ANNUAL REPORT 2014 Our Values the foundations of our organisation IDS, FAMILY AND COMMUNITY CCESSIBILITY ESPECT NNOVATION EAMWORK CCEPTING INDIVIDUALITY URTURING MPOWERING

Our Vision Our vision is for children to be safe, healthy and PWTVWTGFD[EQPȨFGPVHCOKNKGUCPFEQOOWPKVKGU

2 | Annual Report 2014 Contents

Our Values & Vision 2 Connecting Carers NSW & Talking Realities 28

Patron & Ambassador 3 Careline and Parenting Website 31

Our Journey 4 Clinical Nurse Consultant - Child and Family Health 32 Strategic Directions 5 Medical Staff 33 Board of Directors 6 Quality 36 Chairman’s & CEO’s Report 8 90th Year Celebration Gala Ball 38 Our Locations 11 Education 40 Organisational Structure 12 Research Projects 43 Director of Clinical Services Report 13 Work Health Safety 47 Camden Residential Unit 14 Fundraising & Marketing 48 Carramar Residential Unit 16 Hotel Services 50 Liverpool Parenting Centre 18 Treasurer’s Report 51 Randwick Parenting Centre 19 Balance Sheet 52 Toddler Clinic 20 Statement of Financial Position 53 Jade House 22 Staff 54 Linking Families 24 Volunteers 55 Allied Health 26

Patron & Ambassador

Thank you to our Patron, Ms Ita Buttrose CPFQWT#ODCUUCFQT/U6TCEG[5RKEGTHQT VJGKTEQPVKPWCNGPFQTUGOGPVQH-CTKVCPG CPFVJGKTUWRRQTVHQTQWTVJ#PPKXGTUCT[ Celebration Gala Ball held at the Sydney 6QYP*CNNQP1EVQDGT

Ms Ita Buttrose Ms Tracey Spicer

Annual Report 2014 | 3 Our Journey

Over the last 90 years we have journeyed along a path of improving the lives of children and families from our 1996 mobile clinics in the 1920’s, our residential hospital for new The Karitane Mothercraft Society changed its name to families in the 1950’s and to our far reaching regional foster Karitane. Jade House Day Unit for mothers experiencing care programs starting in 2008. perinatal mood disorders opened at 130 Nelson Street, Fairfield Heights. 1923 The Australian Mothercraft Society - Truby King System 2000 was founded in May and the first Baby Clinic opened at The Karitane Volunteer Home Visiting Program 283 Elizabeth St, Sydney. commenced in Fairfield, Liverpool & Bankstown. 1924 2008 The first Australian Mothercraft Society Home was The Karitane Carramar site was redeveloped and Jade established at 72 Howard St, Coogee. House was moved into the newly developed Carramar site. The Volunteer program moved into 130 Nelson St, Fairfield 1927 Heights. As the Society grew, a larger hospital was purchased at The Connecting Carers NSW (CCNSW) state-wide peer 23 Nelson St, Woollahra, with additional mobile clinics support and training program for foster, kinship & relative supporting families in the outer areas of Sydney. carers commenced. Land was purchased at 124 The 1952 Horsley Drive, Carramar to commence building the new The Headquarters of the Society was transferred from 283 CCNSW Head Office building. Elizabeth St to the Karitane Hospital at Woollahra. 2009 1958 The Karitane Head Office was moved off the Carramar site The Australian Mothercraft Society was gazetted in NSW to newly built premises at 126 The Horsley Drive, Carramar. as a Third Schedule public health organisation under the 2010 Hospitals Act. The CCNSW new Head Office building was opened at 124 1966 The Horsley Drive, Carramar. The Australian Mothercraft Society received government 2011 funding for the first time. Karitane@Camden Residential Unit was opened at 1970 Camden Hospital & the Round House Cafe was opened at The Australian Mothercraft Society changed its name to the Carramar site. the Karitane Mothercraft Society. 2012 1974 The Toddler Clinic@Camden was opened by the Minister The Residential Hospital moved from Woollahra to 171 for Health and Minister of Medical Research, The Avoca St, Randwick. Honourable Jillian Skinner, MP. 1993 2013 Liverpool Parenting Centre opened at 10 Murphy Avenue, The Karitane 90 year celebrations were conducted with Liverpool. two major events - a reunion at Government House and Gala Ball at Sydney Town Hall. 1994 Karitane proudly launched the MyBabyandMe.org.au Parenting The Residential Hospital moved to 138-168 The Horsley Website and our corporate website Karitane.com.au Drive, Carramar and the Day Stay service remained in was redesigned to ensure it was mobile friendly and more Randwick. accessible to healthcare professionals and parents.

4 | Annual Report 2014 Our Strategic Directions 2010 -2015 1WTRNCPHQTVJGEQOKPI[GCTUKUVQGZRCPFQWTUGTXKEGUCPFDGEQOG YGNNTGEQIPKUGFCUCWVJQTKVCVKXGNGCFGTUEQPVTKDWVKPIVQJGCNVJ[ RQUKVKXGHCOKNKGUVJTQWIJVCMKPICEVKQPKPHQWTRTKQTKV[HQEWUCTGCU

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Annual Report 2014 | 5 Board of Directors

Chairman Director, Chair Quality & Safety Mr Michael Coffey, B.Sc. (UNSW), Committee FAICD, JP Dr Sharyn Wilkins, MBBS, RACGP Director since 2001 Family Medicine Program, Family Planning Certificate, FAICD Michael is the Managing Director of Director since 2012 a logistics company with many years experience in that field. He is a Fellow Sharyn has worked for over 25 years of the Institute of Company Directors and a Justice of as a General Practitioner. Her particular interest areas the Peace. He was elected Chairman of the Karitane are paediatrics, women’s health including antenatal organisation in 2008, is a Board Director of Liverpool care, and mental health. She was involved in the Catholic Club and Carrington Centennial Care. He was Sutherland Division of General Practice as a board recognised by Rotary for his involvement in community member for 17 years and was Chairman between service while a member of that organisation and is Past 2009-2012. President of the Rotary Club of Liverpool West Inc. Sharyn is also a director on the South Eastern Sydney Medicare Local Board and Finance, Audit and Risk Vice Chairman, Committee and is also a member of The Sutherland Chair Governance Committee Hospital Clinical Council. She is a Fellow of the Mr Garth Ross, B.Bus CPIM Australian Institute of Company Directors Director since 1999

Garth is a Supply Chain Professional Director, Chair Audit & Risk with over 30 years experience. Roles Committee held include senior business analyst, Ms Susan Dinkha BA, Dip Law (SAB) group planning manager and consultant. He holds a Director since 2008 Bachelor of Business and is a Certified Practitioner in Production and Inventory Management. Garth has Susan is a lawyer with extensive been a Director of Karitane since 1999. commercial experience gained in both corporate and private practice. She has worked for public companies as Legal Counsel and in legal Treasurer, Chair Finance Committee and compliance management roles. She has provided Mr Robert Casamento, FCPA consultancy services to public companies and to not Director since 2007 for profit organisations. She holds a Bachelor of Arts and Diploma in Law. Robert is a Fellow of CPA Australia (Certified Practicing Accountants). Robert retired from an ASX Top 50 Company after many years at a senior level. Since retiring from that Company he has contributed to the community by assisting not-for profit organisations. He is a past Chair of Scalabrini Village Limited, retired April 2010, and has been a director of Karitane since 2007. In October 2011 he was appointed a member of the Consumer Advisory Committee of the Prince of Wales /Sydney Eye Hospitals.

6 | Annual Report 2014 Director CEO & Company Secretary Professor Valsamma Eapen, MBBS, Ms Grainne O’Loughlin, B.Sc. DPM, MRCPsych, Diploma in Family (Hons) Sp.Th, MBA (UNE) Therapy, PhD, FRCPsych, FRANZCP Director since 2010 Grainne was appointed to the role of Chief Executive Officer Valsamma is Professor & Chair of Karitane and commenced on of Infant, Child and Adolescent Psychiatry at the April 28 2014. Grainne trained University of New South Wales (UNSW) and Head of and qualified as a Speech Pathologist in London, the Academic Unit of Child Psychiatry (AUCS), South England and commenced her clinical career at Central West Sydney Local Health District, Sydney, Australia. Middlesex Hospital prior to moving to Sydney in As a Child Psychiatrist with special expertise in 1991. Since then, Grainne worked initially as a Clinical neurodevelopmental disorders, her research interests Speech Pathologist within the adult neurology and include Tourette Syndrome, Autism and ADHD, rehabilitation fields and then as a Senior Speech focusing on the epidemiological, genetic and clinical Pathology Manager in several Sydney teaching aspects. She holds both Australian Research Council hospitals and community health services up until 2006. (ARC) and National Health & Medical Research Council (NHMRC) grants. Grainne moved to St Vincent’s Health Network as the Director Allied Health where she was also supported to complete her Masters of Business Administration Director through the University of New England, graduating in Mr John Bonnici 2011. Grainne held a variety of Senior Executive roles Director since 2005 throughout her eight years at St Vincent’s Health Network including Manager Strategy & Planning, A/Director John is a licensed Electrical & Security Operations, Director Support Services and ultimately the contractor and Director of Bonn General Manager of Sub-Acute Facilities & Allied Health. Electrics Pty Ltd which he founded She was a senior member of the Executive Team & a in 1974. Bonn Electrics Pty Ltd is an member of the Health Services Association (HSA) Board. Electrical, Communications and Security contracting Grainne continues to serve on the HSA, and Australian company specialising in commercial and industrial Children’s Welfare Association (ACWA) Boards. installations and maintenance. John provides expert advice on all Karitane building developments.

Director Ms Lian Yong, RN, RM, MHA (UNSW), BA(Edu), ADNE(Cumb), Cert IV in Assessment & Workplace Training Director since 2004

Lian has worked in the public health services for over 40 years in the capacity of nurse and midwife clinician and at management and executive levels. She continues to contribute to the services in a lesser role.

Annual Report 2014 | 7 Chair & CEO Report

Karitane has a rich heritage from our Founder, Dr Truby King, a clear imperative and a compelling vision for children to be safe, healthy and nurtured by confident families and communities. Mr Michael Coffey Ms Grainne O’Loughlin It is this imperative, to look to the future growth and development of our services inspired by our heritage, that has underpinned our endeavours of the past 12 We are also delighted that several Department of Family months. It has been a time of considerable change & Community Services (FaCS) programs are continuing in our governance and leadership arrangements and to be funded for a further 2 years in recognition of the we are pleased to welcome many new people to our significant service achievements. Connecting Carers NSW Executive team in support of our new direction. (CCNSW) will continue to provide foster, kinship & relative We have also farewelled a number of staff who have carers across NSW with access to ongoing training, served Karitane diligently and passionately over many education and peer support. Our Linking Families/Parent years either into retirement or on to other substantial Support Program will continue to manage 4 Programs in career paths. the Liverpool, Fairfield and Bankstown LGA: Supported Playgroups Plus program which offers supported Most notably, Mr Robert Mills, our former CEO, playgroups for vulnerable families for 12-18months; accepted an appointment at another healthcare Young Parent Family Worker (YPFW) offers sustained facility and we are most grateful for his efforts and home visiting to young clients 25 years and under; contribution to Karitane over the last 10 years. We wish Early Intervention Placement Prevention Program (EIPP) Robert well in his new role. which offers short term case management to clients with low risk vulnerabilities who need assistance and We have led many strategic initiatives to be proud of referral to address parenting issues. over the past 12 months in our four Priority Focus Areas. The Volunteer Home Visiting program (VHV) is This year we have continued active conversations to continuing strongly, supported by our generous grow our services to reach out to the regional areas benefactor, and offering practical support to families of NSW. The prospect of Karitane@Albury remains on with children 0 - 3 years living in the Liverpool, the horizon supported collaboratively by NSW Health, Bankstown and Fairfield Local Government Areas. Victorian Health and generous donor who is committed to rural and remote outreach programs for parenting 2013-2014 saw some significant celebrations and services. events. A wonderful celebration for Karitane’s 90th anniversary was held on 26th of October 2013 with the Through our education program, our team of staff Karitane 90th Gala Ball held at the Sydney Town Hall. provided excellent training through the series of ‘Caring It was a glamorous and fun-filled evening and those Hands’ education sessions delivered across Australia to in attendance included The Honourable Jillian Skinner Dubbo, Darwin, Perth, Melbourne and Sydney. MP, Ms Ita Buttrose (Karitane Patron) & Ms Tracey Spicer (Karitane Ambassador). Our key successful programs have had their funding renewed. The Juniperina Program has been again Our continued tradition was upheld with Karitane’s 8th funded by Juvenile Justice until June 30th 2015, annual charity golf day at Cabramatta Golf Club on allowing us to provide education and support to young Friday the 20th of September 2013, with 84 players women in juvenile custody. ‘Tackle the Terrors’ has supporting us. A unique raffle prize of entry into the been renamed ‘Becoming Parents’ Program and has Pro-Am of The Australian Open Golf Championship been refunded again by The Smith Family until June at Royal Sydney Golf Course was a highlight. Over 30th 2015, ensuring support for parents and their $11,000 was raised on the day towards vital equipment children in the Bankstown area. and upgrades for Karitane services. We would like to

8 | Annual Report 2014 thank our Platinum, Gold, Silver & Bronze Sponsors, project come to fruition. This new garden area allows everyone who donated prizes and all the players who the Camden Service to now cater for children up to supported us on the day. four years old at the Camden facility.

