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Tweddle Annual Report 2011 2012

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Tweddle is a statewide early intervention and prevention health service, situated in Footscray, Victoria, Australia.

Tweddle is a statewide early intervention and prevention health service, situated in Footscray, Victoria, Australia.

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    Tweddle Annual Report 2011 2012 Tweddle Annual Report 2011 2012 Document Transcript

    • Annual Report 2011 - 2012
    • ContentsAbout Tweddle 1Key Partnership 3Highlights of 2011-12 3Delivery of the Strategic Plan 4Leadership Report 6Services 8Psychology Service 11Social Work Program 14Community Programs 15Research 20Corporate Report 21Quality 24Declarations and Compliance Reports 27Organisational Chart 30Governance and Accountability 31Tweddle Board Members 32Thank you to our Donors 33Life Governors 34Disclosure Index and Attestations Attached as Appendix. 1 in Financials
    • About Tweddle 1Our VisionHappy, healthy families raising children with the bestchance of positive early childhood development in asupportive family environment.Our PurposeTweddle is a statewide early intervention and prevention health service.Tweddle will provide parenting support to families during pregnancy and with children from birth to schoolage, resident in the north and west of Victoria.As a result of our work families: Acquire sound parenting skills Develop parenting confidence Improve health and early childhood development outcomes Enhance relationships and attachment Connect to support networks in their local communitiesFamilies receive services that are collaborative, accountable, evidence based and subject to externalevaluation and national accreditation.Our highest priority is to provide assistance to families that are facing multiple challenges and are in urgentneed of therapeutic support and intervention. These challenges are commonly underpinned by isolationcompounded by health issues, addiction, family instability and violence, sleep deprivation, feelings of beingunable to cope and the complexities that can arise from financial stress, age, ethnicity and other factors.Our Values Family focus Cooperation and openness Respect Treating people equally Community connectedness Creativity and learning
    • 2 3Our Services Key PartnershipsA publicly funded early parenting centre, Tweddle provides a range of services to families with children up to school age. Action Words Maribyrnong City CouncilServices are delivered in partnership with other organisations and directly in the community. Anglicare Victoria MediaWise Pty Ltd Australian Association of Parenting and Child Health Inc Melbourne Assessment PrisonTweddle services include: Berry Street - including Take 2 Melbourne City Mission Baptcare Family Services Melbourne Remand Centre Residential parenting programs Brimbank City Council Melton Shire Council Brimbank Early Years Alliance Mercy Health O’Connell Family Services Parenting assessment and skill development service for child protection clients Centre For Excellence in Child Welfare Monash University - Centre for Developmental Psychiatry and Psychology Cobaw Community Health Ngala Family Services, Western Australia Outreach/in-home support services Dame Phyllis Frost Centre North Western Welfare Alliance Drug Health Services Western Health Parenting Research Centre Psychology services - group and individual support and counselling PivotWest – Macedon Ranges and North Western Medicare Local Department of Education and Early Childhood Development Department of Families, Housing Indigenous and Community Port Phillip Prison Social support services Services and Indigenous Affairs Queen Elizabeth Centre Department of Health Queen Elizabeth 11 Centre, ACT Childbirth preparation programs Department of Human Services Radno Pty Ltd Djerriwarrh Health Services - Melton Health Service R E Ross Trust Community based day programs ECMS Ltd RMIT The Gathering Place Royal Children’s Hospital - Centre for Community Child Health Therapeutic support including group programs Goulburn Family Services Royal Women’s Hospital In-home breastfeeding support Goulburn Valley Health Services Rumbalara Family Services Hobson’s Bay City Council St John of God Hospital Geelong - The Raphael Centre Parenting support for families with children with special needs Hume City Council The Smith Family Ian Potter Foundation Terang and Mortlake District Health Services Parenting advice and support including advanced through web ISIS Primary Care VACCA and social media The Jean Hailes Foundation - Monash University Victorian Women’s Trust Karitane, New South Wales Victoria University Advocacy on key parenting issues facing families Key Centre for Women’s Health in Society - University of Melbourne Western Bulldogs in our community Kildonan Uniting Care Western Health Kyneton Hospital William Angliss Trust La Trobe University William Buckland Foundation Macedon Ranges Shire Council Women’s Health West MacKillop Family Services Wyndham City Council Maribyrnong Early Years Alliance Highlights of 2011- 2012 The establishment of an action plan for working with Aboriginal communities and families The board and staff undertook cultural competence training to enable better support for Aboriginal families Inaugural all-EPC-staff forum highlighting practice and celebrating role in supporting young families Release of the Protecting Victoria’s Vulnerable Children Inquiry Report – strong support for early parenting services Commencement of services in partnership with Western Health for the provision of community based childbirth education Roll out of new complete client electronic record system (TWEQ) in partnership with QEC Further revision of model of clinical practice Accreditation – Australian Council of Healthcare Standards (ACHS) and Community Service Organisation (CSO) accreditation under the Victorian Children, Youth and Families Act 2005 Completion of board funded day stay research by the Jean Hailes Foundation Completion of NHMRC funded study into the effectiveness of residential services by the Jean Hailes Foundation Completion of PlaySteps pilot and evaluation Completion of the pilot project to provide parenting skill development and support during supervised access Closure of the Brimbank day program delivered to Vietnamese families
    • 2 3Our Services Key PartnershipsA publicly funded early parenting centre, Tweddle provides a range of services to families with children up to school age. Action Words Maribyrnong City CouncilServices are delivered in partnership with other organisations and directly in the community. Anglicare Victoria MediaWise Pty Ltd Australian Association of Parenting and Child Health Inc Melbourne Assessment PrisonTweddle services include: Berry Street - including Take 2 Melbourne City Mission Baptcare Family Services Melbourne Remand Centre Residential parenting programs Brimbank City Council Melton Shire Council Brimbank Early Years Alliance Mercy Health O’Connell Family Services Parenting assessment and skill development service for child protection clients Centre For Excellence in Child Welfare Monash University - Centre for Developmental Psychiatry and Psychology Cobaw Community Health Ngala Family Services, Western Australia Outreach/in-home support services Dame Phyllis Frost Centre North Western Welfare Alliance Drug Health Services Western Health Parenting Research Centre Psychology services - group and individual support and counselling PivotWest – Macedon Ranges and North Western Medicare Local Department of Education and Early Childhood Development Department of Families, Housing Indigenous and Community Port Phillip Prison Social support services Services and Indigenous Affairs Queen Elizabeth Centre Department of Health Queen Elizabeth 11 Centre, ACT Childbirth preparation programs Department of Human Services Radno Pty Ltd Djerriwarrh Health Services - Melton Health Service R E Ross Trust Community based day programs ECMS Ltd RMIT The Gathering Place Royal Children’s Hospital - Centre for Community Child Health Therapeutic support including group programs Goulburn Family Services Royal Women’s Hospital In-home breastfeeding support Goulburn Valley Health Services Rumbalara Family Services Hobson’s Bay City Council St John of God Hospital Geelong - The Raphael Centre Parenting support for families with children with special needs Hume City Council The Smith Family Ian Potter Foundation Terang and Mortlake District Health Services Parenting advice and support including advanced through web ISIS Primary Care VACCA and social media The Jean Hailes Foundation - Monash University Victorian Women’s Trust Karitane, New South Wales Victoria University Advocacy on key parenting issues facing families Key Centre for Women’s Health in Society - University of Melbourne Western Bulldogs in our community Kildonan Uniting Care Western Health Kyneton Hospital William Angliss Trust La Trobe University William Buckland Foundation Macedon Ranges Shire Council Women’s Health West MacKillop Family Services Wyndham City Council Maribyrnong Early Years Alliance Highlights of 2011- 2012 The establishment of an action plan for working with Aboriginal communities and families The board and staff undertook cultural competence training to enable better support for Aboriginal families Inaugural all-EPC-staff forum highlighting practice and celebrating role in supporting young families Release of the Protecting Victoria’s Vulnerable Children Inquiry Report – strong support for early parenting services Commencement of services in partnership with Western Health for the provision of community based childbirth education Roll out of new complete client electronic record system (TWEQ) in partnership with QEC Further revision of model of clinical practice Accreditation – Australian Council of Healthcare Standards (ACHS) and Community Service Organisation (CSO) accreditation under the Victorian Children, Youth and Families Act 2005 Completion of board funded day stay research by the Jean Hailes Foundation Completion of NHMRC funded study into the effectiveness of residential services by the Jean Hailes Foundation Completion of PlaySteps pilot and evaluation Completion of the pilot project to provide parenting skill development and support during supervised access Closure of the Brimbank day program delivered to Vietnamese families
    • 4 Delivery of the Strategic Plan 5 Strategic Goal Activity/Objective 11-12 Outputs 12-13 The Way Ahead Strategic Goal Activity/Objective 11-12 Outputs 12-13 The Way Ahead Research People Deliver comprehensive Implement a three year ‘PlaySteps’ pilot with QEC, O’Connell Implementation of a new model to Grow Capacity of our Strategy Aboriginal cultural competence training Undertake major investment in parenting research rolling research program and Tweddle completed and Parenting cost effectively undertake research People for all staff. professional development for all staff and evidence based Research Centre Evaluation Report submitted and development Staff achievement awards presented and to support the implementation models of service of the 2012-17 strategic plan Pilot in-home parenting support provided Commence research with Deakin Reviewed and updated policies & practices: Establish and extend to the Hume Moreland ChildFirst agencies University into the effectiveness of relationships with tertiary completed. Evaluation of the partnership community based breastfeeding Recruitment and selection institutions undertaken with University of Melbourne programs Grievance procedures Pilot project completed – parenting Managing bullying and harassment in support and skill development during the workplace supervised access has been completed Formal evaluation undertaken with Occupational Health and Safety Monash University Reviewed and re-established employee assistance program NHMRC funded study by the Jean Hailes Foundation completed Professional Development Programs in: Establishment of new research Group therapeutic programs partnership with Deakin University (eg NCast training) Board funded day stay research completed Handling difficult & aggressive clients. Clinical practice model Completion of the formal Tweddle LaTrobe research partnership OHS and managers Research plan delivered. New plan Training for users in new system developed and agreed Innovation 5 papers accepted for publication. Provide Value Through Practice Development Participated in state wide review and made With the roll out of TWEQ establish Change joint early parenting sector submission to benchmarking studies with QEC Pilots and trials the Protecting Victoria’s Vulnerable Children Inquiry Further extend collaborative practice Services Repositioned Tweddle@Home to deliver nationally especially through the Extend services to Provide a range of Establish new services integrated with Established collaborative partnerships with services through employers as part of Australian Association of Parenting meet community services to meet other community and health services in Queen Elizabeth Centre and O’Connell to employer parenting support packages/ and Child Health Inc (AAPCH) demand diverse and changing at least 2 regional centres deliver specialist early parenting support: community needs employee benefits Expand services provided in Barwon PlaySteps Commenced community based child region birth education for Melbourne’s West in Shared services in information technology partnership with Western Health Infrastructure Provide facilities and Information Developed and commissioned customised Work with Government to create Closure of Brimbank daystay program systems that support management software for fully electronic client record options for the development of the future of Tweddle system – shared investment and partnership facilities and services Completion of ChildFIRST pilot in Hume with QEC Moreland region Completion of roofing repairs to New presence of Tweddle on Facebook, minimise risk of future storm water Twitter, SlideShare and Flickr together with an inundation General clinical Further revised clinical model and Commence new services to meet agreed social media strategy practice strengthened referral pathways to and needs of all family members from specialist programs to meet Management of three further storm water identified needs Deliver PlaySteps programs on an events with associated water damage, ongoing basis electrical and safety issues Curriculum for a new dad’s program developed Significant improvement works completed on residential unit foundations Day Stay programs Finalisation of day stay research in May Based on day stay research findings, 2012. Review of service mix as a result review focus of community based Environmental Reviewed Tweddle environment plan and Review further options to minimise of research findings commenced services and the service mix of centre management associated communications plan energy usage and costs based and home based services Targets set for waste and energy reduction – Psychology Services Worked with Department of Health and Develop and implement a business plan reported to executive and board and Medicare Locals to develop partnerships to grow perinatal mental health support included as part of annual report and service models for perinatal health programs to families All staff environmental communications Provision of more intensive clinical plan implemented support to families during and post admission Implementation of a range of education and infrastructure initiatives to reduce Routine screening of mothers and fathers paper usage for depression as part of admissions process and provide service support Introduce a staff environmental as needed achievement award. Governance Development of 2012-2017 strategic plan Electronic Service Roll out of TWEQ – a complete electronic Maximise benefits of TWEQ and social New board performance assessment tool Delivery health information system media presence implemented Developed and implemented a new Established new partnerships with family Partnerships and National partnerships Development and signing of formal communications plan and a social service agencies and research institutes Positioning MOU with the Gathering Place and media strategy Develop our reputation Rumbalara Held first ever combined EPC conference and partnerships all Victorian early parenting professionals Endorsement by the Gathering Place of action plan for Tweddle working with Aboriginal families
    • 4 Delivery of the Strategic Plan 5 Strategic Goal Activity/Objective 11-12 Outputs 12-13 The Way Ahead Strategic Goal Activity/Objective 11-12 Outputs 12-13 The Way Ahead Research People Deliver comprehensive Implement a three year ‘PlaySteps’ pilot with QEC, O’Connell Implementation of a new model to Grow Capacity of our Strategy Aboriginal cultural competence training Undertake major investment in parenting research rolling research program and Tweddle completed and Parenting cost effectively undertake research People for all staff. professional development for all staff and evidence based Research Centre Evaluation Report submitted and development Staff achievement awards presented and to support the implementation models of service of the 2012-17 strategic plan Pilot in-home parenting support provided Commence research with Deakin Reviewed and updated policies & practices: Establish and extend to the Hume Moreland ChildFirst agencies University into the effectiveness of relationships with tertiary completed. Evaluation of the partnership community based breastfeeding Recruitment and selection institutions undertaken with University of Melbourne programs Grievance procedures Pilot project completed – parenting Managing bullying and harassment in support and skill development during the workplace supervised access has been completed Formal evaluation undertaken with Occupational Health and Safety Monash University Reviewed and re-established employee assistance program NHMRC funded study by the Jean Hailes Foundation completed Professional Development Programs in: Establishment of new research Group therapeutic programs partnership with Deakin University (eg NCast training) Board funded day stay research completed Handling difficult & aggressive clients. Clinical practice model Completion of the formal Tweddle LaTrobe research partnership OHS and managers Research plan delivered. New plan Training for users in new system developed and agreed Innovation 5 papers accepted for publication. Provide Value Through Practice Development Participated in state wide review and made With the roll out of TWEQ establish Change joint early parenting sector submission to benchmarking studies with QEC Pilots and trials the Protecting Victoria’s Vulnerable Children Inquiry Further extend collaborative practice Services Repositioned Tweddle@Home to deliver nationally especially through the Extend services to Provide a range of Establish new services integrated with Established collaborative partnerships with services through employers as part of Australian Association of Parenting meet community services to meet other community and health services in Queen Elizabeth Centre and O’Connell to employer parenting support packages/ and Child Health Inc (AAPCH) demand diverse and changing at least 2 regional centres deliver specialist early parenting support: community needs employee benefits Expand services provided in Barwon PlaySteps Commenced community based child region birth education for Melbourne’s West in Shared services in information technology partnership with Western Health Infrastructure Provide facilities and Information Developed and commissioned customised Work with Government to create Closure of Brimbank daystay program systems that support management software for fully electronic client record options for the development of the future of Tweddle system – shared investment and partnership facilities and services Completion of ChildFIRST pilot in Hume with QEC Moreland region Completion of roofing repairs to New presence of Tweddle on Facebook, minimise risk of future storm water Twitter, SlideShare and Flickr together with an inundation General clinical Further revised clinical model and Commence new services to meet agreed social media strategy practice strengthened referral pathways to and needs of all family members from specialist programs to meet Management of three further storm water identified needs Deliver PlaySteps programs on an events with associated water damage, ongoing basis electrical and safety issues Curriculum for a new dad’s program developed Significant improvement works completed on residential unit foundations Day Stay programs Finalisation of day stay research in May Based on day stay research findings, 2012. Review of service mix as a result review focus of community based Environmental Reviewed Tweddle environment plan and Review further options to minimise of research findings commenced services and the service mix of centre management associated communications plan energy usage and costs based and home based services Targets set for waste and energy reduction – Psychology Services Worked with Department of Health and Develop and implement a business plan reported to executive and board and Medicare Locals to develop partnerships to grow perinatal mental health support included as part of annual report and service models for perinatal health programs to families All staff environmental communications Provision of more intensive clinical plan implemented support to families during and post admission Implementation of a range of education and infrastructure initiatives to reduce Routine screening of mothers and fathers paper usage for depression as part of admissions process and provide service support Introduce a staff environmental as needed achievement award. Governance Development of 2012-2017 strategic plan Electronic Service Roll out of TWEQ – a complete electronic Maximise benefits of TWEQ and social New board performance assessment tool Delivery health information system media presence implemented Developed and implemented a new Established new partnerships with family Partnerships and National partnerships Development and signing of formal communications plan and a social service agencies and research institutes Positioning MOU with the Gathering Place and media strategy Develop our reputation Rumbalara Held first ever combined EPC conference and partnerships all Victorian early parenting professionals Endorsement by the Gathering Place of action plan for Tweddle working with Aboriginal families
