 61 45 1 1 3 1 30 June2018 216.53 (37%) 370.47 (63%) Total EFT 116.75 164.01 161.67 325.05 20.12 93.61 30.84 12.55 53.22 51.63 51.63 104.8 21.95 33.75 44.44 39.75 0.86 587 587 1.8 1 1 Staff number 201 329 530 104 152 128 530 295 15 96 35 14 50 46 46 94 18 24 47 31 1 1 3 0 30 June2017 175.73 (38%) 285.43 (62%) Total EFT 461.16 125.52 116.61 461.16 267.35 13.94 80.08 90.61 34.40 13.40 42.36 37.20 37.20 75.75 16.88 22.60 33.22 25.10 0.46 1.59 1 0 Staff number 174 307 481 135 128 481 270 14 88 93 23 12 43 42 42 86 19 19 44 28 1 1 1 1 30 June2016 Total EFT 428.49 117.42 118.80 428.49 251.01 12.29 77.58 79.82 22.53 10.89 36.87 33.02 33.02 72.15 18.32 18.40 32.65 24.55 36% 64% 0.39 0.59 0.80 1 Table recognitionawards,2017–18 4:Service Table 3:Forensicare’s executivestaff,2016–2018 (see Table 4). with 10ormore yearsofservice are acknowledgedbyourchairpersonandCEO award andceremony tocelebratetheirmajormilestonesofemployment.Staff experienced andvaluedemployees.We haveintroduced aservicerecognition Every yearweacknowledgethelongstandingcommitmentofourhighly Length ofserviceawards Policy andare categorisedasGroup 3,Cluster2for TRP purposes. PublicHealthServicesExecutiveRemuneration employed inlinewiththeVictorian SectorExecutiveRemunerationPanelexecutivesatForensicareGovernment are Executive officers Gender projects Ongoing/special Vacancies 10 Year ServiceAward 15 Year ServiceAward 20 Year ServiceAward 25 Year Service Award 30 Year Service Award Years ofservice executives Number of 30 June2018 5 ongoing 5 males 0 5 30 June2017 5 ongoing 5 males Number ofrecipients 0 5 17 11 7 2 1 30 June2016 5 ongoing 5 males 0 5
ANNUAL REPORT 2017-2018 43 FORENSICARE 44 resources area. activity forthehuman continues tobeapriority our serviceexpansions staff inorder tomeet The highdemandfor and planning Workforce recruitment services withwhichweare grouped. the benchmarkaverageofotherhealth of 66percent,tracking8centbelow Forensicare recorded aperformancerating In thereportable area ofpatientsafety, significantly higherthanin2017. The response rateof54percent was public sector2018PeopleMatterSurvey. Forensicare participatedintheVictorian People MatterSurvey quality ofcare forthepeople weworkwith. to Forensicare isvitaltoensuringahigh Attracting andretaining talented staff workforce planningmilestones. meant wehavemetallourrecruitment and conducted nursegraduateprogram has us. Inadditiontotheseactivities,awell- to refer afriendorcolleague toworkwith referral program where ourstaff are asked resourcing ahighlysuccessfulinternal and domestically andinternationally extensive candidatesearches both This hasbeenachievedbyconducting acknowledged shortageofqualifiedstaff. workforce environment where there isan in ahighlycompetitivementalhealth This recruitment hasbeenundertaken have aspecialistforensic background. 265 staff toForensicare, manyofwhom months wehaverecruited anadditional these serviceareas. Inthepast12 commitment bymanagersfrom across has required significanteffort and number ofourcommunityprograms Phillip Prisonandtheexpansionofa Correctional Centre, theserviceatPort Ballerrt Yeram-boo-ee serviceatRavenhall Establishing newworkforces forthe resources area. to beapriorityactivityforthehuman meet ourserviceexpansionscontinues The highdemandforstaff inorder to
on theirpatients. how interactionsbetweenstaff impact behaviour affects others,aswell all employeestoreflect onhow their something,’ thisinitiativeencourages at orientationas‘Seesomething,say a respectful workplace.Introduced wellbeing bypromoting and maintaining was introduced tosupport employees’ Respectfully Initiative.Thisinitiative further promote thecurrent Working 132 seniorstaff intheorganisation to out CustodiansofCulture training to Of particularnote,wehaverolled contact officers forthisimportant role. a comprehensive trainingprogram toequip and HumanRightsCommissiondelivered EqualOpportunity In 2017–18theVictorian experience negativeworkplacebehaviour. staff from across theorganisationifthey contact officers being recruited tosupport Contact Officer network, with 12peer our EqualEmploymentOpportunity conduct policy. We have recently revitalised and wehavereviewed our workplace on providing supporttostaff inthisarea in theprevious year. We continuetowork 25 percentcompared with27percent experiencing bullyingatworkwas the percentage ofstaff whoreported In the2018PeopleMatterSurvey Workplace bullying accessed thisservice. reporting period,eightstaff members by anindependentprovider. Duringthe term professional counsellingdelivered This confidentialserviceprovides short- and theirimmediatefamilymembers. employee assistanceprogram forstaff Forensicare provides accesstoafree Counselling services
Table 5: Occupational violence experienced at Forensicare, 2014–15 to 2017–18
Occupational violence statistics 2017–18 2016–17 2015–16 2014–15 WorkCover-accepted claims with an 1.36 0.87 2.1 1.77 occupational violence cause per 100 EFT Number of accepted WorkCover claims with lost time with an occupational violence 7.44 4.83 11.28 10.10 cause per 1,000,000 hours worked Number of occupational violence 202 143 141 77 incidents reported
Number of occupational violence 34.4 31 32.88 17.07 incidents reported per 100 EFT
Percentage of occupational violence incidents resulting in a staff injury, 3.96% 3% 26.24% 10.38% illness or condition