Demonstrating Karitane’s commitment to enhancing The Liverpool Parenting Centre upgraded its facility and ensuring access to appropriate and timely care through the conversion of the pergola area into a new to our Aboriginal families, the Hon. Pru Goward, group and consult room at Liverpool made possible by MP launched the Connecting Carer’s Aboriginal the awarding of $22,900 from the NSW Government’s Kinship Care ‘App’ at Parliament House on the 4th of Community Building Partnership. September 2013.

In exploring international collaborations, Mr Robert Mills (former CEO) and the President of the Australian “We are contemplating the changing health Foster & Kinship Carer Partnership (AFKCP) attended and child and family services environment in the International Foster Care Organisation (IFCO) Australia through a discerning review of Karitane’s conference in Osaka Japan to promote the upcoming comprehensive parenting, perinatal mental health, IFCO conference in Sydney in November 2015 which toddler, and out of home care services.” will be hosted by Karitane. CCNSW also held a very successful annual conference in November 2013 at the Sydney Convention Centre, Darling Harbour with over 700 attendees and overwhelmingly positive feedback The Carramar Residential Unit refurbishment received from Foster Carers. was completed in early 2014 affording the new ability to cater for residential care for families Karitane continued another strong year of research with multiple births. We also saw the installation collaboration with our tertiary education providers and implementation of Wi-Fi on the Carramar site and produced several high calibre publications and enhancing our education facilities and internet access conference presentations. We are proud to outline to staff and clients. the active research, publications and conference presentations in further detail within the report. Karitane welcomed two new medical staff to our teams A UWS, Karitane & Tresillian ARC application was to ensure appropriate access to high quality clinical successful and work is currently underway on care for our clients. Dr Sarah Mares commenced at identifying characteristics, trends, co-admissions Jade House as the new Staff Specialist Perinatal Infant and service needs of women admitted to residential Mental Health Psychiatrist and a new GP, Dr Margaret parenting services in the year following birth in NSW. Brown commenced in the Carramar Residential Unit facility to commence the new ‘Admitting Mums’ In ensuring we remain at the forefront of clinical Service featured in the report. leadership in parenting services, we have been reviewing our models of care, referral and intake systems which are continuing with the aim of optimising client care, along with easy and timely access to our services.

The Minister for Health, The Hon. Jillian Skinner attended the Karitane@Camden opening of the Children’s Garden on Tuesday 3rd June 2014. The occasion celebrated the successful collaboration and generous donation from the Kids of Macarthur Foundation and community support in seeing the

Annual Report 2014 | 9 Chair & CEO Report

Looking to the future….

In looking to the future, we remain attentive to our core We most gratefully acknowledge and thank our major business of ensuring: healthy and vibrant families, donors, a significant benefactor who continues to accessible health care for all, high quality health support our rural and remote service growth, our research care delivery, responsible and equitable resource programs, toddler clinic and volunteer services. We would management, and an energetic, progressive and not be able to sustain our comprehensive care to the innovative organisation. The significant developments in families without your ongoing generosity. health care, research and medical technology mean that the provision of Parenting Services in 2014 and beyond We would also like to thank the Karitane Board of looks quite different to that provided by our Founders Directors for their considerable time, effort, guidance in 1923. In planning our response to the health and and expertise in supporting the CEO in the continued parenting needs of Australians today and in the years growth and sustainability of Karitane. ahead, it is our hope and intention that our founder We are pleased to commend this report to you and look would recognise the tradition of care he established in forward to the coming year with confidence and hope. response to those same parenting challenges.

We are contemplating the changing health and child

and family services environment in Australia through a discerning review of Karitane’s comprehensive parenting, perinatal mental health, toddler, and out Mr Michael Coffey, of home care services. This will be guided by our Chairman of the Board Strategic Goals, our Values and our strong reputation as the Leaders in Parenting Services since 1923.

The board is grateful to the many talented people, staff and managers who continue to generously share their energy and expertise in support of our work and this Ms Grainne O’Loughlin, year has been no exception. CEO

10 | Annual Report 2014 Chairman & CEO report

Our Location

We aim to provide our services and programs to more and more families and communities. We currently work in these locations.

Karitane Metro Centre

1. Karitane Head Office - Carramar

2. Connecting Carers NSW Head Office - Carramar

3. Karitane Residential Family Care Unit, Jade House, Toddler Clinic, Education & Research, Conference Hornsby Centre - Carramar Hills 4. Liverpool Parenting Centre Clinic

5. Randwick Parenting Centre Blacktown 6. Linking Families - Carramar

7. Residential Family Care Unit and Toddler Clinic Camden Penrith Upper North 6 Parramatta Fairfield Heights Carramar Inner Sydney 1 23 Liverpool Bankstown City 4 Randwick 5 Camden

7 Sutherland Campbelltown

Karitane NSW Centres

8. CCNSW Hunter / Central Coast

9. CCNSW Northern Coffs Harbour 9

10. CCNSW Southern

Coffs Harbour 8 Sydney

ACT Bega 10

Annual Report 2014 | 11 Organisational Structure

August 2014

Karitane Board

Executive Assistant Chief Executive Officer

Director Clinical & Director Fundraising & Chief Operating Officer Chief Financial Officer Corporate Governance Business Development

Events & Conference Coordinator Quality Allied Health HR Fleet Management Accountant Coordinator

Coordinator Education CCNSW IT Support Accounts Assistant

Environmental Research Jade House Hotel & Payroll Maintenance

Linking Health Information Administration Families

Staff Health Medical WHS/Security

Parenting Infection Control Centres

Residential Units & Careline

Toddler Clinic

Executive CNC C&FH Professional Leadership role

12 | Annual Report 2014 Director of Clinical Ms McCann left Karitane at Services the end of June 2014

2013-14 has been a year of significant change at The Parenting Centres at Randwick and Liverpool Karitane. Throughout these changes the continued have continued to offer programs tailored to meet commitment by staff and the Board to the provision of community need with an increase in targeted group high quality services and innovation at Karitane has not programs and outreach services. wavered. The Family and Community Services funded programs Karitane continued its fine record of achievement provided by Karitane have also expanded. Connecting in providing quality services which was recognised Carers NSW continues to be recognised for the through the periodic review by Australian Council of provision of quality support, education and training Health Care Standards (ACHS) and the annual Quality programs for foster carers of children in out-of- Services Assessment conducted by the Australian home care (OOHC). This acknowledgement of the Safety and Quality Commission. experience and expertise of the team in supporting this population has led to invitations at all levels of Whilst the planned expansion of Karitane to a number government and health services for consultation and of regional sites is still under discussion, particularly participation. Access to Early Intervention Program in Albury, the strategic focus of ‘Expand services and (EIPP), Supported Playgroups Plus (SPP) and Volunteer programs to reach more families and communities’ support in the home have added great value to families did occur with the continuation of ‘Family Matters’ in challenged with a number of vulnerabilities including Juniperina, ‘Tackle the Terrors’ in Bankstown LGA, isolation, poverty, language, health and well-being reprisal of ‘Sing and Grow’ at Jade House, expansion difficulties at our Linking Families Service. of Volunteer Family Connect in association with Good Beginnings and Benevolent Society and a All staff throughout Karitane services have contributed more dedicated service in perinatal mental health at to the success and excellence in clinical care provided. Camden. Their continued dedication to making a difference in the lives of children and their families is highly A review of the referral and intake processes is commendable. currently being trialled in order to provide a more streamlined access to Karitane Services.

Research, publications and presentations at conferences continue to promote our evidence based practice and to demonstrate the high quality services provided by Karitane staff. More detail on this aspect can be found in the Research and Education reports. ACHS Accreditation Renewal

The Carramar site continued to grow, with capital The Australian Council on Healthcare Standards has works expanding the residential unit bed base and confirmed Karitane’s accreditation. Accreditation is seeing increased demand for the toddler clinic, public recognition of the achievement of accreditation residential services, the day programs and perinatal standards by a health care organisation, demonstrated mood disorders therapy and support. through an independent external peer assessment of that organisation’s level of performance. The Karitane@Camden service celebrated its 3rd birthday and the opening of a specifically designed Clinical Services Director Yvonne McCann said: children’s garden area has enabled them to provide “It is a great achievement for Karitane to retain its services to families with toddlers over the age of 18 accreditation under the EQUIP national standards. This months. recognition confirms the high level of care we provide”.

Annual Report 2014 | 13 Residential Unit Camden

Karitane at Camden is a Residential/ Parenting Centre Projects also providing perinatal mental health services and an outreach Toddler Clinic. Our services cover parenting After extensive planning and project managing by Kids support and advice, antenatal support and education, of MacArthur Health Foundation the Karitane Camden services to alleviate parental depression and anxiety, Children’s garden was officially opened on 3rd June managing toddler behaviour and other issues related 2014 by Health Minister Jillian Skinner along with to this challenging but rewarding period in families. Camden MP Chris Patterson. The outside play area will enable the service to accommodate older children from Parenting Confidence Levels - KPCS the local area. Minister Skinner stated that “the garden has given families a safe outdoor area to play and relax”. Camden MP Chris Patterson said “the garden would not have been built without the donation. A little bit of funding can go a long way,” he said. The garden will be accessible via Karitane and the hospital cafe.

This scale is a self administered instrument designed to measure perceived parenting self-efficacy in parents. Karitane Parenting Confidence Scores (KPCS) is completed by parents on admission (Time 1) and repeated just prior to discharge (Time2)

The graph demonstrates significant clinical improvement in Parenting Confidence Pre and Post admission to the Camden Residential Unit and Parenting Centre.

Client Comments... “Thank you very much, I feel blessed to have been able to come and stay at Karitane. I learned a lot of “The team were supportive and worked hard to skills to help my son and myself. “ find a way to help the clients.” “Staff were very friendly & supportive which made “Thank you Karitane for helping us to navigate things very much easier being such a stressful this challenging time.” situation.”

“We feel confident to take these learnings “I would recommend this unit and will speak highly home & keep going with it. Staff very attentive. of my stay here! The staff were amazing. Supportive Loved the staff, they are very supportive and & relaxed. Great advice & support. Nurses were very encouraging. Extremely helpful & very patient.” approachable, listened well.”

14 | Annual Report 2014 Professional Development 2014

The team were pleased to celebrate significant Staff at Kids of Macarthur Health Foundation achievements this year with Jenni Sexton completing Annual Ball Charity Night her Masters in Child & Family Health, Carol Davidson completing her Graduate Certificate in Child & Family Health; Leanne Tucker will have completed Masters Child & Family Health at the end of this year and Susan Porters is completing Masters of Clinical Nursing (CFH Nursing). Community Activity

Two tables of staff from Karitane attended the annual “Thanks! The nurses are supportive & helpful! And Kids of Macarthur Foundation ball, held on Saturday welcoming. Volunteer was so helpful especially 21st June 2014 at The Cube at Campbelltown Catholic when bringing luggage to room to mind baby. Club. For over a decade, the Kids of Macarthur Health I have really appreciated my stay here & all the Foundation has worked tirelessly to raise funds for help I have received.” paediatric facilities at Camden and Campbelltown hospitals.

