karitane annual report 2014 and parenting website 31 clinical nurse consultant - child and family...

ANNUAL REPORT 2014

Our Values the foundations of our organisation

Our Vision

IDS, FAMILY AND COMMUNITY

CCESSIBILITY

ESPECT

NNOVATION

EAMWORK

CCEPTING INDIVIDUALITY

URTURING

MPOWERING

Our vision is for children to be safe, healthy and

| Annual Report 20142

Our Values & Vision 2

Patron & Ambassador 3

Our Journey 4

Strategic Directions 5

Board of Directors 6

Chairman’s & CEO’s Report 8

Our Locations 11

Organisational Structure 12

Director of Clinical Services Report 13

Camden Residential Unit 14

Carramar Residential Unit 16

Liverpool Parenting Centre 18

Randwick Parenting Centre 19

Toddler Clinic 20

Jade House 22

Linking Families 24

Allied Health 26

Connecting Carers NSW & Talking Realities 28

Careline and Parenting Website 31

Clinical Nurse Consultant - Child and Family Health 32

Medical Staff 33

Quality 36

90th Year Celebration Gala Ball 38

Education 40

Research Projects 43

Work Health Safety 47

Fundraising & Marketing 48

Hotel Services 50

Treasurer’s Report 51

Balance Sheet 52

Statement of Financial Position 53

Staff 54

Volunteers 55

Contents

Patron & Ambassador

3

Thank you to our Patron, Ms Ita Buttrose

Celebration Gala Ball held at the Sydney

Annual Report 2014 |

Ms Tracey SpicerMs Ita Buttrose

Our Journey

Over the last 90 years we have journeyed along a path of improving the lives of children and families from our mobile clinics in the 1920’s, our residential hospital for new families in the 1950’s and to our far reaching regional foster care programs starting in 2008.

1923 The Australian Mothercraft Society - Truby King System was founded in May and the first Baby Clinic opened at 283 Elizabeth St, Sydney.

1924The first Australian Mothercraft Society Home was established at 72 Howard St, Coogee.

1927As the Society grew, a larger hospital was purchased at 23 Nelson St, Woollahra, with additional mobile clinics supporting families in the outer areas of Sydney.

1952The Headquarters of the Society was transferred from 283 Elizabeth St to the Karitane Hospital at Woollahra.

1958The Australian Mothercraft Society was gazetted in NSW as a Third Schedule public health organisation under the Hospitals Act.

1966The Australian Mothercraft Society received government funding for the first time.

1970 The Australian Mothercraft Society changed its name to the Karitane Mothercraft Society.

1974The Residential Hospital moved from Woollahra to 171 Avoca St, Randwick.

1993

Liverpool Parenting Centre opened at 10 Murphy Avenue, Liverpool.

1994The Residential Hospital moved to 138-168 The Horsley Drive, Carramar and the Day Stay service remained in Randwick.

1996The Karitane Mothercraft Society changed its name to Karitane. Jade House Day Unit for mothers experiencing perinatal mood disorders opened at 130 Nelson Street, Fairfield Heights.

2000The Karitane Volunteer Home Visiting Program commenced in Fairfield, Liverpool & Bankstown.

2008The Karitane Carramar site was redeveloped and Jade House was moved into the newly developed Carramar site. The Volunteer program moved into 130 Nelson St, Fairfield Heights.

The Connecting Carers NSW (CCNSW) state-wide peer support and training program for foster, kinship & relative carers commenced. Land was purchased at 124 The Horsley Drive, Carramar to commence building the new CCNSW Head Office building.

2009The Karitane Head Office was moved off the Carramar site to newly built premises at 126 The Horsley Drive, Carramar.

2010The CCNSW new Head Office building was opened at 124 The Horsley Drive, Carramar.

2011Karitane@Camden Residential Unit was opened at Camden Hospital & the Round House Cafe was opened at the Carramar site.

2012The Toddler Clinic@Camden was opened by the Minister for Health and Minister of Medical Research, The Honourable Jillian Skinner, MP.

2013The Karitane 90 year celebrations were conducted with two major events - a reunion at Government House and Gala Ball at Sydney Town Hall.

Karitane proudly launched the MyBabyandMe.org.au Parenting Website and our corporate website Karitane.com.au was redesigned to ensure it was mobile friendly and more accessible to healthcare professionals and parents.


Our Strategic Directions 2010 -2015

Focus area one

Focus area two

Focus area three

Focus area four

Annual Report 2014 | 5


Chairman Mr Michael Coffey, B.Sc. (UNSW), FAICD, JP Director since 2001

Michael is the Managing Director of a logistics company with many years experience in that field. He is a Fellow

of the Institute of Company Directors and a Justice of the Peace. He was elected Chairman of the Karitane organisation in 2008, is a Board Director of Liverpool Catholic Club and Carrington Centennial Care. He was recognised by Rotary for his involvement in community service while a member of that organisation and is Past President of the Rotary Club of Liverpool West Inc.

Vice Chairman, Chair Governance Committee Mr Garth Ross, B.Bus CPIM Director since 1999

Garth is a Supply Chain Professional with over 30 years experience. Roles held include senior business analyst,

group planning manager and consultant. He holds a Bachelor of Business and is a Certified Practitioner in Production and Inventory Management. Garth has been a Director of Karitane since 1999.

Treasurer, Chair Finance Committee Mr Robert Casamento, FCPA Director since 2007

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.

Director, Chair Quality & Safety Committee Dr Sharyn Wilkins, MBBS, RACGP Family Medicine Program, Family Planning Certificate, FAICD Director since 2012

Sharyn has worked for over 25 years as a General Practitioner. Her particular interest areas are paediatrics, women’s health including antenatal care, and mental health. She was involved in the Sutherland Division of General Practice as a board member for 17 years and was Chairman between 2009-2012.

Sharyn is also a director on the South Eastern Sydney Medicare Local Board and Finance, Audit and Risk Committee and is also a member of The Sutherland Hospital Clinical Council. She is a Fellow of the Australian Institute of Company Directors

Director, Chair Audit & Risk Committee Ms Susan Dinkha BA, Dip Law (SAB) Director since 2008

Susan is a lawyer with extensive commercial experience gained in

both corporate and private practice. She has worked for public companies as Legal Counsel and in legal and compliance management roles. She has provided consultancy services to public companies and to not for profit organisations. She holds a Bachelor of Arts and Diploma in Law.

Board of Directors


Director Professor Valsamma Eapen, MBBS, DPM, MRCPsych, Diploma in Family Therapy, PhD, FRCPsych, FRANZCP Director since 2010

Valsamma is Professor & Chair of Infant, Child and Adolescent Psychiatry at the University of New South Wales (UNSW) and Head of the Academic Unit of Child Psychiatry (AUCS), South West Sydney Local Health District, Sydney, Australia. As a Child Psychiatrist with special expertise in neurodevelopmental disorders, her research interests include Tourette Syndrome, Autism and ADHD, focusing on the epidemiological, genetic and clinical aspects. She holds both Australian Research Council (ARC) and National Health & Medical Research Council (NHMRC) grants.

Director Mr John Bonnici Director since 2005

John is a licensed Electrical & Security contractor and Director of Bonn Electrics Pty Ltd which he founded in 1974. Bonn Electrics Pty Ltd is an

Electrical, Communications and Security contracting company specialising in commercial and industrial 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.

CEO & Company Secretary Ms Grainne O’Loughlin, B.Sc. (Hons) Sp.Th, MBA (UNE)

Grainne was appointed to the role of Chief Executive Officer of Karitane and commenced on April 28 2014. Grainne trained

and qualified as a Speech Pathologist in London, England and commenced her clinical career at Central Middlesex Hospital prior to moving to Sydney in 1991. Since then, Grainne worked initially as a Clinical Speech Pathologist within the adult neurology and rehabilitation fields and then as a Senior Speech Pathology Manager in several Sydney teaching hospitals and community health services up until 2006.

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 through the University of New England, graduating in 2011. Grainne held a variety of Senior Executive roles throughout her eight years at St Vincent’s Health Network including Manager Strategy & Planning, A/Director Operations, Director Support Services and ultimately the General Manager of Sub-Acute Facilities & Allied Health. She was a senior member of the Executive Team & a member of the Health Services Association (HSA) Board. Grainne continues to serve on the HSA, and Australian Children’s Welfare Association (ACWA) Boards.


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.

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 months. It has been a time of considerable change in our governance and leadership arrangements and we are pleased to welcome many new people to our Executive team in support of our new direction.

We have also farewelled a number of staff who have served Karitane diligently and passionately over many years either into retirement or on to other substantial career paths.

Most notably, Mr Robert Mills, our former CEO, accepted an appointment at another healthcare facility and we are most grateful for his efforts and contribution to Karitane over the last 10 years. We wish Robert well in his new role.

We have led many strategic initiatives to be proud of over the past 12 months in our four Priority Focus Areas.

This year we have continued active conversations to grow our services to reach out to the regional areas of NSW. The prospect of Karitane@Albury remains on the horizon supported collaboratively by NSW Health, Victorian Health and generous donor who is committed to rural and remote outreach programs for parenting services.

Through our education program, our team of staff provided excellent training through the series of ‘Caring Hands’ education sessions delivered across Australia to Dubbo, Darwin, Perth, Melbourne and Sydney.