Occupational violence Occupational health and safety Training
Definitions Forensicare is committed to providing In the past 12 months, all members of our a safe, healthy workplace for employees, Health and Safety Committee were invited For the purpose of the above statistic the contractors, patients and visitors. We have to attend the annual health and safety following definitions apply: a highly functioning and successful Health refresher training to ensure their OHS Occupational violence – any incident and Safety Committee, which meets knowledge was up to date and relevant. where an employee is abused, threatened, quarterly throughout the year. We have an An online OHS training module has been assaulted or injured in circumstances in or excellent network of trained occupational developed and implemented for managers out of the course of their employment. health and safety (OHS) representatives and they have also been offered face-to across all our settings who are extremely Incident – occupational health and safety face training, all aimed at developing and incidents reported in the Forensicare proactive in their OHS activities. enhancing managers’ awareness and RiskMan reporting system. understanding of their responsibilities Ravenhall Correctional Centre to meet the requirements under the We continue to emphasise to all staff the Before the commissioning of the Ballerrt Occupational Health and Safety Act. need to report occupational violence and Yeram-boo-ee Forensic Mental Health aggression. There has been a 41 per cent An online training module covering both Service at Ravenhall Correctional Centre, OHS and respectful work conduct has increase in the number of occupational we reviewed all OHS polices to ensure violence and aggression incidents reported been developed for new staff to complete their relevance and suitability to the new on commencement, ensuring they have on the RiskMan electronic database over setting. We also undertook a process the year. an awareness of these matters from in consultation with the staff located at the time they begin their employment at A number of local occupational violence the site to determine the designated Forensicare. and aggression forums have been work group areas consistent with the conducted during the year, targeting requirements of the Occupational Health The Forensicare board and executive sites selected by their high number of and Safety Act 2004. Eight staff members undertook training and participated in a occupational violence and aggression nominated to become health and safety strategic planning session looking at our incident reports. The forums were attended representatives for their designated work OHS and WorkCover performance and by the Executive Director of Human group. Those eight staff members have reviewing key performance indicators in Resources, the inpatient operations all completed the initial five-day training this area. manager and the occupational health and course, equipping them to represent the safety coordinator as well as interested staff in matters of health and safety. staff members. The forums presented an opportunity for staff to speak about their own experiences and identify potential solutions for some of the issues they face. The forums were very well received by staff, and the majority of the suggested solutions have been successfully implemented. FORENSICARE 46 Table 6:WorkCover performance(five-yearclaimstracking),2013–14to2017–18 Table 6summarisesourWorkCover claimsandpremiums overthepastfiveyears. WorkCover completed across thisperiod. In total2,521onlinemoduleswere available tostaff viatheFITSplatform. with furtheronlinemodulesbeingmade held forstaff. We alsoaddednewcontent, 32 different face-to-facetrainingsessions For the2017–18period,there were run across Forensicare sites. face-to-face trainingsessionsbeing training contentandbookingsfor FITS isthehostsiteforstaff online management system. System (FITS)isourin-houselearning The Forensicare Training Internal Education Program Training andProfessional 2017–18 2016–17 2015–16 2014–15 2013–14 year Insurance Wages $72,815,852 $45,537,898 $40,976,317 $39,993,293 $35,763,384 (inc. GST) Premium
$1,316,791
$784,894 $670,852 $582,222 $489,489
development. for managerstofurthersupporttheir also developedfurtheronlinematerial leadership andcapabilityskills.We have Program, whichaimstoimprove their attending ourManagementInduction We continuetofacilitateallnewmanagers organisation. study thatsupporttheworkofour higher degreeof qualificationsinfields financial assistanceorpaidtimetopursue year, 12staff were approved toreceive forensic mentalhealtharea. Inthepast maintain Forensicare asaleaderinthe through highereducationandaimsto staff toundertakeprofessional development joining Forensicare. Theschemesupports attracting candidateswhoare considering by existingstaff andpromoted when This grant-basedprogram ishighlyvalued to theEffective Workplace Committee. on anannualbasis,withapplicationsmade Program isoffered toallForensicare staff The Forensicare FurtherStudyIncentive rate Premium 1.64% 1.56% 1.49% 1.33% 1.24% rate industry Average 1.50% 1.24% 1.38% 1.36% 1.26% Days paid 1,225 1,298 604 770 639