The night saw local clubs, business leaders and residents from across the region raise funds for specialist medical equipment to treat sick children. Wollondilly MP Mr. Jai Rowell Mental Health Minister and Assistant Minister for Health, was in attendance and was pleased to see the continued generosity of those who attended. Last year money was raised for KOMH to project manage the Karitane/Camden Children’s Garden at Camden Hospital. This area will enable Karitane to support families with older children up to the age of 4 years as it is an easy area to access from the Residential Unit for families to enjoy.

Annual Report 2014 | 15 Residential Unit Carramar

The Residential Unit at Carramar continues to Referrals to Our Intake Service provide quality care for families across NSW who are experiencing parenting challenges with their infants This chart depicts a snapshot of the change in referral and young children. Families are admitted for a five day numbers between 2013 and 2014. We commenced stay and have access to a range of health professionals ‘Centralised Intake’ in April this year. Average monthly during their stay. These include Registered Nurses with referrals to all Karitane services are 235 per month Child and Family Health qualifications, Enrolled Parent Craft nurses, Social Work, Child Care workers and Total Karitane Referrals visiting Paediatrician, Psychiatrist and GP.

Our visiting GP is a new initiative introduced to provide our parents with the opportunity to access a medical health check during their stay.

2014 started with the opening of our newly refurbished residential unit. During the Christmas break the residential client rooms and dining rooms underwent a makeover to create 3 family rooms where parents coming with more This graph shows a snapshot of improvements made than one child could be accommodated. in Karitane Parenting Confidence Scales (KPCS) from admission to discharge. All clients experienced an increase in confidence during their stay. Time 1 being on admission and Time 2 on discharge.

Karitane Parenting Confidence Scale 2014 Outcomes

Feedback from our clients “They all interacted positively with my son and built “Just wanted to say thank you so much for all a great rapport with both of us. I feel like I have some the valuable lessons and support I received great settling techniques to try and I feel more confident at my recent residential stay and subsequent in my approach. It was also wonderful to have a group follow up phone call. My husband and I are so of people that could see the problems my son was more confident and calm about so many areas - having and try and work with me to find solutions.” feeding, play and most importantly settling. We really appreciate everything that Karitane has “The improved facilities were great and newly done and are feeling at ease knowing we can call renovated. I would highly recommend this service.” the Careline if we need any help.”

16 | Annual Report 2014 New GP ‘Admitting Mums’ Service – Physical health improvements for the mother may Carramar Residential Unit be achievable through brief GP intervention. Some examples of this include: In March 2014, Dr Margaret Brown joined Karitane and we commenced the ‘Admitting Mums’ Service. • Promotion of a healthy lifestyle in the context of assessing current BMI and levels of physical activity Medical assessment of mothers complements the and current diet. nursing assessment and adds to the holistic approach presented by Karitane in managing our clients. • Health education, especially postnatally regarding: pelvic floor exercises, prevention of back problems In most residential clients the ‘issue’ is not the child in the context of carrying children, and sexual health alone but the mother/infant dyad. It is a transactional relationship between mother and baby so that infant/ • Provision of contraception and opportunistic care of child behaviour is really a reflection of transactions health problems they may be neglecting that vary over time. Attention to maternal health has the potential to influence the maternal side of • Supporting smoking cessation this transactional relationship in a positive way, The GP is also well placed to then provide referrals e.g. addressing health issues that may be causing to the Karitane Paediatrician and/or Psychiatrist as tiredness and irritability. required.

Over 300 mums have seen the GP on admission to the Residential Unit since the new treatment model began, ensuring we treat not just the babies referred but a holistic approach to include the care of the mums too…

“I loved the nurses and how they dealt with me. They were caring, loving, non judgemental, compassionate, helpful, professional and informative. They changed my life for the better”

Annual Report 2014 | 17 Liverpool Parenting Centre

This year marks 21 years since Liverpool Parenting Centre (LPC) opened to care for the many families in the Liverpool LGA and continues to operate a secondary referral service for families experiencing complex parenting issues. We aim to empower families Crunch/ Romp and Stomp, Circle of Security (COS) by providing client centred care by a multidisciplinary and Tuning into Kids (TIK) with the vulnerable families team and a dedicated group of caring volunteers. that utilise this service.

Over the past 12 months the Liverpool community has We continue to provide centre based consultations, had a rapid expansion in population with several new home visits and several group programmes both at housing estates opening and young families moving our Liverpool centre and in the community. These to the area. It also has a distinct cultural diversity therapeutic groups include COS, TIK and Women as and continued resettlement of vulnerable refugee and Mothers (WAM). Another popular programme offered is migrant families to the area. With these changes, it ongoing Infant massage classes, a hands-on session is imperative that LPC responds appropriately, with that demonstrates infant massage techniques to flexible service models that best meets the needs of parents. the community. Feb 2014 Women as Mothers Group One of the highlights this year was being involved with community partners Noreen Towers, Ashcroft Since attending the WAM Group, how confident to launch the new “Going home - Staying Home do you feel as a mother? programme” with Premier Mike Baird and Minister Gabrielle Upton. As part of this partnership we facilitate parenting groups, including Munch and

Families have their say:

Client Testimonial “Thankyou for being a great support when I needed it the most. My baby and I are grateful to have met “The Karitane WAM group has been so the girls at Karitane Liverpool and words can’t express enjoyable, meeting other mums experiencing what a difference you have made in our lives and in our the same issues. I have gained so much relationship. I had some home visits when I was scared valuable information from the speakers. to leave the house with my baby and then as I became Thankyou also to the volunteers that provide more confident, attended the WAM and COS groups. We the wonderful care for our babies.” would not have made it without the help from Karitane.”

18 | Annual Report 2014 Randwick Parenting Centre

Randwick Parenting Centre is in Eastern Sydney and provides a service to the local government areas of Waverley, Woollahra, Randwick, Botany and South Sydney.

A new model of care has seen a Psychiatric Registrar from the Royal Hospital for Women commence a placement at RPC. The Registrar sees clients on a regular basis and will co-facilitate the next Post Natal Depression Group.

Eastern Sydney is experiencing a baby boom, many families are moving into the area and RPC has seen a sharp increase in referrals for June and July.

Referrals to RPC May - July 2013 & 2014

“Glenn Mervyn” an education program for teenage mums is run by the Red Cross Young Mothers home in Coogee. In the past the teenage Mothers have come to RPC, but are more comfortable learning in their own surroundings. Staff from RPC now conduct various programs as part of their curriculum including, Sleep and Settle, Feeding, dealing with Tantrums and other toddler based strategies. The sessions have been well received. Intensive Parenting Education is a big part of their two year training. RPC have also received Club Funding to support the Red Cross Education Program with $3000 donated by ‘Juniors at The Junction.’

A number of groups are still offered by RPC including Big Baby Sleep Group which is continuing monthly ensuring timely access to care; Circle of Security (COS) Groups are delivered weekly and are well attended.

Our loyal volunteers continue to support groups at RPC; we have six regular volunteers who have been of amazing assistance to our parents and our team.

Annual Report 2014 | 19 Toddler Clinics Carramar/Camden

The Toddler Clinic offers a specialised parenting Research and Publications and skills support to families with children who have disruptive behaviour disorders. The evidenced based The Toddler Clinic has always had a strong research and experienced research model used within these arm. The collaboration with Sydney University clinics is Parent Child Interaction Therapy (PCIT). continues to remain active. There are two current Targeting children aged 15 months to 4 years who are research projects being conducted in the clinic. The most vulnerable and receptive to long lasting improved study which is being conducted with Sydney University outcomes. examines the association between particular parenting practices and early childhood disruptive behaviour The Carramar Toddler Clinic has been operating since problems for children aged over 2 years. The second 2005 and continues to experience rapid growth and project is investigating the effectiveness of PCIT in improved facilities. This includes installation of state of children aged less than 2 years, which is the first study the art video equipment in two therapy rooms. of its kind internationally.

The opening of the Camden Toddler Clinic in 2012 The publication in the Child and Family Behavior continues to provide a well needed program for Therapy journal was one of the highlights in 2014. families in the Macarthur district and the service is The paper, titled ‘Parent Child Interaction Therapy operating two days week. for Toddlers: A Pilot Study’ by Dr Jane Kohlhoff and Sue Morgan reported on the effectiveness of PCIT for families attending the Toddler Clinic.

In 2014, the Toddler Clinic began to employ Dr Sarah Mares, a consultant Infant, Child and Family Psychiatrist. This provided recognition of the complex nature of families attending the clinic, whereby parental depression, anxiety and other mental health issues are prevalent. Dr Mares has become an integral part of our team; she has been able to consult with staff to provide opportunities for learning and reflection; and has also been able to work with families.

“Thank you very much from the bottom of my heart for not limiting yourself to just doing your job. I would have never done what I do today without your support, What the families say... encouragement and kindness. I’m a better mother today because of you”. “Toddler Clinic has been such a life saving experience and such an experience I will treasure and keep for the rest of my life. It has “Thank you for opening my eyes. Karitane has improved not only impacted on my children but the whole my relationship with both my children and I know so family. Thank you so much I honestly don’t much more about being a parent now”. know what I would I would have done without the Toddler Clinic”. “I have felt supported during the entire time at the Toddler Clinic and have found it to be an entirely effective program. It has helped my family immensely”.

20 | Annual Report 2014 The Toddler Clinic continues to provide education Annual number of referrals for health professionals. 5 day training was held to the Toddler Clinic for PCIT, facilitated by staff from the Toddler Clinic. The Toddler Clinic continues to be recognised as leaders in education in PCIT; with Sue Morgan being the Australian representative of PCIT International Taskforce and Karitane facilitating a PCIT Interest Group. An excellent presentation was given by Thelma Roach and Leone Thomson at the Australian Marce conference in Melbourne which showcased the early intervention work being done at the Toddler Clinic.

Referrals

The Toddler Clinic continues to experience a great demand with referrals. The number of families referred to the Karitane Toddler Clinic has continued to increase since 2005. A client satisfaction survey gave positive outcomes for the program.

“Thank you for all the help and education you have given our family over the past few months. The difference is unbelievable and we want you to know how grateful we are for all your time, effort and wisdom. Thank you so very very much”.

Annual Report 2014 | 21 Jade House

Jade House was established to help meet the needs of Jade House Client Journey the 1880 per annum mothers, their infants and families July 2013-June 2014 in South West Sydney who experience postnatal depression and anxiety. The team, consisting of Perinatal Mental Health Nurses, Clinical Psychologists and an Infant Child and Family Psychiatrist, provide training and education to health professionals who encounter families who are struggling during this significant period of change. Services are also offered to families individually and a Sing and Grow group music program for parents and little ones is run every week.

At Jade House we provide therapeutic interventions that aim both to help parents to feel better and to understand and enjoy their babies more. This is most Graph 2 shows the mean Edinburgh Depression Scale likely to promote and support infant development, (EDS) score for women referred to Jade House during because even when parents are trying their best, this period and the mean EDS score for mothers babies can be affected by parental depression, discharged during this same period. especially when the family are also struggling with other difficulties. Mean EDS Scores for Jade House Clients in 2013-2014 The team use psychotherapeutic interventions that focus on helping everyone in the family to recover from depression and anxiety, and also address the underlying issues that create and foster mental illness and relationship difficulties. The Jade House team aims to work with families towards benefits that last. The enduring impact of early relationships and the quality of early care on the neurobiological development of the infant make this work an important form of early intervention and prevention. Studies show a strong and consistent link between early relationship quality and social and emotional health across the life span. To this end the Jade House team often work closely with services such as Brighter Futures and Sustaining Families.

In 2013-14, 71 families received assistance from the JH team. Graph 1 shows statistics relevant to families’ journey through Jade House.

IInn 2013-14 thethe JadeJade HouseHouse team was alsoalso delighteddelighted to welcome Dr Sarah Mares, an infant, child and family psychiatrist with a well-established clinical and academic interest in the perinatal, infant and early childhood periods.

22 | Annual Report 2014 morning show “Studio 10”. It was a great promotion of Karitane and the help that is given to many of those affected by PND.

Sing and Grow

The team also said farewell to Marion Stein, Clinical Sing and Grow is a music therapy group that meets Nurse Consultant as she commenced her retirement. at Jade House, Carramar on Friday mornings. It has Marion had provided consultation to Karitane staff and been running successfully for 3 years, with participants families since 2007. recording very high levels of satisfaction. Sing and Grow promotes positive parent/child relationships Jade House remains the only publicly funded perinatal to families who are experiencing moderate to severe mental health day unit in NSW. With 28% of mothers perinatal mood disorders. It’s also a powerful strategy in NSW giving birth in SWS and a predicted increase in to shift mood and bring joyful moments into parent the birth-rate in the area, the demand for Jade House child interactions. services is likely to continue to increase.