Our key successful programs have had their funding renewed. The Juniperina Program has been again funded by Juvenile Justice until June 30th 2015, allowing us to provide education and support to young women in juvenile custody. ‘Tackle the Terrors’ has been renamed ‘Becoming Parents’ Program and has been refunded again by The Smith Family until June 30th 2015, ensuring support for parents and their children in the Bankstown area.

We are also delighted that several Department of Family & Community Services (FaCS) programs are continuing to be funded for a further 2 years in recognition of the significant service achievements. Connecting Carers NSW (CCNSW) will continue to provide foster, kinship & relative carers across NSW with access to ongoing training, education and peer support. Our Linking Families/Parent Support Program will continue to manage 4 Programs in the Liverpool, Fairfield and Bankstown LGA: Supported Playgroups Plus program which offers supported playgroups for vulnerable families for 12-18months; Young Parent Family Worker (YPFW) offers sustained home visiting to young clients 25 years and under; Early Intervention Placement Prevention Program (EIPP) which offers short term case management to clients with low risk vulnerabilities who need assistance and referral to address parenting issues.

The Volunteer Home Visiting program (VHV) is continuing strongly, supported by our generous benefactor, and offering practical support to families with children 0 - 3 years living in the Liverpool, Bankstown and Fairfield Local Government Areas.

2013-2014 saw some significant celebrations and events. A wonderful celebration for Karitane’s 90th anniversary was held on 26th of October 2013 with the Karitane 90th Gala Ball held at the Sydney Town Hall. It was a glamorous and fun-filled evening and those in attendance included The Honourable Jillian Skinner MP, Ms Ita Buttrose (Karitane Patron) & Ms Tracey Spicer (Karitane Ambassador).

Our continued tradition was upheld with Karitane’s 8th annual charity golf day at Cabramatta Golf Club on Friday the 20th of September 2013, with 84 players supporting us. A unique raffle prize of entry into the Pro-Am of The Australian Open Golf Championship at Royal Sydney Golf Course was a highlight. Over $11,000 was raised on the day towards vital equipment and upgrades for Karitane services. We would like to

Chair & CEO Report

Mr Michael Coffey Ms Grainne O’Loughlin


thank our Platinum, Gold, Silver & Bronze Sponsors, everyone who donated prizes and all the players who supported us on the day.

Demonstrating Karitane’s commitment to enhancing and ensuring access to appropriate and timely care to our Aboriginal families, the Hon. Pru Goward, MP launched the Connecting Carer’s Aboriginal Kinship Care ‘App’ at Parliament House on the 4th of September 2013.

In exploring international collaborations, Mr Robert Mills (former CEO) and the President of the Australian Foster & Kinship Carer Partnership (AFKCP) attended the International Foster Care Organisation (IFCO) conference in Osaka Japan to promote the upcoming IFCO conference in Sydney in November 2015 which 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 received from Foster Carers.

Karitane continued another strong year of research collaboration with our tertiary education providers and produced several high calibre publications and conference presentations. We are proud to outline the active research, publications and conference presentations in further detail within the report. A UWS, Karitane & Tresillian ARC application was successful and work is currently underway on identifying characteristics, trends, co-admissions and service needs of women admitted to residential parenting services in the year following birth in NSW.

In ensuring we remain at the forefront of clinical 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

project come to fruition. This new garden area allows the Camden Service to now cater for children up to four years old at the Camden facility.

The Liverpool Parenting Centre upgraded its facility through the conversion of the pergola area into a new group and consult room at Liverpool made possible by the awarding of $22,900 from the NSW Government’s Community Building Partnership.

The Carramar Residential Unit refurbishment was completed in early 2014 affording the new ability to cater for residential care for families with multiple births. We also saw the installation and implementation of Wi-Fi on the Carramar site enhancing our education facilities and internet access to staff and clients.

Karitane welcomed two new medical staff to our teams to ensure appropriate access to high quality clinical care for our clients. Dr Sarah Mares commenced at Jade House as the new Staff Specialist Perinatal Infant Mental Health Psychiatrist and a new GP, Dr Margaret Brown commenced in the Carramar Residential Unit facility to commence the new ‘Admitting Mums’ Service featured in the report.

“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 of home care services.”

Chair & CEO Report


Looking to the future….

In looking to the future, we remain attentive to our core business of ensuring: healthy and vibrant families, accessible health care for all, high quality health care delivery, responsible and equitable resource management, and an energetic, progressive and innovative organisation. The significant developments in health care, research and medical technology mean that the provision of Parenting Services in 2014 and beyond looks quite different to that provided by our Founders in 1923. In planning our response to the health and parenting needs of Australians today and in the years ahead, it is our hope and intention that our founder would recognise the tradition of care he established in 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 of home care services. This will be guided by our 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 year has been no exception.

We most gratefully acknowledge and thank our major donors, a significant benefactor who continues to support our rural and remote service growth, our research programs, toddler clinic and volunteer services. We would not be able to sustain our comprehensive care to the families without your ongoing generosity.

We would also like to thank the Karitane Board of Directors for their considerable time, effort, guidance and expertise in supporting the CEO in the continued growth and sustainability of Karitane.

We are pleased to commend this report to you and look forward to the coming year with confidence and hope.

Mr Michael Coffey, Chairman of the Board

Ms Grainne O’Loughlin, CEO

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 Centre - Carramar

4. Liverpool Parenting Centre

5. Randwick Parenting Centre

6. Linking Families - Carramar

7. Residential Family Care Unit and Toddler Clinic Camden

Karitane NSW Centres

8. CCNSW Hunter / Central Coast

9. CCNSW Northern

10. CCNSW Southern

Hornsby

Upper North

Blacktown

Liverpool

Parramatta

Camden

Penrith

SutherlandCampbelltown

Inner CityBankstown

Randwick

Sydney

Fairfield Heights

Carramar

Hills Clinic

1

6

2 3

5

7

Coffs Harbour

Coffs Harbour 8

Sydney

10

ACTBega

9

4


Organisational Structure

August 2014

Executive Assistant

Director Clinical & Corporate Governance

Coordinator Quality

Coordinator Education

Research

Health Information

Staff Health

Infection Control

Chief Executive Officer

Chief Operating Officer

Karitane Board

Chief Financial Officer

Management Accountant

Accounts Assistant

Payroll

Director Fundraising & Business Development

Events & Conference CoordinatorAllied Health

CCNSW

Jade House

Linking Families

Medical

Parenting Centres

Residential Units & Careline

Toddler Clinic

CNC C&FH

HR Fleet

IT Support

Environmental Hotel &

Maintenance

Administration

WHS/Security

Executive

Professional Leadership role

2013-14 has been a year of significant change at Karitane. Throughout these changes the continued commitment by staff and the Board to the provision of high quality services and innovation at Karitane has not wavered.

Karitane continued its fine record of achievement in providing quality services which was recognised through the periodic review by Australian Council of Health Care Standards (ACHS) and the annual Quality Services Assessment conducted by the Australian Safety and Quality Commission.

Whilst the planned expansion of Karitane to a number of regional sites is still under discussion, particularly in Albury, the strategic focus of ‘Expand services and programs to reach more families and communities’ did occur with the continuation of ‘Family Matters’ in Juniperina, ‘Tackle the Terrors’ in Bankstown LGA, reprisal of ‘Sing and Grow’ at Jade House, expansion of Volunteer Family Connect in association with Good Beginnings and Benevolent Society and a more dedicated service in perinatal mental health at Camden.

A review of the referral and intake processes is 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.

The Carramar site continued to grow, with capital works expanding the residential unit bed base and seeing increased demand for the toddler clinic, residential services, the day programs and perinatal mood disorders therapy and support.

The Karitane@Camden service celebrated its 3rd birthday and the opening of a specifically designed children’s garden area has enabled them to provide services to families with toddlers over the age of 18 months.

The Parenting Centres at Randwick and Liverpool have continued to offer programs tailored to meet community need with an increase in targeted group programs and outreach services.

The Family and Community Services funded programs provided by Karitane have also expanded. Connecting Carers NSW continues to be recognised for the provision of quality support, education and training programs for foster carers of children in out-of-home care (OOHC). This acknowledgement of the experience and expertise of the team in supporting this population has led to invitations at all levels of government and health services for consultation and participation. Access to Early Intervention Program (EIPP), Supported Playgroups Plus (SPP) and Volunteer support in the home have added great value to families challenged with a number of vulnerabilities including isolation, poverty, language, health and well-being difficulties at our Linking Families Service.

All staff throughout Karitane services have contributed to the success and excellence in clinical care provided. Their continued dedication to making a difference in the lives of children and their families is highly commendable.

ACHS Accreditation Renewal

The Australian Council on Healthcare Standards has confirmed Karitane’s accreditation. Accreditation is public recognition of the achievement of accreditation standards by a health care organisation, demonstrated through an independent external peer assessment of that organisation’s level of performance.

Clinical Services Director Yvonne McCann said: “It is a great achievement for Karitane to retain its accreditation under the EQUIP national standards. This recognition confirms the high level of care we provide”.

Director of Clinical Services


Ms McCann left Karitane at

the end of June 2014

Karitane at Camden is a Residential/ Parenting Centre also providing perinatal mental health services and an outreach Toddler Clinic. Our services cover parenting support and advice, antenatal support and education, services to alleviate parental depression and anxiety, managing toddler behaviour and other issues related to this challenging but rewarding period in families.

Parenting Confidence Levels - KPCS

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.