    • 6 7Leadership ReportChairperson and CEO jointly review To this end, we are having productive discussions with We have recruited well and have a strong executive team Thank youthe year that was community service and health professionals in regional in place. The organisation is well placed for the challenges We would like to thank the Board and especially our Victoria, particularly in the areas of Goulburn Valley, in the short to medium term. Chairperson, Josie Rizza who is currently on leave, for itsAny organisation with an extensive history has to evolve Gisborne, Kyneton and Sunbury. These communities work during a difficult year and for their understandingand move with the times to be relevant and meet are a pleasure to work with and we are excited at the Industrial action of the change process. They give generously of theirchanging community needs. prospect of developing early parenting supports with them. Although our nurses were involved in industrial action in time and advice. late 2011, we would like to acknowledge the professionalTweddle is no different. We have had to respond to The new strategic plan, which will set the framework for manner in which they operated during this period. There is an outstandingly positive spirit among thechanging needs and values, demographic shifts and services for the next five years, is focused, as already team at Tweddle and everyone has maintainedexpanding cultural needs. What has been striking for mentioned on vulnerable families, both those facing The bans that were in place did affect our targets: 70 fewer a high standard of work at all times.us is the rapidity of change over the last couple of existing multiple challenges and those facing challenges residential families and 72 fewer day stay families wereyears: sometimes because of the environment and emerging as a result of the birth of a child. It also admitted due to the bed closures. Thanks go to all our nurses, early childhoodthe development of practice evidence, at other times commits Tweddle to the provision of area based services specialists, social workers, psychologists anddriven from within by our team of experts. Changes especially in areas where evidence shows high needs. We are very pleased the industrial situation was resolved corporate support staff.and responses have been required from the Board, and that Tweddle, together with QEC and O’Connell werefrom management and our team of clinicians and We are pleased the Government response to the included within a single Enterprise Bargaining Agreementcorporate staff. Panel Inquiry report has a strong emphasis on the early for public hospitals. We are currently finalising new staffing years and early intervention and prevention. The ‘Cradle classifications agreed in the negotiations which will mean Dr Nicole Milburn Ms Vivienne AmeryThe most conspicuous change this year has been the to Kinder’ initiative is a great direction and, although a new career path and structure for early parenting Acting Board Chairperson Chief Executive Officerrollout of the TWEQ electronic client record management Tweddle was not part of the successful tender, we look professionals.system. People in the corporate sector and government forward to working with the winning consortium partnersmay not realise what a massive change such a move in whatever way we can. Accreditationrepresents. Tweddle was involved in two accreditation processes Specifically, we are looking at how we can provide direct during the year: one for public hospital accreditation,The move to electronic case management will deliver pathways for service providers for vulnerable families into the other for community service organisation registration.enormous benefits. But in the short term it does have an our programs. Professional referral from ChildFIRST orimpact on workload, clinical practice and the culture maternity hospitals is also in development to fast-track We are delighted with the results – especially in the areasof the working environment. We commend our staff as the pathway to Tweddle for an intensive early intervention. of client record management, goal setting and clientthey work through the transitional issues a major new assessment processes. However, undertaking two reviewssystem presents. Clinical practice is a time consuming exercise. We are pleased with the Another major change this year has been in our clinical new State Government quality framework and standardsStrategic direction practice: attachment is the fundamental basis to our and how closely they align with the hospital accreditationThis year Tweddle welcomed the report from the Protecting positive parenting programs. framework which Tweddle has participated in for almostVictoria’s Vulnerable Children Inquiry. The inquiry panel has 15 years.produced a visionary comprehensive piece of work. The skills of the Tweddle workforce have grown over the last few years as all of our services have moved toWe applaud the Panel for the breadth of evidence drawn the support of families facing multiple challenges. Theupon and the recommendations made. It is also pleasing skills to work with families in situations of family violence,that Tweddle’s new strategic directions that have been substance abuse and mental health issues are significant.developing over the last year are consistent with the Panel It is a credit to our team how they have embraced thisrecommendations: services fully focused on working with direction.vulnerable families and early intervention and prevention. We are very proud of our staff’s specialist expertise. TheyRecommendations in the report specifically refer to the provide a consistently high quality service and we sharevalue of early parenting services in the vulnerable children’s a commitment to undertaking further professionalsupport system and especially focuses on the need to development as the service continues to evolve.improve ease of access to the supports and serviceswe provide. The good news is that despite all the challenges we have faced this year, we are meeting our targets whenIt is critical that we provide better access to early adjustments are made to account for variation resultingparenting support in the growth areas of Melbourne from industrial action; we receive very positive clientand regional Victoria. evaluations; and our clinicians on the ground are doing a fabulous job.
    • 6 7Leadership ReportChairperson and CEO jointly review To this end, we are having productive discussions with We have recruited well and have a strong executive team Thank youthe year that was community service and health professionals in regional in place. The organisation is well placed for the challenges We would like to thank the Board and especially our Victoria, particularly in the areas of Goulburn Valley, in the short to medium term. Chairperson, Josie Rizza who is currently on leave, for itsAny organisation with an extensive history has to evolve Gisborne, Kyneton and Sunbury. These communities work during a difficult year and for their understandingand move with the times to be relevant and meet are a pleasure to work with and we are excited at the Industrial action of the change process. They give generously of theirchanging community needs. prospect of developing early parenting supports with them. Although our nurses were involved in industrial action in time and advice. late 2011, we would like to acknowledge the professionalTweddle is no different. We have had to respond to The new strategic plan, which will set the framework for manner in which they operated during this period. There is an outstandingly positive spirit among thechanging needs and values, demographic shifts and services for the next five years, is focused, as already team at Tweddle and everyone has maintainedexpanding cultural needs. What has been striking for mentioned on vulnerable families, both those facing The bans that were in place did affect our targets: 70 fewer a high standard of work at all times.us is the rapidity of change over the last couple of existing multiple challenges and those facing challenges residential families and 72 fewer day stay families wereyears: sometimes because of the environment and emerging as a result of the birth of a child. It also admitted due to the bed closures. Thanks go to all our nurses, early childhoodthe development of practice evidence, at other times commits Tweddle to the provision of area based services specialists, social workers, psychologists anddriven from within by our team of experts. Changes especially in areas where evidence shows high needs. We are very pleased the industrial situation was resolved corporate support staff.and responses have been required from the Board, and that Tweddle, together with QEC and O’Connell werefrom management and our team of clinicians and We are pleased the Government response to the included within a single Enterprise Bargaining Agreementcorporate staff. Panel Inquiry report has a strong emphasis on the early for public hospitals. We are currently finalising new staffing years and early intervention and prevention. The ‘Cradle classifications agreed in the negotiations which will mean Dr Nicole Milburn Ms Vivienne AmeryThe most conspicuous change this year has been the to Kinder’ initiative is a great direction and, although a new career path and structure for early parenting Acting Board Chairperson Chief Executive Officerrollout of the TWEQ electronic client record management Tweddle was not part of the successful tender, we look professionals.system. People in the corporate sector and government forward to working with the winning consortium partnersmay not realise what a massive change such a move in whatever way we can. Accreditationrepresents. Tweddle was involved in two accreditation processes Specifically, we are looking at how we can provide direct during the year: one for public hospital accreditation,The move to electronic case management will deliver pathways for service providers for vulnerable families into the other for community service organisation registration.enormous benefits. But in the short term it does have an our programs. Professional referral from ChildFIRST orimpact on workload, clinical practice and the culture maternity hospitals is also in development to fast-track We are delighted with the results – especially in the areasof the working environment. We commend our staff as the pathway to Tweddle for an intensive early intervention. of client record management, goal setting and clientthey work through the transitional issues a major new assessment processes. However, undertaking two reviewssystem presents. Clinical practice is a time consuming exercise. We are pleased with the Another major change this year has been in our clinical new State Government quality framework and standardsStrategic direction practice: attachment is the fundamental basis to our and how closely they align with the hospital accreditationThis year Tweddle welcomed the report from the Protecting positive parenting programs. framework which Tweddle has participated in for almostVictoria’s Vulnerable Children Inquiry. The inquiry panel has 15 years.produced a visionary comprehensive piece of work. The skills of the Tweddle workforce have grown over the last few years as all of our services have moved toWe applaud the Panel for the breadth of evidence drawn the support of families facing multiple challenges. Theupon and the recommendations made. It is also pleasing skills to work with families in situations of family violence,that Tweddle’s new strategic directions that have been substance abuse and mental health issues are significant.developing over the last year are consistent with the Panel It is a credit to our team how they have embraced thisrecommendations: services fully focused on working with direction.vulnerable families and early intervention and prevention. We are very proud of our staff’s specialist expertise. TheyRecommendations in the report specifically refer to the provide a consistently high quality service and we sharevalue of early parenting services in the vulnerable children’s a commitment to undertaking further professionalsupport system and especially focuses on the need to development as the service continues to evolve.improve ease of access to the supports and serviceswe provide. The good news is that despite all the challenges we have faced this year, we are meeting our targets whenIt is critical that we provide better access to early adjustments are made to account for variation resultingparenting support in the growth areas of Melbourne from industrial action; we receive very positive clientand regional Victoria. evaluations; and our clinicians on the ground are doing a fabulous job.
    • 8 Services 9 Residential UnitThis year, as a result of a long period of industrial action, Services to the most vulnerable families were not affected The admission cycle changes implemented in Tweddle Programs - Families Admitted by DHS Regionservice levels in all programs were less than historic annual and expert triage services ensured that families most in need 2010-11 have continued this year and have provedlevels. Our clinical team provided consistently high levels of gained admission. Tweddle would also like to thank families successful in meeting the goals of families admitted 2% Barwon S/Wservice to admitted families at all times and a number of for their support and understanding of Tweddle especially to the intensive residential programs and ensuring 3% Eastern Metro 14% 2% .4%services, such as additional telephone advice, were provided during this period. Thanks too must go to the nursing team targets are met. The change increased the period Gippslandto families who were impacted upon by the action. for their consistently high level of service. of stay from three to four nights. The cycle enables 2% a clearly structured range of activities to be 2% GrampiansAssessment and Intake provided, as well as leaving time to work 3% Hume one-on-one with families. A further review of Loddon-Mallee the admission cycle will be undertaken in 2012-13 in consultation with government to ensure the North West Metro Intake Service Data program balances the needs of vulnerable families Other 2010-11 2011-12 Comments admitted andmanagement of the continued high 72% Pre-book 3926 3687 Pre-booked consultations were affected by Nursing industrial action Southern Metro demand for the service. consultations where 1 in 4 calls were not conducted. Health professional 278 108 Residential Service Admission Data consultations 2009-10 2010-11 2011-12 A range of routine screening for all family members takes place. No. of families who 1658 2260 More families received information because: No. beds available each day of operation 7 (M-F) 7-8 (M-F) 7-8 (M-F) This screening includes health checks for both the residential and received information Nursing industrial action 1 in four beds closed and gave more day stay families. It also includes screening of mothers and fathers information to assist clients not receiving admissions (Closed Alternate Weekends) 5 (S&S) 6 (S&S) 7 (S&S) for depression. Admission to the unit provides an ideal opportunity Many families wanting to try strategies at home before a program Clients discharged* 1555 1487 1572 to explore emotional issues that may otherwise go undiagnosed. No. of completed 3081 2928 This is a decrease from previous financial year as the number of pre- Clients admitted for one day 9 51 intake assessments booked consultations is less 269. This would also be result of industrial We have also introduced a pre-admission meeting for parents action call for a period of 5 months was decreased by 1 call in every 4. Average length of stay (days) 2.75 3.19 3.21 facing extremely complex issues. This meeting gives everyone Total No. of Bed Days 4754 4746 5537 the opportunity to prepare for the aadmission and arrangeIntake is the first step in a family’s association with Tweddle. A detailed consultation with each family takes place, usually by telephone. a customised program.An experienced parenting professional explores the family’s issues via an evidence based triage system and a decision is made to Occupancy (%) 107.78 108.43 95.08admit a family or refer to other services that are considered more suitable for the family’s needs. The Karitane Parenting with Confidence Scale is being piloted While in the unit, parents are supported by a multi-disciplinary as an objective measure of confidence with parents of team of nurses, early childhood professionals, psychologists and DHS Funded Services Data children aged from birth to 12 months. A Felton Bequest social workers. Trigger factors that cause distress are examined and grant of $214,000 (over three years) was made to Tweddle Residential Total response strategies developed. The changes to the goal setting Maribyrnong Geelong Wyndham to formally evaluate the Scale in our residential programs. Excluding PASDS Day Stay practices introduced in late 2011 have been very effective. The 2009-10 changes mean that families can set goals that meet their specific Professor Jane Fisher, has led NHMRC funded research into the Individuals 1555 987 170 334 1491 circumstances and the goals are realistic. With the introduction effectiveness of residential early parenting programs. This research Families 553 402 72 135 609 of the new goal setting practices we are now seeing changes is now complete. The board and management are considering on client evaluation data. 2010-11 the research findings together with the findings from the day stay Individuals 1487 1007 219 336 1562 research and will further develop clinical practice as a result. Families 556 408 93 138 639 Waiting Times for Admission to a Residential Service 2011-12 2% Tweddle staff immersed themselves in cultural competence Individuals 1572 966 155 349 1470 training in March. Melbourne Aboriginal community elder, Uncle 4% Families 543 391 63 143 597 Reg Blow, led a day of reflection, story-telling and historical 11% examination. The aim of the day was to improve awareness of Families Not Admitted 0-3 Days 70 72 aboriginal culture to better support Aboriginal families. As part Due to Industrial Action 10% 4-7 Days of the fantastic day we developed an action plan for Tweddle Reconciled Total 29% 613 669 to work with Aboriginal families. It is exciting that this plan is Families 2011-12 1-2 Weeks now complete and has been endorsed by Tweddle and the 2-3 Weeks Gathering Place. The next step is the development a partnership Collaborative Day Service Data 13% 3-4 Weeks agreement with the Gathering Place. Bacchus Marsh Terang Totals 1-2 Months Staff have also embraced our new client records management 2011-12 2-3 Months system – TWEQ. Training has taken place and everyone is Individuals 655 183 838 17% 14% Families 274 76 350 3 Months + demonstrating a terrific willingness to maximise the benefits and efficiencies of the new technology.
