Mental Health for the Young & their Families in Victoria is a collaborative partnership between mental health & other health professionals, service users & the general public.
PO Box 206,
Parkville, Vic 3052
PROJECT EVIDENCE for Prevention of Mental Disorders. The project coordinator is Dr Allan Mawdsley. The version can be amended by consent. If you wish to contribute to the project, please email firstname.lastname@example.org
 Selective Programs are indicated for situations where subjects are at high risk of developing mental disorders unless there is preventive intervention.
[2 c] Social factors
i Indigenous families
ii Immigrant families, especially asylum-seekers
iii Children involved with bullying
iv Child Protection and out-of-home care
[2 c iv ] Child Protection and out-of-home care
The project coordinator for this component is Dr Miriam Tisher. The version can be amended by consent. If you wish to contribute to the project, please email or contact Miriam on Tel. 9500-2411 Email email@example.com or firstname.lastname@example.org
CHILD CARE & PROTECTION
The healthy developmental progress of children must be considered in conjunction with their involvement with family and caregivers. Children are dependent upon adults for their care. MHYFVic hosts several Projects relating to the promotion of mental health and prevention of mental disorders through universal and targeted interventions enhancing the functioning of children and their families. See Prevention Programs 1 a, b and c.
There are statutory processes for the reporting of cases of suspected neglect or maltreatment, leading to investigation by Child Protection Workers of DHHS. There is some discretion as to whether cases are referred to social agencies on a voluntary basis for assistance in resolving the parenting issues or brought before the Children’s Court for judicial orders.
Appropriate assessment, reporting of difficulties, case planning for necessary changes, provision of assistance to resolve problems, and monitoring of outcomes is the fundamental basis for child protection. Unless this is done it is not appropriate to make permanent care decisions. The preferred approach is for therapeutic interventions whilst the child is within the family. Voluntary assistance provided by social agencies requires specialist training and supervision, appropriate monitoring of outcomes, and adequate funding to support families in achieving the necessary changes.
Protection Orders may require families to achieve necessary changes with or without periods of substitute care of the child. It must be acknowledged that there are times when families may not be able to provide the necessary care, and substitute care is required. Substitute care is ordinarily undertaken by fostering. A small proportion of cases require therapeutic programs in specialist units. Occasionally it is recognised that permanent care orders are needed.
International comparisons of child protection systems show that there have been two widely divergent philosophies broadly categorised as “children’s rights” and “family dysfunction” models. The “children’s rights” model, underpinning the current Victorian Child Protection approach, emphasises a court-based adversarial process of removing children from situations of risk, whilst the “family dysfunction” model favoured in Scandinavian countries emphasises the support and remediation of dysfunctional families.
The advantage of the “child’s rights” model lies in its immediate child safety first action, but the disadvantages lie in the failure to implement remediation and in the high cost and harms of alternative care. The advantages of the “family
dysfunction” model lie in the maintenance of family responsibility for remedial progress and avoiding costs of alternative care, but the disadvantage lies in some ongoing risks to child safety. Contemporary trends in Child Protection legislation move towards a composite “child centred” approach based upon incorporating the advantages of both models to achieve the optimal outcome for the child.
The health care system has for many decades recognized the need to adapt services to minimise separation and loss. Children’s hospitals no longer exclude parents from visiting on the misperception that it avoids distress, but on the contrary, will encourage parental access and support, including rooming in for some cases. The early discharge from hospital and treatment in the home is not only cheaper but generally better for the child’s progress.
The Child Protection system, on the other hand, has lagged badly behind in dealing with this issue. True, the old institutional congregate care model has shifted to a foster care model, based on it being more family-like. But it is not the child’s own family and there is inevitable loss and grief with the disruption of parent-child attachments. When this is repeated through several cycles of failed re-unifications and further fostering in different families, permanent damage is done to the developing child’s emotional state. The Cummins Report recognized this and made recommendations aimed at reducing the time taken before a child is in ongoing care in a family that provides healthy attachments and developmental nurturance.
The Victorian Child Protection system is seriously deficient. It has responsibility for receiving and investigating notifications of suspected child abuse and neglect, and taking steps to protect children at risk. Given the large number of notifications, this is a major logistical exercise. The workload is so great that many regional offices have lists of unallocated cases.