Projects

After extensive planning and project managing by Kids of MacArthur Health Foundation the Karitane Camden Children’s garden was officially opened on 3rd June 2014 by Health Minister Jillian Skinner along with Camden MP Chris Patterson. The outside play area will enable the service to accommodate older children from 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.

Residential Unit Camden

“The team were supportive and worked hard to find a way to help the clients.”

“Thank you Karitane for helping us to navigate this challenging time.”

“We feel confident to take these learnings home & keep going with it. Staff very attentive. Loved the staff, they are very supportive and encouraging. Extremely helpful & very patient.”

Client Comments...“Thank you very much, I feel blessed to have been able to come and stay at Karitane. I learned a lot of skills to help my son and myself. “

“Staff were very friendly & supportive which made things very much easier being such a stressful situation.”

“I would recommend this unit and will speak highly of my stay here! The staff were amazing. Supportive & relaxed. Great advice & support. Nurses were very approachable, listened well.”


Professional Development 2014

The team were pleased to celebrate significant achievements this year with Jenni Sexton completing 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 Kids of Macarthur Foundation ball, held on Saturday 21st June 2014 at The Cube at Campbelltown Catholic Club. For over a decade, the Kids of Macarthur Health Foundation has worked tirelessly to raise funds for 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.

“Thanks! The nurses are supportive & helpful! And welcoming. Volunteer was so helpful especially when bringing luggage to room to mind baby.

I have really appreciated my stay here & all the help I have received.”


Staff at Kids of Macarthur Health Foundation Annual Ball Charity Night

Residential Unit Carramar

The Residential Unit at Carramar continues to provide quality care for families across NSW who are experiencing parenting challenges with their infants and young children. Families are admitted for a five day stay and have access to a range of health professionals during their stay. These include Registered Nurses with Child and Family Health qualifications, Enrolled Parent Craft nurses, Social Work, Child Care workers and 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 than one child could be accommodated.

Referrals to Our Intake Service

This chart depicts a snapshot of the change in referral numbers between 2013 and 2014. We commenced ‘Centralised Intake’ in April this year. Average monthly referrals to all Karitane services are 235 per month

Total Karitane Referrals

This graph shows a snapshot of improvements made 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

“Just wanted to say thank you so much for all the valuable lessons and support I received at my recent residential stay and subsequent follow up phone call. My husband and I are so more confident and calm about so many areas - feeding, play and most importantly settling. We really appreciate everything that Karitane has done and are feeling at ease knowing we can call the Careline if we need any help.”

Feedback from our clients“They all interacted positively with my son and built a great rapport with both of us. I feel like I have some great settling techniques to try and I feel more confident in my approach. It was also wonderful to have a group of people that could see the problems my son was having and try and work with me to find solutions.”

“The improved facilities were great and newly renovated. I would highly recommend this service.”


New GP ‘Admitting Mums’ Service – Carramar Residential Unit

In March 2014, Dr Margaret Brown joined Karitane and we commenced the ‘Admitting Mums’ Service.

Medical assessment of mothers complements the nursing assessment and adds to the holistic approach presented by Karitane in managing our clients.

In most residential clients the ‘issue’ is not the child alone but the mother/infant dyad. It is a transactional relationship between mother and baby so that infant/child behaviour is really a reflection of transactions that vary over time. Attention to maternal health has the potential to influence the maternal side of this transactional relationship in a positive way, e.g. addressing health issues that may be causing tiredness and irritability.

Physical health improvements for the mother may be achievable through brief GP intervention. Some examples of this include:

• Promotion of a healthy lifestyle in the context of assessing current BMI and levels of physical activity and current diet.

• Health education, especially postnatally regarding: pelvic floor exercises, prevention of back problems in the context of carrying children, and sexual health

• Provision of contraception and opportunistic care of health problems they may be neglecting

• Supporting smoking cessation

The GP is also well placed to then provide referrals to the Karitane Paediatrician and/or Psychiatrist as 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”


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 by providing client centred care by a multidisciplinary team and a dedicated group of caring volunteers.

Over the past 12 months the Liverpool community has had a rapid expansion in population with several new housing estates opening and young families moving to the area. It also has a distinct cultural diversity and continued resettlement of vulnerable refugee and migrant families to the area. With these changes, it is imperative that LPC responds appropriately, with flexible service models that best meets the needs of the community.

One of the highlights this year was being involved with community partners Noreen Towers, Ashcroft to launch the new “Going home - Staying Home programme” with Premier Mike Baird and Minister Gabrielle Upton. As part of this partnership we facilitate parenting groups, including Munch and

Crunch/ Romp and Stomp, Circle of Security (COS) and Tuning into Kids (TIK) with the vulnerable families that utilise this service.

We continue to provide centre based consultations, home visits and several group programmes both at our Liverpool centre and in the community. These therapeutic groups include COS, TIK and Women as Mothers (WAM). Another popular programme offered is ongoing Infant massage classes, a hands-on session that demonstrates infant massage techniques to parents.

Feb 2014 Women as Mothers Group

Since attending the WAM Group, how confident do you feel as a mother?

Liverpool Parenting Centre

“The Karitane WAM group has been so enjoyable, meeting other mums experiencing the same issues. I have gained so much valuable information from the speakers. Thankyou also to the volunteers that provide the wonderful care for our babies.”

“Thankyou for being a great support when I needed it the most. My baby and I are grateful to have met the girls at Karitane Liverpool and words can’t express what a difference you have made in our lives and in our relationship. I had some home visits when I was scared to leave the house with my baby and then as I became more confident, attended the WAM and COS groups. We would not have made it without the help from Karitane.”

Client Testimonial Families have their say:


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.

Randwick Parenting Centre


The Toddler Clinic offers a specialised parenting and skills support to families with children who have disruptive behaviour disorders. The evidenced based and experienced research model used within these clinics is Parent Child Interaction Therapy (PCIT). Targeting children aged 15 months to 4 years who are most vulnerable and receptive to long lasting improved outcomes.

The Carramar Toddler Clinic has been operating since 2005 and continues to experience rapid growth and improved facilities. This includes installation of state of the art video equipment in two therapy rooms.

The opening of the Camden Toddler Clinic in 2012 continues to provide a well needed program for families in the Macarthur district and the service is operating two days week.

Research and Publications

The Toddler Clinic has always had a strong research arm. The collaboration with Sydney University continues to remain active. There are two current research projects being conducted in the clinic. The study which is being conducted with Sydney University examines the association between particular parenting practices and early childhood disruptive behaviour problems for children aged over 2 years. The second project is investigating the effectiveness of PCIT in children aged less than 2 years, which is the first study of its kind internationally.

The publication in the Child and Family Behavior Therapy journal was one of the highlights in 2014. The paper, titled ‘Parent Child Interaction Therapy 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.

Toddler Clinics Carramar/Camden

“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 not only impacted on my children but the whole family. Thank you so much I honestly don’t know what I would I would have done without the Toddler Clinic”.

What the families say...

“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, encouragement and kindness. I’m a better mother today because of you”.

“Thank you for opening my eyes. Karitane has improved my relationship with both my children and I know so much more about being a parent now”.

“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”.


The Toddler Clinic continues to provide education for health professionals. 5 day training was held 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 number of referrals to the Toddler Clinic

Jade House

Jade House was established to help meet the needs of the 1880 per annum mothers, their infants and families 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 likely to promote and support infant development, because even when parents are trying their best, babies can be affected by parental depression, especially when the family are also struggling with other difficulties.

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.

Jade House Client Journey July 2013-June 2014

Graph 2 shows the mean Edinburgh Depression Scale (EDS) score for women referred to Jade House during this period and the mean EDS score for mothers discharged during this same period.

Mean EDS Scores for Jade House Clients in 2013-2014

In 2013-14 the Jade House team was also delighted 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.


In 2013-14 the Jade House team was also delighted

The team also said farewell to Marion Stein, Clinical Nurse Consultant as she commenced her retirement. Marion had provided consultation to Karitane staff and families since 2007.

Jade House remains the only publicly funded perinatal mental health day unit in NSW. With 28% of mothers in NSW giving birth in SWS and a predicted increase in the birth-rate in the area, the demand for Jade House 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

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

Sing and Grow is a music therapy group that meets at Jade House, Carramar on Friday mornings. It has been running successfully for 3 years, with participants recording very high levels of satisfaction. Sing and Grow promotes positive parent/child relationships to families who are experiencing moderate to severe perinatal mood disorders. It’s also a powerful strategy to shift mood and bring joyful moments into parent child interactions.


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 the Minister met with current clients from all programs with their children.

Supported Playgroups

All 7 supported playgroups were well attended and 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.

Linking Families


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 also gives basic parenting advice and is able to refer to other parenting services including Karitane. A workshop on healthy nutrition and Play Power was held for all young parents on the program and held in the KLF training room.

Early Intervention and Placement Prevention Program

Clients who have identified parenting issues such as toddler behaviour management or speech and vision impediments with their children are engaged 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.

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.

Linking Families


Our Team

8 Clinical Psychologists 4 Social Workers

Karitane is committed to the emotional wellbeing of parents, infants and children. To achieve this aim Karitane has a team of dedicated Allied Health professionals integrated into six Karitane services across four locations. Our skilled team has amassed many years of expertise and specialist training in the field of perinatal and infant mental health and families attending Karitane services are able to access this specialised mental health team. As families relate their parenting journey and the struggles they have encountered, the Allied Health Team is able to support families to clarify the issues and to identify pathways to improved mental health and family relationship functioning.