Pram Walk for PND Week

Jade House at Carramar hosted the annual pram walk to raise awareness of Post Natal Depression for PND week (November 17-25). A number of families joined in the fun, which included a walk to a local park followed by a delicious barbeque lunch and a relaxation session.

Karitane on Studio 10

On November 28 Jade House Manager Ann De-Belin accompanied former client Leanne Stanton to talk about Post Natal Depression on Channel 10’s new

Annual Report 2014 | 23 Linking Families

Linking Families is funded by Department of Family and Community Services (FACS) to provide 3 programs. These include: Supported Playgroups Plus (SPP), Young Parent Family Worker (YPFW), and Early Intervention Placement Prevention (EIPP). KLF also manages the Volunteer Family Connect (VFC) program which is donor funded and a consortium between BENSOC, Good Beginnings and Karitane.

This year has been a busy and productive year that included extension of FACS funding for a further 2 years. A highlight for the year was a ministerial visit to KLF by the NSW Minister for Mental Health and Deputy Minister for Health, Jai Rowell. He was accompanied by The Hon. Andrew Rohan, Member for Smithfield. The visit showcased KLF’s community programs and Supported Playgroups the Minister met with current clients from all programs All 7 supported playgroups were well attended and with their children. some with small waitlists for attendance. To reduce long waitlists for vulnerable families, FACS has asked all program providers to transition families by 12 months (further 6 months after review) to other community playgroups. This ensures that those families with low or no support networks or who may be new migrants are supported by the playgroup facilitators to find pathways to build capacity and to integrate into the community. Some supported playgroups are targeted to specific groups but many are integrated and encourage clients from CALD backgrounds to learn the English language and experience new cultures and values.

24 | Annual Report 2014 Young Parent Family Worker

This service receives a high number of referrals from the 3 LGAs of Bankstown, Liverpool and Fairfield. Young parents have a choice to have consultations in their homes or in safe public areas such as shopping centres, cafes and youth refuges. Once engaged to the service, clients can be appointed for long term engagement, although discharge planning starts from first engagement. This empowers clients to work out immediate and long term needs such as completing studies or pathways to employments. The YPFW Early Intervention and Placement also gives basic parenting advice and is able to refer Prevention Program to other parenting services including Karitane. A Clients who have identified parenting issues such workshop on healthy nutrition and Play Power was as toddler behaviour management or speech and held for all young parents on the program and held in vision impediments with their children are engaged the KLF training room. short term for advice, support and referral to other agencies. Other issues the program staff can assist families with is settlement advice for newly-arrived migrants and support with relationship issues such as domestic violence. The EIPP worker is able to extend the engagement for a further 6 months and review the client’s progress if further support is required. Staff also provide evaluated parenting programs such as Triple P in community languages or refer clients to other programs such as Circle of Security. During 2014, two Triple P programs in the Vietnamese language were held in partnership with Navitas and Canley Vale Public School and 20 parents attended.

Linking Families

Karitane had a Christmas lunch for the valued volunteers from Karitane Linking Families. Our fantastic volunteers share their time and experience to make parenting easier.

Annual Report 2014 | 25 Allied Health

Our Team

8 Clinical Psychologists 4 Social Workers For some families this is their first contact with a Karitane is committed to the emotional wellbeing mental health professional and their engagement of parents, infants and children. To achieve this with Karitane begins the process of identifying their aim Karitane has a team of dedicated Allied Health difficulties and working out an appropriate treatment. professionals integrated into six Karitane services across four locations. Our skilled team has amassed A study of families attending a Karitane Residential many years of expertise and specialist training in the Unit found that of those who were newly identified as field of perinatal and infant mental health and families needing a mental health referral 44% had commenced attending Karitane services are able to access this treatment four weeks after their Karitane stay. specialised mental health team. As families relate Therefore, Karitane contact is an important pathway to their parenting journey and the struggles they have mental health care and relationship improvement for encountered, the Allied Health Team is able to support families in NSW. families to clarify the issues and to identify pathways to improved mental health and family relationship Activities and Program Development functioning. Individual Families Groups Assessment of Mother-infant relationship mental health Father’s group Assessment of family Tuning into Kids relationships Circle of Security Mental health treatment Couple therapy Parent-infant/child relationship therapy Referral to specialist and family support services

Social Work – Client story

During a stay in the Residential Unit for her four month old infant’s sleep and settling difficulties Sally asked to see the Social Worker. Sally reported to the Social Worker that she was experiencing severe domestic violence at home and needed help. After working with the Social Worker, and a number of community services, Sally and her infant were able to be moved to safety. On the last telephone contact Sally thanked the Social Worker and said “Thank you so much for being so clear about the dangers and the dynamics of Domestic Violence, and for being able to cope with what I had to say, it was because of how you were that I felt like I could talk to you”.

26 | Annual Report 2014 Developing Skills and Expertise Cool Little Kids The Cool Little Kids Program is a group treatment program In addition to our Allied Health Team’s already for parents of young children who exhibit excessive specialised skills and training in perinatal mental health, shyness or anxiety. Cool Little Kids is a psycho-educational 2013-14 saw the following therapeutic interventions parenting program that equips parents with both knowledge added to our repertoire: and practical skills and tips on how to help their child manage and overcome anxiety. The program uses Marte Meo Cognitive Behaviour Therapy (CBT) techniques to give A mother-infant relationship intervention, pioneered in parents effective tools and strategies to assist their child. the Netherlands which encourages people to use their own strength to advance and stimulate developmental Mental health interventions at Karitane are effective in processes on the part of infants and children, parents, reducing the distress experienced by families. Table 1 professional caregivers and supervisors and thus shows the mean EDS change from referral to discharge learn to optimally utilise their capacities. Clinicians for a sample of 20 mothers receiving therapy in 2013- learn how to identify opportunities for development; 14. A reduction in EDS scores of greater than 3 points is which natural supportive behaviours are required to considered to be clinically significant and for this sample assist development, and how this knowledge can be the mean change in EDS score was 8 points. So not incorporated into the natural system of the individual so only is the overall reduction in scores for this population that they can learn the new skills in the most efficient significant but, importantly, the degree of improvement in way possible. each woman was of a clinically significant proportion.

Tuning into Kids Mean EDS Scores after Mental Health Intervention Tuning into Kids is an evidence-based parenting program that focuses on the emotional connection 17.2 between parents and children. In particular the program teaches parents skills in emotion coaching, which is p<0.001 to recognise, understand and respond to children’s 9.5 emotions in an accepting, supportive way. This approach helps the child to understand and manage their emotions.

Mean EDS Mean EDS at Referral at Discharge

Annual Report 2014 | 27 Connecting Carers NSW

Connecting Carers NSW Multicultural Foster Care Group Training July 2013 – June 2014 The Karitane Connecting Carers NSW (CCNSW) Project is funded by the Department of Family & Number of Number of Group Community Services (FaCS) to provide the highest Sessions Attendees quality support and training to Foster, Kinship and Vietnamese 11 265 Relative Carers including grandparents, across seven Arabic 6 102 geographic areas within the state of NSW. Multicultural 3 47 • Head Office - Carramar Turkish 6 100 • 2 regional offices – Newcastle and Coffs Harbour TOTAL 26 514

Service Activity Advocacy, Support – Crisis, Case Management and Local Coordinator Training (Volunteers) Referral, 1300 crisis & support line, Peer Support, Training & Education sessions, Information Sessions, CCNSW facilitates a two day training workshop for Camps, Conferences. Local Coordinators (volunteer) from around the state. Volunteers provide valuable peer support to foster carers, kinship & relative carers including grandparents Staff across NSW.

Manager, 2 Part time Administration Officers, 5 CCNSW have 157 trained Local Coordinators Regional Coordinators, 157 Volunteers. (Volunteers) across NSW.

Local Coordinators support CCNSW staff in offering Training Sessions guidance & support to foster, kinship, and relative carers in their foster care role including addressing Connecting Carers NSW provides training, education the challenging and behavioural issues of children and sessions & workshops to foster, kinship, relative carers young people in care. and grandparents including carers from Aboriginal and Torres Strait Islander and CALD communities across NSW. Service delivery includes the rural and Camps, Workshops, Seminars and remote areas of NSW. Training examples include: Support Attachment, Resilience, Special Babies, ADHD, Challenging Behaviours in children under 2 years, The CCNSW provides recreational activities for clients and Realities of Fostering, Positive Parenting, Adolescents, children in Out Of Home Care (OOHC), for example Adoptions, First Aid, Autism & Asperger’s, Cyber picnic days, family camps, morning tea. Bullying, Grief & Loss, Sexual Health, Leaving Care. The program organises conferences, workshops, seminars for the provision of ongoing information, Number of Training Total training and support of clients. Year Sessions delivered Attendees across NSW The camps give foster, kinship and relative carers, July 2013 – 241 5,485 including grandparents, children and young people, June 2014 an opportunity to socialise, network, rest a little and have fun in a beautiful bush or coastal setting. The activities are tailored to cater to all levels of physical and intellectual functional ability to ensure everyone enjoys the unique benefits of the programs, and Connecting Carers only chooses locations that have accommodation designed specifically to meet the needs of carers and children.

28 | Annual Report 2014 Number of Year Camps held Total Attendees across NSW 2011 - 2012 7 1109 2012 - 2013 7 1368 2013 - 2014 7 1287

The Pacific Communities Foster and Crisis and Support Line – 1300 794 653 Kinship Family Camp The program provides a 24 hour – 1300 number Connecting Carers NSW kick started the year with support service for foster carers, kinship & grandparent our Pacific Communities Camp. Ninety four Foster, carers. (Manned by staff on a rotating roster basis) Kinship and Relative Carers and their families travelled to Stanwell Tops from across Sydney for the Australia Phone Jan, Feb, Jan, Feb, Jan, Feb, Day celebratory 3 day camp. Support March 2012 March 2013 March 2014 Foster 416 612 1171 The University of Western Sydney provided their Carers Pacific Community Team for cultural activities which Kinship 324 426 1221 included drumming and dance workshops, Hakka, Carers cultural dress. By providing this cultural opportunity, Relative 92 110 56 CCNSW was able to give children a sense of who Carers they are and as one of the carers stated “this sense of TOTAL 832 1148 2448 identity makes them stronger people”.

*Over 5000 calls 2013-2014 Child Care and activities were provided for the youth, which gave the adults an opportunity to attend the Carer Training: “The Child within the tornado – Caring for Children who have been hurt by relational trauma”

Comment from a camp attendee: “This has been an amazing experience for me and my family. The networking, the training sessions, the activities for the kids. I have never felt more at home. I just wish I knew about Connecting Carers ages ago. They have made my life so much easier.” Comment from Child: “I love camps. I have so much fun with the other kids and I do stuff that I wouldn’t get to do, like climbing and canoeing. I hope I can come again” Annual Report 2014 | 29 Connecting Carers NSW Young Parents High School Presentation

2013 “Tell Someone Who Cares” Talking Realities Young Parenting Program CCNSW Conference – Darling Harbour Talking Realities Young Parenting Program is an More than 700 carers and professionals from across innovative school based, peer education Early NSW and around Australia attended the “Tell Someone Intervention & Prevention program. The program is who Cares” conference hosted by Karitane and funded by FAHCSIA (Commonwealth Funding) now Connecting Carers NSW at the Sydney Convention known as Department of Social Services. Centre in Sydney. The program offers a 26 week Peer Educator Training The combined National & NSW Foster and Kinship course that is a recognized pathway into TAFE NSW. On Care three day conference event featured speakers, completion of the Peer Educator Training course, the workshops, entertainment and personal journeys of young parents deliver the presentation about the realities survival, achievement and the challenges and joys of of being a young parent and the impact it has on their lives in secondary schools across Fairfield, Liverpool & fostering. Bankstown LGAs and within Juniperina Juvenile Justice The conference focused on best practice in supporting Centre. The program provides an important opportunity to children in care – who have often experienced challenge the stereotypical perceptions about why young women become pregnant and offers an interactive forum significant trauma and abuse – to enable carers to feel for students to talk about the challenges of parenting. equipped to achieve the best possible outcomes for children and young people. In addition to the Peer Education Training, Talking Realities Young Parent Program offers young parents the opportunity to participate in the aquatic bonding & fun swimming program (funded by NSW Sport & Recreation) for young parents & their children including First Aid Training and Child Protection Training.