claims time lost Number of 16 14 9 6 1 claims standard Total 16 14 9 8 1 Sustainability – our environment Recycling
Forensicare continues to monitor and report on our environmental performance. Plastic bottles recycled Paper recycling (Kg) We reduced our total greenhouse gas (240 litre bins) 2,345 2015–2016 emissions in 2017–18 from 3178 to 2821 tonnes of CO2, and we will 419 2015–2016 2,223 2016–2017 continue to monitor this closely. 349 2016–2017 2,426 2017–2018 398 2017–2018 Our environmental strategy, Our Contribution to a Healthier Environment 2018–2020, will begin on 1 July 2018 and continue through to its expiry in 2020. Cardboard and paper General waste (tonnes) recycling (4 cubic metres) 221 2015–2016 53 2015–2016 219 2016–2017 Environmental achievements 53 2016–2017 239 2017–2018 51 2017–2018 in 2017–18 In the period 2017–18, the environmental strategy achievements included: • purchasing only smaller four-cylinder vehicles for the expanding prison Water consumption service fleet (these vehicles are more economical) • continuing the e-waste program, ensuring that our e-waste providers are recycling the components responsibly Water consumption (L) Water reduction goal (L) • continuing water-saving initiatives, 13,680 2015–2016 10,666 2015–2016 including all new patient 16,028 2016–2017 14,426 2016–2017 accommodation having 14,261 2017–2018 12,262 2016–2017 low-flow showerheads installed • introducing biodegradable paper medicine cups and drinking cups (bio-pak) across our prison sites • reducing waste bins and increasing Vehicle use the number of recycling bins • separating food scraps across the food preparation kitchens in the Kilometres travelled Total tonnes of fleet CO2-e hospital (the waste contractor treats 281,711 2015–2016 65 2015–2016 food waste separately to general 323,488 2016–2017 95 2016–2017 waste, using an advanced composting 243,016 2017–2018 47 2017–2018 process to return the compost/soil back to farmland • introducing the ‘Paintback’ initiative, which heralded a more sustainable way of disposing of old paint/tins Total greenhouse gas emissions and packaging
Total tonnes of CO2-e 2,928 2015–2016 3,178 2016–2017 2,821 2017–2018 FORENSICARE 48 Disclosures • • • • • • • following requests were processed: 2017–18. Duringthereporting periodthe charged foraccessinginformationin of InformationAct1982.Nofeeswere Forensicare complieswiththeFreedom Information Act Freedom of projects atThomasEmbling Hospital. registered buildingpractitionersfor Embling Hospital.We also engaged permits forbuildingprojects atThomas During thefinancialyear, weobtained Building Act1993. and maintenanceprovisions ofthe Forensicare complieswiththebuilding Building Act to becompletedin2018–19. There were noapplicationscarriedover • 12 applications had some 12 applicationshadsome no applicationstransferred three applicationsdenied no documentswere found no applicationsreceived for which 44 applicationsreleased in full 59 applicationscompleted applications received 62 freedom ofinformation (all withdrawnbythesubmitter). three applicationscancelled exemptions applied
• • • were appliedtodocuments: released infull,thefollowingexemptions Of the12applicationsthatwere not www.forensicare.vic.gov.au. 2017–18, whichisavailableat found inForensicare’s QualityAccount of thecare relationships principlescanbe consumer awareness andunderstanding 2017–18 todevelopstaff, carer and Act 2012,theinitiativesundertakenin In compliancewiththeCarersRecognition service delivery. their involvementinallelementsofour and carers andtoencouragepromote is madetosupporttherole offamilies and theirongoingrecovery. Everyeffort to thecare andwellbeingof consumers and carers are importantcontributors Forensicare acknowledgesthatfamilies Recognition Act Carers Disclosure Act Disclosure Act Protected www.forensicare.vic.gov.au. intranet siteandtothepublicat available toallstaff ontheForensicare Forensicare’s policyandprocedure is under theProtectedDisclosureAct2012. Forensicare complieswithitsobligations section 35(1). there were noexemptionsunder three were exemptundersection33(4) nine were exemptundersection33(1)
g) details of overseas visits undertaken National Additional including a summary of the objectives Competition Policy information and outcomes of each visit h) details of major promotional, public Forensicare continues to comply with In compliance with the requirements of relations and marketing activities the National Competition Policy and the Financial Reporting Direction (FRD) 22H, undertaken by the entity to develop Competitive Neutrality Policy Victoria the following information is retained by the community awareness of the entity on competitive neutrality. accountable officer and made available on and its services request to the relevant ministers, members i) details of assessments and measures of parliament and the public, subject to the undertaken to improve the occupational provisions of the Freedom of Information health and safety of employees Local Jobs First – Act 1982: j) general statement on industrial relations a) a statement that declarations of within the entity and details of time Victorian Industry pecuniary interests have been duly lost through industrial accidents and completed by all relevant officers Participation Policy disputes b) details of shares held by a senior officer k) list of