For some families this is their first contact with a mental health professional and their engagement with Karitane begins the process of identifying their difficulties and working out an appropriate treatment.

A study of families attending a Karitane Residential Unit found that of those who were newly identified as needing a mental health referral 44% had commenced treatment four weeks after their Karitane stay. Therefore, Karitane contact is an important pathway to mental health care and relationship improvement for families in NSW.

Activities and Program Development

Allied Health

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”.

Social Work – Client story


Individual Families

Assessment of mental health

Assessment of family relationships

Mental health treatment

Couple therapy

Parent-infant/child relationship therapy

Referral to specialist and family support services

Groups

Mother-infant relationship

Father’s group

Tuning into Kids

Circle of Security

Developing Skills and Expertise

In addition to our Allied Health Team’s already specialised skills and training in perinatal mental health, 2013-14 saw the following therapeutic interventions added to our repertoire:

Marte Meo A mother-infant relationship intervention, pioneered in the Netherlands which encourages people to use their own strength to advance and stimulate developmental processes on the part of infants and children, parents, professional caregivers and supervisors and thus learn to optimally utilise their capacities. Clinicians learn how to identify opportunities for development; which natural supportive behaviours are required to assist development, and how this knowledge can be incorporated into the natural system of the individual so that they can learn the new skills in the most efficient way possible.

Tuning into Kids Tuning into Kids is an evidence-based parenting program that focuses on the emotional connection between parents and children. In particular the program teaches parents skills in emotion coaching, which is to recognise, understand and respond to children’s emotions in an accepting, supportive way. This approach helps the child to understand and manage their emotions.

Cool Little Kids The Cool Little Kids Program is a group treatment program for parents of young children who exhibit excessive shyness or anxiety. Cool Little Kids is a psycho-educational parenting program that equips parents with both knowledge and practical skills and tips on how to help their child manage and overcome anxiety. The program uses Cognitive Behaviour Therapy (CBT) techniques to give parents effective tools and strategies to assist their child.

Mental health interventions at Karitane are effective in reducing the distress experienced by families. Table 1 shows the mean EDS change from referral to discharge for a sample of 20 mothers receiving therapy in 2013-14. A reduction in EDS scores of greater than 3 points is considered to be clinically significant and for this sample the mean change in EDS score was 8 points. So not only is the overall reduction in scores for this population significant but, importantly, the degree of improvement in each woman was of a clinically significant proportion.

Mean EDS Scores after Mental Health Intervention


17.2

p<0.001

9.5

Mean EDS at Referral

Mean EDS at Discharge

Connecting Carers NSW

The Karitane Connecting Carers NSW (CCNSW) Project is funded by the Department of Family & Community Services (FaCS) to provide the highest quality support and training to Foster, Kinship and Relative Carers including grandparents, across seven geographic areas within the state of NSW.

• Head Office - Carramar• 2 regional offices – Newcastle and Coffs Harbour

Service Activity Advocacy, Support – Crisis, Case Management and Referral, 1300 crisis & support line, Peer Support, Training & Education sessions, Information Sessions, Camps, Conferences.

Staff

Manager, 2 Part time Administration Officers, 5 Regional Coordinators, 157 Volunteers.

Training Sessions

Connecting Carers NSW provides training, education sessions & workshops to foster, kinship, relative carers and grandparents including carers from Aboriginal and Torres Strait Islander and CALD communities across NSW. Service delivery includes the rural and remote areas of NSW. Training examples include: Attachment, Resilience, Special Babies, ADHD, Challenging Behaviours in children under 2 years, The Realities of Fostering, Positive Parenting, Adolescents, Adoptions, First Aid, Autism & Asperger’s, Cyber Bullying, Grief & Loss, Sexual Health, Leaving Care.

YearNumber of Training Sessions delivered

across NSW

Total Attendees

July 2013 – June 2014

241 5,485

Multicultural Foster Care Group Training July 2013 – June 2014

GroupNumber of Sessions

Number of Attendees

Vietnamese 11 265

Arabic 6 102

Multicultural 3 47

Turkish 6 100

TOTAL 26 514

Local Coordinator Training (Volunteers)

CCNSW facilitates a two day training workshop for Local Coordinators (volunteer) from around the state. Volunteers provide valuable peer support to foster carers, kinship & relative carers including grandparents across NSW.

CCNSW have 157 trained Local Coordinators (Volunteers) across NSW.

Local Coordinators support CCNSW staff in offering guidance & support to foster, kinship, and relative carers in their foster care role including addressing the challenging and behavioural issues of children and young people in care.

Camps, Workshops, Seminars and Support

CCNSW provides recreational activities for clients and children in Out Of Home Care (OOHC), for example picnic days, family camps, morning tea.

The program organises conferences, workshops, seminars for the provision of ongoing information, training and support of clients.

The camps give foster, kinship and relative carers, including grandparents, children and young people, 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.



YearNumber of

Camps held across NSW

Total Attendees

2011 - 2012 7 1109

2012 - 2013 7 1368

2013 - 2014 7 1287

The Pacific Communities Foster and Kinship Family Camp

Connecting Carers NSW kick started the year with our Pacific Communities Camp. Ninety four Foster, Kinship and Relative Carers and their families travelled to Stanwell Tops from across Sydney for the Australia Day celebratory 3 day camp.

The University of Western Sydney provided their Pacific Community Team for cultural activities which included drumming and dance workshops, Hakka, cultural dress. By providing this cultural opportunity, CCNSW was able to give children a sense of who they are and as one of the carers stated “this sense of identity makes them stronger people”.

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”

Crisis and Support Line – 1300 794 653

The program provides a 24 hour – 1300 number support service for foster carers, kinship & grandparent carers. (Manned by staff on a rotating roster basis)

Phone Support

Jan, Feb, March 2012



Foster Carers

416 612 1171

Kinship Carers

324 426 1221

Relative Carers

92 110 56

TOTAL 832 1148 2448

*Over 5000 calls 2013-2014


“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”

“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:

Comment from a camp attendee:

2013 “Tell Someone Who Cares” CCNSW Conference – Darling Harbour

More than 700 carers and professionals from across NSW and around Australia attended the “Tell Someone who Cares” conference hosted by Karitane and Connecting Carers NSW at the Sydney Convention Centre in Sydney.

The combined National & NSW Foster and Kinship Care three day conference event featured speakers, workshops, entertainment and personal journeys of survival, achievement and the challenges and joys of fostering.

The conference focused on best practice in supporting children in care – who have often experienced significant trauma and abuse – to enable carers to feel equipped to achieve the best possible outcomes for children and young people.

Talking Realities Young Parenting Program

Talking Realities Young Parenting Program is an innovative school based, peer education Early Intervention & Prevention program. The program is funded by FAHCSIA (Commonwealth Funding) now known as Department of Social Services.

The program offers a 26 week Peer Educator Training course that is a recognized pathway into TAFE NSW. On completion of the Peer Educator Training course, the young parents deliver the presentation about the realities of being a young parent and the impact it has on their lives in secondary schools across Fairfield, Liverpool & Bankstown LGAs and within Juniperina Juvenile Justice Centre. The program provides an important opportunity to challenge the stereotypical perceptions about why young women become pregnant and offers an interactive forum for students to talk about the challenges of parenting.

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.

Number of Peer Educators Trained (26 week Training)

Number of High School

Presentations

Total Number of High School

Student Attendees

11 38 1,226 attendees

Juniperina Juvenile Justice Centre 6 Sessions 20



“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.”

“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

Comment from Teacher

Aquatic Bonding & Fun

Young Parents High School Presentation

Our Careline operates seven days per week where families are able to access experienced Child and Family Health nurses to discuss issues they may be having with their infants or young children. The main areas of concern families seek assistance for are unsettled babies, night waking, sleep and settling problems, breastfeeding and toddler management.

Careline Calls 2013-2014

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

Parenting Website - My baby and Me

Launched in early 2014, we developed a user and mobile friendly parenting website (www.mybabyandme.org.au) to enable access to timely, trustworthy and consistent online parenting information.

Within 6 months the website has gained over 7500 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.

Careline


National Education: Safe Sleep Space Caring Hands Conference

“Facilitating healthy, calm and confident families, infants and toddlers”

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 Belin, Sally Lee, Yvonne McCann participated in the program delivery. Karitane provides all its services based on attachment theory and these services are delivered through a strengths based framework. Families faced with the challenges of unsettled infants and toddlers who develop difficult behaviours often struggle to maintain a calm and confident home environment. Through a range of therapies, including Parent Child Interaction Therapy (PCIT), Music Therapy for young infants, parent confidence building workshops, we work with families to optimise the family dynamic that best supports the child, the parents and other family members.

Early intervention is crucial in supporting a change 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 for families to build healthy, calm and confident interactions.

Channel 7 News

Sally Lee, CNC C&FH was interviewed by Chris Maher on the topic of settling and sleeping for babies during long travel episodes. The coverage was in the context of Prince George travelling to Australia and was aimed at supporting parents considering long travel with infants.

Family Partnership Core Training

The CNC facilitated 2 groups this year for Karitane.

Introduction of Clinical Nurse Specialist (CNS) working groups

We reviewed and updated evidence based information for parents including new toddler brochures and new anxiety and depression brochures.