Total Number Number of Peer Number of of High School Educators Trained High School Student (26 week Training) Presentations Attendees 11 38 1,226 attendees Juniperina Juvenile 6 Sessions 20 Justice Centre

Comment from Teacher “Professional & engaging program, peer educators well trained. I have not seen my students give their full attention for 90 minutes, this program is an “eye opener” to many of them, especially the boys.” Comment from School Student “I didn’t know what to expect when the girls rocked up with their kids. I loved the class hope they come back next year.”

30 | Annual Report 2014 Aquatic Bonding & Fun Careline

Our Careline operates seven days per week where Parenting Website - My baby and Me families are able to access experienced Child and Family Health nurses to discuss issues they may be Launched in early 2014, we developed a user and having with their infants or young children. The main mobile friendly parenting website (www.mybabyandme. areas of concern families seek assistance for are org.au) to enable access to timely, trustworthy and unsettled babies, night waking, sleep and settling consistent online parenting information. problems, breastfeeding and toddler management. Within 6 months the website has gained over 7500 Careline Calls 2013-2014 users, of which, 51% were seeking information on ‘sleep and settling’. It has also created interest through key social media channels and positive feedback. The majority of users access the website via smartphone devices with 80% via iPhone/iPad and 19% were android users. Less than 1% of the users access the website through browsers.

Karitane Online

Karitane online is available for families to email non urgent issues to the Careline staff who are then able to send electronic information to parents to provide support and guidance.

Karitane Online

Annual Report 2014 | 31 Clinical Nurse Consultant %JKNFCPF(COKN[*GCNVJ

National Education: Safe Sleep Space Introduction of Clinical Nurse Specialist Caring Hands Conference (CNS) working groups

“Facilitating healthy, calm and confident families, We reviewed and updated evidence based information infants and toddlers” for parents including new toddler brochures and new anxiety and depression brochures. A team of staff from Karitane provided education and training around the major capital cities of Australia including Dubbo and Townsville. Sue Morgan, Ann De Karitane In-house Parenting Sessions Belin, Sally Lee, Yvonne McCann participated in the Group program delivery. Karitane provides all its services based on attachment theory and these services are The CNS group is working with the CNC and Karitane delivered through a strengths based framework. education team on mapping and reviewing in-house Families faced with the challenges of unsettled parenting groups. This includes session templates and infants and toddlers who develop difficult behaviours a powerpoint on writing session plans that has been often struggle to maintain a calm and confident made available to all staff. home environment. Through a range of therapies, including Parent Child Interaction Therapy (PCIT), Education Music Therapy for young infants, parent confidence building workshops, we work with families to optimise The CNC has provided orientation for our new staff, the family dynamic that best supports the child, the Student support and assisted the Education team with parents and other family members. the review and updating of the Masters in C&FH with University of Western Sydney as well as assisting with Early intervention is crucial in supporting a change volunteer training. in the family dynamic and the worldwide recognised work in engaging with children as young as 15 months in PCIT and other therapies provide the platform Care Coordination for families to build healthy, calm and confident interactions. The CNC has taken a lead and supportive role in reviewing the Intake process, Transfer of Care (TOC), Continuum of Care (COC), Models of care and Clinical Channel 7 News pathways.

Sally Lee, CNC C&FH was interviewed by Chris Maher on the topic of settling and sleeping for babies during AustralianAssociation of Parenting and long travel episodes. The coverage was in the context Children’s Health (AAPCH) of Prince George travelling to Australia and was aimed at supporting parents considering long travel with infants. The CNC has been an active participant in the National AAPCH group which includes interstate membership of other organisations with Residential Care Units. Family Partnership Core Training This has involved teleconferencing, attending teleconferences and benchmarking with Australasian The CNC facilitated 2 groups this year for Karitane. Early Parenting Centres

32 | Annual Report 2014 Medical Staff

Dr Sarah Mares to Clinical Skills in Infant Mental Health- The First Three Years 2nd edition ACER Press, and Newman & Mares Dr Sarah Mares joined Karitane in (2012) Contemporary Approaches to Infant and Child February 2014 and is employed as a Mental health , IP Communications. Senior Staff Specialist at Karitane Jade House and Toddler Clinics at Carramar. In a recent interview for the RANZCP psyche magazine Her role includes clinical assessment Sarah said in part;...‘I haven’t had a conventional off ffamiliesil and support and consultation to academic or clinical career; I have done a lot of different the teams and she is keen to contribute to the ongoing jobs, but there are common strands that run through it development of services for families at Karitane. all, in particular advocacy for the experience of young children, for keeping the little ones in mind. Teaching Sarah is an infant, child and family psychiatrist with a and writing have been important too. I am interested in well-established clinical and academic interest in the translating the expertise we have in a way that makes it peri-natal, infant and early childhood periods. She was accessible to other people. I think I have used writing as inaugural consultant to the St Benedict’s Mother – Baby a way to make sense of and explore the experiences and Unit at St John of God in Burwood (1994-1998) and stories that I have had the privilege to be part of through since then has worked predominantly in prevention clinical work ’. and intervention with disadvantaged and high risk populations, including young children in foster care and Sarah recently provided the keynote address at the NSW known to child protection services, refugee and asylum Aboriginal Health Conference Many Mobs, Building seeking families and most recently with families and Strength and Connections on What do little ones need? young children in remote communities the Northern - Supporting early connections. Territory. She returned to Sydney in December last year after 18 months as Senior Research Fellow at the Sarah has contributed to teaching in the Graduate Menzies School of Health Research in Darwin. Diploma and Masters and Course in Perinatal and Infant Mental Health at the NSW Institute of Psychiatry and Sarah is an experienced multidisciplinary educator, teaching in the Advanced Training Program in Child, supervisor and consultant. At the NSW Institute of Adolescent and Family Psychiatry at the NSW Institute Psychiatry, she was Director of RANZCP Advanced of Psychiatry. Training in Child, Adolescent and Family Psychiatry from 1998-2003 and then Head of Infancy and Early Childhood Studies until 2010, where she was part of Dr Margaret Brown developing and delivering the multidisciplinary post graduate Diploma and masters programs in Peri-natal Dr Brown is an experienced General and Infant Mental Health. Practitioner. After working over 20 years in General Practice she Sarah is also a Conjoint Senior Lecturer in the School of completed a Masters of Public Psychiatry at UNSW and Honorary Fellow at the Centre Health in 2011, and worked for for Child Development and Education, Menzies School 3 years with the Community of Health Research in Darwin. Earlier this year, she was Paediatrics Department of Liverpool Hospital in South invited to be a consultant with the Australian Human West Sydney in public health research and education Rights Commission’s (AHRC) Inquiry into children in of primary health care workers in early childhood health closed immigration detention and appointed as College screening and surveillance. She has a special interest representative to the Inquiry. She is a Hearings Member in women’s health and currently works as a General at the NSW Medical Council. She is co-author of the text Practitioner at Karitane Residential Unit as well as in books Mares, Newman & Warren (2011) An Introduction private general practice

Annual Report 2014 | 33 Dr Bent In 2002, Ian was appointed the Visiting Perinatal Psychiatrist at the Karitane Mothercraft Residential Dr Bent Graduated in 1985 with a Unit. He continues in that role spending each B.Med from Newcastle. He trained Wednesday consulting with staff and clients at the at Sydney Children’s Hospital residential unit. From 2002 to 2006 Ian worked 2 days and has lived and practised in per week as a Senior Perinatal Psychiatrist for the Macarthur Region since 1995 both Sydney South Western Area Health Service helping in private practice and as a VMO to implement their universal midwifery psychosocial for Campbelltown/Camden Hospitals. He is a Senior screening and early intervention program. Lecturer for University of Western Sydney and an examiner for Royal Australasian College of Physicians Ian was the Chair of the Perinatal and Infant Psychiatry in Paediatrics. He has been a member of the Karitane Special Interest Group (PIPSIG) for the RANZCP NSW Team since its inception at Camden. Branch (2008-12). He is also a Past President of the NSW Branch of the Australian Association for Infant Mental Health. Dr Richard Dunstan Ian says, “The past 12 years have given me many Richard is a Paediatrician based at happy memories and I have learnt a lot, especially Campbelltown Hospital since 1988. about the determination of mothers and families to do He is a member of the Paediatric the best they can for their infants.” Rehabilitation Team at Sydney Children’s Hospital, Randwick. Dr Peter Hong Richard is also a foundation board member of the Kids of Macarthur Health Foundation, a charity Dr Hong obtained his medical degree providing medical equipment for paediatric care in the MBBS at Sydney University in 1984. Macarthur region. He completed his paediatric training at Westmead Hospital and Prince of Wales Children Hospital in 1994. Dr Ian Harrison He holds dual Royal Australasian College Fellowship in General Paediatric and Paediatric Dr Ian Harrison is a psychiatrist Rehabilitation. He is currently a Senior Paediatric whose speciality is perinatal and Consultant at Blacktown District Hospital, Mount Druitt infant psychiatry and psychotherapy. District Hospital and Westmead private Hospital. He He has expertise in the use of is also an Honary Paediatric Consultant at Children’s psychiatric medications, especially Hospital Westmead. He is a Senior Clinical Lecturer of in pregnancy and breastfeeding. Western Sydney University Medical School and Paediatric He has had the pleasure of working at the Karitane Clinical Examiner of Australian Medical Council. Residential Unit since 2002 and he has been in private practice in Sydney’s Macquarie Street since 1991. Dr P Hong has been a Consultant Paediatrician at Karitane (Carramar) since it was first commissioned. Ian graduated in Medicine from the University of Sydney He is one of the team members of the multidisciplinary in 1984. In 1991, he was elected a Fellow of the Royal team involved in management of all children and Australian and New Zealand College of Psychiatrists. parents admitted to Karitane. He also provides medical In 1993 he completed a 3 year Master’s Degree in education to Karitane Staff. Psychotherapy at the University of NSW. He developed an interest in Perinatal Psychiatry and Infant Mental Health and in 2002 he completed a Graduate Diploma in Infant Mental Health at the NSW Institute of Psychiatry.

34 | Annual Report 2014 Dr Michael Freelander Dr Chin Paediatrician Paediatrician Karitane at Camden Camden

Dr Michael Freelander trained Director of Paediatrics at Sydney Children’s Hospital Campbelltown Camperdown and has practiced for and Camden Hospitals over 30 years. Michael is trained as Conjoint Associate Professor of a paediatrician and has practices located in Camden Paediatrics, University of Western Sydney and Campbelltown. Paediatric Emergency Physician - Westmead Children’s Hospital.

Dr Chin first worked in the Macarthur Area as an Intern in 1992. He subsequently embarked on a career in Paediatrics and worked Campbelltown Hospital as a Paediatric Registrar. In 2002 he commenced as a Staff Specialist Paediatrician in Campbelltown and Camden Hospitals. He was initially involved in the on call roster for Camden Hospital Maternity unit. This unit subsequently closed and Karitane Camden commenced.

Dr Chin’s interests include teaching medical and nursing. He also holds the Honorary position of Advanced Trainee Coordinator for General Paediatric training at the Royal Australasian College of Physicians.

Annual Report 2014 | 35 Quality 4GRQTV

Accreditation Compliments and Complaints

A periodic review assessment was conducted by the During the financial year, over 600 written compliments Australian Council of Health Care Standards (ACHS) and 7 complaints were received. Matters raised in October 2013. This assessment was based on by complainants were responded to as a matter of the new National Standards that was introduced in priority and resolved within the NSW Ministry of Health January 2013, for health care facilities across Australia. timelines. During our accreditation survey we demonstrated our commitment to continuous quality improvement by meeting all the required standards assessed. Staff Survey

The Carramar and Camden Residential Units and We conducted another Press Ganey (external) staff Jade House staff completed the annual Quality survey in 2013. Staff informed us that things had Services Assessment sent by the Clinical Excellence not been as good as in our 2011 survey, due to Commission to identify where improvements for clinical organisational growth and changes. Though staff care and safety within organisation could occur. The continued to rank us highly in health, safety and the results identified positive outcomes for Karitane across well-being areas in addition to being a good place the areas assessed of transition of care and falls. to work, they identified further improvements were needed in staffing, change management and senior leadership.Karitane appreciates the feedback from our Consumer involvement staff, and our commitment is to improve our support to staff. We take this opportunity to thank all our volunteers for their valuable support and help to Karitane during Following the appointment of Grainne O’Loughlin, CEO the past year. During 2013/14 we also had consumer in March, 2014, an organisational restructure occurred representatives participate on committees and special in consultation with staff. A new committee structure projects. A big thankyou to our consumer/community to improve reporting and accountability is in progress. representatives Gillian Hutchinson, Leanne Stanton, Continuum of care improvements include new Margaret Dalkin, Mary Purnell and Robyn Wilson who centralised intake, modifications to admission process were able to keep us focused on consumer centred care. at Carramar residential Unit; and improvements to transfer of care documentation.