A shift towards a “child centred” model could make use of a process used in child mental health services with distinct stages of ‘Intake’, ‘Assessment’, and ‘Treatment’.
The Intake process begins with the notification call. The response should be immediate, with sufficient information-gathering to ascertain whether the next action is to be by police, medical or child protective assessment. If by Child Protection, arrangements for the first assessment appointment should be put in place immediately. Obviously, this will vary with the nature of the case. Office-based appointments for clients who are able and willing to attend the office are relatively straight-forward, whereas negotiations for home visits to reluctant clients will take more finesse. Either way, two points are clear: 1) this phase requires a worker with skill, and 2) the time to undertake this work must be built into the workplace methodology.
The Assessment process involves forming a relationship of communication and trust with the clients, gathering information about the family structure and functioning, past and current history of the problems, and a shared understanding of the issues to be resolved. That then leads to negotiation about how those issues are to be resolved, resulting in the ‘Case Plan’. Again, the same two points are clear: 1) this phase requires a worker with skill, and 2) the time to undertake this work must be built into the workplace methodology.
The Treatment process is the carrying out of the changes that were mutually agreed between clients and Intake worker. This encompasses a wide variety of different agreements, ranging from the ‘watch and wait’ to the court-based intervention orders. Less experienced workers under supervision seem appropriate for this phase, which also seems to justify the restriction on number of cases per worker.
Child Protection could benefit in a number of ways by applying these principles.
Intake is a crucial stage in the process because it sets the stage for later steps. That is why it needs a skilled worker. Cases resolved by mutual cooperation are much more likely to be successful.
The time taken in first contact will vary greatly with complexity of information gathering, but the skill of the worker will ascertain whether or not it can be managed collaboratively between the family and helping agencies or will require statutory intervention. Intake duty requires immediate availability and therefore needs to be scheduled without competing duties; this probably requires a roster of workers to ensure coverage whilst the accumulated cases are dealt with. Despite the difficulties, it should not take more than a few hours to determine whether the case can be managed collaboratively or not.
As noted before, the assessment process involves forming a relationship of communication and trust with the clients and gathering significant sensitive information. Because this occurs in a situation of client fears of adverse consequences, there is likely to be reluctance and hostility. It may take a longer time to establish a positive relationship, but it is an essential part of the healing process for clients to accept that the caseworker is genuinely seeking a good outcome. Ownership of the problem-solving by clients is an essential pre-requisite for success.
Success at arriving at a mutual understanding of the difficulties and what has to change is a main predictor of good outcome. Capacity for change is the predictor, not the amount of change that has happened to date.
If clients are not able to control their animosity and achieve a mutually acceptable commitment to constructive change within a reasonable timeframe this is a prima facie justification for early permanency planning. Recognition of a need but limited capacity to achieve it (such as uncontrolled drug addiction) may justify alternative care arrangements whilst treatment is undertaken, rather than immediate permanency planning.
The undertaking of wholistic assessments by Protective workers who are committed to achieving a good outcome is much more efficient than separation of risk appraisal from therapeutic assessment. Splitting risk assessment from case treatment greatly reduces the likelihood of success because of the hurdle of relating to multiple people and liaising between them.
Goals for change mutually agreed by clients and caseworker include the means by which those changes are sought. Generally, this would be through a family therapy process although sometimes additional components such as individual treatments may be incorporated. The therapeutic contract enables the caseworker to closely monitor the safety of the child as well as the rate of progress.
Most children in out-of-home care are there not because it is the best option but because Child Protection Workers do not have the expertise to do a family functioning assessment and appropriate remediation. If they did have that expertise, most of the children could remain in their families without the need for out-of-home care, let alone permanent placement away from their families. Families incapable of ever meeting the developmental needs of their children would be identified much earlier than in the current trial and error method of failed attempts at reunification. It is unconscionable for children to be placed permanently away from their families without a thorough attempt to remediate family dysfunction.
Recent amendments to the Children’s, Youth and Families Act introduced mandatory time-limits on the duration of out-of-home care before a permanent placement decision is made. The authority of the Children’s Court to determine what is in the best interests of the child has been severely curtailed. Whilst MHYFVic supports the concept of early decision-making about the long-term placement of children, the process is fundamentally flawed and needs further amendment. The current amendments are facilitating a whole new “stolen generation” and must be further amended to ensure adequate treatment.