Karitane In-house Parenting Sessions Group

The CNS group is working with the CNC and Karitane education team on mapping and reviewing in-house parenting groups. This includes session templates and a powerpoint on writing session plans that has been made available to all staff.

Education

The CNC has provided orientation for our new staff, Student support and assisted the Education team with the review and updating of the Masters in C&FH with University of Western Sydney as well as assisting with volunteer training.

Care Coordination

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 pathways.

AustralianAssociation of Parenting and Children’s Health (AAPCH)

The CNC has been an active participant in the National AAPCH group which includes interstate membership of other organisations with Residential Care Units. This has involved teleconferencing, attending teleconferences and benchmarking with Australasian Early Parenting Centres

Clinical Nurse Consultant



Medical Staff

Dr Sarah Mares

Dr Sarah Mares joined Karitane in February 2014 and is employed as a Senior Staff Specialist at Karitane Jade House and Toddler Clinics at Carramar. Her role includes clinical assessment

of families and support and consultation to the teams and she is keen to contribute to the ongoing development of services for families at Karitane.

Sarah is an infant, child and family psychiatrist with a well-established clinical and academic interest in the peri-natal, infant and early childhood periods. She was inaugural consultant to the St Benedict’s Mother – Baby Unit at St John of God in Burwood (1994-1998) and since then has worked predominantly in prevention and intervention with disadvantaged and high risk populations, including young children in foster care and known to child protection services, refugee and asylum seeking families and most recently with families and young children in remote communities the Northern Territory. She returned to Sydney in December last year after 18 months as Senior Research Fellow at the Menzies School of Health Research in Darwin.

Sarah is an experienced multidisciplinary educator, supervisor and consultant. At the NSW Institute of Psychiatry, she was Director of RANZCP Advanced 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 developing and delivering the multidisciplinary post graduate Diploma and masters programs in Peri-natal and Infant Mental Health.

Sarah is also a Conjoint Senior Lecturer in the School of Psychiatry at UNSW and Honorary Fellow at the Centre for Child Development and Education, Menzies School of Health Research in Darwin. Earlier this year, she was invited to be a consultant with the Australian Human Rights Commission’s (AHRC) Inquiry into children in closed immigration detention and appointed as College representative to the Inquiry. She is a Hearings Member at the NSW Medical Council. She is co-author of the text books Mares, Newman & Warren (2011) An Introduction

to Clinical Skills in Infant Mental Health- The First Three Years 2nd edition ACER Press, and Newman & Mares (2012) Contemporary Approaches to Infant and Child Mental health , IP Communications.

In a recent interview for the RANZCP psyche magazine Sarah said in part;...‘I haven’t had a conventional academic or clinical career; I have done a lot of different jobs, but there are common strands that run through it all, in particular advocacy for the experience of young children, for keeping the little ones in mind. Teaching and writing have been important too. I am interested in translating the expertise we have in a way that makes it accessible to other people. I think I have used writing as a way to make sense of and explore the experiences and stories that I have had the privilege to be part of through clinical work ’.

Sarah recently provided the keynote address at the NSW Aboriginal Health Conference Many Mobs, Building Strength and Connections on What do little ones need? - Supporting early connections.

Sarah has contributed to teaching in the Graduate Diploma and Masters and Course in Perinatal and Infant Mental Health at the NSW Institute of Psychiatry and teaching in the Advanced Training Program in Child, Adolescent and Family Psychiatry at the NSW Institute of Psychiatry.

Dr Margaret Brown

Dr Brown is an experienced General Practitioner. After working over 20 years in General Practice she completed a Masters of Public Health in 2011, and worked for 3 years with the Community

Paediatrics Department of Liverpool Hospital in South West Sydney in public health research and education of primary health care workers in early childhood health screening and surveillance. She has a special interest in women’s health and currently works as a General Practitioner at Karitane Residential Unit as well as in private general practice

f f il


Dr Bent

Dr Bent Graduated in 1985 with a B.Med from Newcastle. He trained at Sydney Children’s Hospital and has lived and practised in Macarthur Region since 1995 both in private practice and as a VMO

for Campbelltown/Camden Hospitals. He is a Senior Lecturer for University of Western Sydney and an examiner for Royal Australasian College of Physicians in Paediatrics. He has been a member of the Karitane Team since its inception at Camden.

Dr Richard Dunstan

Richard is a Paediatrician based at Campbelltown Hospital since 1988. He is a member of the Paediatric Rehabilitation Team at Sydney Children’s Hospital, Randwick.

Richard is also a foundation board member of the Kids of Macarthur Health Foundation, a charity providing medical equipment for paediatric care in the Macarthur region.

Dr Ian Harrison

Dr Ian Harrison is a psychiatrist whose speciality is perinatal and infant psychiatry and psychotherapy. He has expertise in the use of psychiatric medications, especially in pregnancy and breastfeeding.

He has had the pleasure of working at the Karitane Residential Unit since 2002 and he has been in private practice in Sydney’s Macquarie Street since 1991.

Ian graduated in Medicine from the University of Sydney in 1984. In 1991, he was elected a Fellow of the Royal Australian and New Zealand College of Psychiatrists. In 1993 he completed a 3 year Master’s Degree in 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.

In 2002, Ian was appointed the Visiting Perinatal Psychiatrist at the Karitane Mothercraft Residential Unit. He continues in that role spending each Wednesday consulting with staff and clients at the residential unit. From 2002 to 2006 Ian worked 2 days per week as a Senior Perinatal Psychiatrist for the Sydney South Western Area Health Service helping to implement their universal midwifery psychosocial screening and early intervention program.

Ian was the Chair of the Perinatal and Infant Psychiatry Special Interest Group (PIPSIG) for the RANZCP NSW Branch (2008-12). He is also a Past President of the NSW Branch of the Australian Association for Infant Mental Health.

Ian says, “The past 12 years have given me many happy memories and I have learnt a lot, especially about the determination of mothers and families to do the best they can for their infants.”

Dr Peter Hong

Dr Hong obtained his medical degree MBBS at Sydney University in 1984. He completed his paediatric training at Westmead Hospital and Prince of Wales Children Hospital in 1994. He holds dual Royal Australasian

College Fellowship in General Paediatric and Paediatric Rehabilitation. He is currently a Senior Paediatric Consultant at Blacktown District Hospital, Mount Druitt District Hospital and Westmead private Hospital. He is also an Honary Paediatric Consultant at Children’s Hospital Westmead. He is a Senior Clinical Lecturer of Western Sydney University Medical School and Paediatric Clinical Examiner of Australian Medical Council.

Dr P Hong has been a Consultant Paediatrician at Karitane (Carramar) since it was first commissioned. He is one of the team members of the multidisciplinary team involved in management of all children and parents admitted to Karitane. He also provides medical education to Karitane Staff.

Dr Michael Freelander Paediatrician Karitane at Camden

Dr Michael Freelander trained at Sydney Children’s Hospital Camperdown and has practiced for over 30 years. Michael is trained as

a paediatrician and has practices located in Camden and Campbelltown.

Dr Chin Paediatrician Camden

Director of Paediatrics Campbelltown and Camden Hospitals

Conjoint Associate Professor of Paediatrics, University of Western Sydney

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.


Accreditation

A periodic review assessment was conducted by the Australian Council of Health Care Standards (ACHS) in October 2013. This assessment was based on the new National Standards that was introduced in January 2013, for health care facilities across Australia. During our accreditation survey we demonstrated our commitment to continuous quality improvement by meeting all the required standards assessed.

The Carramar and Camden Residential Units and Jade House staff completed the annual Quality Services Assessment sent by the Clinical Excellence Commission to identify where improvements for clinical care and safety within organisation could occur. The results identified positive outcomes for Karitane across the areas assessed of transition of care and falls.

Consumer involvement

We take this opportunity to thank all our volunteers for their valuable support and help to Karitane during the past year. During 2013/14 we also had consumer representatives participate on committees and special projects. A big thankyou to our consumer/community representatives Gillian Hutchinson, Leanne Stanton, Margaret Dalkin, Mary Purnell and Robyn Wilson who were able to keep us focused on consumer centred care.

Compliments and Complaints

During the financial year, over 600 written compliments and 7 complaints were received. Matters raised by complainants were responded to as a matter of priority and resolved within the NSW Ministry of Health timelines.

Staff Survey

We conducted another Press Ganey (external) staff survey in 2013. Staff informed us that things had not been as good as in our 2011 survey, due to organisational growth and changes. Though staff continued to rank us highly in health, safety and the well-being areas in addition to being a good place to work, they identified further improvements were needed in staffing, change management and senior leadership.Karitane appreciates the feedback from our staff, and our commitment is to improve our support to staff.

Following the appointment of Grainne O’Loughlin, CEO in March, 2014, an organisational restructure occurred in consultation with staff. A new committee structure to improve reporting and accountability is in progress. Continuum of care improvements include new centralised intake, modifications to admission process 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’

‘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.’

Quality


Margaret Dalkin

Robyn Wilson Mary Purnell

Leanne Stanton

Gillian Hutchinson

Patient Experience Tracker (PET)

In late 2013 we trialled a PET machine that allowed clients to enter their satisfaction with the care provided each day enabling us to respond back to issues quickly. Five (5) questions were asked that related to access to service; provision of information received (written & verbal); personal involvement in setting goals; information given by staff was clear, easily understood and could be implemented; daily overall satisfaction of care received.