major committees sponsored as nominee or held beneficially in a Forensicare complies with the Victorian by the entity, the purposes of each statutory authority or subsidiary Industry Participation Policy Act 2003, committee and the extent to which which requires local industry participation c) details of publications produced by the purposes have been achieved in supplier use, taking into account the the entity about the entity, and how value-for-money principle and transparent l) details of all consultancies and these can be obtained tendering processes. contractors including: d) details of changes in prices, fees, Within the past 12 months Forensicare i. consultants/contractors charges, rates and levies charged has begun three metropolitan-based engaged by the entity projects, of which one was completed. ii. services provided Each of the three projects was reviewed e) details of any major external reviews by the Industry Capability Network (ICN) carried out on the entity iii. expenditure committed and were found to not require VIPP plans. to for each engagement. f) details of major research and The completed project was for security development activities undertaken services at Thomas Embling Hospital. by the entity This contract has a percentage of local content in excess of 95 per cent. FORENSICARE 50 were lessthan$10,000,with atotalexpenditure of$49,063(excl.GST). Throughout thefinancialyear, Forensicare engaged12consultancieswhere thetotalfeespayabletoconsultants used in2017–18 Consultancies Consultant of Technology University Swinburne Group The PDConsulting Graylin PtyLtd Data Agility Pty Ltd PSI AsiaPacific Total
consultancy Purpose of Forensicare services Evaluation of workshops and executive/board Plan development 2018–2020 Strategic Consulting forthe standards national accreditation compliance with Forensicare’s Review of consultancies Various ICT tenders for variouscontract Probity consulting
(excluding GST) project fee To tal approved 109,111 249,362 67,512 36,510 25,350 10,879 18 (excludingGST) Expenditure 2017– 109,111 249,362 67,512 36,510 25,350 10,879 (excluding GST) Future expenditure
0 0 0 0 0 – ($ million) The totalICTexpenditure incurred during2017–18was $2.4million(excludingGST),withthedetailsshownbelow. technology expenditure Details ofinformationandcommunication (excluding GST) (Total) ICT expenditure Business asusual(BAU) $1.4m
(excluding GST) capital expenditure) expenditure and (Total =operational ICT expenditure usual (nonBAU) Non businessas $1m
(excluding GST) (OPEX) Operational expenditure $0.2m
(excluding GST) (CAPEX) Capital expenditure $0.8m
ANNUAL REPORT 2017-2018 51 FORENSICARE 52 2017–18 Statement of Priorities Part A:Strategicpriorities healthy lifestyles healthy lifestyles and communitiesencourage Healthy neighbourhoods managed early Illness isdetectedand own healthandrisks Everyone understandstheir treatment prevention asmuch A systemgeared to Better health Goals Target healthgaps healthy Help peopletostay neighbourhoods Build healthy risks Reduce statewide Better health Strategies Human Services. Department ofHealthand Hospital fundedbythe Team atThomasEmbling Intervention Support Implement theEarly Thomas EmblingHospital. restrictive interventionsat Psychiatrist toreduce with theOffice oftheChief work beingundertaken Build onthecollaborative community. Embling Hospitalintothe discharged from Thomas support forpatients Expand transition Thomas EmblingHospital. Bass andDaintree Unitsof Rollout Safewards inthe Deliverables of theMentalHealthAct2014. in accordance withsection 344 Minister forMentalHealthandis Forensicare andtheVictorian accountability agreement between The StatementofPrioritiesisthekey ACHIEVED Completed1April2018. 2016–17. the endofyearwere higherthan downwards across theyearbutat Incidents ofseclusiontrended to improve thefrequency ofreviews. established nightdutymedicalstaff Chief Psychiatristhasoccurred. We engagement withtheOffice ofthe NOT ACHIEVEDContinued extended leaveincreased. number ofpatientssupportedon Hospital hasdoubledandthe leave pathwayatThomasEmbling of patientsidentifiedforanextended Program implemented.The number Community Transition andTreatment operational modelforthe ACHIEVED Newexpanded an ongoingprogram. occurred onbothunitsbut remains COMMENCED Rollouthas Outcomes to care There isequalaccess and supporttheyneed to thefullrangeofcare People are connected home andcommunity More accesstocare inthe people needit Care isalwaysthere when Better access Goals
Ensure fairaccess access Provide easier Unlock innovation Plan andinvest Better access Strategies Hospital. beds atThomasEmbling Commission the18new Prison. Centre andPortPhillip the RavenhallCorrectional mental healthservicesat consolidate theforensic Commence and timely accesstotreatment. facilities toenablemore and withintheprison Thomas EmblingHospital patient flowfrom prisonto Continue toimprove the health beds. planning forforensic mental case forthemaster develop thefullbusiness Work to withgovernment Deliverables remains inprogress. completed. Nursingrecruitment health andmedicalrecruitment consultation completed.Allied plan developedandstakeholder final completion.Commissioning care unit(8beds)approaching and thesecure psychiatricintensive completed butnotcommissioned NOT ACHIEVED10beds effectively. Division. Thissystemisworking Victoria’s SentenceManagement Justice HealthandCorrections collaboratively betweenForensicare, mental healthunitsismonitored Prisoner ‘flow’betweenallforensic into StPaul’s. Unit atRavenhallCorrectional Centre down’ somepatientsfrom Erskine also anaddedcapabilityto‘step directly intoStPaul’s. There isnow from ThomasEmblingHospital is nowscopetotransferprisoners management systemmeaningthere are nowpartoftheprison-wide bed ACHIEVED ThebedsatStPaul’s cent reduction inlengthof stay. on theprevious yearwitha 17per admitted –anincrease of8 percent treatment order patientswere ACHIEVED 65malesecure inJanuary2018. government was completedandsubmittedto ACHIEVED Fullbusinesscase Outcomes