There is a body of literature and ongoing research material relating to best practice assessment processes and legal disposition of cases. There is significant dispute around issues of adoption and permanent care orders for cases where
it is deemed unlikely that the family of origin will ever be able to provide adequate care for a child’s healthy development. Some of this material is listed below in two groupings : 1) Out-of-Home Care, and 2) Legal Disposition of Care & Protection cases.
Since the phasing out of historical forms of orphanages and institutional care, substitute care is usually some form of foster care but may be in alternative residential care facilities. Fostering programs are generally delivered by non-government agencies funded and regulated by the government. Increasingly the fostering is by kinship care within the extended families of the children, and within the category of kinship care the highest proportion is with grandparents.
The Commonwealth Government Department of Families, Housing, Community Services and Indigenous Affairs together with the National Framework Implementation Group have issued a document titled “An Outline of National Standards for out-of-home Care” (2011) which can be downloaded from “Hot Issues in Mental Health” page of MHYFVic website.
Berry Street Victoria, originally “Victorian Infant Asylum” on their website identify their first preference for children who can’t live safely at home as Kinship care, ie., that they go to relatives. Another option is Foster care.
In respect to foster care, the Berry Street website advises as follows:
“When children can’t live safely at home because of serious child abuse, neglect and family violence, the first preference is that they go to relatives (Kinship Care). Accredited volunteer foster carers also provide care for children and young people in their own homes (Foster Care). Our professional staff ensure these carers are properly screened, assessed and supported, as well as working directly with the children to ensure they get the help they need to recover.
Foster Care is the temporary care of a child/young person (birth to 17) within a home environment during a time when they cannot live with their parents. It can be for a few days, a few weeks or for much longer. Foster care is a responsive service to children who have experienced trauma and various forms of abuse and require a caring and nurturing environment. Wherever possible, the idea is to reunify children with their birth families eventually, providing this is in the best interests of the child. Foster care is required when there isn’t an extended family member or members of a child’s social network available to provide a home (known as Kinship Care).
For children and young people aged from birth to 17 years, care can be respite care, temporary emergency care (overnight up to 6 weeks), reception care (Children are subjected to child protection intervention and placement is required during the court phase. It can range from overnight to six weeks), transitional short-term care (A child is placed on a court order and still requires a placement for up to two years), long term care (Reunification is no longer considered and placement is required for more than two years).
Foster carers come from different backgrounds, cultures and experiences and may be: Single, couple, married or not married, male or female, may or may not have children, need to be over 21 years of age, of any sexual orientation, can have a variety of working and living arrangements and can live in houses, flats or shared households.
They state that Foster carers should have a sense of humour, patience, tolerance and a willingness to be flexible and open to new experiences. In addition, carers must be willing to work within a professional team and have a capacity to provide a safe, structured and nurturing environment. Foster carers receive a non-taxable fortnightly carer reimbursement to assist in meeting the cost of food, clothing and general living expenses for children/ young persons in their care, training to help them develop the necessary knowledge /skills needed, practical help and professional support through regular telephone calls, home visits and after-hours support.
Berry Street in their website advise that their foster care system is “in crisis”:
“Foster care in Victoria is in a state of crisis. Victorian carers receive the lowest reimbursement rate in Australia and yet more than 500 extra children need care every year. The Victorian Government needs to recognise the importance of foster care within our community. Send an e-mail to your local MP and your electorate candidate, let them know that our vulnerable children are depending on them”.
Apart from the reference to kinship care as being the first preference, there is no further mention of kinship care on the Berry Street website.
Berry Street Take Two is a Statewide developmental therapeutic program for children and young people in the Child Protection system, established in 2003. It is a partnership between Berry Street, LaTrobe University, Mindful Centre for Training and research in Developmental Health and the Victorian Aboriginal Child Care Agency.
Take Two offers an intensive therapeutic service to children and families referred by Child Protection. It also offers therapeutic foster and residential care programs, a “Stronger Families program” helping keep children out of out-of-home care.