The graph below is a snapshot of combined weekly report received. In addition each service received an individual service report that provided them with specific responses to each question.

Clients responded positively to the use of this new technology, preferring this method to the usual written 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.

Karitane 2013 Gala Ball


Years90

90 years of Karitane Pictorial History

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90 years of Karitane Pictorial History

GALA BALL2013

Y O U ’ R E I N V I T E D T O

9 0 T H Y E A R A N N I V E R S A R Y

KARITANE 2013GALA BALL

Raising Funds For Karitane’s Vital Work Into Supporting Australian Families And Children

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

Time: 6.30pm for 7pmDress: Formal

MC: Tracey SpicerEntertainment: 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 3861email [email protected]

RSVP & full guest list by: Thursday 17th October


“In learning you will teach, and in teaching you will learn”- This quote provides a very good summary for the Education Department for 2013-2014. Whilst we have provided education to professionals and parents, presented at conferences, it is our participation and partnerships with parents and professionals that provide us with the most valued education.

We participated in many parent education programs with a diverse range of services and organisations across the year and look forward to continuing and developing more partnerships in the coming year.

Internal Education

Karitane staff are fortunate to belong to an organisation that believes in the value of continuing education. The internal education program allows opportunity for staff to enhance their knowledge skills that ultimately improves the care for our families. A variety of 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.

The Education team have introduced the Karitane Education Newsletter, better known as “KEN”. KEN is a fortnightly electronic newsletter that provides staff with a summary of courses and conferences available as well as journal articles relevant to clinical practice allowing staff to plan their professional development.

Conferences and Workshops

Mentalisation - Holding Mind in Mind - 1 day Seminar with Professor Anthony Bateman

Dr. Bateman is a visiting Professor from the Psychoanalysis Unit at University College London, a Consultant Psychiatrist, Psychotherapist and Honorary Senior Lecturer at University College and Royal Free Medical Schools, Barnet, Enfield, and Haringey Mental Health NHS Trust, and St Ann’s Hospital, London. He has published numerous chapters and articles and has authored or edited several books.

Education


This one day seminar provided an overview of MBT, a treatment that can help patients develop a mentalising capacity as well as the latest research on processes underlying mentalising and outcomes from MBT. This was an extremely popular seminar and evaluated very well, some comments were:

‘Wealth of both clinical knowledge validated by research. Great use and examples’

‘Excellent speaker, well informed and enthusiastic passionate about his craft’

‘Knowledge of the presenter’

‘Interesting topic’

‘Good venue, excellent speaker’

We were fortunate enough to have Dr Bateman present 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.

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 facilitators to provide the anticipated updates.

Karitane was invited to speak at several seminars and conferences this past year. These included National Convention Exhibition- Pharmacy Conference; Children’s Hospital Westmead Education Day; Westmead Private Midwives Education Day.

Expos

Karitane participated in 2 Expos this year. September 2013 was the Baby and Toddler show at Darling Harbour and Parenting and Baby Expo at Homebush in May 2014. Once again, these expos are well attended and are a unique opportuntiy to meet with so many parents and showcase Karitane Services. Karitane also provided a parenting session each day on the main stage “Adjusting to parenthood” at Homebush

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 continues to provide quality clinical placement opportunities to a range of students. These include Masters of Child and Family Health, Bachelor of Midwifery, Graduate Certificate of Child and Family Health, social work and medical students. We have had students from a more diverse range of educational institutions such as Flinders University, Charles Sturt and Charles Darwin.

Karitane also takes placements for Business Students- these are students that are studying for their HSC and working towards a Certificate III in Business Management. These students provide extra administration support whilst here.

Karitane has supported 40 students this current year and students’ evaluations reflect the high quality of clinical placement at Karitane.

Student Placements


This one day seminar provided an overview of MBT a

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 this student also won the “Dean’s Medal” which is for overall outstanding achievement across all Masters course offered at UWS.

Healthy Kids Check

Karitane continues to provide education to professionals for the Healthy Kids Check Medicare Item. A total of 10 workshops have been delivered this year with 3 being held in rural areas. Some evaluations included:

Very good speaker thank you. Great session - clarified a variety of issues. Very informative. Thanks. A great presentation.

Annual Training 2012 and Mid Year Planning day 2013

Traditionally all Karitane staff attend Annual Training on the last day of work in December. This program ensures mandatory training takes place and Service Awards are presented by Members of the Board. This format is working well to ensure that the training needs of the organisation are met and allows an opportunity for all staff to meet together, enjoy Christmas lunch and connect before the Christmas break.

Special Projects

Two particular programs that have been refunded are ‘Family Matters’ the young women in custody Juvenile Justice program, along with Becoming Parents program which recently underwent a name change from Tackle the Terrors. This program is an early intervention parent program developed in partnership with The Smith Family.

What the young women in custody are saying they learned in the “healthy relationship’ education session, which is a key session for the Family Matters program is:

“Tell people how it is don’t let my boyfriend be such a control freak.”

“Dare to be different.”

“Be more kind.”

What parents are saying about the Becoming Parents Terrors program at a Reunion session for those completed the 4 week program.

“ all the information was very helpful and has given me a better insight into parenthood.”

“Very useful, it helped and provided us with more tools and experiences that prepared us for parenthood.”

“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.

Education


Research


Our Research Unit Staff

Karitane Research Coordinator (on leave) - Dr Jane Kohlhoff

Acting Karitane Research Coordinator - Dr Nicole Lees

Volunteers / students (part time) - Ms Thea Longman (USYD), Ms Ameika Johnston (USYD), Ms Leonie Wainwright (Macquarie University), Ms Gayathri Jeyaseelan (ICAMHS)

Research Assistants - Ms Feroza Khan (ICAMHS)

Current Research Projects

Separation anxiety in pregnancy: Associations with oxytocins release, attachment styles and mother-infant interactions

Investigators: V. Eapen (UNSW/ SWSLHN), D. Silove (UNSW), B. Barnett (UNSW), M. Dadds (UNSW), J. Kohlhoff (Karitane)

Funding: ARC Linkage grant

Evaluation of PCIT-T: an attachment based intervention for toddlers with disruptive behaviours

Investigators: J. Kohlhoff (Karitane), S. Morgan (Karitane), L. Wedgwood (Karitane), T. Roach (Karitane), L. Thompson (Karitane), B. Barnett (UNSW).

Funding: Internal Karitane

Circle of Security Parenting Education Program Evaluation

Investigators: J. Kohlhoff (Karitane), M. Ha (Karitane), M. Stein (Karitane)


Infant massage for unsettled babies: Effects on infant behaviour, maternal wellbeing, and the parent-child relationship

Investigators: J. Kohlhoff (Karitane), H. McLoughlin (Infant massage information service), S. Filacouridis (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).

1. Recently completed research projects

Title Chief investigator

Funding Outcomes at Jul 2014

Parent-Child Interaction Therapy (PCIT) for children less than 2 years: pilot study

J. Kohlhoff Internal Karitane • 1 peer reviewed journal publication• 3 conference presentations

Maternal separation anxiety, mother-infant interaction patterns and infant behavioural disturbance

J. Kohlhoff Internal Karitane • 1 peer reviewed journal publication• 3 conference presentations• 1 peer reviewed journal manuscript under review• 2 + peer reviewed journal manuscripts in preparation

Toddler biology and behaviour

D. Hawes ARC Linkage grant with USYD

• Peer reviewed journal manuscripts in preparation• 2 conference presentations

Emotion in parenting and child behaviour problems

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

The perinatal journey: The process and impact of psychosocial assessment

V. Schmied ARC Linkage grant with UWS

• 3 peer reviewed journal publications• 1 peer reviewed journal submission under review• 3 + peer reviewed journal manuscripts in preparation• 8 conference presentations

Personality disorders and the Edinburgh Postnatal Depression Scale

S. Matthey SSWAHS ICAMHS/Karitane

• Peer reviewed journal manuscripts in preparation

Family Partnership in Practice: An Ethnographic Study of the Karitane Residential Unit

N. Hopwood External researcher (UTS)

• 1 peer reviewed journal publication • 1 book• 1 book chapter• 1 report• 7 conference presentations • 1 case study published on the web

The place of Volunteer Home Visiting (VHV) services in a continuum of early childhood prevention and intervention strategies in NSW

T. Burnstock External researcher (student) (UNSW)

• Student MSc thesis awarded

Research Report



Peer Review Journal Articles - Publications

1. Kohlhoff, J. & Morgan, S. (2014). Parent Child Interaction Therapy for Toddlers: A pilot study. Child & Family Behavior Therapy. 36(2): 121-139. doi: 10.1080/07317107.2014.910733

2. Mence, M., Hawes, D.J., Wedgwood, L., Morgan, S., Barnett, B., Kohlhoff, J., Hunt, C. (2014). Emotional flooding and hostile discipline in the families of toddlers with disruptive behavior problems. Journal of Family Psychology, 28 (1): 12-21.

3. Hopwood, N. (2014) The rhythms of pedagogy: an ethnographic study of parenting education practices. Studies in Continuing Education, 36 (2: 115-131. doi: 10.1080/0158037X.2013.787983

4. Rollans, M., Meade, T., Schmied, V. & Kemp, L. (2013). Capturing clinician - client interaction: development of the 4D&4R observation tool. Nurse researcher, 20(5): 11-9.