According to our staff the best things about working at Karitane are:

‘Trying to make a difference in lives of families we deal with’

Margaret Dalkin Leanne Stanton ‘Flexibility, support, part-time work and lots of training’

‘Waking up and going to work knowing I am continually able to make a difference to the lives of carers and children’

‘Working as a team to meet the vision and values of the organisation.’ R o b y n W sl i o n aG i l n l i H u tc hn i s o n Mary Purnell

36 | Annual Report 2014 Patient Experience Tracker (PET)

In late 2013 we trialled a PET machine that allowed clients The graph below is a snapshot of combined weekly report to enter their satisfaction with the care provided each day received. In addition each service received an individual enabling us to respond back to issues quickly. Five (5) service report that provided them with specific responses questions were asked that related to access to service; to each question. provision of information received (written & verbal); personal involvement in setting goals; information given by staff was Clients responded positively to the use of this new clear, easily understood and could be implemented; daily technology, preferring this method to the usual written overall satisfaction of care received. evaluation form. Our plan is to purchase PET machines soon.

Patient Experience Tracker – Karitane Report for 14-20 October 2013

Handwashing

Staff are diligent in handwashing as research identifies that the hands of healthcare workers is the most common cause of cross infection. Karitane conducts regular handwashing audits across all our clinical and nonclinical staffs to ensure compliance with handwashing requirements. We are proud to report that to date no cross infections have been reported.

Annual Report 2014 | 37 Karitane 2013 Gala Ball

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38 | Annual Report 2014 GALA BALL 2013

YOU’RE INVITED TO

90TH YEAR ANNIVERSARY KARITANE 2013 GALA BALL

Saturday 26th October 2013 Sydney Town Hall 483 George St Sydney

Time: 6.30pm for 7pm Dress: Formal MC: Tracey Spicer Entertainment: The Palomar Orchestra with Helen Fenton Soul Mystique

Tickets

Silver Corporate Tables $5,000 for a table of 10 includes exclusive wines and gift pack, prominently positioned table, logo recognition in the program, corporate logo table signage and certificate of appreciation. Tables of 10 $1950 Single Tickets $195 each

For bookings go to: wired.ivvy.com/event/KGALA or contact Vanilla Bean Events 02 9712 3861 email [email protected]

RSVP & full guest list by: Thursday 17th October

Raising Funds For Karitane’s Vital Work Into Supporting Australian Families And Children Annual Report 2014 | 39 Education

“In learning you will teach, and in teaching you will The Education team have introduced the Karitane learn”- This quote provides a very good summary for Education Newsletter, better known as “KEN”. KEN is the Education Department for 2013-2014. Whilst we a fortnightly electronic newsletter that provides staff have provided education to professionals and parents, with a summary of courses and conferences available presented at conferences, it is our participation and as well as journal articles relevant to clinical practice partnerships with parents and professionals that allowing staff to plan their professional development. provide us with the most valued education.

We participated in many parent education programs Conferences and Workshops with a diverse range of services and organisations across the year and look forward to continuing and Mentalisation - Holding Mind in Mind - 1 day developing more partnerships in the coming year. Seminar with Professor Anthony Bateman Dr. Bateman is a visiting Professor from the Internal Education Psychoanalysis Unit at University College London, a Consultant Psychiatrist, Psychotherapist and Honorary Karitane staff are fortunate to belong to an organisation Senior Lecturer at University College and Royal Free that believes in the value of continuing education. Medical Schools, Barnet, Enfield, and Haringey Mental The internal education program allows opportunity for Health NHS Trust, and St Ann’s Hospital, London. He staff to enhance their knowledge skills that ultimately has published numerous chapters and articles and has improves the care for our families. A variety of authored or edited several books. education sessions were offered with both internal and external speakers on a minimum monthly basis. Some sessions are opened to other organisations, raising the profile of education at Karitane.

Internal Education sessions are now being recorded and uploaded for staff to view at a time that is more suitable if they have not been able to attend a session. This allows for greater access for all staff across all shifts and sites.

40 | Annual Report 2014 Family Partnership Updates

Karitane worked with the Centre for Parent and child Support (UK) in facilitating the changes to Family Partnership Model Training. We hosted guest speaker Lucy Harris for a 2 day workshop working with current This one day seminar provided an overview of MBTMBT, a facilitators to provide the anticipated updates. treatment that can help patients develop a mentalising capacity as well as the latest research on processes Karitane was invited to speak at several seminars and underlying mentalising and outcomes from MBT. This conferences this past year. These included National was an extremely popular seminar and evaluated very Convention Exhibition- Pharmacy Conference; well, some comments were: Children’s Hospital Westmead Education Day; Westmead Private Midwives Education Day. ‘Wealth of both clinical knowledge validated by research. Great use and examples’ Expos ‘Excellent speaker, well informed and enthusiastic passionate about his craft’ Karitane participated in 2 Expos this year. September ‘Knowledge of the presenter’ 2013 was the Baby and Toddler show at Darling Harbour and Parenting and Baby Expo at Homebush in ‘Interesting topic’ May 2014. Once again, these expos are well attended and are a unique opportuntiy to meet with so many ‘Good venue, excellent speaker’ parents and showcase Karitane Services. Karitane also provided a parenting session each day on the main We were fortunate enough to have Dr Bateman present stage “Adjusting to parenthood” at Homebush a further 3 day introduction training to mentalising Based Treatment following the 1 day seminar allowing for professionals with clinical therapeutic experience to enhance their skills using MBT.

Margaret Stuchbery is to be commended for her efforts to have Dr Bateman come to Sydney for such a well received conference.

Student Placements

Karitane now uses the ClinConnect Student Management System as used across all health sites. This allows more autonomy and standardises processes for students attending clinical placements Karitane also takes placements for Business Students- these are students that are studying for Karitane continues to provide quality clinical their HSC and working towards a Certificate III in placement opportunities to a range of students. Business Management. These students provide extra These include Masters of Child and Family Health, administration support whilst here. Bachelor of Midwifery, Graduate Certificate of Child and Family Health, social work and medical students. Karitane has supported 40 students this current year We have had students from a more diverse range of and students’ evaluations reflect the high quality of educational institutions such as Flinders University, clinical placement at Karitane. Charles Sturt and Charles Darwin. Annual Report 2014 | 41 Education

Academic Partnerships

Karitane continues to maintain strong partnerships with University of Western Sydney for the Masters of Child and Family Health. Karitane offers a prize each year to the highest performing student in the course. This year Special Projects this student also won the “Dean’s Medal” which is for Two particular programs that have been refunded are overall outstanding achievement across all Masters ‘Family Matters’ the young women in custody Juvenile course offered at UWS. Justice program, along with Becoming Parents program which recently underwent a name change Healthy Kids Check from Tackle the Terrors. This program is an early intervention parent program developed in partnership Karitane continues to provide education to with The Smith Family. professionals for the Healthy Kids Check Medicare Item. A total of 10 workshops have been delivered this What the young women in custody are saying they year with 3 being held in rural areas. Some evaluations learned in the “healthy relationship’ education session, included: which is a key session for the Family Matters program is:

Very good speaker thank you. “Tell people how it is don’t let my boyfriend be such Great session - clarified a variety of issues. a control freak.” Very informative. Thanks. A great presentation. “Dare to be different.” “Be more kind.” Annual Training 2012 and Mid Year What parents are saying about the Becoming Parents Planning day 2013 Terrors program at a Reunion session for those completed the 4 week program. Traditionally all Karitane staff attend Annual Training on the last day of work in December. This program “ all the information was very helpful and has given ensures mandatory training takes place and Service me a better insight into parenthood.” Awards are presented by Members of the Board. This format is working well to ensure that the training needs “Very useful, it helped and provided us with of the organisation are met and allows an opportunity more tools and experiences that prepared us for for all staff to meet together, enjoy Christmas lunch parenthood.” and connect before the Christmas break. “it provided information about things that we had never anticipated.”

‘Deadly Tots’ continued with extra funding to print and distribute the resources. This included the delivery of 6 workshops to government and non-government agencies with education about the resources and how they can benefit families.

The future holds great opportunities for Karitane Education department as further programs have been funded, and we look to expand our education services.

42 | Annual Report 2014 Research 4GRQTV

Our Research Unit Staff Evaluation of PCIT-T: an attachment based intervention for toddlers with disruptive behaviours Karitane Research Coordinator (on leave) - Dr Jane Kohlhoff Investigators: J. Kohlhoff (Karitane), S. Morgan (Karitane), L. Wedgwood (Karitane), T. Roach Acting Karitane Research Coordinator - Dr Nicole Lees (Karitane), L. Thompson (Karitane), B. Barnett (UNSW).

Volunteers / students (part time) - Ms Thea Longman Funding: Internal Karitane (USYD), Ms Ameika Johnston (USYD), Ms Leonie Wainwright (Macquarie University), Ms Gayathri Circle of Security Parenting Education Program Jeyaseelan (ICAMHS) Evaluation Research Assistants - Ms Feroza Khan (ICAMHS) Investigators: J. Kohlhoff (Karitane), M. Ha (Karitane), M. Stein (Karitane) Current Research Projects Funding: Internal Karitane Separation anxiety in pregnancy: Associations with oxytocins release, attachment styles and mother- infant interactions Infant massage for unsettled babies: Effects on infant behaviour, maternal wellbeing, and the Investigators: V. Eapen (UNSW/ SWSLHN), D. Silove parent-child relationship (UNSW), B. Barnett (UNSW), M. Dadds (UNSW), J. Investigators: Kohlhoff (Karitane) J. Kohlhoff (Karitane), H. McLoughlin (Infant massage information service), S. Filacouridis Funding: ARC Linkage grant (Karitane)

Funding: Internal Karitane

Parenting practices and child temperament in early childhood disruptive behaviour problems

Investigators: A. Johnston (USYD), T. Longman (USYD), D. Hawes (USYD), J. Kohlhoff (Karitane)

Funding: Student projects

Characteristics, trends, co-admissions and service needs of women admitted to residential parenting services in the year following birth in NSW.

Investigators: H. Dahlen, V. Schmeid, Y.McCann, R.Mills et al.

Funding : ARC Linkage grant (2014-2016).