ANNUAL REPORT 2017-2018 53 FORENSICARE 54 people’s needs Care fitstogetheraround active partnersincare Patients andcarers are outcomes Health care thatfocuseson Target zero avoidableharm Better care Goals Ensure equalcare Embed evidence workforce Strengthen the Partner withpatients Join upcare Put qualityfirst Better care Strategies • • • groups: specific consumeradvisory In partnershipwithsite- to mentalhealth. pertaining Family Violence Royal Commissioninto recommendations ofthe to implementthe the ChiefPsychiatrist advisory group assisting participation intothe Provide executive-level Embling Hospital. model ofcare atThomas Implement therevised safety concerns. obligations toreport patient including staff educationon systems, governance of Forensicare’s clinical out oftheformalreview recommendations arising Implement Deliverables endorsement process. policy andproject evaluate theconsumer implement and community staff approach to on therecovery consultant-led training deliver consumer Embling Hospital Daintree UnitatThomas passport’ modelforthe develop a‘patient
has begun. and project endorsementprocess ACHIEVED TheConsumerpolicy well received. consultant inMayandwasvery delivered bytheseniorconsumer ACHIEVED Aworkshopwas has begun. COMMENCED Patientconsultation health servicesandfamilyviolence. Psychiatrist guidelineonmental written feedbackontheChief conclusion includingcontributing in theadvisorygroup toits Strategic Developmentparticipated of CommunityOperationsand ACHIEVED TheExecutiveDirector been received. implementation prioritieshas consultant engagedtoprogress progressed. Thereport from the implementation workshopshave care steeringcommitteeand COMMENCED Modelof been progressed. reviews the clinicalgovernance have and through thisaegisactionsfrom system hasbeenfullyimplemented ACHIEVED ABestCare Committee Outcomes
Part B:Performance priorities ‘I wouldrecommend afriendorrelative betreated asa patienthere’ People MatterSurvey–percentage ofstaff withapositiveresponse tothequestion, ‘Trainees inmydisciplineare adequatelysupervised’ People MatterSurvey–percentage ofstaff withapositiveresponse tothequestion, ‘This healthservicedoesagoodjoboftrainingnewandexisting staff’ People MatterSurvey–percentage ofstaff withapositiveresponse tothequestion, ‘Management isdrivingustobeasafety-centred organisation’ People MatterSurvey–percentage ofstaff withapositiveresponse tothequestion, ‘The culture inmyworkareafrom makesiteasytolearn theerrors ofothers’ People MatterSurvey–percentage ofstaff withapositiveresponse tothequestion, ‘My suggestionsaboutpatientsafetywouldbeacteduponifIexpressed themtomymanager’ People MatterSurvey–percentage ofstaff withapositiveresponse tothequestion, ‘Patient care errors are handledappropriately inmyworkarea’ People MatterSurvey–percentage ofstaff withapositiveresponse tothequestion, ‘I amencouragedbymycolleaguestoreportImayhave’ anypatientsafetyconcerns People MatterSurvey–percentage ofstaff withapositiveresponse tothequestion, to safetyandculture questions People MatterSurvey–percentage ofstaff withanoverallpositiveresponse Strong leadershipandculture governance, and safecare High-quality Accreditation Mental health Adverse events Patient experience and control Infection prevention
KPI Healthcare accreditation (NSQHS) Seclusion Number ofsentinelevents Patient experience(CFMHS) Patient experience(ThomasEmblingHospital) Healthcare workerimmunisation Hand hygiene with post-dischargefollow-upwithin7days Percentage ofacutemental healthadultinpatients
Full Compliance
≤ 15/1,000 Target 90% 90% 75% 80% 75% Nil 2018 result Accredited Result 97.3% 96.4% 25.20 52% 62% 56% 69% 63% 75% 71% 81% 66% 88% 62% 73% 1
ANNUAL REPORT 2017-2018 55 FORENSICARE 56 Part C:Activityandfunding Ambulatory servicehours Program activity Effective financialmanagement Timely accesstocare 13,582 Target Adjusted current assetratio Average numberofdaysto payingtradecreditors Operating result ($m) Number ofdayswithavailablecash certification certification to ThomasEmblingHospitalwithin14daysof Percentage ofmalesecuritypatientsadmitted acute unitsinThomasEmblingHospital Number ofmalesecuritypatientsadmittedto KPI within 21daysofbecomingacivilpatient Percentage ofmalesecuritypatientsdischarged to prisonwithin80days Percentage ofmalesecuritypatientsdischarged improvement service base service base 0.70 or 3% 0.70 or3% from health –$0.901 60 days 14 days Target Target 100% target 75% 75% ≥ 80 operating revenue) $1.63m surplus 71.1 days 31.2 days (1.82% of (1.82% of 12,762 Result 82.14% Result Result 31.1% 100% 1.83 65 Summarising our financial performance in 2017–18
