Dr. Lance Emerson: The National Action Plan for the Health & Wellbeing of Children & Young People


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A presentation given by Dr. Lance Emerson, CEO Australia Research Alliance for Children

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  • NEED TO UPDATE GRAPH!!! Every nordic country is in the top 10 of the league tables for both OECD and UNICEF reports ….
  • Dr. Lance Emerson: The National Action Plan for the Health & Wellbeing of Children & Young People

    1. 1. The Nest: National Plan for Child & Youth Wellbeing Dr Lance Emerson CEO – Australian Research Alliance for Children & Youth (ARACY)
    2. 2. The Australian Research Alliance for Children & Youth (ARACY)1. Advocacy2. Supporting evidence based practice & policy3. Translational research (focus on systems change) ResearchersOur guiding principles: Community & business Policy• focus on prevention & life-pathways collaborative hub• work across sectors and disciplines of 2,200 members• provide a neutral space for organisational collaboration• value add to our members work• progress sustainable, evidence-based action Children & Practitioners youth & professions
    3. 3. .. some recent achievements COAG / FaHCSIA Australia’s first partnership for international around 20 trial sites:comparative report Prevention of child on child wellbeing abuse at the system level Advocacy & Instigating a middleresearch: Australias years agenda for Early Childhood Australia children aged Agenda 9-14 (&social and emotional learning)
    4. 4. .... and in the pipeline for 2012Sustained nurse home visiting efficacy trial Formative work on national (largest ever social marketing campaign: conducted) “Engaging families in the ECD story” (COAG, with SA DECs) 1st Biennial Australian Implementation Conference (25-26 October 2012) A national plan for child and youth wellbeing Melbourne
    5. 5. “…life expectancy for Australian children alive today will fall two years by the time they are 20 years old. After centuries of rising life expectancy, we are now staring down the barrel of a decline... ” High child &youth wellbeing top ten countries? Low child &youth wellbeing 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Relative OECD country ranking www.aracy.org.au youth wellbeing (red bar= Australia) for child and 5 www.aracy.org.au
    6. 6. Why do we need it?• We could be doing better: • Australia “middle-of-the-road” for child and youth wellbeing• Improving outcomes for children & young people requires a long term, evidence based, partnership based approach • government(s) cant solve these problems alone • problems affecting young people are complex, don’t have an immediate single solution, & no single entity can bring about change • our efforts generally lack coordination • we could make better use of evidence to guide action• The personal, social and economic costs are unacceptably high
    7. 7. What is The Nest?• A national plan for child & youth wellbeing:• It’s a resource: • Report Card: how children and young people are faring • Evidence: what works to improve outcomes • A vision: to help align efforts towards common goals • Childrens views: detailing what children, young people and families think is important to improve wellbeing• In 2013 – work toward an integrated plan
    8. 8. The Nest: Collective impact• Common agenda : “a shared vision for change, one that includes common understanding of the problem and a joint approach to solving it.. “• Shared measurement system: “agreement on a common agenda is illusory without agreement on the ways success will be measured and reported”.• Mutually reinforcing activities “coordination of [participants] differentiated activities through a mutually reinforcing plan of action”.• Continuous communication : developing trust, common vocabulary “building upon .. experience of each other and recognize and appreciate the common motivation behind their efforts”• Backbone support organisations : “the expectation that collaboration can occur without a supporting infrastructure is one of the most frequent reasons why it fails..
    9. 9. The plan itself What outcomes do we want? 5 Key Result Areas (KRAs) How would we recognise them? ̴ 50 indicators Baselines (trend analysis) How well are we doing? Story behind the baselines Stock-take of existing policies National Literature review of evidence-based Action Plan What works to turn the curve? interventions & ‘game changers’ for child and youth wellbeingWhat criteria should guide action? Drafting a National Action Plan
    10. 10. Overall aim: That Australian children and young people have the highest levels of wellbeing in the OECD KRA 1: Children & KRA2 : Children & KRA 3: Children and KRA 4: Children and young KRA 5: Children & Young people are Young people have young people are people are learning young people are loved and safe material basics healthy participating • Parent engagement in•Trusted •Stable housing •Low birth weight their child’s learning •No appropriatecommunications with •Housing amenity •Immunisation • Early Childhood indicators identifiedparents and peers •Poverty •Physical health development•Parental hostility: •Parental employment •Dental Health vulnerability•Parental perception •Internet access •Rates of injury • Early childhoodof neighbourhood •Community •Suicide education participation: Plans for achievingcharacteristics participation • Australian child and these KRAs to be•Positive peer •Unemployment youth reading, writing developed &relationships and numeracy skills discussed at the•Children entering • Australian youth second Summitout-of-home care performance for•Detention of reading andchildren and young mathematicspeople • Youth engagement in formal and non-formal learning • School retention, completion and participation Supportive ‘game changers’ to achieve the KRA outcomes (draft) Plans for achieving•Reducing income disparity in Australia / reducing the disadvantage caused by income inequality these game changers•Improving our performance on the AEDI be developed &•Improving the educational performance of young Australians discussed at second•Improving the social and emotional wellbeing of young Australians Summit•Recasting the service system designed to improve the wellbeing of young Australians Specific plans to be The overall aim, KRAs & game changers to be discussed discussed at the “Phase at the “Phase 1” Summit on 23 November 2012 2” Summit in 2013
    11. 11. Project processes Public consultation Evidence review First summit (Phase 1 – discussing the vision and ‘game changers’) Second summit (Phase 2 – planning for implementation)
    12. 12. Public consultation Group discussions F2F to supplement partner activities Forums activities (as required) Interviews (ARACY) Face-to-face Survey-based 150 partners activities Discussion-based (e.g inschools, using the nest resource kit Role-playing NGO’s, etc..) - around 500 participants Creative Online surveysQuestionnaire (all ages) (4 for different age groups) Aiming forActivity (3-8 year-olds) 2000 responses
    13. 13. Results: what are young people saying?Figure 1: Areas and themes contributing to ‘ a good life’ HEALTH Healthy eating, exercise, good physical health Friends, connections Happiness, positive and a social life outlook Developing values and morals Self esteem & value Opportunities to grow and develop self Family, Participation in relationships, Support networks & services education being surrounded by loved ones Leisure and fun & O D A V E S F L Having a Involved in voice that is community heard Food, water, Safe, stable shelter Freedom & home independence environment Money and work MATERIAL BASICS
    14. 14. Results: what are young people saying? Table 1: Why life is considered good/okay/bad for children and young people in Australia Good / Very good Okay Bad / Very bad• Access to services (e.g. • Inequity and gaps in • Parenting issues health, education) wellbeing • Tough economic• Opportunities available • Parenting issues conditions and lack of to children and young opportunities people • Safety concerns and fear, crime, and bullying • Safety concerns and• Australia compares well fear, crime, and bullying to other countries • Pressure on children, growing up too fast • Lack of respect,• Have the basics in place responsibility and (food, shelter etc) discipline of children • Health issues faced by and young people children and young• Support and a ‘safety people net’ provided • Pressure on children, growing up too fast
    15. 15. What are young people saying?Table 2: Issues and ideas to address PROVISION AND SUPPORT HEALTH IMPROVEMENTS BETTER EDUCATION More support, resources & Improve physical & mental health Improve education standards and services for those in need consistency More involvement in sport &exercise Better funding, programs & policies Help with cost of further education Engage in fun and play Lower cost of living / affordability Accessibility to subjects & courses Reduce access to technology, TV etc More jobs and access to jobs Teach self esteem, how to value oneself PARENTING SAFETY AND SECURITY PARTICIPATION Opportunities to spend more Address public safety concerns Greater freedom & opportunities to time with children through prevention & protection develop self Parental education & information Increased focus and seriousness on Be given a voice in community tackling bullying development and decisions Community engagement in welfare ‘Alternatives’ to drugs, alcohol, antisocial Provision & involvement in Demonstrations of love & understanding behaviour – places to go community groups / facilities Self discipline and regulation
    16. 16. National summit• Leaders, decision-makers, meet with young Australians to discuss and progress priorities for child and youth wellbeing• WHEN: 23 November 2012• WHERE: Melbourne• WHO: 200 attendees • Politicians, policy-makers, researchers, service providers, child and youth advocates, lead sector• Youth Engagement as a core element in the• Co-design of strategies on the game changers• Sector leaders
    17. 17. Implementation (2013 onwards)Collating & building - Create an updatable, interactive web-based resource on the evidence - Building on / linking to existing evidence clearinghouses - Prioritising effort: NFP / Government / leading sector thinkers Advocating for - An advocacy platform (ARACY Prevention Science Network) change - A charter for organisations to take action - A “wellbeing scorecard” : modelled off 2008 ARACY scorecard Tracking progress - Public report on targets for The Nest indicators - -Establishes a common outcomes framework for child & youth wellbeing Making it useful (Link with PC report on impact of 3rd sector) “on the ground” - Enabling collaboration and reducing duplication -
    18. 18. http://www.thenestproject.org.au/