Annual Report 2014 | 43

Research Report

1. Recently completed research projects

Title Chief Funding Outcomes at Jul 2014 investigator

Parent-Child Interaction J. Kohlhoff Internal Karitane • 1 peer reviewed journal publication Therapy (PCIT) for children • 3 conference presentations less than 2 years: pilot study

Maternal separation anxiety, J. Kohlhoff Internal Karitane • 1 peer reviewed journal publication mother-infant interaction • 3 conference presentations patterns and infant • 1 peer reviewed journal manuscript behavioural disturbance under review • 2 + peer reviewed journal manuscripts in preparation

Toddler biology and D. Hawes ARC Linkage grant • Peer reviewed journal manuscripts behaviour with USYD in preparation • 2 conference presentations

Emotion in parenting and D. Hawes USYD/Karitane • 1 peer reviewed journal submission child behaviour problems (under review) • 2 + peer reviewed journal manuscripts “ in preparation • 1 conference presentation • Student MSc thesis awarded

The perinatal journey: The V. Schmied ARC Linkage grant • 3 peer reviewed journal publications process and impact of with UWS • 1 peer reviewed journal submission psychosocial assessment under review • 3 + peer reviewed journal manuscripts in preparation • 8 conference presentations

Personality disorders and S. Matthey SSWAHS ICAMHS/ • Peer reviewed journal manuscripts the Edinburgh Postnatal Karitane in preparation Depression Scale

Family Partnership in N. Hopwood External researcher • 1 peer reviewed journal publication Practice: An Ethnographic (UTS) • 1 book Study of the Karitane • 1 book chapter Residential Unit • 1 report • 7 conference presentations • 1 case study published on the web

The place of Volunteer Home T. Burnstock External researcher • Student MSc thesis awarded Visiting (VHV) services in a (student) (UNSW) continuum of early childhood prevention and intervention strategies in NSW

44 | Annual Report 2014 Peer Review Journal Articles - 10. Kohlhoff, J., Barnett, B. (2013). Parenting self- Publications efficacy: Links with maternal depression, infant behaviour and adult attachment. Early Human 1. Kohlhoff, J. & Morgan, S. (2014). Parent Child Development, 89, 249-256. Interaction Therapy for Toddlers: A pilot study. Child & Family Behavior Therapy. 36(2): 121-139. doi: 11. Eastwood JG, Jalaludin B, Kemp L, Phung H, 10.1080/07317107.2014.910733 Barnett B, Tobin J. (2013). Social exclusion, infant behaviour, social isolation and maternal expectations 2. Mence, M., Hawes, D.J., Wedgwood, L., Morgan, S., independently predict maternal depressive symptoms. Barnett, B., Kohlhoff, J., Hunt, C. (2014). Emotional Brain and Behaviour, 3(1):14-23. flooding and hostile discipline in the families of toddlers with disruptive behavior problems. Journal of Family Psychology, 28 (1): 12-21. Peer Review Journal Articles - under review as at June 30th 3. Hopwood, N. (2014) The rhythms of pedagogy: an ethnographic study of parenting education practices. 1. Kohlhoff, J. Barnett, B. Eapen, V. Adult Separation Studies in Continuing Education, 36 (2: 115-131. doi: Anxiety in the postnatal period: associations with 10.1080/0158037X.2013.787983 parenting during childhood. Submitted to Journal of Affective Disorders. 4. Rollans, M., Meade, T., Schmied, V. & Kemp, L. (2013). Capturing clinician - client interaction: development of 2. Morgan, S., Wedgwood, L. A Case Study of Parent the 4D&4R observation tool. Nurse researcher, 20(5): child Interaction Therapy in an Early Intervention 11-9. Service. Submitted to Australian Journal of Child and Family Health Nursing 5. Rollans, M., Schmied, V., Kemp, L. & Meade, T. (2013). ‘We just ask some questions...’ the process of antenatal psychosocial assessment by Books & Book Chapters midwives. Midwifery, 29(8): 935-42. doi: 10.1016/j. midw.2012.11.013. 1. Hopwood N (2013) Ethnographic fieldwork as embodied material practice: reflections from theory 6. Rollans, M., Schmied, V., Kemp, L. & Meade, T. and the field. In N K Denzin (Ed) Studies in symbolic (2013). Negotiating policy in practice: child and family interaction, volume 40. Bingley: Emerald Press. health nurses approach to the process of postnatal psychosocial assessment. BMC Health Services, 13: 133. doi:10.1186/1472-6963-13-133 Conference Presentations 1. Kohlhoff, J. The heterogeneity of anxiety disorders 7. Rollans, M., Schmied, V., Kemp, L. & Meade, T. in the perinatal period: an exploration of two (2013). ‘Digging over that old ground’: an Australian subtypes. Paper presented to the Australian Society perspective of women’s experience of psychosocial of Psychosocial Obstetricians and Gynaecologists, assessment and depression screening in pregnancy Sydney, August 2013. and following birth. BMC Women’s Health under review. 13: 18. doi:10.1186/1472-6874-13-18 2. Ingram, S. The Reading Project. Paper presented at the Karitane Facing Frontiers conference. Sydney, July 2013. 8. Eastwood JG, Jalaludin BB, Kemp LA, Phung LA, Barnett B. (2013). Immigrant Maternal Depression and 3. Mares, S. What do little ones need? - Supporting Social Networks. A Multilevel Bayesian Spatial Logistic early connections NSW Aboriginal Health Conference Regression in South Western Sydney, Australia. Many Mobs, Building Strength and Connections, Spatial and Spatio-temporal Epidemiology, In Press. Sydney, May 2014.

9. Kohlhoff, J. & Barnett, B. (2013). Maternal depression 4. Stuchbery, M. & Daubney, M. Mentalisation Based and anxiety in the perinatal period: predictors, impacts Therapy, Project AIR Annual Borderline Personality and treatments. CQ: The CAPA Quarterly, 22-25. Disorder Conference, Wollongong, July 2013,

Annual Report 2014 | 45 Research Report

5. Stuchbery, M. Parent-infant relationship intervention: 11. Hughes, M. Working together with Aboriginal Why is it necessary and how is it done? , St John of Communities - Deadly Tots No Gammin’. God/RHW Perinatal Seminar, Sydney August 2013, MaCFHNA Making Connections Conference Canberra, April 2013 6. Stuchbery, M. , Mentalisation and Motherhood, Australasian Marce Conference, Melbourne, 12. Vlahos, S. Us and Them?” Building connections October 2013, Margie Stuchbery with General Practice: Tales from the Healthy Kids Check Project. MaCFHNA Making Connections 7. Matthey, S., Stuchbery, M., Crncec, R., Barnett, B., Conference Canberra, April 2013 The Relationship between Borderline Personality Disorder and Scores on the Edinburgh Postnatal 13. Burr, K. Family Matters - A partnership with Australasian Marce Conference Depression Scale, Juvenile Justice in NSW. MaCFHNA Making Melbourne, October 2013 Connections Conference Canberra, April 2013 8. Mc Leod, R., DeBelin, Ann., Mothers Minds and Music : The role of Music Therapy in enhancing Web Publication healthy relationships between parents a with mental health issues and their children” Australian Music Case study for Governance International website: Therapy Association Conference, June 2013 http://www.govint.org/good-practice/co-production/ 9. DeBelin, Ann., Minds, Mothers and Music : the role of Sing and Grow in enhancing health parent Research Students infant relationships in families experiencing perinatal mood disorders, Australasian Marce Society A number of post-graduate research students are Conference Melbourne ,October 2013 currently either conducting research at Karitane or 10. Harrison, I. Psychotropic Medication in the Perinatal being supported by Karitane/CSU scholarships. Period. Right From The Start, St John of God, Raphael Centre Conference. Sydney May 2014

Student name University Degree Project title Dates of Supervisors Candidature

Robyn Brunton Charles PhD The Pregnancy-related Anxiety 2012-2015 Dr Rachel Dryer Sturt Scale: Initial development and (Primary); University validation. Dr Jane Kohlhoff (Associate)

Amanda King Charles PhD Ecological Determinants of 2012-2015 Dr Andrew McGrath Sturt Maternal Sensitivity, and (Primary); University Subsequent Emotional Distress Dr Jane Kohlhoff (Associate)

Thea Longman University of MSc Early childhood conduct 2012-2014 Dr David Hawes Sydney problems and callous- (Primary); unemotional traits: Associations Dr Jane Kohlhoff with attributional biases and the (Associate) parent-child relationship

Ameika University of MSc Early childhood conduct 2012-2014 Dr David Hawes Johnson Sydney problems, callous-unemotional (Primary); traits and parental responses to Dr Jane Kohlhoff child emotion (Associate)

46 | Annual Report 2014 Work Health and Safety

Karitane is committed to maintaining a safe and healthy Reporting requirements under the Work Health working environment for workers and visitors to Karitane and Safety Act 2011W facilities and services, in accordance with Work Health and Safety legislation, Codes of Practice and Australian Number of incidents requiring WorkCover 0 Standards. Karitane recognises that the creation notification under Part 3 of the Work Health and maintenance of a safe work environment can be and Safety Act 2011. achieved by the development of a safety culture based Number of directions given to Karitane under 0 on genuine commitment to WHS by top management, Part 11, section 217 of the Act. risk management, genuine consultation and a caring professional attitude. Number of Improvement Notices issued under 0 Part 10, section 191 of the Act. Staff are provided with necessary resources, training, information and supervision to enable them to provide the Number of external investigations conducted 0 highest standard of care in a safe environment. Karitane’s under Part 9 of the Act. Health and Safety Committee has made a significant contribution to the promotion of safety in the workplace. Karitane Managers completed the “Implement and The committee meets quarterly and represents the Monitor WHS policies, procedures and programs to interests of all workers. The committee facilitated meet legislative requirements” mandatory course. cooperation on WHS matters between management and Karitane staff completed the following mandatory WHS workers and performed an active role in the dissemination theory and practical training: of health, safety and welfare information. The committee has also been instrumental in reviewing and monitoring SWSLHD CEWD Online Karitane Mandatory WHS performance and issues as well as conducting Training Training Day regular and spot workplace inspections. Fire Safety Awareness – Fire Safety – Practical Theory There were no serious work related injuries reported CPR by staff or volunteers during the year. Staff suffering Adult, Infant and Child from non-work related injuries have been assisted by Basic Life Support – Theory implementing an injury management program to allow Infection Control them to return to their pre-injury duties. Employees have access to the Employee Assistance Program Manual Handling (EAP) which has been successful in helping staff deal Annual Emergency Evacuation Drills were successfully with work related and personal problems. conducted and all Karitane sites obtained their annual Fire Safety Certificate. Workers Compensation 2012–13 2013–14 Claims Karitane continues to support the immunisation Total number of Karitane staff program of NSW Health by offering staff the opportunity 132 132 covered by TMF receive vaccinations to immunise them in accordance with NSW Health guidelines. Karitane has in place Total number of claims 31 an infection control policy and program which has accepted by TMF: protected staff and clients from any infection attributed to or acquired whilst in Karitane. 145 incidents were reported on the NSW Ministry of Health Incident Information Management System (IIMS), A Risk Management focus continues to be crucial to all of which were successfully managed in accordance Karitane and again highlights the commitment of all with risk management principles. staff across Karitane to continue to work safely.

Annual Report 2014 | 47

Marketing CPF(WPFTCKUKPI

The Marketing and Fundraising team has continued > Rotary Camden $1,500 for Karitane at Camden to support Karitane’s extraordinary work through their playgroup wide range of grant applications, fundraising, marketing, > Pratt Foundation $4,700 for the Community Grants events and community engagement programs. Program 2014

We thank our wonderful donors, volunteers and > Auburn City Council supported Linking Families with supporters for all they have done in enabling this work. $6,400

Fundraising Highlights of this financial year include: > The Honda Foundation contributed $4,780 towards renovations in the residential unit, helping us expand • Concluding our 90th year celebration with a Gala Ball three of the existing rooms into family units. held at Sydney Town Hall on 26 October. The evening was enjoyed by all and helped us raise money to > Liverpool Parenting Centre received a grant of $4,300 support Karitane endeavours. Highlights included the from Liverpool Council. The proceeds has gone Soul Mystique magic act from Australia’s Got Talent to “Romp and Chomp”, which aimed to increase and Karitane Ambassador Tracey Spicer’s interview physical activity and raise awareness of healthy with Patron Ita Buttrose. eating choices for toddlers and young children. The program was held with clients from our community • Karitane is grateful for the funding received through partners, The Wesley Mission in Sadleir and the grants, trusts, foundations and community groups. Sisters of Charity Outreach in Miller. Our sincere appreciation goes to the following organisations their support: > The Sydney Chinese Lions has supported us with $2,000 grant. First Vice District Governor, Dr > Inghams Enterprises, the poultry specialists donated Anthony Cheung made the donation at a special nearly $15,000 for a new playground at our Camden dinner to Karitane. facility. > Liverpool Mayor Ned Mannoun presented Karitane > Fairfield City Council granted us $11,200 towards with a grant of $2,760 in support of Linking Families. Engaging vulnerable families > The Rotary Clubs of Macarthur and Linden Concepts for their generous donation of a new sound system in the nursery rooms at Camden.

• Christmas appeal helped raise $500 for our families struggling with parenting over the festive period with extending operating hours over Christmas and New Year holidays.

Our Charity Annual Golf Day

The sun was out and shining on Karitane’s 8th Annual Charity Golf Day as 88 golfers came together to support Karitane’s fund raising day on Friday 20 September 2013 at Cabramatta Golf Club.