At the end of the reporting period, • We also received funding from the Forensicare recorded an operating Department of Health and Human Other comments surplus of $1.63 million. Services in response to an enterprise bargaining agreement initiative to to the financial This result excludes capital purpose establish an Early Intervention Support income, depreciation and revaluations Team. This team are to be the first statements of long service leave provisions due to responders in de-escalating potential probability or bond rate movements. violent behaviour at the Thomas • The cash and cash equivalents balance was $8.9m, up from $5.1m. This The reported operating surplus of $1.63m Embling Hospital. increase was predominantly due to was favourable against a Statement • A significant funding increase was for funding received to open 18 new beds of Priorities projected budget deficit of the operating service fees associated at Thomas Embling Hospital that to $0.91m (favourable $2.54m). The key with the opening of Ballerrt Yeram-boo- date have not opened. favourable factors were: ee service at Ravenhall Correctional • Property, plant and equipment • savings related to delays in appointing Centre (November 2017) and 30 beds increased by $15m, largely due to the new corporate and clinical support in the St Paul’s Psychiatric Unit at Port assets under construction for building roles funded through the commercial Phillip Prison (September 2017). 18 new beds at Thomas Embling prison programs Hospital, and an adjustment to the • staffing vacancies experienced in fair value of the existing buildings at several programs across the service, the Fairfield site. particularly delays encountered in Expenditure recruiting to the Early Intervention and Support Team at Thomas Salary and wages Embling Hospital. There was an increase in employee benefits in 2017–18 to $73m, up from $56.7m in 2016–17 (28.7 per cent). This staffing increase was for the new Revenue prison-based services that began Due to the extensive service expansion operations during the year and the across the organisation the total operating Department of Health and Human revenue grew during the year by 31.2 Services funded service expansions. per cent to $89.5m, up from $68.2m in Contract staffing costs increased by 2016–17. 77 per cent during the year as the Government operating grants were organisation struggled to fill the significant $88.7m, up from $67.05m in 2016–17 increase in clinical positions. (32 per cent). The increases were due to the following funded initiatives (in addition Non-salary expenditure to indexation): Non-salary expenditure increased during • Department of Health and Human the year by 31 per cent, which is in line Services program grants for the with the increase in revenue and salary Community Forensic Mental Health and wages. Service Division, including for services previously provided but unfunded and several new government initiatives. Forensicare received funding to support our role in the newly established Victorian Fixated Threat Assessment Centre and an expanded court-based assessment service. FORENSICARE 58 Historical financialanalysisandkeystatistics Equity/assets –stability Current ratio–liquidity Key statistics of reporting period Cash attheend Cash held Equity Net assets Total liabilities Non-current liabilities Current liabilities Total assets Non-current assets Current assets Financial position Net result amortisation Depreciation and Capital revenues other economicflows Other gains/(losses)from
Operating expenditure Operating revenue Financial performance
2018 $109,186 $109,186 $133,850 $117,225 ($87,908) $24,664 $20,566 $16,625 $17,394 $17,737 $89,540 ($2,307) $8,924 $4,098 $4,098 $1,632 $’000 $332 0.82 0.81 2017 $110,043 $101,574 ($68,442) $89,355 $89,355 $20,688 $17,171 $68,200 ($1,907) $5,097 $3,517 $8,469 $1,417 $3,729 ($163) ($242) $’000 0.81 0.49
2016 ($61,455) $80,077 $80,077 $16,854 $12,795 $96,931 $90,877 $61,706 ($1,353) ($1,859) $3,258 $4,059 $6,054 ($228) 0.83 0.83 0.47 0.47 $’000 $483 $251
2015 ($57,585) $81,430 $81,430 $15,324 $96,754 $91,341 $57,344 ($2,054) ($1898) $1,964 $5,437 $9,887 $5,413 ($230) ($241) 0.84 0.84 0.55 0.55 $’000 $315
2014 ($51,944) $83,484 $83,484 $11,646 $95,130 $90,938 $52,325 ($1,444) ($1,706) $3,045 $2,327 $9,319 $4,192 ($165) 0.88 0.88 0.45 0.45 $’000 $381 $46
pages 120and121. requirements isprovided at with statutorydisclosure identify Forensicare’s compliance The indexprepared tohelp Disclosure index Attestations 27 August2018 Melbourne Accountable Officer Chief ExecutiveOfficer Management Act1994andInstructions. the MinisterforFinanceunderFinancial with theapplicableStandingDirections of Body, certify thatForensicare hascomplied I, Tom Dalton,onbehalfoftheResponsible compliance attestation management Financial 27 August2018 Melbourne Accountable Officer Chief ExecutiveOfficer during theyear. reviewed thesecontrols andprocesses performance. Forensicare hascritically reported dataaccuratelyreflects actual controls andprocesses toensure that has putitplaceappropriate internal I, Tom Dalton,certifythatForensicare attestation Data integrity