    • 8 Services 9 Residential UnitThis year, as a result of a long period of industrial action, Services to the most vulnerable families were not affected The admission cycle changes implemented in Tweddle Programs - Families Admitted by DHS Regionservice levels in all programs were less than historic annual and expert triage services ensured that families most in need 2010-11 have continued this year and have provedlevels. Our clinical team provided consistently high levels of gained admission. Tweddle would also like to thank families successful in meeting the goals of families admitted 2% Barwon S/Wservice to admitted families at all times and a number of for their support and understanding of Tweddle especially to the intensive residential programs and ensuring 3% Eastern Metro 14% 2% .4%services, such as additional telephone advice, were provided during this period. Thanks too must go to the nursing team targets are met. The change increased the period Gippslandto families who were impacted upon by the action. for their consistently high level of service. of stay from three to four nights. The cycle enables 2% a clearly structured range of activities to be 2% GrampiansAssessment and Intake provided, as well as leaving time to work 3% Hume one-on-one with families. A further review of Loddon-Mallee the admission cycle will be undertaken in 2012-13 in consultation with government to ensure the North West Metro Intake Service Data program balances the needs of vulnerable families Other 2010-11 2011-12 Comments admitted andmanagement of the continued high 72% Pre-book 3926 3687 Pre-booked consultations were affected by Nursing industrial action Southern Metro demand for the service. consultations where 1 in 4 calls were not conducted. Health professional 278 108 Residential Service Admission Data consultations 2009-10 2010-11 2011-12 A range of routine screening for all family members takes place. No. of families who 1658 2260 More families received information because: No. beds available each day of operation 7 (M-F) 7-8 (M-F) 7-8 (M-F) This screening includes health checks for both the residential and received information Nursing industrial action 1 in four beds closed and gave more day stay families. It also includes screening of mothers and fathers information to assist clients not receiving admissions (Closed Alternate Weekends) 5 (S&S) 6 (S&S) 7 (S&S) for depression. Admission to the unit provides an ideal opportunity Many families wanting to try strategies at home before a program Clients discharged* 1555 1487 1572 to explore emotional issues that may otherwise go undiagnosed. No. of completed 3081 2928 This is a decrease from previous financial year as the number of pre- Clients admitted for one day 9 51 intake assessments booked consultations is less 269. This would also be result of industrial We have also introduced a pre-admission meeting for parents action call for a period of 5 months was decreased by 1 call in every 4. Average length of stay (days) 2.75 3.19 3.21 facing extremely complex issues. This meeting gives everyone Total No. of Bed Days 4754 4746 5537 the opportunity to prepare for the aadmission and arrangeIntake is the first step in a family’s association with Tweddle. A detailed consultation with each family takes place, usually by telephone. a customised program.An experienced parenting professional explores the family’s issues via an evidence based triage system and a decision is made to Occupancy (%) 107.78 108.43 95.08admit a family or refer to other services that are considered more suitable for the family’s needs. The Karitane Parenting with Confidence Scale is being piloted While in the unit, parents are supported by a multi-disciplinary as an objective measure of confidence with parents of team of nurses, early childhood professionals, psychologists and DHS Funded Services Data children aged from birth to 12 months. A Felton Bequest social workers. Trigger factors that cause distress are examined and grant of $214,000 (over three years) was made to Tweddle Residential Total response strategies developed. The changes to the goal setting Maribyrnong Geelong Wyndham to formally evaluate the Scale in our residential programs. Excluding PASDS Day Stay practices introduced in late 2011 have been very effective. The 2009-10 changes mean that families can set goals that meet their specific Professor Jane Fisher, has led NHMRC funded research into the Individuals 1555 987 170 334 1491 circumstances and the goals are realistic. With the introduction effectiveness of residential early parenting programs. This research Families 553 402 72 135 609 of the new goal setting practices we are now seeing changes is now complete. The board and management are considering on client evaluation data. 2010-11 the research findings together with the findings from the day stay Individuals 1487 1007 219 336 1562 research and will further develop clinical practice as a result. Families 556 408 93 138 639 Waiting Times for Admission to a Residential Service 2011-12 2% Tweddle staff immersed themselves in cultural competence Individuals 1572 966 155 349 1470 training in March. Melbourne Aboriginal community elder, Uncle 4% Families 543 391 63 143 597 Reg Blow, led a day of reflection, story-telling and historical 11% examination. The aim of the day was to improve awareness of Families Not Admitted 0-3 Days 70 72 aboriginal culture to better support Aboriginal families. As part Due to Industrial Action 10% 4-7 Days of the fantastic day we developed an action plan for Tweddle Reconciled Total 29% 613 669 to work with Aboriginal families. It is exciting that this plan is Families 2011-12 1-2 Weeks now complete and has been endorsed by Tweddle and the 2-3 Weeks Gathering Place. The next step is the development a partnership Collaborative Day Service Data 13% 3-4 Weeks agreement with the Gathering Place. Bacchus Marsh Terang Totals 1-2 Months Staff have also embraced our new client records management 2011-12 2-3 Months system – TWEQ. Training has taken place and everyone is Individuals 655 183 838 17% 14% Families 274 76 350 3 Months + demonstrating a terrific willingness to maximise the benefits and efficiencies of the new technology.
    • 10 Services Psychology Service 11Parenting Assessment & Skill Development Program Statistics indicate a continued high demand for our Psychology Service. Approximately 40% of mothers and An important part of the Tweddle portfolio is the range Sometimes it is hard for a family to participate in a long 10 day 30% of fathers are presenting high scores, indicating a of programs provided to support vulnerable families and residential program so options of in home support or working need for support, in the Edinburgh Post Natal Depression families who are involved with Child Protection Services. with families in a day setting over a period of a few weeks can Scale (EPDS) and the Depression Anxiety Stress Scale achieve more. It is hoped that the positive outcomes of these (DASS) respectively. Tweddle has once again provided a 10 day residential models will lead to them being offered again next year. program, Parenting Assessment and Skills Development Our service provides assessment, brief intervention and Service (PASDS). A number of changes to the PASDS team were also made referral for these parents who are considered at risk of this year with the addition of more clinical nursing expertise perinatal mental health issues. A range of community based specialist services has also to the program. All protocols and clinical procedures for been offered, both for PASDS families and for families child protection programs were formally reviewed during Almost all clients who attended our Psychology Service referred from ChildFIRST or family service agencies. the year and new reporting frameworks and templates believe they benefited from the service. More than were developed. Further professional development two-thirds report they had implemented strategies The range of programs offered seeks to recognise the was undertaken including all team members visiting discussed in the consultations. circumstances faced by a family and designs the programs the courts and meeting with key staff and magistrates. to ensure the best chance of success and positive outcomes. Further professional development for staff to act as Importantly, follow up statistics indicate that more than expert witnesses will be undertaken next year. 80% of our clients had engaged, or were in the process of engaging with further support services. In contrast, data from community samples reflects a very low uptake of support following a referral. This is extremely encouraging PASDS Admissions and significant for Tweddle, and suggests real value of 2009-10 2010-11 2011-12 provision of mental health support services in an early parenting context. No of families admitted to a 47 45 46 residential program The cohesion and effectiveness of the Psychology Service No of PASDS Clients admitted to a within our multi-disciplinary team is of great benefit for our 138 128 128 residential program increasingly complex clients. PASDS client bed days - residential 863 861 902 New service directions PASDS clients average length of 6.78 6.72 7.644 The provision of follow up consultations has been a very stay- residential positive addition to the Psychology Service and one that No. of day stay programs provided 19 22 0 we plan to continue. No. of visits provided 62 3 0 We have also recently begun to refine and broaden the The programs, held at Footscray and Geelong, focus on pre-admission consultation process. The aim is to increase developing healthy parent-child relationships through play. the number of these consultations and identify more “The support and advice I received was fantastic. families in need who might otherwise be missed. These two successful programs attracted funding from I was reassured that I was on the right path and having the nurse see me Macedon Ranges and North Western Medicare Local Clinical practice developments (formerly Pivot West) to enable the running of a third do it in person and provide feedback was very comforting. We had planned this year to develop and implement program. I am no longer stressed, nor is my baby” professional development programs in infant mental health for the Tweddle team. A formal program has not, as yet, been implemented. However, initial professional discussions “…the program is so subtle, but has made are taking place to further develop a program and staff significant changes to our functioning in understanding of attachment theory. This will be done as the home.” part of the 2012-13 professional development investment recently endorsed by the board. Together with PaNDA, Macedon Ranges and North Western Projects Medicare Local and health professionals we are a member Funding from the Victorian Department of Health and the of the Western Region Perinatal Mental Health Network. The National Perinatal Depression Initiative (NPDI) enabled first meeting was held 6 December 2011 and provided the Tweddle to run two ‘PlaySteps’ programs this year. opportunity for practitioners to discuss service strengths, difficulties and gaps.
    • 10 Services Psychology Service 11Parenting Assessment & Skill Development Program Statistics indicate a continued high demand for our Psychology Service. Approximately 40% of mothers and An important part of the Tweddle portfolio is the range Sometimes it is hard for a family to participate in a long 10 day 30% of fathers are presenting high scores, indicating a of programs provided to support vulnerable families and residential program so options of in home support or working need for support, in the Edinburgh Post Natal Depression families who are involved with Child Protection Services. with families in a day setting over a period of a few weeks can Scale (EPDS) and the Depression Anxiety Stress Scale achieve more. It is hoped that the positive outcomes of these (DASS) respectively. Tweddle has once again provided a 10 day residential models will lead to them being offered again next year. program, Parenting Assessment and Skills Development Our service provides assessment, brief intervention and Service (PASDS). A number of changes to the PASDS team were also made referral for these parents who are considered at risk of this year with the addition of more clinical nursing expertise perinatal mental health issues. A range of community based specialist services has also to the program. All protocols and clinical procedures for been offered, both for PASDS families and for families child protection programs were formally reviewed during Almost all clients who attended our Psychology Service referred from ChildFIRST or family service agencies. the year and new reporting frameworks and templates believe they benefited from the service. More than were developed. Further professional development two-thirds report they had implemented strategies The range of programs offered seeks to recognise the was undertaken including all team members visiting discussed in the consultations. circumstances faced by a family and designs the programs the courts and meeting with key staff and magistrates. to ensure the best chance of success and positive outcomes. Further professional development for staff to act as Importantly, follow up statistics indicate that more than expert witnesses will be undertaken next year. 80% of our clients had engaged, or were in the process of engaging with further support services. In contrast, data from community samples reflects a very low uptake of support following a referral. This is extremely encouraging PASDS Admissions and significant for Tweddle, and suggests real value of 2009-10 2010-11 2011-12 provision of mental health support services in an early parenting context. No of families admitted to a 47 45 46 residential program The cohesion and effectiveness of the Psychology Service No of PASDS Clients admitted to a within our multi-disciplinary team is of great benefit for our 138 128 128 residential program increasingly complex clients. PASDS client bed days - residential 863 861 902 New service directions PASDS clients average length of 6.78 6.72 7.644 The provision of follow up consultations has been a very stay- residential positive addition to the Psychology Service and one that No. of day stay programs provided 19 22 0 we plan to continue. No. of visits provided 62 3 0 We have also recently begun to refine and broaden the The programs, held at Footscray and Geelong, focus on pre-admission consultation process. The aim is to increase developing healthy parent-child relationships through play. the number of these consultations and identify more “The support and advice I received was fantastic. families in need who might otherwise be missed. These two successful programs attracted funding from I was reassured that I was on the right path and having the nurse see me Macedon Ranges and North Western Medicare Local Clinical practice developments (formerly Pivot West) to enable the running of a third do it in person and provide feedback was very comforting. We had planned this year to develop and implement program. I am no longer stressed, nor is my baby” professional development programs in infant mental health for the Tweddle team. A formal program has not, as yet, been implemented. However, initial professional discussions “…the program is so subtle, but has made are taking place to further develop a program and staff significant changes to our functioning in understanding of attachment theory. This will be done as the home.” part of the 2012-13 professional development investment recently endorsed by the board. Together with PaNDA, Macedon Ranges and North Western Projects Medicare Local and health professionals we are a member Funding from the Victorian Department of Health and the of the Western Region Perinatal Mental Health Network. The National Perinatal Depression Initiative (NPDI) enabled first meeting was held 6 December 2011 and provided the Tweddle to run two ‘PlaySteps’ programs this year. opportunity for practitioners to discuss service strengths, difficulties and gaps.