VACCA is the leading Aboriginal organization in Victoria providing out of home care and other support services to Aboriginal children and families. Their website advises as follows:
“Aboriginal children compared to their non-Aboriginal counter-parts are 10 times more likely to have a Child Protection (CP) concern substantiated, 15 times more likely to be placed on a protection order and almost 16 times more likely to be in out of home care.
In 2011-12, one in ten Aboriginal children in Victoria experienced an out of home care placement, compared to one in 164 for non-Indigenous children. Aboriginal children also stay in out of home care longer.
VACCA believes a critical issue is the future of over 500 Aboriginal children currently being managed in Kinship Care by the Department of Human Services. The fact that 60% of Aboriginal children in out of home care are being cared for by a government department goes against the principle of self-determination and self-management as espoused in the Child, Youth and Family Act 2005.
The number of Aboriginal children and young people in out of home care has been increasing in spite of measures taken since the Human Rights and Equal Opportunity Commission’s Report of the Inquiry into the Separation of Aboriginal and Torres Strait Islander Children from their Families.
The fact that more Aboriginal children are being removed from their families and more of them are being placed in the care of non-Aboriginal families is creating another generation who are being separated from their families and communities.
This state of affairs is untenable.
While we welcome the Government’s action on child welfare we await its specific response to the needs of Aboriginal children through its proposed “Five Year Plan for Aboriginal Children and Young People”. It is also high time that the Department handed over responsibility for Aboriginal kinship care placements back to the Aboriginal community.”
The Social Policy Research Centre 2013 report notes the importance of spiritual and traditional connections within the Aboriginal community both for identity purposes and for practical implications such as land rights. The authors note that indigenous children commonly grow up in a close relationship with their community and that many indigenous carers provide care for multiple children and frequently have dual roles of kinship and foster carers, providing care for children to whom they are biologically related as well as to non-relations. The distinction between kinship and foster care is further blurred as the indigenous cultural definition of kinship varies from conventional western definitions.
The Kinship Carer’s Handbook, published in 2014, is user friendly, with a balanced focus on both carers’ and children’s needs, whilst acknowledging the broader family context.
Kinship care is defined as “…provided by a family member, close friend or other significant person in a child’s life when the child cannot live with their natural parents”.
Major sections include Looking after yourself, Health and wellbeing, Roles and responsibilities, Cultural connections, Legal matters, Financial assistance, Early childhood and Education and learning. The handbook was compiled with input from a broad range of advisors, including Kinship Carers and Grandparents Victoria, Victorian Government departments, Aboriginal agencies and lawyers. Illustrations complement the handbook and icons direct readers to follow on tasks, information etc. Community resources and support groups are identified with contact details.
The handbook documents initiatives in Victoria which constitute efforts to support kinship carers, all initiated since 2009. These include Mainstream and Aboriginal kinship care support programs, Kinship Carers Victoria, a collective and lobbying voice, provider of information and support to carers, delivery of carer information and support sessions delivered at local levels
In March 2014 the Australian Psychological Society put out a submission to the Senate Community Affairs Reference Committee’s Inquiry into grandparents who take primary responsibility for raising their grandchildren. In their introduction, the authors note the “rise in the number of grandparents providing care to their grandchildren through formal and informal arrangements and the increasing complexity of the grandparent carer role in line with changing family demographics.”
The authors further note that they have particularly focused on the needs of more marginalized groups such as Aboriginal and Torres Strait Islander communities and Culturally and Linguistically diverse groups.
The report notes the plethora of difficulties, including lack of practical support, conflict in relationship with birth parent, conflict for the grandparent between care of child (often birth parent) and care of grandchild, psychological and physical health being sacrificed due to caring relationships.
The authors stress that grandparents need to have increased access to financial, legal, psychological and social supports for themselves and for their grandchildren. They argue for the need for grandparents to gain an “Authority to act as responsible parent” to empower them to make day to day decisions about their grandchildren’s education, health and social situation. Issues of safety for grandchildren have been cited in research, noting that children in
grandparents’ care often have parents dealing with violence, substance abuse, homelessness and mental health difficulties.
The authors note that “emerging evidence suggests that children in kinship care have worse outcomes compared to children who have never lived in care, however, they appear to do at least as well, if not better, than children in non-relative care”.