27 August2018 Melbourne Accountable Officer Chief ExecutiveOfficer at eachexecutiveboard meeting. item fordeclarationanddocumenting Conflict ofinterest isastandard agenda been addressed andare beingmanaged. board, andalldeclared conflictshave within Forensicare andmembersofthe been completedbyallexecutivestaff Declaration ofprivateinterest formshave accountabilities required bytheVPSC. policy consistentwiththeminimum has implementedaconflictofinterest in healthportfolioentities(revised) and circular 07/2017Compliancereporting complied withtherequirements ofhospital and processes toensure thatithas put inplaceappropriate controls internal I, Tom Dalton,certifythatForensicare has attestation Conflict ofinterest 27 August2018 Melbourne Chair, Forensicare Board Adjunct Professor BillHealy 30 June2018. for Forensicare fortheyearending to present thereport ofoperations Management Act1994,Iampleased In accordance withtheFinancial Bodies Declaration Responsible
ANNUAL REPORT 2017-2018 59 FORENSICARE 60 Index totheFinancialReports Financial statements2017–18 Note 8.11 Note 8.10 Note 8.9 Note 8.8 Note 8.7 Note 8.6 Note 8.5 Note 8.4 Note 8.3 Note 8.2 Note 8.1 Note 8 Note 7.2 Note 7.1 Note 7 Note 6.2 Note 6.1 Note 6 Note 5.4 Note 5.3 Note 5.2 Note 5.1 Note 5 Note 4.3 Note 4.2 Note 4.1 Note 4 Note 3.3 Note 3.2 Note 3.1 Note 3 Note 2.1 Note 2 Note 1 Note Contents Alternative PresentationAlternative of Comprehensive Operating Statement Economic Dependency Events OccurringaftertheBalance SheetDate AASBs Issuedthatare notyetEffective Ex-gratia payments Remuneration ofAuditors Related Parties Remuneration ofExecutiveOfficer Disclosures Responsible PersonsDisclosure Reconciliation ofNetResultfortheYear toNetCashInflow/(Outflow) from OperatingActivities Equity Other Disclosures Contingent AssetsandLiabilities Financial Instruments Risks, ContingenciesandValuation Uncertainties Commitments forExpenditure Cash andEquivalents How We FinanceOurOperations Payables Prepayments andOtherNon-FinancialAssets Other Liabilities Receivables Other AssetsandLiabilities Net Gain/(Loss)onDisposalofNon-FinancialAssets Depreciation andAmortisation Property, PlantandEquipment Key AssetstoSupportServiceDelivery Superannuation Employee BenefitsintheBalanceSheet Expense Recognition Analysis ofExpensesbySource The CostofDeliveringServices Analysis ofRevenuebySource Funding DeliveryofOurServices Summary ofSignificantAccountingPolicies Basis ofPreparation Cash FlowStatement Statement ofChangesinEquity Balance Sheet Comprehensive OperatingStatement Auditor–General’sVictorian Office Report Board Member’s, AccountableOfficer’s andChiefFinanceAccountingOfficer’s Declaration Understanding OurFinancials Page 119 118 118 116 115 114 112 111 110 109 108 107 106 106 105 103 102 101 99 98 97 96 95 94 93 84 83 82 80 79 77 76 74 73 71 70 69 68 67 66 64 63 61 they reflect their fair value in the Balance Sheet. Balance the in value fair their reflect they that ensure to year each bereviewed must assets non-current all of value The entry. abook to opposed as occurs, profit arealised or sold is asset the until Reserve Revaluation anAsset to transferred is amount This assets. those of revaluation a from resulting assets non-current of value the in anincrease · or Statement, Operating Comprehensive the in recorded as result’ a‘net · of: aresult as change only can worth net Our worth. net Institute’s the in change the summarises statement This Equity Changes in of Statement Statements. Financial the of notes the in detailed as andland buildings as such assets infrastructure all includes which andEquipment Plant Property, of consist assets Significant next 12months. the within cash into converted or bepaid to expected be will that liabilities or assets to refers Current non-current. or current as expressed are andliabilities assets The assets. these against claims or liabilities as well as hold, we that assets of value the shows It year. financial the endof the at worth financial accumulated net Institute’s the discloses Sheet Balance The Sheet Balance Institute. the for andexpenses revenue between difference the is deficit or surplus A items. andspecific capital before result net the in reflected is performance financial Institute’s The paid. yet not expenses or bereceived yet not may income the eventhough recognised, are year the for andcosts revenue all that means which basis, onanaccrual prepared is Statement The year. the upduring used is that anyasset of value the andis included is Depreciation Statement. Operating Comprehensive the in included not are andEquipment) Plant Buildings, (eg. assets of purchase the with associated Costs costs. dayrunning dayto include only Statement Operating the in included andexpenses Services) andHuman Health of Department (eg. revenue of sources main the lists Statement The year. financial the during performed financially has Institute the well how show Statement) andLoss Profit the called andsometimes Performance Financial of Statement andthe statement Operating the as known (previously Statement Operating Comprehensive The Statement Operating Comprehensive are: reports financial four The Auditor-General. Victorian andthe Institute bythe statement endorsement andthe statements financial the supporting notes explanatory reports, financial four of consist Institute the of Statements Financial The Statements? Financial the in is What byshowing: health financial Institute’s the into aninsight provide Statements Financial Our show? Statements doFinancial What Any movements in other reserves within this statement are adjusted through accumulated surplus. accumulated through adjusted are statement this within reserves other in movements Any Understanding Our Financials VictorianInstitute of Forensic Mental Health · Cash Flow Statement. Flow Cash · Equity in Changes of Statement · · Balance Sheet Balance · Statement Operating Comprehensive · debts. payits to Institute the of ability the · Institute bythe held assets of value the · year the during financially performed Institute the how ·