    • 12 Psychology Service 13 Key Issues Identified for Pre Admission Clients Key Issues Identified for Residential Clients 2009-10 2010-11 2011-12 2009-10 2010-11 2011-12 (n=9) (n=16) The key issues identified Number % Number % Number % Number % Number % Number % as health concerns for Exhaustion 56% 220 87% 174 72% residential clients remain Exhaustion 00 00% 12 86% 13 81% Anxiety disorder 47% 148 58% 141 58% consistent, although the Anxiety disorder 00 00% 6 43% 13 81% proportion of parents Depression 61% 131 52% 131 54% Depression 00 00% 9 64% 12 75% reporting these concerns Adjustment 14% 101 40% 123 51% differs. Adjustment Service Not 00 00% 8 57% 9 56% Offered Relationship issues 24% 93 37% 106 44% Attachment / Bonding Issues 00 00% 4 29% 6 38% Relationship issues 00 00% 1 7% 5 31% Referrals and Interventions Provided to Residential Clients Underdeveloped Parenting Skills 00 00% 2 14% 4 25% 2009-10 2010-11 2011-12 Referral of clients to new Trauma 00 00% 0 0% 4 25% Number % Number % Number % general practitioners The key issues identified for pre admission clients are similar to last year although the General practitioner 26 12% 16 6% 36 15% increased again this year proportions differ. and referrals to psychologists Psychologist 82 29% 134 53% 126 52% was consistent with last year. Outcome of Pre Admission Consultation Couples Counsellor 4 2% 21 8% 16 7% The majority of clients seen 2009-10 2010-11 2011-12 Clinical Intervention 174 82% 220 87% 205 85% are provided with at least (n=9) (n=16) one referral. Total No. of clients given referral Number % Number % Number % 103 49% 161 64% 139 57% to 1 or more agencies Admission date brought forward 00 00% 2 14% 1 6% Total Consultations Admission postponed or client 00 00% 3 21% 6 38% referred to alternate service 2009-10 2010-11 2011-12 Total consultations for this Letter sent to GP 00 00% 1 7% 7 44% Pre Admit Not Offered 14 16 year were again higher Service Not than the previous year. Case management meeting with Offered Individual Consultations 212 253 242 00 00% 4 29% 4 25% residential or other staff Secondary Consultations Not Scored Not Scored 269 Liaise with other support agencies 00 00% 5 36% 4 25% Group Not Offered 247 51 Referred to different Tweddle program 00 00% 3 21% 1 6% Follow Up Not Offered 142 106 Referred to external mental health support 00 00% 7 50% 9 56% Total Consultations YTD 212 656 684 The outcome data for the pre admission consult highlights the importance of providing this DHS NPDI Target 460 620 service for clients as clinically indicated. Note that group attendance data has been scored differently this year to last financial year. Last year number of clients attending was counted. This financial year it has been number of groups conducted. Residential Program Mothers Follow Up Consultations 2009-10 2010-11 2011-12 2009-10 2010-11 2011-12 Data from follow up consultations (n=142) (n=106) Number % Number % Number % with clients who have used the Number % Number % Number % Psychology Service during their Total number of mothers screened 552 563 537 EPDS/DASS in the high risk range 00 00% 33 23% 12 11% admission continues to provide EPDS in the high risk range 43% 260 46% 217 40% interesting information about the Clients who endorse the self harm item 00 00% 10 7% 5 5% Mothers who endorse the self harm item 16% 81 14% 91 4% importance of providing this Engaged in treatment (or in process of) 00 00% 119 82% 85 80% service in this context. 80% of Service Not Residential Program Fathers Issues resolved 00 00% Offered 22 15% 29 27% clients indicate that they have engaged, or are in the process of 2009-10 2010-11 2011-12 Benefited from consultation 00 00% 131 90% 93 88% engaging, in treatment and 88% Number % Number % Number % Using strategies discussed in report that they benefited from 00 00% 109 75% 67 63% consultation the consultation offered while Total number of fathers screened 000 150 184 admitted to Tweddle. DASS in the high risk range Not00% Assessed 36 46% 59 32% Fathers who endorse the self harm item 00% 7 5% 7 4%
    • 12 Psychology Service 13 Key Issues Identified for Pre Admission Clients Key Issues Identified for Residential Clients 2009-10 2010-11 2011-12 2009-10 2010-11 2011-12 (n=9) (n=16) The key issues identified Number % Number % Number % Number % Number % Number % as health concerns for Exhaustion 56% 220 87% 174 72% residential clients remain Exhaustion 00 00% 12 86% 13 81% Anxiety disorder 47% 148 58% 141 58% consistent, although the Anxiety disorder 00 00% 6 43% 13 81% proportion of parents Depression 61% 131 52% 131 54% Depression 00 00% 9 64% 12 75% reporting these concerns Adjustment 14% 101 40% 123 51% differs. Adjustment Service Not 00 00% 8 57% 9 56% Offered Relationship issues 24% 93 37% 106 44% Attachment / Bonding Issues 00 00% 4 29% 6 38% Relationship issues 00 00% 1 7% 5 31% Referrals and Interventions Provided to Residential Clients Underdeveloped Parenting Skills 00 00% 2 14% 4 25% 2009-10 2010-11 2011-12 Referral of clients to new Trauma 00 00% 0 0% 4 25% Number % Number % Number % general practitioners The key issues identified for pre admission clients are similar to last year although the General practitioner 26 12% 16 6% 36 15% increased again this year proportions differ. and referrals to psychologists Psychologist 82 29% 134 53% 126 52% was consistent with last year. Outcome of Pre Admission Consultation Couples Counsellor 4 2% 21 8% 16 7% The majority of clients seen 2009-10 2010-11 2011-12 Clinical Intervention 174 82% 220 87% 205 85% are provided with at least (n=9) (n=16) one referral. Total No. of clients given referral Number % Number % Number % 103 49% 161 64% 139 57% to 1 or more agencies Admission date brought forward 00 00% 2 14% 1 6% Total Consultations Admission postponed or client 00 00% 3 21% 6 38% referred to alternate service 2009-10 2010-11 2011-12 Total consultations for this Letter sent to GP 00 00% 1 7% 7 44% Pre Admit Not Offered 14 16 year were again higher Service Not than the previous year. Case management meeting with Offered Individual Consultations 212 253 242 00 00% 4 29% 4 25% residential or other staff Secondary Consultations Not Scored Not Scored 269 Liaise with other support agencies 00 00% 5 36% 4 25% Group Not Offered 247 51 Referred to different Tweddle program 00 00% 3 21% 1 6% Follow Up Not Offered 142 106 Referred to external mental health support 00 00% 7 50% 9 56% Total Consultations YTD 212 656 684 The outcome data for the pre admission consult highlights the importance of providing this DHS NPDI Target 460 620 service for clients as clinically indicated. Note that group attendance data has been scored differently this year to last financial year. Last year number of clients attending was counted. This financial year it has been number of groups conducted. Residential Program Mothers Follow Up Consultations 2009-10 2010-11 2011-12 2009-10 2010-11 2011-12 Data from follow up consultations (n=142) (n=106) Number % Number % Number % with clients who have used the Number % Number % Number % Psychology Service during their Total number of mothers screened 552 563 537 EPDS/DASS in the high risk range 00 00% 33 23% 12 11% admission continues to provide EPDS in the high risk range 43% 260 46% 217 40% interesting information about the Clients who endorse the self harm item 00 00% 10 7% 5 5% Mothers who endorse the self harm item 16% 81 14% 91 4% importance of providing this Engaged in treatment (or in process of) 00 00% 119 82% 85 80% service in this context. 80% of Service Not Residential Program Fathers Issues resolved 00 00% Offered 22 15% 29 27% clients indicate that they have engaged, or are in the process of 2009-10 2010-11 2011-12 Benefited from consultation 00 00% 131 90% 93 88% engaging, in treatment and 88% Number % Number % Number % Using strategies discussed in report that they benefited from 00 00% 109 75% 67 63% consultation the consultation offered while Total number of fathers screened 000 150 184 admitted to Tweddle. DASS in the high risk range Not00% Assessed 36 46% 59 32% Fathers who endorse the self harm item 00% 7 5% 7 4%
    • 14 Social Work Program Community Programs 15 MyTimeAccess to a qualified social worker and family therapist is The parents using the social work service are presenting with MyTime is a social connection and support program for Counts. They were joined by council representatives from theavailable to all families admitted to the residential unit. increasingly complex issues. They may be experiencing financial the parents and carers of young children with a disability, home and community care sector and disability workers lobbying hardship, isolation, relationship stress or unreasonable parenting developmental delay or chronic medical condition. Groups for the introduction of a National Disability Insurance Scheme.The service continues to provide one-off sessions of individual expectations, drug or alcohol dependency. come together and discuss parent education themed aroundor couple counselling, advocacy, interventions and community Myself, My Community and My Child. In 2011 age criterion for The groups were confident initiating and establishing a gymreferrals as necessary. Sometimes couples will require more In some cases the service is also offered to a child’s grandparents parent’s eligibility in MyTime groups was raised to sixteen years. group for their children and their own support group inthan one session to establish ongoing supports within the or aunt, in order to maximise the support for the parents. Caroline Springs, filling a need in their community.extended family or local community. Families new to Australia present with quite complex housing Tweddle facilitates several MyTime groups in Altona Meadows, and financial needs. There is often a need for the social worker Footscray, Point Cook, Deer Park and Hillside. This year new Tweddle was fortunate to receive funding grants from twoUnfortunately, parents referred to community service providers to contact several organisations to clarify what support the groups formed in Werribee in partnership with Warringa Park local councils to assist with venue hire.can sometimes face a lengthy wait - particularly for counselling, family is receiving and to connect them with available services. School and in Altona Meadows with Western Autistic School.housing, drug and alcohol support. The groups’ activities extended to advocating for themselves MyTime members can now keep up-to-date with what The social work program saw 165 parents between 1 July 2011 by participating in community events. In August, MyTime other groups are doing by visiting the MyTime page of the and 30 June 2012. There were 96 referrals, either back to current parents organised a morning tea on behalf of Every Australian Tweddle website. counsellors or to community organisations and support services. MyTime Member Attendance 600 500 400 300 200 100 Altona Deer Park Footscray Hillside Hoppers Point Cook Total Meadows Crossing / Werribee Social Support Reasons for Referral (%)Assessment Outcome Reason for referral 2009-10 2010-11 2011-12 Risk factors at end of consult 2009-10 2010-11 2011-12Domestic violence 13.97 24.39 26.66 Domestic violence 13.41 23.41 15.15Stress / high anxiety 39.11 45.36 38.78 Stress / high anxiety 46.93 46.34 40.60Primary relationship 64.25 71.70 64.84 Primary relationship 65.36 71.21 64.24Other relationship 44.13 38.53 23.63 Other relationship 44.13 37.56 25.45 “I look forward to MyTime groups for networking and emotional support.Disability parent or child 12.29 14.15 21.81 Disability parent or child 18.44 14.14 27.42 I have forged great friendships from the group.”Sexual abuse 1.68 Not Reported 2.42 Sexual abuse 1.68 Not Reported 2.42Drug and Alcohol 2.79 9.26 7.27 Drug and Alcohol 4.47 8.02 7.87 “I always walk out with a smile and feeling better about life and its challenges.”Financial 26.82 43.90 34.54 Financial 40.22 43.90 35.15Parenting 21.79 19.02 40.00 Parenting 22.35 19.51 40.60Other - grief and loss 17.88 27.80 13.93 Other - grief and loss 17.88 28.29 13.33 “MyTime is about time for you and talking about the things that you know- Isolation 37.43 28.29 26.06 - Isolation 41.34 29.75 26.06 other people in the group will understand.”- Transition to parenting 30.17 35.60 12.72 - Transition to parenting 30.73 37.07 12.72
    • 14 Social Work Program Community Programs 15 MyTimeAccess to a qualified social worker and family therapist is The parents using the social work service are presenting with MyTime is a social connection and support program for Counts. They were joined by council representatives from theavailable to all families admitted to the residential unit. increasingly complex issues. They may be experiencing financial the parents and carers of young children with a disability, home and community care sector and disability workers lobbying hardship, isolation, relationship stress or unreasonable parenting developmental delay or chronic medical condition. Groups for the introduction of a National Disability Insurance Scheme.The service continues to provide one-off sessions of individual expectations, drug or alcohol dependency. come together and discuss parent education themed aroundor couple counselling, advocacy, interventions and community Myself, My Community and My Child. In 2011 age criterion for The groups were confident initiating and establishing a gymreferrals as necessary. Sometimes couples will require more In some cases the service is also offered to a child’s grandparents parent’s eligibility in MyTime groups was raised to sixteen years. group for their children and their own support group inthan one session to establish ongoing supports within the or aunt, in order to maximise the support for the parents. Caroline Springs, filling a need in their community.extended family or local community. Families new to Australia present with quite complex housing Tweddle facilitates several MyTime groups in Altona Meadows, and financial needs. There is often a need for the social worker Footscray, Point Cook, Deer Park and Hillside. This year new Tweddle was fortunate to receive funding grants from twoUnfortunately, parents referred to community service providers to contact several organisations to clarify what support the groups formed in Werribee in partnership with Warringa Park local councils to assist with venue hire.can sometimes face a lengthy wait - particularly for counselling, family is receiving and to connect them with available services. School and in Altona Meadows with Western Autistic School.housing, drug and alcohol support. The groups’ activities extended to advocating for themselves MyTime members can now keep up-to-date with what The social work program saw 165 parents between 1 July 2011 by participating in community events. In August, MyTime other groups are doing by visiting the MyTime page of the and 30 June 2012. There were 96 referrals, either back to current parents organised a morning tea on behalf of Every Australian Tweddle website. counsellors or to community organisations and support services. MyTime Member Attendance 600 500 400 300 200 100 Altona Deer Park Footscray Hillside Hoppers Point Cook Total Meadows Crossing / Werribee Social Support Reasons for Referral (%)Assessment Outcome Reason for referral 2009-10 2010-11 2011-12 Risk factors at end of consult 2009-10 2010-11 2011-12Domestic violence 13.97 24.39 26.66 Domestic violence 13.41 23.41 15.15Stress / high anxiety 39.11 45.36 38.78 Stress / high anxiety 46.93 46.34 40.60Primary relationship 64.25 71.70 64.84 Primary relationship 65.36 71.21 64.24Other relationship 44.13 38.53 23.63 Other relationship 44.13 37.56 25.45 “I look forward to MyTime groups for networking and emotional support.Disability parent or child 12.29 14.15 21.81 Disability parent or child 18.44 14.14 27.42 I have forged great friendships from the group.”Sexual abuse 1.68 Not Reported 2.42 Sexual abuse 1.68 Not Reported 2.42Drug and Alcohol 2.79 9.26 7.27 Drug and Alcohol 4.47 8.02 7.87 “I always walk out with a smile and feeling better about life and its challenges.”Financial 26.82 43.90 34.54 Financial 40.22 43.90 35.15Parenting 21.79 19.02 40.00 Parenting 22.35 19.51 40.60Other - grief and loss 17.88 27.80 13.93 Other - grief and loss 17.88 28.29 13.33 “MyTime is about time for you and talking about the things that you know- Isolation 37.43 28.29 26.06 - Isolation 41.34 29.75 26.06 other people in the group will understand.”- Transition to parenting 30.17 35.60 12.72 - Transition to parenting 30.73 37.07 12.72
    • 16 17 Of the clients represented Most Common Categories for Disabilities MyTime Participation by Region in the survey sample 97%According to the MyTime Parenting Research Centre Data Base the most common categories are mothers. 24 % of thefor disabilities are Autism Spectrum Disorder 53% and Global Developmental Delay 35%. 18 clients attending MyTime were from Cultural and 4% Linguistically Diverse families. 4% Autism Spectrum Disorder 16 5% Their backgrounds include Development Delay Afghanistan, Albania, 14 Not yet specified Samoa, Ethiopia, Italy, 12 India, New Zealand, Malta, Down Syndrome United Kingdom and Sudan. Cerebral Palsy Languages spoken were 53% 10 Arabic, Italian, Maltese, 35% Punjabi, Tamil and Turkish. 8 According to parent reports 6 in the survey sample 61% of children were under the age 4 of five and 35% were between the ages of six to sixteen years. 2 Occurrence of Different Reasons given for Attending Hillside Werribee Deer Park Footscray Hoppers Crossing / Point Cook Meadows Altona 90 Group size Average Attendance 80 Registrations 70 Community Based Breastfeeding Program 60 50 Thanks to the continued support of the Smith Family and the Communities for 600 follow up phone calls were made and written Children program together with the support of Best Start Brimbank, Tweddle breastfeeding information was also provided to all 40 has continued through 2011-12 to provide community based support for families specific to the difficulties being experienced. breastfeeding. This year the program provided home visits to 183 families This often included breastfeeding plans. 30 in Brimbank area, assisting and supporting mothers to breastfeed their babies. The support included follow up where needed and 68 families had 2 visits, Of babies who reached 6 months old during the 20 22 had 3 visits, 8 had 4 visits and 1 family used the service 5 times. year, 40% were still exclsuively breastfeeding, 20% were partially breastfeeding (60% still breastfeeding) 10 and 27% had weaned. 13 % could not be contacted. Breastfeeding at 6 Months of Age Came to see what happens Breastfeeding classes for Vietnamese women Self care Parenting support Behaviour To help and support Education parent/s (eg if grandparent) Emotional wellbeing Parent or carer of child/ren To find out what more help is available in the community Uninterrupted coffee time Relax Connect A bit of everything Sleep and Settling with a disability To get support and information of my own and their partners/support person were provided 13% bi-monthly and breastfeeding education was provided to multicultural playgroups. Breastfeeding education sessions provided for Fully breastfeeding 40% health professionals including Maternal and Child 27% Partially breastfeeding Health Nurses (MCHNs), Sunshine Hospital maternity Formula feeding and Special Care Nursery staff and GeneralThis graph demonstrates correspondence between the aim of the group which provides support and the needs of the parents. Practitioners in the Brimbank area. Could not be contactedSome clients gave more than one reason for attending the MyTime program. As indicated above, three per cent of clients in thesample indicated that sleep and settling were a reason for attending. Seventeen per cent gave self care as a reason for attending, Families visited were, in some cases requiring other42% behaviour, 47% education, 81% parenting support, 14% to help and support parent, 47% emotional wellbeing, 6% as parent or 20% support services and referrals were made as needed.carer of children with a disability, 56% to find out what more help is available in the community. Three per cent each gave as reasons Referrals were made to services includingfor attending uninterrupted coffee time, relaxing, connecting, to see what happens, and for a bit of everything. paediatricians, GPs and social workers.