Each year, players have enjoyed the opportunity to play on the course as well as participating in other activities such International Nurses Day as competitions, silent auction, raffles and team prizes. Karitane celebrated International Nurses Day on Last year’s funds were allocated to help expand Monday 12 May. Karitane held a BBQ for nurses our Toddler Clinic so that we were able to meet the to honour their fantastic contribution to our increasing demand from families who seek support for organisation and families.

48 | Annual Report 2014 Marketing & Events Highlights of this financial year include:

• Launch of mobile friendly parenting website, www. severe behaviour problems with their children. We mybabyandme.org.au with over 7500 users and were also able to allocate some of the funds raised great interest in topics such as sleep and settling, to help provide much needed equipment across toddler behaviour, feeding and child development. Karitane’s services. • Karitane’s corporate website was redesigned to With the generous support and donations received, make navigation easier, making pages accessible on this year’s Karitane Golf Day raised $13,900 and these smartphones and more dynamic with links to social funds will go to provide additional client services. media sites. We are encouraging families to engage in two way conversations allowing for the sharing of This day would not be possible without our generous information. sponsors and supporters who contributed to making this a successful and fun day for all who attended. • Referrals were improved through an online Many thanks go to the Golf Day Committee for application form, making the process simple, quick organising the event and to the Volunteers who helped and efficient. to make this event a tremendous success. • Run4Mum Karitane team participated in the City2Surf on 11 August to raising money for families Our Golf Day Sponsors suffering from perinatal mental health issues.

• Ausmech Property Services • A new set of informative parenting brochures were • Canterbury League Club released for access from the Karitane website, • Credible Building Technologies Pty Limited allowing parents to print easily various hot topics on • Gordon Yates, Yates Group fundamentals in parenting. • JDC Flooring • Laundy Hotels • Liverpool Catholic Club • Mounties • NRMA Motoring & Services • Telstra Enterprise & Government

Annual Report 2014 | 49

Hotel Services, Café & Maintenance

Behind the scenes our team of hotel services, café and maintenance personnel work professionally and tirelessly ensuring operational matters and functions are working smoothly and are compliant with regulatory standards specific to our services. They ensure our facilities are clean, our food is prepared and our café runs smoothly.

50 | Annual Report 2014 Karitane Treasurer’s 4GRQTV

The net surplus for the financial year 2013-2014 is $104,522, compared to the surplus of $314,506 for the previous year.

Revenue for the year when compared to prior year was less by 1%, $123,380, whilst expenses during the year increased by 1%, $86,600.

In the prior year $336K of unallocated surpluses were released as revenue, which did not re-occur in this financial year. Government subsidies and grants year on year were static, interest income was lower by $12,800 due to declining interest rates, whilst patients fees and donations increased by $379,600 compared to the prior year. The additional patient fee income is attributable to the new ‘Admitting Mums’ Project at Carramar.

The major increase in expenses was due to additional employee benefits expenses, which increased by $148,000. This increase was primarily due to CPI escalation and award rate increases.

The equity position remains strong with total assets of $17.9 million and net assets of $12.9 million. The increase in total assets was due primarily to the revaluation of land and building in the year of $609,000.

Demand for Karitane services by the community continues to increase and change. Where deemed appropriate the Directors will continue to expand services and invest in better systems. However the Directors recognise the need for assured funding by Government and the Organisation’s ability to seek and receive funding from donors and sponsors.

We would like to thank the State and Commonwealth Governments, our donors and sponsors for their ongoing support and contribution to Karitane.

Robert Casamento FCPA.

Annual Report 2014 | 51 5VCVGOGPVQH2TQƌV.QUU CPFQVJGTEQORTGJGPUKXGKPEQOGHQT[GCTGPFGF,WPG

2014 2013 $ $

Revenue 11,077,259 11,200,332

Other Income 15,448 15,755

Employee benefits expense (7,879,861) (7,731,282)

Depreciation and amortisation (482,003) (466,566)

Occupancy expenses (384,261) (362,201)

Fees written off (72,297) (64,121)

Printing and stationery expenses (71,291) (209,644)

Telephone expenses (79,481) (80,307)

Repairs and maintenance expenses (146,081) (157,921)

VMO expenses (244,120) (236,101)

Consultancy expenses (76,141) (51,535)

Other expenses (1,552,649) (1,541,903)

Net Surplus for the year 104,522 314,506

Other Comprehensive Income

Revaluation of Land and Buildings 608,727 -

Total Other Comprehensive Income for the year 608,727 -

Total Comprehensive Income for the year 713,249 314,506

52 | Annual Report 2014 Statement of Financial Position CPFQVJGTEQORTGJGPUKXGKPEQOGHQT[GCTGPFGF,WPG

2014 2013 $ $ ASSETS Current assets Cash and cash equivalents 2,912,302 1,433,221 Trade and other receivables 352,478 504,446 Available-for-sale financial assets 704,500 338,980 Other assets 635,627 2,162,047 Assets held for sale 169,027 Total current assets 4,604,907 4,607,721

Non-current assets Property, plant and equipment 13,261,145 12,541,934 Total non-current assets 13,261,145 12,541,934

TOTAL ASSETS 17,886,052 17,149,655

LIABILITIES

Current liabilities Trade and other payables 1,388,121 1,162,392 Provisions 1,994,542 2,211,288 Deferred Income 1,495,449 1,524,651 Total current liabilities 4,878,112 4,898,331

Non-current liabilities Provisions 73,836 50,469 Total non-current liabilities 73,836 50,469

TOTAL LIABILITIES 4,951,948 4,948,800 12,914,104 12,200,855 NET ASSETS FUNDS & RESERVES Accumulated Funds 8,908,063 8,803,541 Reserves 4,006,041 3,397,314 TOTAL FUNDS & RESERVES 12,914,104 12,200,855

The above information was extracted from the Financial Statement of Karitane for the year ended 30th June 2014 and is included here for information purposes only.

The Financial Statement can be obtained free of charge by writing to: The Chief Executive Officer, Karitane PO Box 241, Villawood NSW 2163.

Annual Report 2014 | 53

Karitane Staff

Chief Executive Officer Carramar Residential Unit Hotel Services Talking Realities Robert Mills Lynette Finch, Manager Stella Stankovic, Leading Hand Rebeccah Roberts Grainne O’Loughlin Judith Arentz Maureen Beardsley Vicky Borg Aniceta Cruz Linking Families Director of Clinical Joanne Bottin Radojka Krstic Sophia Nabi, Manager Services Megan Carroll Alita Maula Jiminez Linda Barry and Quality Maria Daniel Amy Lee Patterson Kardonia Daawod Yvonne McCann Gail Dickens Mark Sullivan Teresa Kelly Susan Filacouridis Marta Vegas Amy Leung Visiting Medical Officers Rebecca Gallagher Antonieta Yomona Heidy Morales Dr Geoff Bent Claire Gallagher Tien Nguyen Dr Margaret Brown Kylie Hodge Jade House Anh-Linh Pham Dr Raymond Chin Carol Hood Ann De-Belin, Manager Freda Simpson Dr Rick Dunston Bronwyn Howard Luisa Absell Dr Mike Freelander Cathy Lamb Sunitha Job Toddler Clinic Dr Ian Harrison Kha Nguyen Agata Kowalczyk Susan Morgan, Manager Dr Peter Hong Nguyen Nguyen Denny Maclaine Susan Filacouridis Janice Oreb Marion Stein Danielle Herbert Senior Staff Specialist Debbie Parrington Margaret Stuchbery Linda Lennie Dr Sarah Mares Sarah Peacock Kim Thorpe Kristine Mendes Diva Ponzo Thelma Roach Special Projects Manager Johanna Read Liverpool Parenting Centre Bonnie (Bunsang) Stewart Fefe Lawson Judith Sullivan Kate Mejaha, Manager Leone Thomson Linda Stengl Lesley Campbell Lucy Wedgwood Fundraising Manager Ruth Tam Mary Ha Pina Zerafa Geoff Prenter Gennine Tarasenko Susan Ingram Sara Tulk Marilyn Jones Administration WHS Coordinator Donna White Zoe Paull Robyn Sargent Vicky Jelic Karen Willcocks Rose Propper Grace Nowak Wendy Williams Wendy Williams Finance Department Elizabeth Windon Casual Staff Dushi Goonesekera Pina Zerafa Randwick Parenting Melissa Denny Susan Atterton Centre Fiona Donald Nelly Bideau Camden Residential Unit Frances Stancombe,Manager Kerri Hutchins Angela Wood, Manager Nicolette Abitz Nicole Lees Employee Services/Fleet Joanne Bogg Debbie Adler Thi Bich Mai Management Coordinator Carol Davidson Christine Brachmanis Joanne Ramjan Pina Filippone Pauline Fallshaw Sarah Capel Katrina Ross Claire Gallagher Justine Goldin Jane Surgenor Clinical Nurse Consultants Carol Giovanetti Susan Ingram Clare Teoh Sally (Alison) Lee Margaret Jabbie Susan Quinn Florence Wong Marion Stein Marie Lamont Wendy Roncolato Angela Marthick Katie Stiasny Resignations Education, Research and Maree Pascale Stephanie Harrison Conference Centre Susan Portors Connecting Carers Therese Holdsworth Monica Hughes, Manager Lisa Reeve Rita Fenech, Manager Monica Hughes Karen Burr Jennifer Sexton Frida Azzopardi Maree Klafas Frances Cascio Leanne Tucker Jill Death Nicole Lees Barbara Chemuel Fiona Wyman Kim Hawken Yvonne McCann Jane Kohlhoff Pina Zerafa Astrid Hocking Robert Mills Sally (Alison) Lee Vanessa Jelic Geoff Prenter Maha Sedhom Medical Records Sandra Kessler Bunsang (Bonnie) Stewart Ann Simpson Tia King Susan O’Connor Bernard Thomas Bernard Thomas Marta Vegas Sharlene Vlahos Pina Zerafa

54 | Annual Report 2014 Karitane Volunteers

Ananya Banerjee Jean Michaels Robyn Quinnell Alison Murphy Judith Blanksby Robyn Wilson Ann Devine Juliet Warda Roxene Quinn Ann Tindall Kay Walsh Ruth Craven Anna Duncan Kifah Behnam Bona Sandra Merritt (LPC) Anne Marie Robinson Laurane Christensen (LPC) Sarah Huynh Ariana Frost Laurence O’Meara Shirley Whitelum Audrey Leishman Liz (Doris) Payne Stephanie Turner Buu Hong Liz Duke (RPC & RU) Thelma McPherson (LPC) Cara Weaver Liz Thompson (RU) Thi Be Nam Huynh Christine Goldie Lorraine Acton Tiffany Tran Christine Vosila Margaret Beckinsale (LPC) Tina Li Clare Orlowski Margaret Hayward Valerie Kennedy Colleen Fitzpatrick (LPC) Maria Suarez Van T.P. Lu Doreen Day (Aunty Doreen) Marina Cheung Felisa Tegio Markeeta Sloane Consumer/Community Georgina Dorigo (RU) Martha Maayah Representatives Gillian Hutchinson Mary Fay Brennen Margaret Dalkin Gladys Aguilar Mary Purnell Gillian Hutchinson Helen Arabzadeh Minoo Jizan Mary Purnell Helen Jenkins Nadine Ao Leanne Stanton Idelina Arajuo Nola Burns Robyn Wilson

Karitane 5WRRQTVGTU

AMP Capital Investors Ltd Fairfield Council Ms Leonie Cutroni Auburn City Council Honda Foundation NRMA Australian Chinese Charity Inger Rice Foundation Orange Ex-Services Club Foundation Inghams Enterprise Pratt Foundation Bonn Electrics John Randle Randwick Council Cabra Vale Diggers Club Leichhardt Council Recreation Community Planning & Campsie RSL Lions International Partnership Caslec Industries Pty Ltd Liverpool Catholic Club Rotary Club of Camden Department of Families, Housing, Liverpool Council Rotary of Macarthur and Linden Community Services and South Sydney Junior Rugby League Indigenous Affairs Marian & E H Flack Trust Sydney Chinese Lions Ed Bracks Mr Bob Hunter Mr Gary Patterson Yagoona Lions

Annual Report 2014 | 55 Head Office 126 The Horsley Drive Carramar NSW 2163 Ph: 02 9794 2300 Fax: 02 9794 2323 All correspondence to PO Box 241 Villawood NSW 2163 ABN 25 000 018 842 www.karitane.com.au