ANNUAL REPORT 2017-2018 61 FORENSICARE 62 statements and advises the reader if there are any issues of concern. of any issues are there if reader the andadvises statements the of view anindependent provides It accounts. the of fairness the of undertaking awritten provides This Audit – Report Independent Victoria Auditor General misleading. andnot fair are Statements Financial the opinion, their in andthat, requirements reporting andprofessional statutory the all havemet Statements Financial the opinion, their in that Institute, the of management financial the for responsible persons bythe made is certification The Declaration Officer’s Accounting and Finance Chief and Officer’s Accountable Member’s, Board figure. comparative year’s previous the from change beenasignificant has there where useful particularly is Notes the in Information information. additional for refer can reader the note which to indicates that acolumn is there Statements, Financial four the Within prepared. are statements the way the change may that legislation or policy standards, accounting to havebeenanychanges there if advise also Notes The statements. the within items specific about anddetails information additional as well as Statements, Financial the prepare to used andassumptions rules the to relation in information further provide Statements Financial the to Notes The Statements Financial the to Notes flow. cash anoperating as presented are authority taxation the to payable or from recoverable are which activities financing or investing from arising flows cash of components GST The basis. onagross presented are flows Cash assets. of sale the from received money as well as assets, producing revenue long-term other or expenditure capital Institute’s the to refers Activities’ Investing from Flows ‘Cash The · services. of delivery Institute’s the to relating andexpenses income all summarises section Activities’ Operating from Flows ‘Cash The · areas: main two in, used and is from, arises cash Institute’s The differ. may statements both in values the that means This spent). or paid yet not money (including basis an accrual Statement Flow Cash Institute. bythe held cash in decrease or increase net the andshows year financial the for andpayments receipts cash our summarises Statement Flow Cash The requirements with consistent is classification This activities. financing or activities, investing activities, operating from arise they not or whether to according classified are flows Cash Statement Cash Flow Understanding Our Financials (continued) VictorianInstitute of Forensic Mental Health
represents cash ‘in hand’, whereas the Comprehensive Operating Statement Operating Comprehensive the whereas hand’, ‘in cash represents AASB 107 Statement of Cash Flow Cash of 107Statement AASB
is prepared on prepared is . Chairperson Chairperson HealyWilliam Mr 2018. August on27th issue for statements financial attached the authorise We inaccurate. or bemisleading to statements financial the in included anyparticulars render would which anycircumstances of aware not are we signing, of time the At 2018. 30June at Health Mental Forensic of Institute Victorian the of position financial 2018andthe ended30June year the during transactions financial the fairly presents notes, andaccompanying Statement Flow Cash Equity, in Changes of Statement Sheet, Balance Statement, Operating Comprehensive the in out set information the opinion, our in that, state further We requirements. reporting professional mandatory other 1994 Act the under Finance for Minister the of Directions Standing the of 5.2 Direction with accordance in havebeenprepared Health Mental Forensic of Institute Victorian the for statements financial attached The Melbourne, Victoria Melbourne, 27 this Dated Officer) andAccounting Finance (Chief Services andBusiness Finance Director Executive Holland Ian Board) of behalf (on Declaration Board Member’s, Accountable Officer’s and Chief Finance and Accounting Officer’s VictorianInstitute of Forensic Mental Health , applicable Financial Reporting Directions, Australian Accounting Standards including Interpretations, and Interpretations, including Standards Accounting Australian Directions, Reporting Financial applicable , th August 2018. August (Accountable Officer) (Accountable Officer Executive Chief Dalton Tom Financial Management Financial
ANNUAL REPORT 2017-2018 63 FORENSICARE 64 report in n i or t e responsi i ities report o rd in n i or t e responsi i ities o rd pinion sis or pinion sis or pinion pinion the To Independent Auditor’s Report the To Independent Auditor’s Report ’s ’s ’s ’s
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