    • 16 17 Of the clients represented Most Common Categories for Disabilities MyTime Participation by Region in the survey sample 97%According to the MyTime Parenting Research Centre Data Base the most common categories are mothers. 24 % of thefor disabilities are Autism Spectrum Disorder 53% and Global Developmental Delay 35%. 18 clients attending MyTime were from Cultural and 4% Linguistically Diverse families. 4% Autism Spectrum Disorder 16 5% Their backgrounds include Development Delay Afghanistan, Albania, 14 Not yet specified Samoa, Ethiopia, Italy, 12 India, New Zealand, Malta, Down Syndrome United Kingdom and Sudan. Cerebral Palsy Languages spoken were 53% 10 Arabic, Italian, Maltese, 35% Punjabi, Tamil and Turkish. 8 According to parent reports 6 in the survey sample 61% of children were under the age 4 of five and 35% were between the ages of six to sixteen years. 2 Occurrence of Different Reasons given for Attending Hillside Werribee Deer Park Footscray Hoppers Crossing / Point Cook Meadows Altona 90 Group size Average Attendance 80 Registrations 70 Community Based Breastfeeding Program 60 50 Thanks to the continued support of the Smith Family and the Communities for 600 follow up phone calls were made and written Children program together with the support of Best Start Brimbank, Tweddle breastfeeding information was also provided to all 40 has continued through 2011-12 to provide community based support for families specific to the difficulties being experienced. breastfeeding. This year the program provided home visits to 183 families This often included breastfeeding plans. 30 in Brimbank area, assisting and supporting mothers to breastfeed their babies. The support included follow up where needed and 68 families had 2 visits, Of babies who reached 6 months old during the 20 22 had 3 visits, 8 had 4 visits and 1 family used the service 5 times. year, 40% were still exclsuively breastfeeding, 20% were partially breastfeeding (60% still breastfeeding) 10 and 27% had weaned. 13 % could not be contacted. Breastfeeding at 6 Months of Age Came to see what happens Breastfeeding classes for Vietnamese women Self care Parenting support Behaviour To help and support Education parent/s (eg if grandparent) Emotional wellbeing Parent or carer of child/ren To find out what more help is available in the community Uninterrupted coffee time Relax Connect A bit of everything Sleep and Settling with a disability To get support and information of my own and their partners/support person were provided 13% bi-monthly and breastfeeding education was provided to multicultural playgroups. Breastfeeding education sessions provided for Fully breastfeeding 40% health professionals including Maternal and Child 27% Partially breastfeeding Health Nurses (MCHNs), Sunshine Hospital maternity Formula feeding and Special Care Nursery staff and GeneralThis graph demonstrates correspondence between the aim of the group which provides support and the needs of the parents. Practitioners in the Brimbank area. Could not be contactedSome clients gave more than one reason for attending the MyTime program. As indicated above, three per cent of clients in thesample indicated that sleep and settling were a reason for attending. Seventeen per cent gave self care as a reason for attending, Families visited were, in some cases requiring other42% behaviour, 47% education, 81% parenting support, 14% to help and support parent, 47% emotional wellbeing, 6% as parent or 20% support services and referrals were made as needed.carer of children with a disability, 56% to find out what more help is available in the community. Three per cent each gave as reasons Referrals were made to services includingfor attending uninterrupted coffee time, relaxing, connecting, to see what happens, and for a bit of everything. paediatricians, GPs and social workers.
    • 18 19Day Stay Program Arbour ProjectThe Day Stay program is a service that aims to Late last year management at the Department Human We are confident this innovative project will be found to beprovide parents with opportunities to increase Services, North Western Metropolitan Region identified the a productive collaboration between Tweddle, HMIFS and thetheir understanding of the issues affecting their priority of trialling a new approach to parenting support and Department of Human Services. The program was limited byparenting and to provide a safe environment skill development during supervised access visits. Tweddle non recurrent funding and again a future options report willwhere they are able to apply different strategies was approached to partner with departmental specialists be developed based on the research reports.to manage their parenting concerns. These to develop and implement a new program for parents Prison Parenting Projectaims are achieved by enabling parents to visiting their children at a facility specially designed for access.develop specific goals to improve their physical, The project objectives focused on working towards familysocial and emotional wellbeing. reunification as well as seeking to achieve positive experiences for access visits for the children and their parents. The important job of parenting education must continueThe program is delivered in an interactive even for those people who are temporarily incarcerated. The project commenced at the beginning of the year andmanner that facilitates parents input via ran in three distinct phases. The first group was led by the In February 2012, Tweddle re-introduced, with the support ofcoaching and guidance by staff in a range Tweddle team. Learnings from this group led to an adapted the Office of Corrections, a parenting program at the Dameof parenting strategies. phase two group that was facilitated in partnership with Phyllis Frost maximum security women’s prison. Department Human Service child protection specialists. TheThe program is conducted in Footscray, third and final group in the project concluded at the end of Depending on the need, the women are offered eitherWerribee, Geelong, Terang and Bacchus Marsh June and was also run in partnership. The program applied individual or group early parenting education.for members of the general community. the principles of the Parenting with Feelings Program developed and evaluated by Professor Louise Newman, Monash University. The program is available to all women, but targeting thoseThis year we continued to provide a culturally Prof Newman adapted the program for the supervised acess who are pregnant, or have a child up to five years of agespecific day stay program for the Vietnamese context and has led the research component of the project. either residing with them in prison or in alternative care.community in Brimbank in Melbourne’s west. The project’s success will be evaluated externally byThe program was conducted in partnership Synergistiq (formerly Success Works). The research reports The parenting education program focused on:with ISIS Primary Care. are expected early in 2012-13 and the project will be finalised problem solving by exploring options for the future, based on the research parenting skills and strengthsThe Brimbank program was supported by and evaluation reports. understanding a child’s development anda maternal and child health nurse and an developmental needsexperienced bilingual counsellor and social Preliminary findings are very encouraging. The positive skill parent-child relationships and attachmentworker. In addition to providing parenting development, with a focus on bonding, attachment and age-appropriate parenting strategiesskills, the program fostered a strong sense of understanding the child’s needs, will greatly enhance the the family experience when a young child visitscommunity for newly arrived Vietnamese prospects for successful reunification of parent and childfamilies. Funding for the Brimbank program and the enjoyment of spending time as a family during At 30 June, 20 individual consultations have taken place anddid not extend beyond June 2012. access. Tweddle is grateful to all involved in this innovative one group session of eight participants. All women provided project, especially management and staff of the department extremely positive feedback on the sessions.Day Stay documentation, printed materials and the access centre and looks forward to workingand educational resources were assessed for together to develop the program further.their cultural and linguistic relevance and Childbirth Classes The ChildFIRSTcomprehension. Some valuable lessons werelearned from the exercise. Where appropriate, Our childbirth participation/education classes - run inchanges will be made to our mainstreamservice communication materials to enhance Parenting Program conjunction with Western Health - have been extremely well attended. With Tuesday evening sessions and thethe service for our culturally and linguistically fortnightly Saturday sessions all full, we are looking at the In conjunction with Hume Moreland Integrated Familydiverse clients. feasibility of offering additional days. Services (HMIFS), Tweddle this year ran a pilot program of specialist in-home early parenting support for families The sessions are run by qualified midwives and childbirth referred by ChildFIRST. educators and help to prepare families for the later stages The general day stay program was formally evaluated this year. The research was undertaken in collaboration with Priority was given to vulnerable families with children under of pregnancy, childbirth, establishing breastfeeding, and Dr Heather Rowe, The Jean Hailes Foundation, Monash University. The Tweddle funded research has now been completed four years, or where at least one child was under 12 months early parenting. and the outcomes of the research are being considered by Tweddle board and management and will lead to new directions of age, or the mother was pregnant. in Tweddle’s service delivery to the community. Families from Vietnam, Bosnia, the Philippines, Poland, New Again, the pilot project is currently in the evaluation stage. Zealand, Australia, India and China, to name a few, have However it does appear to have delivered positive health joined the classes with the common goal of giving their child outcomes for families that were struggling to meet the needs the best start in life. The richness of cultural diversity in the of their children. programs is a joyful part of the program.
    • 18 19Day Stay Program Arbour ProjectThe Day Stay program is a service that aims to Late last year management at the Department Human We are confident this innovative project will be found to beprovide parents with opportunities to increase Services, North Western Metropolitan Region identified the a productive collaboration between Tweddle, HMIFS and thetheir understanding of the issues affecting their priority of trialling a new approach to parenting support and Department of Human Services. The program was limited byparenting and to provide a safe environment skill development during supervised access visits. Tweddle non recurrent funding and again a future options report willwhere they are able to apply different strategies was approached to partner with departmental specialists be developed based on the research reports.to manage their parenting concerns. These to develop and implement a new program for parents Prison Parenting Projectaims are achieved by enabling parents to visiting their children at a facility specially designed for access.develop specific goals to improve their physical, The project objectives focused on working towards familysocial and emotional wellbeing. reunification as well as seeking to achieve positive experiences for access visits for the children and their parents. The important job of parenting education must continueThe program is delivered in an interactive even for those people who are temporarily incarcerated. The project commenced at the beginning of the year andmanner that facilitates parents input via ran in three distinct phases. The first group was led by the In February 2012, Tweddle re-introduced, with the support ofcoaching and guidance by staff in a range Tweddle team. Learnings from this group led to an adapted the Office of Corrections, a parenting program at the Dameof parenting strategies. phase two group that was facilitated in partnership with Phyllis Frost maximum security women’s prison. Department Human Service child protection specialists. TheThe program is conducted in Footscray, third and final group in the project concluded at the end of Depending on the need, the women are offered eitherWerribee, Geelong, Terang and Bacchus Marsh June and was also run in partnership. The program applied individual or group early parenting education.for members of the general community. the principles of the Parenting with Feelings Program developed and evaluated by Professor Louise Newman, Monash University. The program is available to all women, but targeting thoseThis year we continued to provide a culturally Prof Newman adapted the program for the supervised acess who are pregnant, or have a child up to five years of agespecific day stay program for the Vietnamese context and has led the research component of the project. either residing with them in prison or in alternative care.community in Brimbank in Melbourne’s west. The project’s success will be evaluated externally byThe program was conducted in partnership Synergistiq (formerly Success Works). The research reports The parenting education program focused on:with ISIS Primary Care. are expected early in 2012-13 and the project will be finalised problem solving by exploring options for the future, based on the research parenting skills and strengthsThe Brimbank program was supported by and evaluation reports. understanding a child’s development anda maternal and child health nurse and an developmental needsexperienced bilingual counsellor and social Preliminary findings are very encouraging. The positive skill parent-child relationships and attachmentworker. In addition to providing parenting development, with a focus on bonding, attachment and age-appropriate parenting strategiesskills, the program fostered a strong sense of understanding the child’s needs, will greatly enhance the the family experience when a young child visitscommunity for newly arrived Vietnamese prospects for successful reunification of parent and childfamilies. Funding for the Brimbank program and the enjoyment of spending time as a family during At 30 June, 20 individual consultations have taken place anddid not extend beyond June 2012. access. Tweddle is grateful to all involved in this innovative one group session of eight participants. All women provided project, especially management and staff of the department extremely positive feedback on the sessions.Day Stay documentation, printed materials and the access centre and looks forward to workingand educational resources were assessed for together to develop the program further.their cultural and linguistic relevance and Childbirth Classes The ChildFIRSTcomprehension. Some valuable lessons werelearned from the exercise. Where appropriate, Our childbirth participation/education classes - run inchanges will be made to our mainstreamservice communication materials to enhance Parenting Program conjunction with Western Health - have been extremely well attended. With Tuesday evening sessions and thethe service for our culturally and linguistically fortnightly Saturday sessions all full, we are looking at the In conjunction with Hume Moreland Integrated Familydiverse clients. feasibility of offering additional days. Services (HMIFS), Tweddle this year ran a pilot program of specialist in-home early parenting support for families The sessions are run by qualified midwives and childbirth referred by ChildFIRST. educators and help to prepare families for the later stages The general day stay program was formally evaluated this year. The research was undertaken in collaboration with Priority was given to vulnerable families with children under of pregnancy, childbirth, establishing breastfeeding, and Dr Heather Rowe, The Jean Hailes Foundation, Monash University. The Tweddle funded research has now been completed four years, or where at least one child was under 12 months early parenting. and the outcomes of the research are being considered by Tweddle board and management and will lead to new directions of age, or the mother was pregnant. in Tweddle’s service delivery to the community. Families from Vietnam, Bosnia, the Philippines, Poland, New Again, the pilot project is currently in the evaluation stage. Zealand, Australia, India and China, to name a few, have However it does appear to have delivered positive health joined the classes with the common goal of giving their child outcomes for families that were struggling to meet the needs the best start in life. The richness of cultural diversity in the of their children. programs is a joyful part of the program.