Published Australian literature:
Downie, J.M., Hay, D.A., Horner, B.J., Wichmann, H & Hislop, A.L. (2010). Children living with their grandparents: resilience and wellbeing. International Journal of Social Welfare. 19: 8-22.
West Australian authors Jill Downie and others reported in their 2010 paper on resilience and wellbeing of children living with their grandparents. These children had been in the full-time care of their grandparents for an average of 5.9 years. The sample included 8 males and 12 females, all except one identifying themselves as Caucasian and one identifying as Australian Aboriginal. Thirteen lived with single grandmothers, one with a single grandfather and the remaining 6 lived in coupled grandparent families. Main reasons for grandparent care arrangements were parental substance abuse, parental mental health complications, familial violence and maternal death.
They identified 20 children aged between 8 and 15 years who were living in full time care of their grandparents. Using the Piers-Harris Children’s Self Concept Scale, the authors report that none of the children demonstrated total self-concept scores within the severely low range and only two children obtained self-concept scores lower than the average range. Thus, the authors report that the majority of the children in the sample experience above average self-concept and wellbeing in all the areas assessed as compared with normative data.
Qualitative analysis of the interview data with the children showed that generally they “felt positive about living with the grandparents and reported feeling safer and more loved with them than with their parents”. The authors report that that the children identified “physiological needs”, “security needs” and “belonging needs” with sub categories of “basic physical needs”, “safety and security”, “love, care and belonging” and “family contact”. The authors report these to be protective factors important in the development of resilience. Risk factors included “unresolved loss”, “confusion/anxiety about their past”, “concern about the health and wellbeing of their grandparents”, “financial and environmental stress”, “stigma and secrecy” and the “parenting style of their grandparents”.
Children spoke of parental substance abuse, mental illness, family violence and parental death as reasons for residing with their grandparents. The authors note several methodological limitations including possible need for grandchildren to positively describe their current living arrangements, small number of participants and a highly motivated group participating in the study.
Tarren-Sweeney, M & Hazell, p. (2006). Mental health of children in foster and kinship care in New South Wales, Australia… Journal of paediatrics and child health. 42: 86-97. This is an epidemiological study of mental health of children in court ordered foster and kinship care in NSW. Children aged 4-9 years. Sample. 347 children. Child behaviour checklist (cbcl) and assessment checklist for children (ACC) developed for this study. 297 children in foster care; 50 in kinship care Children had exceptionally poor mental health and social competence relative to normative and in care samples.
Resembled clinic referred children in scope and severity of problems. Mental health profiles for children in foster care exceptional for non-clinical population. Rates of disturbance for children in kinship are we’re high “though unexceptional”. Issues to consider: level of adversity experienced by children before entering care. Dearth of information about reasons for entering care. But present sample experienced “very high adversity before entering care”.
Relatively common use of short term orders in NSW may contribute to relationship insecurity. Hypothesis that children who are less challenging and less impaired have greater chance of gaining kinship placement; by implication fewer well-adjusted children may be entering foster care than previously. Note closure of state’s large residential care facilities in early 1990s. Gender differences: data suggest that, given similar early adverse experiences, boys more likely to develop emotionally withdrawn, inhibited attachment responses as well as dissociative responses to pain whilst girls more likely to develop precocious controlling pseudo mature attachment behaviour and age inappropriate sexual behaviour.
Comparisons between mental health measures of children in foster and kinship care led the authors to state that: growing up within one’s extended biological family appears to be a protective experience, possibly for reasons to do with identity formation and familial bonding. Predictive modelling provided support for this hypothesis. Kinship care protected children from developing attachment problems and external using problems, independent of their exposure to pre-care and. In-care risk factors. Methodological limitations are discussed.
Dunne,E.G & Kettler, L.J (2008). Grandparents raising grandchildren in Australia: exploring psychological health and grandparents’ experience of providing kinship care. International journal of social welfare. 17: 333-345.
Relationships between psychological health of grandparents raising grandchildren and grandchildren’s social, emotional and behavioural issues in South Australian sample of 52 caregiving grandparents and an age matched sample of 45 grandparents who were not the primary caregivers of their grandchildren. Caregiving grandparents reported higher levels of stress, anxiety and depression (a significant minority in the clinical range) and a significant proportion of grandchildren had difficult behaviours in the clinical range.