5. Rollans, M., Schmied, V., Kemp, L. & Meade, T. (2013). ‘We just ask some questions...’ the process of antenatal psychosocial assessment by midwives. Midwifery, 29(8): 935-42. doi: 10.1016/j.midw.2012.11.013.

6. Rollans, M., Schmied, V., Kemp, L. & Meade, T. (2013). Negotiating policy in practice: child and family health nurses approach to the process of postnatal psychosocial assessment. BMC Health Services, 13: 133. doi:10.1186/1472-6963-13-133

7. Rollans, M., Schmied, V., Kemp, L. & Meade, T. (2013). ‘Digging over that old ground’: an Australian perspective of women’s experience of psychosocial assessment and depression screening in pregnancy and following birth. BMC Women’s Health under review. 13: 18. doi:10.1186/1472-6874-13-18

8. Eastwood JG, Jalaludin BB, Kemp LA, Phung LA, Barnett B. (2013). Immigrant Maternal Depression and Social Networks. A Multilevel Bayesian Spatial Logistic Regression in South Western Sydney, Australia. Spatial and Spatio-temporal Epidemiology, In Press.

9. Kohlhoff, J. & Barnett, B. (2013). Maternal depression and anxiety in the perinatal period: predictors, impacts and treatments. CQ: The CAPA Quarterly, 22-25.

10. Kohlhoff, J., Barnett, B. (2013). Parenting self-efficacy: Links with maternal depression, infant behaviour and adult attachment. Early Human Development, 89, 249-256.

11. Eastwood JG, Jalaludin B, Kemp L, Phung H, Barnett B, Tobin J. (2013). Social exclusion, infant behaviour, social isolation and maternal expectations independently predict maternal depressive symptoms. Brain and Behaviour, 3(1):14-23.

Peer Review Journal Articles - under review as at June 30th

1. Kohlhoff, J. Barnett, B. Eapen, V. Adult Separation Anxiety in the postnatal period: associations with parenting during childhood. Submitted to Journal of Affective Disorders.

2. Morgan, S., Wedgwood, L. A Case Study of Parent child Interaction Therapy in an Early Intervention Service. Submitted to Australian Journal of Child and Family Health Nursing

Books & Book Chapters

1. Hopwood N (2013) Ethnographic fieldwork as embodied material practice: reflections from theory and the field. In N K Denzin (Ed) Studies in symbolic interaction, volume 40. Bingley: Emerald Press.

Conference Presentations

1. Kohlhoff, J. The heterogeneity of anxiety disorders in the perinatal period: an exploration of two subtypes. Paper presented to the Australian Society of Psychosocial Obstetricians and Gynaecologists, Sydney, August 2013.

2. Ingram, S. The Reading Project. Paper presented at the Karitane Facing Frontiers conference. Sydney, July 2013.

3. Mares, S. What do little ones need? - Supporting early connections NSW Aboriginal Health Conference Many Mobs, Building Strength and Connections, Sydney, May 2014.

4. Stuchbery, M. & Daubney, M. Mentalisation Based Therapy, Project AIR Annual Borderline Personality Disorder Conference, Wollongong, July 2013,

5. Stuchbery, M. Parent-infant relationship intervention: Why is it necessary and how is it done? , St John of God/RHW Perinatal Seminar, Sydney August 2013,

6. Stuchbery, M. , Mentalisation and Motherhood, Australasian Marce Conference, Melbourne, October 2013, Margie Stuchbery

7. Matthey, S., Stuchbery, M., Crncec, R., Barnett, B., The Relationship between Borderline Personality Disorder and Scores on the Edinburgh Postnatal Depression Scale, Australasian Marce Conference Melbourne, October 2013

8. Mc Leod, R., DeBelin, Ann., Mothers Minds and Music : The role of Music Therapy in enhancing healthy relationships between parents a with mental health issues and their children” Australian Music Therapy Association Conference, June 2013

9. DeBelin, Ann., Minds, Mothers and Music : the role of Sing and Grow in enhancing health parent infant relationships in families experiencing perinatal mood disorders, Australasian Marce Society Conference Melbourne ,October 2013

10. Harrison, I. Psychotropic Medication in the Perinatal Period. Right From The Start, St John of God, Raphael Centre Conference. Sydney May 2014

11. Hughes, M. Working together with Aboriginal Communities - Deadly Tots No Gammin’. MaCFHNA Making Connections Conference Canberra, April 2013

12. Vlahos, S. Us and Them?” Building connections with General Practice: Tales from the Healthy Kids Check Project. MaCFHNA Making Connections Conference Canberra, April 2013

13. Burr, K. Family Matters - A partnership with Juvenile Justice in NSW. MaCFHNA Making Connections Conference Canberra, April 2013

Web Publication

Case study for Governance International website: http://www.govint.org/good-practice/co-production/

Research Students

A number of post-graduate research students are currently either conducting research at Karitane or being supported by Karitane/CSU scholarships.

Research Report


Student name University Degree Project title Dates of Candidature

Supervisors

Robyn Brunton Charles Sturt University

PhD The Pregnancy-related Anxiety Scale: Initial development and validation.

2012-2015 Dr Rachel Dryer (Primary); Dr Jane Kohlhoff (Associate)

Amanda King Charles Sturt University

PhD Ecological Determinants of Maternal Sensitivity, and Subsequent Emotional Distress

2012-2015 Dr Andrew McGrath (Primary); Dr Jane Kohlhoff (Associate)

Thea Longman University of Sydney

MSc Early childhood conduct problems and callous-unemotional traits: Associations with attributional biases and the parent-child relationship

2012-2014 Dr David Hawes (Primary); Dr Jane Kohlhoff (Associate)

Ameika Johnson

University of Sydney

MSc Early childhood conduct problems, callous-unemotional traits and parental responses to child emotion

2012-2014 Dr David Hawes (Primary); Dr Jane Kohlhoff (Associate)


Karitane is committed to maintaining a safe and healthy working environment for workers and visitors to Karitane facilities and services, in accordance with Work Health and Safety legislation, Codes of Practice and Australian Standards. Karitane recognises that the creation and maintenance of a safe work environment can be achieved by the development of a safety culture based on genuine commitment to WHS by top management, risk management, genuine consultation and a caring professional attitude.

Staff are provided with necessary resources, training, information and supervision to enable them to provide the highest standard of care in a safe environment. Karitane’s Health and Safety Committee has made a significant contribution to the promotion of safety in the workplace. The committee meets quarterly and represents the interests of all workers. The committee facilitated cooperation on WHS matters between management and workers and performed an active role in the dissemination of health, safety and welfare information. The committee has also been instrumental in reviewing and monitoring WHS performance and issues as well as conducting regular and spot workplace inspections.

There were no serious work related injuries reported by staff or volunteers during the year. Staff suffering from non-work related injuries have been assisted by implementing an injury management program to allow them to return to their pre-injury duties. Employees have access to the Employee Assistance Program (EAP) which has been successful in helping staff deal with work related and personal problems.

Workers Compensation Claims

2012–13 2013–14

Total number of Karitane staff covered by TMF

132 132

Total number of claims accepted by TMF:

3 1

145 incidents were reported on the NSW Ministry of Health Incident Information Management System (IIMS), all of which were successfully managed in accordance with risk management principles.

Reporting requirements under the Work Health and Safety Act 2011W

Number of incidents requiring WorkCover notification under Part 3 of the Work Health and Safety Act 2011.

0

Number of directions given to Karitane under Part 11, section 217 of the Act.

0

Number of Improvement Notices issued under Part 10, section 191 of the Act.

0

Number of external investigations conducted under Part 9 of the Act.

0

Karitane Managers completed the “Implement and Monitor WHS policies, procedures and programs to meet legislative requirements” mandatory course. Karitane staff completed the following mandatory WHS theory and practical training:

SWSLHD CEWD Online Training

Karitane Mandatory Training Day

Fire Safety Awareness – Theory

Adult, Infant and Child Basic Life Support – Theory

Infection Control

Manual Handling

Fire Safety – Practical

CPR

Annual Emergency Evacuation Drills were successfully conducted and all Karitane sites obtained their annual Fire Safety Certificate.

Karitane continues to support the immunisation program of NSW Health by offering staff the opportunity receive vaccinations to immunise them in accordance with NSW Health guidelines. Karitane has in place an infection control policy and program which has protected staff and clients from any infection attributed to or acquired whilst in Karitane.

A Risk Management focus continues to be crucial to Karitane and again highlights the commitment of all staff across Karitane to continue to work safely.

Work Health and Safety

Marketing

48 | Annual Report 2014

Karitane celebrated International Nurses Day on Monday 12 May. Karitane held a BBQ for nurses to honour their fantastic contribution to our organisation and families.

The Marketing and Fundraising team has continued to support Karitane’s extraordinary work through their wide range of grant applications, fundraising, marketing, events and community engagement programs.

We thank our wonderful donors, volunteers and supporters for all they have done in enabling this work.

Fundraising Highlights of this financial year include:

• Concluding our 90th year celebration with a Gala Ball held at Sydney Town Hall on 26 October. The evening was enjoyed by all and helped us raise money to support Karitane endeavours. Highlights included the Soul Mystique magic act from Australia’s Got Talent and Karitane Ambassador Tracey Spicer’s interview with Patron Ita Buttrose.