    • 20 Research Corporate Report 21 Infrastructure Information ManagementTweddle has truly consolidated its research focus and The study aimed to understand the characteristics and needs Tweddle’s Footscray facility remains in need of renovation In April 2012, Tweddle and QEC’s jointly developed electronicreputation this year. of the families accessing the day stay services with infants up and refurbishment. The age of the buildings and structure/ client record management system - TWEQ - was rolled out. The to one year old. It also looked at changes in parents’ mental layout limit our ability to respond to the individual needs of new system has many innovative features such as passwordWe have formed new and productive partnerships with health and infant behaviour after their stay and evaluated different clients and importantly, to fully introduce new protected secure portals for families to access remotely, andDeakin University in the School of Psychology and the Jean client satisfaction with the program. models of practice. automated reporting for funders and management.Hailes Research Unit at Monash University. The findings indicate the program addresses women’s The section of the roof over the laundry, kitchen and utility Of course, the new system will meet all health and communityOur successful relationship with the Parenting Research emotional needs and improves infant sleep and settling area has been further damaged due to stormwater events. service information requirements. For Tweddle team membersCentre is ongoing. behaviours. The residential unit had to be evacuated in late May due it will bring many changes and benefits into their work and to stormwater inundation and the risk posed by the water offer time savings. Training was generously funded by theAlthough our formal partnership with the School of Nursing The researcher’s suggested improvements include modifying in the electrical systems. Successful evacuation was conducted R E Ross Trust.and Midwifery at La Trobe University has concluded, we program materials and teaching strategies to cater for clients with the support of State Emergency Services and relevantthank them for the support provided for the development with less formal education, as well as addressing the barriers contractors. All families received follow up support and We recognised early on that big organisational changesof the research program at Tweddle. faced by families referred to other services after discharge. admission as needed. would be required to move from a paper based case management system. So the implementation process wasNational Health and The research confirms Tweddle’s important place in the The entire roof section needs to be lifted to repair the designed to ensure plenty of trialling, testing and training continuum of care for families situated between the universal damage. The work is scheduled however it has been opportunities to effectively and efficiently manage theMedical Research maternal and child health services and the Tweddle residential program. delayed because of safety and streetscape issues. It is anticipated that the work will be completed early in the changes in work practice.Council Grant The research findings have been submitted for publication in new financial year. The roll out process has been very smooth with staff embracing the change positively. Notwithstanding this, a peer-reviewed journal. Over the last three years, movement in the foundations had there are of course some system issues that have beenTweddle and other early parenting centres have created a significant ridge and OHS risk across the floor identified and these are being actively managed by our PlayStepsparticipated in a National Health and Medical Research of the residential unit and reception area. Apart from the provider, the project team and the user groups in eachCouncil funded project titled ‘Evidence of effectiveness obvious tripping hazard, concerns were raised about the agency. It is anticipated that the system will stand aloneof brief admissions to residential early parenting services integrity of the building’s structure. An engineer’s report for data and reporting early 2012-13.compared to standard care for women, their infant and The PlaySteps program was developed by QEC. The pilot found the area to be safe and remedial repairs have beenthe mother-infant relationship.’ and research was funded by the Department of Health, undertaken to realign the slabs and tie them together. It In addition to streamlining work practices and improving Department of Human Services and the National Post natal is pleasing to report that this work was not as costly as first management and government reporting, the shared systemThe study was conducted by Professor J. Fisher, Dr H. Rowe Depression Intitive (NPDI). The pilot was conducted across anticipated. will provide enormous opportunities to undertake collaborativeand others from the Jean Hailes Research Unit at QEC, O’Connell Family Centre and Tweddle programs. research and benchmark practice. It will provide a valuableMonash University. The board approved the funding of these repairs from asset to the State - a comprehensive data set on early Specifically, the researchers wanted to assess: reserves. It is recognised that funding of major repairs to parenting in Victoria.The study indicates that mothers who are experiencing an aging facility cannot be supported long term and as improvement in parent and child interactionemotional distress and have been admitted with infants a matter of urgency a solution to achieve a refurbished Other advances in ICT this year include:aged about four months to a residential early parenting increase in enjoyment and confidence in parenting or new facility must be found. the purchase of dedicated internet line for the new systemprogram experience significant improvements in their mood, changes to parent professional and social networks after to maximise response timestheir infant’s sleeping and crying behaviours and in their participation The City of Greater Geelong has approved works conducted continuing the established three year asset replacementrelationship with their child, compared to women who effect on overall parent wellbeing on the Waurn Ponds facility to comply with disability access program for ICTreceive usual care in the community. requirements. It has, however, been identified that further changes in children’s social and emotional competency signing of an agreement with a new contractor providing works are required. These works relate to widening ofDay Stay Research ICT and network support The study found the program improved parental wellbeing access to bathrooms and bedrooms. Tweddle is grateful for further development of Tweddle social media presence and sense of efficacy in the parenting role. Parents reported the generous support of the Give Where You Live Foundation especially through Facebook and Twitter positive social and emotional changes in their child and that for grant funding to complete the works.Dr Heather Rowe and Dr Sonia McCallum from the Jean purchase and implementation of enhanced internet they, themselves, were more involved in their community. TheHailes Research Unit at Monash University have conducted security use of community resources has increased after participationresearch and evaluation of the Tweddle Day Stay program. in the program and an improved perception that personal the introduction of an enhanced computer back-up relationships have been more positive. system providing greater protection of electronic records and tighter privacy and security systems wireless networking of Footscray site
    • 20 Research Corporate Report 21 Infrastructure Information ManagementTweddle has truly consolidated its research focus and The study aimed to understand the characteristics and needs Tweddle’s Footscray facility remains in need of renovation In April 2012, Tweddle and QEC’s jointly developed electronicreputation this year. of the families accessing the day stay services with infants up and refurbishment. The age of the buildings and structure/ client record management system - TWEQ - was rolled out. The to one year old. It also looked at changes in parents’ mental layout limit our ability to respond to the individual needs of new system has many innovative features such as passwordWe have formed new and productive partnerships with health and infant behaviour after their stay and evaluated different clients and importantly, to fully introduce new protected secure portals for families to access remotely, andDeakin University in the School of Psychology and the Jean client satisfaction with the program. models of practice. automated reporting for funders and management.Hailes Research Unit at Monash University. The findings indicate the program addresses women’s The section of the roof over the laundry, kitchen and utility Of course, the new system will meet all health and communityOur successful relationship with the Parenting Research emotional needs and improves infant sleep and settling area has been further damaged due to stormwater events. service information requirements. For Tweddle team membersCentre is ongoing. behaviours. The residential unit had to be evacuated in late May due it will bring many changes and benefits into their work and to stormwater inundation and the risk posed by the water offer time savings. Training was generously funded by theAlthough our formal partnership with the School of Nursing The researcher’s suggested improvements include modifying in the electrical systems. Successful evacuation was conducted R E Ross Trust.and Midwifery at La Trobe University has concluded, we program materials and teaching strategies to cater for clients with the support of State Emergency Services and relevantthank them for the support provided for the development with less formal education, as well as addressing the barriers contractors. All families received follow up support and We recognised early on that big organisational changesof the research program at Tweddle. faced by families referred to other services after discharge. admission as needed. would be required to move from a paper based case management system. So the implementation process wasNational Health and The research confirms Tweddle’s important place in the The entire roof section needs to be lifted to repair the designed to ensure plenty of trialling, testing and training continuum of care for families situated between the universal damage. The work is scheduled however it has been opportunities to effectively and efficiently manage theMedical Research maternal and child health services and the Tweddle residential program. delayed because of safety and streetscape issues. It is anticipated that the work will be completed early in the changes in work practice.Council Grant The research findings have been submitted for publication in new financial year. The roll out process has been very smooth with staff embracing the change positively. Notwithstanding this, a peer-reviewed journal. Over the last three years, movement in the foundations had there are of course some system issues that have beenTweddle and other early parenting centres have created a significant ridge and OHS risk across the floor identified and these are being actively managed by our PlayStepsparticipated in a National Health and Medical Research of the residential unit and reception area. Apart from the provider, the project team and the user groups in eachCouncil funded project titled ‘Evidence of effectiveness obvious tripping hazard, concerns were raised about the agency. It is anticipated that the system will stand aloneof brief admissions to residential early parenting services integrity of the building’s structure. An engineer’s report for data and reporting early 2012-13.compared to standard care for women, their infant and The PlaySteps program was developed by QEC. The pilot found the area to be safe and remedial repairs have beenthe mother-infant relationship.’ and research was funded by the Department of Health, undertaken to realign the slabs and tie them together. It In addition to streamlining work practices and improving Department of Human Services and the National Post natal is pleasing to report that this work was not as costly as first management and government reporting, the shared systemThe study was conducted by Professor J. Fisher, Dr H. Rowe Depression Intitive (NPDI). The pilot was conducted across anticipated. will provide enormous opportunities to undertake collaborativeand others from the Jean Hailes Research Unit at QEC, O’Connell Family Centre and Tweddle programs. research and benchmark practice. It will provide a valuableMonash University. The board approved the funding of these repairs from asset to the State - a comprehensive data set on early Specifically, the researchers wanted to assess: reserves. It is recognised that funding of major repairs to parenting in Victoria.The study indicates that mothers who are experiencing an aging facility cannot be supported long term and as improvement in parent and child interactionemotional distress and have been admitted with infants a matter of urgency a solution to achieve a refurbished Other advances in ICT this year include:aged about four months to a residential early parenting increase in enjoyment and confidence in parenting or new facility must be found. the purchase of dedicated internet line for the new systemprogram experience significant improvements in their mood, changes to parent professional and social networks after to maximise response timestheir infant’s sleeping and crying behaviours and in their participation The City of Greater Geelong has approved works conducted continuing the established three year asset replacementrelationship with their child, compared to women who effect on overall parent wellbeing on the Waurn Ponds facility to comply with disability access program for ICTreceive usual care in the community. requirements. It has, however, been identified that further changes in children’s social and emotional competency signing of an agreement with a new contractor providing works are required. These works relate to widening ofDay Stay Research ICT and network support The study found the program improved parental wellbeing access to bathrooms and bedrooms. Tweddle is grateful for further development of Tweddle social media presence and sense of efficacy in the parenting role. Parents reported the generous support of the Give Where You Live Foundation especially through Facebook and Twitter positive social and emotional changes in their child and that for grant funding to complete the works.Dr Heather Rowe and Dr Sonia McCallum from the Jean purchase and implementation of enhanced internet they, themselves, were more involved in their community. TheHailes Research Unit at Monash University have conducted security use of community resources has increased after participationresearch and evaluation of the Tweddle Day Stay program. in the program and an improved perception that personal the introduction of an enhanced computer back-up relationships have been more positive. system providing greater protection of electronic records and tighter privacy and security systems wireless networking of Footscray site
    • 22 23 Communications A further review of Tweddle’s web presence was undertaken In March it was very exciting to participate in the inaugural forum and a revised site will be published in early 2012-13. This of all staff of the three publicly funded early parenting centres: site includes registration for health professionals and other O’Connell, QEC and Tweddle. We were delighted that Minister referrers, secure network access for the board and staff and Wooldridge joined us and opened the event. increased interaction for families. We all enjoyed activities to get the day started as well as some stimulating presentations on sector research, a panel Tweddle’s presence in social media, specifically Facebook, exploration of the experience of families accessing our services Twitter, Slideshare and Flickr has been a great success and insights into the needs of aboriginal families. The agenda with a steady increase in followers and interaction. These for the day was very busy and one of the great outcomes was media channels help spread Tweddle messages to a wider the opportunity to meet with colleagues from other agencies audience and communicate valuable information and and to celebrate the important work we do. It is planned to resources to parents and other health professionals. regularly run the event and use the day to benchmark practice and to share initiatives and quality practice. A joint communications strategy for all three publicly funded Early Parenting Centres was endorsed. This strategy links very An Occupational Health and Safety audit was conducted by strongly to our strategic plan and our social media strategy. VHIA. The audit was conducted to confirm compliance with Our People It is exciting to be working together with our sister agencies, relevant legislation and to recommend any improvements that QEC and O’Connell Family Centre, to achieve a shared would strengthen our OHS practices. Overall Tweddle’s practices service vision. were compliant with legislation and considered of a good standard. We are currently implementing a number of The Tweddle workforce at 30 June 2012 was 35.6 EFT comprised To ensure that Tweddle continues to enjoy its highly expert Human Resources suggestions that resulted from the audit. of 62 permanent and part time staff on the payroll and a and qualified workforce, a number of strategies have been nursing bank of 40. adopted. Cultural competence training was conducted for all Tweddle This year all executives and managers participated in employees so we can better meet the needs of Aboriginal The professional profile of staff is as follows: These include: workshops to improve recruitment and selection procedures, families. Uncle Reg Blow provided the learning and we are The Betty Hassold Scholarship for maternal & child health as well as the induction and probation process. very grateful to Colleen Marion of The Gathering Place and Staff Profile EFT Strengthened multidisciplinary approach Uncle Reg for a wonderful learning experience and for supporting Significant induction and professional development 2010-11 2011-12 Tweddle’s leave policy was reviewed and strengthened. Tweddle improve services. The generosity of community members Support of clinical placement programs Meetings were held with WorkSafe to look at how we can who gave their time to come to the sessions and tell their stories Registered Nurses 12.4 11.5 Partnership approaches to some services promote and enhance our health and wellbeing policies. was fantastic and we thank them so much for their time and Early Childhood Professionals 12.4 9.9 honesty. We now look forward to working with local services Psychologists 1.5 1.6 The following training and professional development A new Enterprise Bargaining Agreement (EBA) was and The Gathering Place in particular as a local health service. opportunities were provided to staff during the year: negotiated between the Victorian Government and VHIA Social Workers 2.6 1.8 OHS for managers Finance and the ANF to cover nursing staff for the period 2012 - 2016. Accountants 1.0 0.6 After an initial proposal from the Government to exclude Dealing with aggressive clients Tweddle and QEC from the public sector agreement, both Corporate Staff 10.7 10.2 Client service centres did retain their public hospital status and were An internal audit of purchasing and payments was undertaken Meaningful Meetings included in the EBA. Some industrial action was taken by in August 2011. NCAST (Nursing Child Assessment Satellite Training) nurses during the negotiations supporting the inclusion of During the year there were three workplace injuries reported Sleep and settling techniques and strategies for Tweddle and QEC in the agreement. Tweddle is pleased to once again report a net break even result resulting in work cover claims and a total of 112.7 days lost. responsive parenting for delivery of the Health Services Agreement. The financial Goal setting – for families Key actions taken at Tweddle were: reporting has been complex given the number of non recurrent Staff turnover for the year was 23%. Recruitment and selection 1 in 4 telephone consultations and triage not undertaken funded projects and that funding for a number of the projects was While our staff turnover remains high, it is consistent with prior Induction 1 in 4 residential admissions (beds) not filled received and recognised, as is required by accounting standards, 1 in 4 day programs not conducted in prior planning periods. Detailed reporting on a monthly basis as years. The reasons for leaving were varied with retirement, Finance for non financial managers These actions resulted in 70 fewer residential admissions and well as a whole of life project reporting framework was established study, travel and other lifestyle reasons being the most Introduction to management for new Tweddle managers 72 fewer day admissions. to ensure a high standard of reporting and transparency. common. CPR Systems training The important role of Director of Nursing was filled in March Other achievements in finance for the year were: Many staff work elsewhere in addition to their role at Tweddle. 2012 after the departure last year of our long-standing Reviewed accounts payable and receivable policies It is common for staff to vary hours to get the balance of work A three-year calendar of professional development has Director, Ms Ann Hindell. Acceptance and implementation of recommendations and life right. This leads to turnover as well as a number of staff being developed and includes clinical, corporate, OHS and from an internal audit of purchasing and payments returning to Tweddle either as bank staff or in new roles. fire safety training. An electronic training and professional Review of investment portfolio management The turnover includes this staff movement. development register will also be implemented. Review of risk systems and processes
    • 22 23 Communications A further review of Tweddle’s web presence was undertaken In March it was very exciting to participate in the inaugural forum and a revised site will be published in early 2012-13. This of all staff of the three publicly funded early parenting centres: site includes registration for health professionals and other O’Connell, QEC and Tweddle. We were delighted that Minister referrers, secure network access for the board and staff and Wooldridge joined us and opened the event. increased interaction for families. We all enjoyed activities to get the day started as well as some stimulating presentations on sector research, a panel Tweddle’s presence in social media, specifically Facebook, exploration of the experience of families accessing our services Twitter, Slideshare and Flickr has been a great success and insights into the needs of aboriginal families. The agenda with a steady increase in followers and interaction. These for the day was very busy and one of the great outcomes was media channels help spread Tweddle messages to a wider the opportunity to meet with colleagues from other agencies audience and communicate valuable information and and to celebrate the important work we do. It is planned to resources to parents and other health professionals. regularly run the event and use the day to benchmark practice and to share initiatives and quality practice. A joint communications strategy for all three publicly funded Early Parenting Centres was endorsed. This strategy links very An Occupational Health and Safety audit was conducted by strongly to our strategic plan and our social media strategy. VHIA. The audit was conducted to confirm compliance with Our People It is exciting to be working together with our sister agencies, relevant legislation and to recommend any improvements that QEC and O’Connell Family Centre, to achieve a shared would strengthen our OHS practices. Overall Tweddle’s practices service vision. were compliant with legislation and considered of a good standard. We are currently implementing a number of The Tweddle workforce at 30 June 2012 was 35.6 EFT comprised To ensure that Tweddle continues to enjoy its highly expert Human Resources suggestions that resulted from the audit. of 62 permanent and part time staff on the payroll and a and qualified workforce, a number of strategies have been nursing bank of 40. adopted. Cultural competence training was conducted for all Tweddle This year all executives and managers participated in employees so we can better meet the needs of Aboriginal The professional profile of staff is as follows: These include: workshops to improve recruitment and selection procedures, families. Uncle Reg Blow provided the learning and we are The Betty Hassold Scholarship for maternal & child health as well as the induction and probation process. very grateful to Colleen Marion of The Gathering Place and Staff Profile EFT Strengthened multidisciplinary approach Uncle Reg for a wonderful learning experience and for supporting Significant induction and professional development 2010-11 2011-12 Tweddle’s leave policy was reviewed and strengthened. Tweddle improve services. The generosity of community members Support of clinical placement programs Meetings were held with WorkSafe to look at how we can who gave their time to come to the sessions and tell their stories Registered Nurses 12.4 11.5 Partnership approaches to some services promote and enhance our health and wellbeing policies. was fantastic and we thank them so much for their time and Early Childhood Professionals 12.4 9.9 honesty. We now look forward to working with local services Psychologists 1.5 1.6 The following training and professional development A new Enterprise Bargaining Agreement (EBA) was and The Gathering Place in particular as a local health service. opportunities were provided to staff during the year: negotiated between the Victorian Government and VHIA Social Workers 2.6 1.8 OHS for managers Finance and the ANF to cover nursing staff for the period 2012 - 2016. Accountants 1.0 0.6 After an initial proposal from the Government to exclude Dealing with aggressive clients Tweddle and QEC from the public sector agreement, both Corporate Staff 10.7 10.2 Client service centres did retain their public hospital status and were An internal audit of purchasing and payments was undertaken Meaningful Meetings included in the EBA. Some industrial action was taken by in August 2011. NCAST (Nursing Child Assessment Satellite Training) nurses during the negotiations supporting the inclusion of During the year there were three workplace injuries reported Sleep and settling techniques and strategies for Tweddle and QEC in the agreement. Tweddle is pleased to once again report a net break even result resulting in work cover claims and a total of 112.7 days lost. responsive parenting for delivery of the Health Services Agreement. The financial Goal setting – for families Key actions taken at Tweddle were: reporting has been complex given the number of non recurrent Staff turnover for the year was 23%. Recruitment and selection 1 in 4 telephone consultations and triage not undertaken funded projects and that funding for a number of the projects was While our staff turnover remains high, it is consistent with prior Induction 1 in 4 residential admissions (beds) not filled received and recognised, as is required by accounting standards, 1 in 4 day programs not conducted in prior planning periods. Detailed reporting on a monthly basis as years. The reasons for leaving were varied with retirement, Finance for non financial managers These actions resulted in 70 fewer residential admissions and well as a whole of life project reporting framework was established study, travel and other lifestyle reasons being the most Introduction to management for new Tweddle managers 72 fewer day admissions. to ensure a high standard of reporting and transparency. common. CPR Systems training The important role of Director of Nursing was filled in March Other achievements in finance for the year were: Many staff work elsewhere in addition to their role at Tweddle. 2012 after the departure last year of our long-standing Reviewed accounts payable and receivable policies It is common for staff to vary hours to get the balance of work A three-year calendar of professional development has Director, Ms Ann Hindell. Acceptance and implementation of recommendations and life right. This leads to turnover as well as a number of staff being developed and includes clinical, corporate, OHS and from an internal audit of purchasing and payments returning to Tweddle either as bank staff or in new roles. fire safety training. An electronic training and professional Review of investment portfolio management The turnover includes this staff movement. development register will also be implemented. Review of risk systems and processes
    • 24 Quality 25 Tweddle is committed to fostering a culture of continuous Tweddle is also collaborating with Cobaw Community improvement in all areas of the organisation. Health Service, Kyneton Health and Kyneton Maternal Day Stay Client Outcomes and Child Health to deliver an integrated early parenting This year we had two successful external reviews conducted service in the Macedon Ranges region. This service will 90 by Australian Healthcare Associates and the Australian Council also support the growing regions of Sunbury, Gisborne on Healthcare Standards. and Woodend. 80 Both reviews reported that Tweddle is achieving excellence in 70 service delivery and that this is a priority within the organisation. The review conducted by Australian Healthcare Associates 60 Apr-Jun 11 was the first review of Tweddle as part of the accreditation of Tweddle as a community service organisation (CSO) under 50 July-Sept 11 the Children, Youth and Families Act 2005. The review was very Oct-Dec 11 positive with major areas meeting requirements. There were 40 however a number of “partially met” criteria - all of which Jan-Mar 12 have now been addressed. As part of the new accreditation 30 Apr-Jun 12 standards to be registered as a CSO Tweddle will seek formal registration early in the financial year following confirmation 20 that we are compliant and now meeting all standards. 10 The review process was a positive experience for all staff and reaffirmed our commitment to the ongoing quality withdrawn Client withdrew Goals not reached Goals partially reached Goals substantially reached Goals reached Service Information not recorded ‘plan – do – study – act’ evaluation cycle. The new electronic client record management system (TWEQ) will further add to our quality outcomes. It will allow Tweddle and QEC to achieve true and thorough benchmarking. The new system will also enable consistent reporting, access to valuable research data and timely evaluation and decision-making. In collaboration with the Department of Human Services, a broader suite of performance indicators has been developed for fatigue, confidence and attachment. These indicators take into account internal research and current government directions relating to early years and preparation for school. New initiatives Childbirth education programs in the community. Other new services that will be considered in the partnership include – direct referral pathways to a residential program from the maternity service, training and professional rotation programs, paediatric and psychiatric consults and other specialist medical services for young families. Strengthening service access for rural communities - integrated services and partnership being developed in the Goulburn Valley and Macedon Ranges.