Relationships were found between grandparents’ stress and depression and grandchildren’s social, emotional and behavioural difficulties. The authors argue that their findings point to the importance of providing support and counselling for grandparents and early psychological assessment and ongoing support for grandchildren.
Caregiving grandparents reported many factors contributing to their stress levels, including lack of financial support, conflict with birth parents and other family members, ongoing social, emotional and behavioural issues of their grandchildren and coming to terms with the loss of their children to drugs. More than half of the grandchildren’s scores were in the clinical range for difficult behaviours that had a negative effect on them, their home life, school and peers. The authors note that the high levels of grandchildren reported by grandparents may be due in part to their own elevated emotional difficulties, thereby possibly inflating their children’s difficulties.
“Thus, grandparents are coping with their own stress, anxiety and depression as well as trying to parent grandchildren who are exhibiting negative emotions and challenging behaviours. In addition, they have to manage the broader fallout of their grandchildren’s behaviours, such as the impact of these behaviours in the social environment. This combination of issues is likely to make it difficult to parent effectively.”
Social Policy Research Centre August 2013. University of New South Wales. Grandparents raising grandchildren: towards recognition, respect and reward.
The authors differentiate between Formal (statutory) grandparent care and informal grandparent care..In 2012 almost 41,000 children and young people in Australia were subject of care and protection orders issue by child protection authorities.
More than half of those placed in home-based care are with relatives or kin mainly grandparents rather than non-related foster carers. Survey draws on responses from 335 grandparent carers from almost every state and territory. Findings: grandparent headed families are financially disadvantaged in comparison with other families raising children. Most grandparents able to access government financial assistance. Over one third reported difficulties getting payments from centre link, state/ territory governments or both. Many grandparents changed their employment arrangements as result of assuming care of their grandchildren.
Reduction of income added to household stress. Grandparents made changes to their homes, eg moving to new house or extending their homes, erecting fences, moving suburbs. Health. Almost half reported that they had a long-term illness or disability. High proportion (62%) perceived that their health had deteriorated due to raising grandchildren. More than 50% reported that at least one of their grandchildren had physical problems and more than 80% had emotional or behavioural problems. Abuse and abandonment by parents were described by grandparents as cause of many psychological symptoms and physical injuries. Contact with children’s parents. Most commonly grandchildren had infrequent or no contact with birth
Social isolation and disrupted friendships one of the strongest themes from survey. Largest effects felt by younger grandparents. While many reasons why grandparents assume parental responsibility for grandchildren, literature suggests that these often related to issues concerned with parent’s capacity to provide suitable and adequate care for children. (Pruchno 1999).
Legal Disposition of Care & Protection Cases
There are well-established processes for investigation of alleged cases of need for care and protection by Child Protection officers of the department of Health and Human Services. Many cases are managed without the involvement of the Children’s Court. The Children Youth and Families Act governs cases brought before the Children’s Court.
The Protecting Victoria’s Vulnerable Children Inquiry reported that it has been taking on average five years to obtain a Permanent Care Order for children during which time they have been exposed to further trauma. It was recommended that barriers to adoption and Permanent Care Orders should be identified and removed. It was considered that greater certainty should be provided as soon as possible to children experiencing out-of-home care and that the number of placements should be significantly reduced.
An amendment Bill has been passed by Parliament. The changes are to be reviewed six months after promulgation to make any adjustments thought necessary in the light of experience. The names of some Court Orders have been changed and some have been deleted:
The Court Orders henceforth available are:
Permanency planning is calculated from when a child is first placed in out-of-home care on an Interim Accommodation Order. Time limits are mandated as 12 months for children under two years of age, 18 months for children 2 to 7 years old, and 24 months for children older. The amendments severely restrict the oversight by the Court of arrangements of the Department.
MHYFVic strongly supports the principle of ensuring early permanency planning for children whose parents are seen to be incapable of the necessary nurturance and parenting for their healthy development. However, there are two serious practical issues with the amended Act in its present form, for which we advocate further amendment. These are the inadequacy of the assessment process and the lack of judicial oversight.