• Karitane is grateful for the funding received through grants, trusts, foundations and community groups. Our sincere appreciation goes to the following organisations their support:

> Inghams Enterprises, the poultry specialists donated nearly $15,000 for a new playground at our Camden facility.

> Fairfield City Council granted us $11,200 towards Engaging vulnerable families

> Rotary Camden $1,500 for Karitane at Camden playgroup

> Pratt Foundation $4,700 for the Community Grants Program 2014

> Auburn City Council supported Linking Families with $6,400

> The Honda Foundation contributed $4,780 towards renovations in the residential unit, helping us expand three of the existing rooms into family units.

> Liverpool Parenting Centre received a grant of $4,300 from Liverpool Council. The proceeds has gone to “Romp and Chomp”, which aimed to increase physical activity and raise awareness of healthy eating choices for toddlers and young children. The program was held with clients from our community partners, The Wesley Mission in Sadleir and the Sisters of Charity Outreach in Miller.

> The Sydney Chinese Lions has supported us with $2,000 grant. First Vice District Governor, Dr Anthony Cheung made the donation at a special dinner to Karitane.

> Liverpool Mayor Ned Mannoun presented Karitane with a grant of $2,760 in support of Linking 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 as competitions, silent auction, raffles and team prizes.

Last year’s funds were allocated to help expand our Toddler Clinic so that we were able to meet the increasing demand from families who seek support for

International Nurses Day

severe behaviour problems with their children. We were also able to allocate some of the funds raised to help provide much needed equipment across Karitane’s services.

With the generous support and donations received, this year’s Karitane Golf Day raised $13,900 and these funds will go to provide additional client services.

This day would not be possible without our generous sponsors and supporters who contributed to making this a successful and fun day for all who attended. Many thanks go to the Golf Day Committee for organising the event and to the Volunteers who helped to make this event a tremendous success.

Our Golf Day Sponsors

• Ausmech Property Services• Canterbury League Club• Credible Building Technologies Pty Limited• Gordon Yates, Yates Group• JDC Flooring• Laundy Hotels• Liverpool Catholic Club• Mounties• NRMA Motoring & Services• Telstra Enterprise & Government

Marketing & Events Highlights of this financial year include:

• Launch of mobile friendly parenting website, www.mybabyandme.org.au with over 7500 users and great interest in topics such as sleep and settling, toddler behaviour, feeding and child development.

• Karitane’s corporate website was redesigned to make navigation easier, making pages accessible on smartphones and more dynamic with links to social media sites. We are encouraging families to engage in two way conversations allowing for the sharing of information.

• Referrals were improved through an online application form, making the process simple, quick and efficient.

• Run4Mum Karitane team participated in the City2Surf on 11 August to raising money for families suffering from perinatal mental health issues.

• A new set of informative parenting brochures were released for access from the Karitane website, allowing parents to print easily various hot topics on fundamentals in parenting.


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.



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.

Karitane Treasurer’s


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


2014 $

2013 $

ASSETSCurrent assetsCash 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 assetsProperty, 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 liabilitiesTrade 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 liabilitiesProvisions 73,836 50,469

Total non-current liabilities 73,836 50,469

TOTAL LIABILITIES 4,951,948 4,948,80012,914,104 12,200,855

NET ASSETSFUNDS & RESERVESAccumulated 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.

Statement of Financial Position


Chief Executive OfficerRobert MillsGrainne O’Loughlin

Director of Clinical Services and QualityYvonne McCann

Visiting Medical OfficersDr Geoff BentDr Margaret BrownDr Raymond ChinDr Rick DunstonDr Mike FreelanderDr Ian HarrisonDr Peter Hong

Senior Staff SpecialistDr Sarah Mares

Special Projects ManagerFefe Lawson

Fundraising ManagerGeoff Prenter

WHS CoordinatorVicky Jelic

Finance DepartmentDushi GoonesekeraSusan AttertonNelly Bideau

Employee Services/Fleet Management CoordinatorPina Filippone

Clinical Nurse ConsultantsSally (Alison) LeeMarion Stein

Education, Research and Conference CentreMonica Hughes, ManagerKaren BurrFrances CascioBarbara ChemuelJane KohlhoffSally (Alison) LeeMaha SedhomAnn SimpsonBernard ThomasSharlene Vlahos

Carramar Residential UnitLynette Finch, ManagerJudith ArentzVicky BorgJoanne BottinMegan CarrollMaria DanielGail DickensSusan FilacouridisRebecca GallagherClaire GallagherKylie HodgeCarol HoodBronwyn HowardCathy LambKha NguyenNguyen NguyenJanice OrebDebbie ParringtonSarah Peacock Diva PonzoJohanna ReadJudith SullivanLinda StenglRuth TamGennine Tarasenko Sara TulkDonna WhiteKaren WillcocksWendy WilliamsElizabeth WindonPina Zerafa

Camden Residential UnitAngela Wood, ManagerJoanne BoggCarol DavidsonPauline FallshawClaire GallagherCarol GiovanettiMargaret JabbieMarie LamontAngela Marthick Maree PascaleSusan PortorsLisa ReeveJennifer SextonLeanne TuckerFiona WymanPina Zerafa

Medical Records Tia King

Hotel ServicesStella Stankovic, Leading HandMaureen BeardsleyAniceta CruzRadojka KrsticAlita Maula JiminezAmy Lee PattersonMark SullivanMarta VegasAntonieta Yomona

Jade HouseAnn De-Belin, ManagerLuisa AbsellSunitha JobAgata KowalczykDenny MaclaineMarion SteinMargaret Stuchbery Kim Thorpe

Liverpool Parenting CentreKate Mejaha, ManagerLesley CampbellMary HaSusan IngramMarilyn JonesZoe Paull Rose PropperWendy Williams

Randwick Parenting CentreFrances Stancombe,ManagerNicolette AbitzDebbie AdlerChristine BrachmanisSarah CapelJustine GoldinSusan IngramSusan QuinnWendy RoncolatoKatie Stiasny

Connecting CarersRita Fenech, ManagerFrida AzzopardiJill DeathKim HawkenAstrid HockingVanessa JelicSandra KesslerSusan O’Connor

Talking RealitiesRebeccah Roberts

Linking FamiliesSophia Nabi, ManagerLinda BarryKardonia DaawodTeresa KellyAmy LeungHeidy MoralesTien NguyenAnh-Linh PhamFreda Simpson

Toddler ClinicSusan Morgan, ManagerSusan FilacouridisDanielle HerbertLinda LennieKristine MendesThelma RoachBonnie (Bunsang) StewartLeone ThomsonLucy WedgwoodPina Zerafa

AdministrationRobyn SargentGrace Nowak

Casual StaffMelissa DennyFiona DonaldKerri HutchinsNicole LeesThi Bich MaiJoanne RamjanKatrina RossJane SurgenorClare TeohFlorence Wong

ResignationsStephanie Harrison Therese HoldsworthMonica HughesMaree KlafasNicole LeesYvonne McCannRobert MillsGeoff PrenterBunsang (Bonnie) StewartBernard ThomasMarta VegasPina Zerafa

Karitane Staff

Ananya BanerjeeAlison MurphyAnn DevineAnn TindallAnna DuncanAnne Marie RobinsonAriana FrostAudrey LeishmanBuu HongCara WeaverChristine GoldieChristine VosilaClare OrlowskiColleen Fitzpatrick (LPC)Doreen Day (Aunty Doreen)Felisa TegioGeorgina Dorigo (RU)Gillian HutchinsonGladys AguilarHelen ArabzadehHelen JenkinsIdelina Arajuo

Jean MichaelsJudith BlanksbyJuliet WardaKay WalshKifah Behnam Bona Laurane Christensen (LPC)Laurence O’MearaLiz (Doris) PayneLiz Duke (RPC & RU)Liz Thompson (RU)Lorraine ActonMargaret Beckinsale (LPC)Margaret HaywardMaria SuarezMarina CheungMarkeeta SloaneMartha MaayahMary Fay BrennenMary PurnellMinoo JizanNadine AoNola Burns

Robyn QuinnellRobyn WilsonRoxene QuinnRuth CravenSandra Merritt (LPC)Sarah HuynhShirley WhitelumStephanie TurnerThelma McPherson (LPC)Thi Be Nam HuynhTiffany TranTina LiValerie KennedyVan T.P. Lu

Consumer/Community RepresentativesMargaret DalkinGillian HutchinsonMary PurnellLeanne StantonRobyn Wilson

AMP Capital Investors Ltd

Auburn City Council

Australian Chinese Charity Foundation

Bonn Electrics

Cabra Vale Diggers Club

Campsie RSL

Caslec Industries Pty Ltd

Department of Families, Housing, Community Services and Indigenous Affairs

Ed Bracks

Fairfield Council

Honda Foundation

Inger Rice Foundation

Inghams Enterprise

John Randle

Leichhardt Council

Lions International

Liverpool Catholic Club

Liverpool Council

Marian & E H Flack Trust

Mr Bob Hunter

Mr Gary Patterson

Ms Leonie Cutroni

NRMA

Orange Ex-Services Club

Pratt Foundation

Randwick Council

Recreation Community Planning & Partnership

Rotary Club of Camden

Rotary of Macarthur and Linden

South Sydney Junior Rugby League

Sydney Chinese Lions

Yagoona Lions

Karitane Volunteers

Karitane


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

karitane annual report 2014 and parenting website 31 clinical nurse consultant - child and family...

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