    • 24 Quality 25 Tweddle is committed to fostering a culture of continuous Tweddle is also collaborating with Cobaw Community improvement in all areas of the organisation. Health Service, Kyneton Health and Kyneton Maternal Day Stay Client Outcomes and Child Health to deliver an integrated early parenting This year we had two successful external reviews conducted service in the Macedon Ranges region. This service will 90 by Australian Healthcare Associates and the Australian Council also support the growing regions of Sunbury, Gisborne on Healthcare Standards. and Woodend. 80 Both reviews reported that Tweddle is achieving excellence in 70 service delivery and that this is a priority within the organisation. The review conducted by Australian Healthcare Associates 60 Apr-Jun 11 was the first review of Tweddle as part of the accreditation of Tweddle as a community service organisation (CSO) under 50 July-Sept 11 the Children, Youth and Families Act 2005. The review was very Oct-Dec 11 positive with major areas meeting requirements. There were 40 however a number of “partially met” criteria - all of which Jan-Mar 12 have now been addressed. As part of the new accreditation 30 Apr-Jun 12 standards to be registered as a CSO Tweddle will seek formal registration early in the financial year following confirmation 20 that we are compliant and now meeting all standards. 10 The review process was a positive experience for all staff and reaffirmed our commitment to the ongoing quality withdrawn Client withdrew Goals not reached Goals partially reached Goals substantially reached Goals reached Service Information not recorded ‘plan – do – study – act’ evaluation cycle. The new electronic client record management system (TWEQ) will further add to our quality outcomes. It will allow Tweddle and QEC to achieve true and thorough benchmarking. The new system will also enable consistent reporting, access to valuable research data and timely evaluation and decision-making. In collaboration with the Department of Human Services, a broader suite of performance indicators has been developed for fatigue, confidence and attachment. These indicators take into account internal research and current government directions relating to early years and preparation for school. New initiatives Childbirth education programs in the community. Other new services that will be considered in the partnership include – direct referral pathways to a residential program from the maternity service, training and professional rotation programs, paediatric and psychiatric consults and other specialist medical services for young families. Strengthening service access for rural communities - integrated services and partnership being developed in the Goulburn Valley and Macedon Ranges.
    • 26 Declarations and Compliance 27 Incorporation communicated to staff. A register for all gifts and Tweddle Child + Family Health Service is a Schedule 1 hospitality is maintained. The Finance and Risk Committee Public Hospital incorporated under the Health Services of the Board annually reviews the policy and the register. Act 1988. In 2011-12 small gifts of appreciation from families were recorded. Formal attestation was made of Tweddle’s Freedom of Information procedures to Government by the CEO. There were 3 requests for information under the Freedom of Information Act 1982. All were responded to within Building and Maintenance Compliance the statutory time periods and no requests for review The buildings and general infrastructure were maintained were received. throughout the year. Remedial work was completed to level the slab in the playroom of the residential unit. Asset Management Work was also undertaken to replace a section of the roof. The Board has approved a rolling three-year asset A new path was laid and two disabled toilets were installed management plan. The new plan includes all assets, in the Conference Centre and at our Geelong premises. minor works and major refurbishments. It clearly defines the treatment of different categories of assets in Food Safety financial terms. The annual Food Safety Audit was conducted by Australian Food Hygiene Services with a successful outcome. A new asset management manual will cover aspects of maintenance, safety and procurement. Australian Environment Risk Management Occupational Health Standards will be included in the manual. The irrigation system at Tweddle was upgraded to enable better use of the water tanks on site. An environmental Quality assurance and risk management are strictly and Safety (OHS) Gift Benefits and Hospitality Tweddle has established a gift and hospitality policy management plan has been implemented and data is collated to monitor energy, water and paper monitored and managed at Tweddle. and procedure and its requirements have been consumption. The Tweddle occupational health and safety committee is The Finance and Risk Review Committee reviews active and diligent. organisational risk and makes recommendations to This year an audit was conducted by VHIA to ensure our Annual Environmental Performance Report 1st April 2011 to 31st March 2012 the Board and management. A full risk scan is undertaken annually and a quarterly risk register is reviewed by the Board. policies and procedures are compliant with new OHS Data Quantity Measure Cost Greenhouse Greenhouse Greenhouse Notes legislation. Our OHS & Infection Control manual was reviewed, per FTE 40 Emissions Emissions Emissions 2012 (tonnes) 2011 (tonnes) Reduction (tonnes) Quality and risk activities in 2011-12 included: as was our emergency management plan and the OHS review of the business continuity plan conflict resolution procedures revised. Electricity - General 100164 Kw 2504.10 $16,100.00 32.22 132.62 -0.40 Small reduction in consumption implementation of purchasing audit recommendations Electricity - Green 33388 Kw 834.70 $5,367.00 We have introduced new procedures and signage to assist implementation of recommendations from VMIA audit with client management and expectations of behaviour in Natural gas 1950629 Mj 23765.73 $10,654.04 60.46 62.35 -1.89 Small reduction in consumption of risk management policies, including linking corporate the residential unit. and clinical risk registers alignment of OHS, clinical and Vehicle usage increased in this Vehicles 3059 Kw 76.47 $5,363.24 8.08 8.00 0.08 year corporate risk registers A workplace ergonomic assessment has been scheduled for successful external surveys and accreditation under the new financial year. Other Transport Travel 0.00 0.00 0.00 EQuiP and as a community service organisation General waste 51320 Lt 1283.00 $2,131.26 58.50 60.24 -1.74 Small reduction in landfill waste implementation of recommendations from the VHIA Regular and spot OHS inspections continued throughout the audit into OHS systems and procedures year. All items for action were followed up. Corresponding increase in Comingled – full 51320 Lt 1283.00 $1,306.40 45.18 45.54 0.64 recycled waste commencement of a comprehensive review of the quality framework and quality planning process All managers have received OHS training. Pertussis and Confidential paper 2640 Lt 66.00 $427.35 6.60 7.20 0.60 influenza vaccinations were offered to all staff. the purchase of an updated Riskman system that will Water consumption 5145 Kl 128.62 $5,360.79 N/A N/A include incident reporting and the risk register Staff training in Cardio Pulmonary Resuscitation was Recycled water 902 Kl 22.56 $0.00 N/A N/A also updated. Client evaluation research was conducted to ascertain levels Paper Used 353 Rm 8.84 $1,848.51 N/A N/A of satisfaction with service provision. The evaluations indicate Reduction in clients disposing the majority of clients are very satisfied with Tweddle’s service Disposable nappies 15840 Lt 96.00 $6,637.55 13.22 17.40 -4.18 of nappies and level of care. Any client suggestions are reviewed and, if appropriate, integrated into our practices. 325.26 333.35 -8.09
    • 26 Declarations and Compliance 27 Incorporation communicated to staff. A register for all gifts and Tweddle Child + Family Health Service is a Schedule 1 hospitality is maintained. The Finance and Risk Committee Public Hospital incorporated under the Health Services of the Board annually reviews the policy and the register. Act 1988. In 2011-12 small gifts of appreciation from families were recorded. Formal attestation was made of Tweddle’s Freedom of Information procedures to Government by the CEO. There were 3 requests for information under the Freedom of Information Act 1982. All were responded to within Building and Maintenance Compliance the statutory time periods and no requests for review The buildings and general infrastructure were maintained were received. throughout the year. Remedial work was completed to level the slab in the playroom of the residential unit. Asset Management Work was also undertaken to replace a section of the roof. The Board has approved a rolling three-year asset A new path was laid and two disabled toilets were installed management plan. The new plan includes all assets, in the Conference Centre and at our Geelong premises. minor works and major refurbishments. It clearly defines the treatment of different categories of assets in Food Safety financial terms. The annual Food Safety Audit was conducted by Australian Food Hygiene Services with a successful outcome. A new asset management manual will cover aspects of maintenance, safety and procurement. Australian Environment Risk Management Occupational Health Standards will be included in the manual. The irrigation system at Tweddle was upgraded to enable better use of the water tanks on site. An environmental Quality assurance and risk management are strictly and Safety (OHS) Gift Benefits and Hospitality Tweddle has established a gift and hospitality policy management plan has been implemented and data is collated to monitor energy, water and paper monitored and managed at Tweddle. and procedure and its requirements have been consumption. The Tweddle occupational health and safety committee is The Finance and Risk Review Committee reviews active and diligent. organisational risk and makes recommendations to This year an audit was conducted by VHIA to ensure our Annual Environmental Performance Report 1st April 2011 to 31st March 2012 the Board and management. A full risk scan is undertaken annually and a quarterly risk register is reviewed by the Board. policies and procedures are compliant with new OHS Data Quantity Measure Cost Greenhouse Greenhouse Greenhouse Notes legislation. Our OHS & Infection Control manual was reviewed, per FTE 40 Emissions Emissions Emissions 2012 (tonnes) 2011 (tonnes) Reduction (tonnes) Quality and risk activities in 2011-12 included: as was our emergency management plan and the OHS review of the business continuity plan conflict resolution procedures revised. Electricity - General 100164 Kw 2504.10 $16,100.00 32.22 132.62 -0.40 Small reduction in consumption implementation of purchasing audit recommendations Electricity - Green 33388 Kw 834.70 $5,367.00 We have introduced new procedures and signage to assist implementation of recommendations from VMIA audit with client management and expectations of behaviour in Natural gas 1950629 Mj 23765.73 $10,654.04 60.46 62.35 -1.89 Small reduction in consumption of risk management policies, including linking corporate the residential unit. and clinical risk registers alignment of OHS, clinical and Vehicle usage increased in this Vehicles 3059 Kw 76.47 $5,363.24 8.08 8.00 0.08 year corporate risk registers A workplace ergonomic assessment has been scheduled for successful external surveys and accreditation under the new financial year. Other Transport Travel 0.00 0.00 0.00 EQuiP and as a community service organisation General waste 51320 Lt 1283.00 $2,131.26 58.50 60.24 -1.74 Small reduction in landfill waste implementation of recommendations from the VHIA Regular and spot OHS inspections continued throughout the audit into OHS systems and procedures year. All items for action were followed up. Corresponding increase in Comingled – full 51320 Lt 1283.00 $1,306.40 45.18 45.54 0.64 recycled waste commencement of a comprehensive review of the quality framework and quality planning process All managers have received OHS training. Pertussis and Confidential paper 2640 Lt 66.00 $427.35 6.60 7.20 0.60 influenza vaccinations were offered to all staff. the purchase of an updated Riskman system that will Water consumption 5145 Kl 128.62 $5,360.79 N/A N/A include incident reporting and the risk register Staff training in Cardio Pulmonary Resuscitation was Recycled water 902 Kl 22.56 $0.00 N/A N/A also updated. Client evaluation research was conducted to ascertain levels Paper Used 353 Rm 8.84 $1,848.51 N/A N/A of satisfaction with service provision. The evaluations indicate Reduction in clients disposing the majority of clients are very satisfied with Tweddle’s service Disposable nappies 15840 Lt 96.00 $6,637.55 13.22 17.40 -4.18 of nappies and level of care. Any client suggestions are reviewed and, if appropriate, integrated into our practices. 325.26 333.35 -8.09
    • 28 29 Tweddle has implemented an environmental management Equal Opportunity and Workforce Waste Annual Figures April-March Water Annual Figures April-March plan and an associated communications plan. The Statement of Employment and Conduct environment committee, chaired by the CEO, convenes Merit and equity principles are encompassed in all 60,000 120,000 monthly to lead and monitor progress with the plan and employment and diversity management policies, procedures 50,000 100,000 Tweddle’s environmental performance. A number of and activities and the Victorian public sector code of conduct 40,000 80,000 changes have already been made to reduce our footprint. applies to all staff. Employees have been correctly classified in 30,000 2010 - 2011 60,000 workforce data collection. The actions to date include: 20,000 40,000 2011 - 2012 a grey water system and a network of water tanks Medical Records 10,000 20,000 are used to maintain the gardens The maintenance of medical records was undertaken in full Landfill Recycle Nappies 2010 -2011 2011 -2012 the ‘reduce, re-use and recycle’ message is applied compliance with the Department of Human Services and throughout the organisation the Department of Health reporting requirements and the green purchasing policy implemented provisions of the Privacy Act 1988 and the Health Information baseline data for landfill, recycling, paper usage, nappy Act 2003. Greenhouse Emissions Reduction Gas Annual Figures April-March disposal and sanitary bins has been collected more efficient printing practices Whistleblowers Protection Act 2001 334 1,000,000 move to electronic client records There were no disclosures under the Whistleblowers 332 990,000 separation of waste Protection Act 2001. 330 980,000 328 970,000 There has been an overall reduction in greenhouse National Competition Policy Greenhouse 326 emissions at Tweddle. Particularly pleasing is the reduction in Tweddle has regard to this policy in its acquisition of Emissions 2011 960,000 commercial goods and services. 324 950,000 general electricity usage and the reduction by approximately Greenhouse 322 Emissions 2012 940,000 one third in the amount of paper purchased/used. Significant Victorian Industry Participation Policy 320 challenges are faced in potable water consumption and 930,000 In 2011-12 Tweddle had no contracts or services relevant reduction of waste to landfill. 2011 2012 to the VIPP guidelines. 2010 -2011 2011 -2012 Asbestos Management Plan Other Information Our continuing objective is for all our buildings to be free Information required in accordance with FR22 of the of asbestos-containing materials. A management plan is in Financial Management Act 1994 has been prepared Paper Usage Annual Figures April-March Electricity Annual Figures April-March place to identify, monitor and remove any in keeping with and is available to the relevant Ministers. updated legislations. We are committed to ensuring that we 364 1,342,000 provide a safe environment for clients and staff. Consultancies 362 1,382,000 In 2011-12 Tweddle did not engage any consultants 360 1,380,000 Fire Safety for more than $100,000. General consultancies 358 1,378,000 The Chief Fire Warden has conducted a fire drill and an totalled $56,761. 356 1,376,000 audit of fire evacuation procedures. The Emergency Plan 354 1,374,000 has been reviewed and updated. An external fire safety audit was conducted for our Geelong premises. Refresher 352 1,372,000 training of fire wardens is scheduled. 350 1,370,000 2010 -2011 2011 -2012 2010 -2011 2011 -2012 Details of Individual Consultancies Greater than $10,000 Consultant Purpose Start Date End Date Total Fee Expenditure Future Expenditure Red Tree Social research – early January 2012 May 2012 $10,000 $10,000 - Consulting parenting needs of the Somali Community Radno Pty Ltd Development of 2012-17 February 2011 March 2012 $20,000 $10,000 - strategic plan