Appropriate assessment, reporting of difficulties, case planning for necessary changes, provision of assistance to resolve problems, and monitoring of outcomes is the fundamental basis for child protection. Unless this is done it is not appropriate to make permanent care decisions.
The Act enables the recommendation for permanent placement to be made by a worker whose expertise is in Child Protection, not in the psychological assessment and management of families exhibiting dysfunction.
The serious lifelong consequences of removal of children from their families of origin (lessons already amply demonstrated in Adoption Legislation reform and in the Stolen Generation) demand that such action only be taken after a major effort has been undertaken to remediate the family and expert evidence is provided to indicate that the family is incapable of responding. Although the Act requires DHHS to take reasonable steps to ensure that services are provided, it does not enable the decision to be deferred when services have not been provided.
The Children’s Court magistrates do not have the power to oversight the justice of recommendations for permanent placement. This is such a serious decision that natural justice demands that the evidence on which it is based is able to be appropriately judged. Protective workers should not be prosecutors, judge, and hangman. They simply do not have sufficient expertise.
MHYFVic believes that the Act requires amendment to ensure that a major attempt at remediation is mandated and that adequate assessment is undertaken to give evidence to a judge that the family is unlikely to improve before permanent care orders can be made.
The parliamentary Legal & Social Issues Committee received numerous submissions about the amendments which were overwhelmingly in accord with the MHYFVic advocacy for further amendment. Submissions are published on their website, from which the following summary (‘Y’ = support; ‘X’ = rejection; ‘O’ = no opinion expressed) has been extracted for the questions:
Many other issues were raised in the submissions besides those three questions, most particularly the importance of maintenance of sibling relationships (including mandated co-placement), the rigidity of the time-frames, the limitations on family-of-origin contact, and the need for improvements in the child protection system. The Office of the Public Advocate went so far as to say that these changes were contrary to the Victorian Charter of Human Rights and the United Nations Convention on the Rights of the Child. Another recurring theme was the over-representation of aboriginal children in the system and the failure to heed lessons from past experiences such as adoption legislation reviews and the “stolen generation” reviews.
Although the Government undertakes to review the success of the amendments six months after implementation, there is considerable concern at the validity of such a review and whether it will be adequately researched and truly independent of departmental bias.
The obligation to take all reasonable steps to ensure necessary services for children and families took a fundamental step for the worse and has never recovered from the decision a couple of decades ago by the late Mr John Paterson, then Head of the Department of Human Services, that the core business of child protection workers was in the assessment and management of cases not including the provision of support and counselling which was to be referred out to other service-providers. The reality is that referral out does not mean that necessary services are actually provided. This will remain a fundamental weakness of the system until such time as DHHS resumes responsibility for service provision either directly or by contractual arrangements.
This MHYFVic Project seeks to gather best practice information in order to formulate a policy recommendation for advocacy to authorities.
Copy of Amendment Bill
Copy of Fact Sheet from Centre for Excellence in Child & Family Welfare
Copy of Law Institute of Victoria statement: Importance of Judicial Discretion.
Copy of Cummins Report summary attached to CCPPA submission
Inquiry into the Children, Youth and Families Amendment (Restrictions on the Making of Protection Orders) Bill 2015: Legal and Social Issues Committee submissions:
Alternative systems of Child protection
Two main orientations of intervention are identified:
Gilbert’s book identifies a third orientation which is the child-focused approach. This sees the child as an individual with a relationship to the state which is concerned with the child’s total wellbeing. Whilst the aim is for the child to be raised in a functional family the approach may be interventional. Underpinning this approach is the idea that the nation is strategically wise to invest in its children so that they will be healthy, educated and equipped to deal with future challenges.
The best practice model is one which responds to notifications by a prompt outreach contact with the family to offer support and establish a relationship of trust and communication whilst undertaking an assessment of needs, risks and family functioning. The preferred intervention would be to improve family functioning with the child at home, but temporary respite and other supports may be necessary. Intensive therapeutic work with the child and family will ascertain whether child’s needs can be met, or alternative long-term arrangements made.
Gilbert, N., Parton,N. and Skivenes,M. (Eds) (2011) “Child Protection Systems: International Trends and Orientations.” New York: Oxford University Press.
For a further discussion see also PE3c i Child victims of abuse.
Last updated 12/9/2023
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