    • 28 29 Tweddle has implemented an environmental management Equal Opportunity and Workforce Waste Annual Figures April-March Water Annual Figures April-March plan and an associated communications plan. The Statement of Employment and Conduct environment committee, chaired by the CEO, convenes Merit and equity principles are encompassed in all 60,000 120,000 monthly to lead and monitor progress with the plan and employment and diversity management policies, procedures 50,000 100,000 Tweddle’s environmental performance. A number of and activities and the Victorian public sector code of conduct 40,000 80,000 changes have already been made to reduce our footprint. applies to all staff. Employees have been correctly classified in 30,000 2010 - 2011 60,000 workforce data collection. The actions to date include: 20,000 40,000 2011 - 2012 a grey water system and a network of water tanks Medical Records 10,000 20,000 are used to maintain the gardens The maintenance of medical records was undertaken in full Landfill Recycle Nappies 2010 -2011 2011 -2012 the ‘reduce, re-use and recycle’ message is applied compliance with the Department of Human Services and throughout the organisation the Department of Health reporting requirements and the green purchasing policy implemented provisions of the Privacy Act 1988 and the Health Information baseline data for landfill, recycling, paper usage, nappy Act 2003. Greenhouse Emissions Reduction Gas Annual Figures April-March disposal and sanitary bins has been collected more efficient printing practices Whistleblowers Protection Act 2001 334 1,000,000 move to electronic client records There were no disclosures under the Whistleblowers 332 990,000 separation of waste Protection Act 2001. 330 980,000 328 970,000 There has been an overall reduction in greenhouse National Competition Policy Greenhouse 326 emissions at Tweddle. Particularly pleasing is the reduction in Tweddle has regard to this policy in its acquisition of Emissions 2011 960,000 commercial goods and services. 324 950,000 general electricity usage and the reduction by approximately Greenhouse 322 Emissions 2012 940,000 one third in the amount of paper purchased/used. Significant Victorian Industry Participation Policy 320 challenges are faced in potable water consumption and 930,000 In 2011-12 Tweddle had no contracts or services relevant reduction of waste to landfill. 2011 2012 to the VIPP guidelines. 2010 -2011 2011 -2012 Asbestos Management Plan Other Information Our continuing objective is for all our buildings to be free Information required in accordance with FR22 of the of asbestos-containing materials. A management plan is in Financial Management Act 1994 has been prepared Paper Usage Annual Figures April-March Electricity Annual Figures April-March place to identify, monitor and remove any in keeping with and is available to the relevant Ministers. updated legislations. We are committed to ensuring that we 364 1,342,000 provide a safe environment for clients and staff. Consultancies 362 1,382,000 In 2011-12 Tweddle did not engage any consultants 360 1,380,000 Fire Safety for more than $100,000. General consultancies 358 1,378,000 The Chief Fire Warden has conducted a fire drill and an totalled $56,761. 356 1,376,000 audit of fire evacuation procedures. The Emergency Plan 354 1,374,000 has been reviewed and updated. An external fire safety audit was conducted for our Geelong premises. Refresher 352 1,372,000 training of fire wardens is scheduled. 350 1,370,000 2010 -2011 2011 -2012 2010 -2011 2011 -2012 Details of Individual Consultancies Greater than $10,000 Consultant Purpose Start Date End Date Total Fee Expenditure Future Expenditure Red Tree Social research – early January 2012 May 2012 $10,000 $10,000 - Consulting parenting needs of the Somali Community Radno Pty Ltd Development of 2012-17 February 2011 March 2012 $20,000 $10,000 - strategic plan
    • 30 Organisational Chart Governance & Accountability 31 Board of Management Chief Executive Officer Executive Assistant Quality Manager DirectorFacilities Coordinator Accountant Community Director Nursing PR & Health Administration & HR OHS Communications Information Programs Tweddle is accountable to the people of Victoria via the Board member professional development is offered and Domestic Payroll Clinical Nursing Honourable Mary Wooldridge Minister for Mental Health, formal induction of new members to Board and organisational Accounts Breastfeeding Minister for Senior Victorians and Minister for Community operations and practice is undertaken. Induction is coordinated Services. by the Governance and Remuneration Committee. A Board, appointed by the Honourable David Davis, The Governance and Remuneration Committee is also Day Minister for Health, sets organisational direction and responsible for setting the CEO work plan and performance Front Line Stays Child Protection strategy and monitors performance. The Board has indicators and for formal assessment of CEO performance. adopted the Carver Model of Policy Governance to guide the fulfilment of its responsibilities and has established Tweddle, as a public hospital, is also required to comply Intake a range of policies that reflect that model. with a range of legislation and health sector policy including My Time government policies for financial and human resource A number of subcommittees of the Board are established to management practice. lead key areas of the business: PlaySteps The Board reviews its policies and procedures each year. Residential Governance and Remuneration Committee, chaired by Key activities for the Board in 2011-12 were: the Board Chairperson Finance and Risk Committee, chaired by the Treasurer Participation in the inaugural EPC forum Social Ends and Research Committee Aboriginal cultural competence training Work Prison Program Joint meetings of QEC and Tweddle Chairpersons Projects Committee Strategic Plan development for the All Board members participate on at least one sub-committee. 2012-2017 strategic plan Psychology Review of Ends statement Childbirth Education Board meetings are held every second month with special Review of budget policy agenda meetings being held as needed. Finance and Risk Review of Executive Limitation policies Committee meets monthly and other committees meet at least four times per year. The Board also undertakes formal assessment of its own performance to ensure continuous improvement. This assessment has helped guide a targeted development program.
    • 30 Organisational Chart Governance & Accountability 31 Board of Management Chief Executive Officer Executive Assistant Quality Manager DirectorFacilities Coordinator Accountant Community Director Nursing PR & Health Administration & HR OHS Communications Information Programs Tweddle is accountable to the people of Victoria via the Board member professional development is offered and Domestic Payroll Clinical Nursing Honourable Mary Wooldridge Minister for Mental Health, formal induction of new members to Board and organisational Accounts Breastfeeding Minister for Senior Victorians and Minister for Community operations and practice is undertaken. Induction is coordinated Services. by the Governance and Remuneration Committee. A Board, appointed by the Honourable David Davis, The Governance and Remuneration Committee is also Day Minister for Health, sets organisational direction and responsible for setting the CEO work plan and performance Front Line Stays Child Protection strategy and monitors performance. The Board has indicators and for formal assessment of CEO performance. adopted the Carver Model of Policy Governance to guide the fulfilment of its responsibilities and has established Tweddle, as a public hospital, is also required to comply Intake a range of policies that reflect that model. with a range of legislation and health sector policy including My Time government policies for financial and human resource A number of subcommittees of the Board are established to management practice. lead key areas of the business: PlaySteps The Board reviews its policies and procedures each year. Residential Governance and Remuneration Committee, chaired by Key activities for the Board in 2011-12 were: the Board Chairperson Finance and Risk Committee, chaired by the Treasurer Participation in the inaugural EPC forum Social Ends and Research Committee Aboriginal cultural competence training Work Prison Program Joint meetings of QEC and Tweddle Chairpersons Projects Committee Strategic Plan development for the All Board members participate on at least one sub-committee. 2012-2017 strategic plan Psychology Review of Ends statement Childbirth Education Board meetings are held every second month with special Review of budget policy agenda meetings being held as needed. Finance and Risk Review of Executive Limitation policies Committee meets monthly and other committees meet at least four times per year. The Board also undertakes formal assessment of its own performance to ensure continuous improvement. This assessment has helped guide a targeted development program.
    • 32 Tweddle Board Members Thank you to Donors 33 Total donations for the year were almost $16,000. Tweddle is very grateful for the generosity of each and every donor. Meetings Professional Position All monies are used to purchase assets or to support valuable research projects. Attended Affiliations/Employment Ms Josie Rizza 7/7 Board Chairperson Business Consultant Donations over $500 and Grants for the year 2011-12 $ B Ec; Grad AICD; CA; Chair, Governance + Strategic Planning and Taxation. Inger Rice Foundation $ 2000.00 Grad Securities Invest Aust; Remuneration Committee Late Allan Bruce Mc Mullin $ 2000.00 Grad Dip App Fin & Invest Ms J W Stephens $ 1000.00 Dr Nicole Milburn 8/9 Deputy Chairperson, Chair, Clinical Psychologist William Angliss Trust $10,000.00 BSc Grad Dip DPsych Ends & Research Committee Victorian Women’s Trust $14,850.00 Mr Michael Wild 9/9 Treasurer, Chair Finance + Group Financial Controller PivotWest $11,006.00 Bachelor of Business (Accounting) Risk Committee Felton Bequest $74,000.00 CPA R E Ross Trust $30,300.00 Ms Simone Mathews 6/9 Member Laboratory Technician Associate Diploma Applied Science Local Resident Tweddle also thanks the generosity of businesses that have kindly donated their expertise on a pro bono basis. Full time parent This year special thanks go to : Allens Arthur Robinson Boyle Peter and Associates Radno Pty Ltd Libby Fordham Communications Mr Rob Paterson 5/9 Member Commercial Operations Manager Master of Management, Bachelor of Applied Science, It is fitting that we pay tribute to the late Mr Allan Bruce McMullin and pass on our condolences to his family. Ms Julie Freeman 8/9 Member Special Counsel (Lawyer) Mr McMullin died earlier this year aged 89. He had a successful career as an accountant, businessman and investor and throughout LLB, BA, Graduate Diploma Local Resident his life had a very strong connection to his community through the church. As part of his community work he was strongly linked to a (Natural Resources) number of charities all of which reflected his gratitude for support of his own family and young children through the different stages of life. Mr Mc Mullin had four children, all of whom were, together with their mother Lesley, supported by Tweddle shortly after they were Ms Susan Gannon 8/9 Member Registered Nurse, Post Grad Dip in Family Child Health, Bachelor Ed Primary born at the Alfred Hospital. Mr McMullin often recalled the importance of extra family support at these critical times. Tweddle is very grateful for this bequest and the lifetime link that is demonstrated by it. Dr Carl Orkin 8/9 Member BSc Biochemistry, MD, Consultant Paediatrician-FRACP Mr Michael Smith 4/4 Co-opted Member Chief Financial Officer B.Com, CA Ms Marie Howard 7/9 Member National Director, Early Learning B.A.,Grad Dip Early Childhood Services, Mission Australia Studies, Cert IV TAA, Cert IV Frontline Consultant Management Ms Maureen Dawson Smith 7/9 Member Local Resident BA Dip Ed, MBA Health Administration Masters of Counselling Accredited Mediator (IARMA) Dr Jan Tennent 8/9 Member Chief Exective Officer BSc (Hons) PhD FASM Grad Cert Mgt
    • 32 Tweddle Board Members Thank you to Donors 33 Total donations for the year were almost $16,000. Tweddle is very grateful for the generosity of each and every donor. Meetings Professional Position All monies are used to purchase assets or to support valuable research projects. Attended Affiliations/Employment Ms Josie Rizza 7/7 Board Chairperson Business Consultant Donations over $500 and Grants for the year 2011-12 $ B Ec; Grad AICD; CA; Chair, Governance + Strategic Planning and Taxation. Inger Rice Foundation $ 2000.00 Grad Securities Invest Aust; Remuneration Committee Late Allan Bruce Mc Mullin $ 2000.00 Grad Dip App Fin & Invest Ms J W Stephens $ 1000.00 Dr Nicole Milburn 8/9 Deputy Chairperson, Chair, Clinical Psychologist William Angliss Trust $10,000.00 BSc Grad Dip DPsych Ends & Research Committee Victorian Women’s Trust $14,850.00 Mr Michael Wild 9/9 Treasurer, Chair Finance + Group Financial Controller PivotWest $11,006.00 Bachelor of Business (Accounting) Risk Committee Felton Bequest $74,000.00 CPA R E Ross Trust $30,300.00 Ms Simone Mathews 6/9 Member Laboratory Technician Associate Diploma Applied Science Local Resident Tweddle also thanks the generosity of businesses that have kindly donated their expertise on a pro bono basis. Full time parent This year special thanks go to : Allens Arthur Robinson Boyle Peter and Associates Radno Pty Ltd Libby Fordham Communications Mr Rob Paterson 5/9 Member Commercial Operations Manager Master of Management, Bachelor of Applied Science, It is fitting that we pay tribute to the late Mr Allan Bruce McMullin and pass on our condolences to his family. Ms Julie Freeman 8/9 Member Special Counsel (Lawyer) Mr McMullin died earlier this year aged 89. He had a successful career as an accountant, businessman and investor and throughout LLB, BA, Graduate Diploma Local Resident his life had a very strong connection to his community through the church. As part of his community work he was strongly linked to a (Natural Resources) number of charities all of which reflected his gratitude for support of his own family and young children through the different stages of life. Mr Mc Mullin had four children, all of whom were, together with their mother Lesley, supported by Tweddle shortly after they were Ms Susan Gannon 8/9 Member Registered Nurse, Post Grad Dip in Family Child Health, Bachelor Ed Primary born at the Alfred Hospital. Mr McMullin often recalled the importance of extra family support at these critical times. Tweddle is very grateful for this bequest and the lifetime link that is demonstrated by it. Dr Carl Orkin 8/9 Member BSc Biochemistry, MD, Consultant Paediatrician-FRACP Mr Michael Smith 4/4 Co-opted Member Chief Financial Officer B.Com, CA Ms Marie Howard 7/9 Member National Director, Early Learning B.A.,Grad Dip Early Childhood Services, Mission Australia Studies, Cert IV TAA, Cert IV Frontline Consultant Management Ms Maureen Dawson Smith 7/9 Member Local Resident BA Dip Ed, MBA Health Administration Masters of Counselling Accredited Mediator (IARMA) Dr Jan Tennent 8/9 Member Chief Exective Officer BSc (Hons) PhD FASM Grad Cert Mgt
    • 34Life Governors Mrs Margaret Mangan Ms Prue Digby Mr Graham Jasper Mrs Margery Maskell Mrs Dianna Gibson Mr Rod Jones Mr Valentino Adami Ms Louise Glansville Mrs Denise McGregor Ms I Brennan Mr Kenneth Hambly Mrs Gwen Redman Mr Ian Broadway Ms Betty Hassold Ms Hilary Russell Mrs Loris Charlton Dr Nigel Hocking Ms Lesley Yates Ms Julie ColletteFriends of TweddleOnce again we are very grateful to our Friends.These people volunteer to help when needed. They makedonations or offer their expertise for Tweddle to deliver a newservice or a better outcome for families.Thanks go to each and every Friend.AcknowledgementsText - Action WordsDesign - Sam Burrone Design
    • 53 Adelaide Street FootscrayVictoria 3011 AustraliaTel + 61 3 9689 1577Fax + 61 3 9689 1922Web www.tweddle.org.au