0:07
hello everyone and thank you for joining
0:09
me for the launch of the national
0:11
children's mental health strategy
0:14
2021
0:16
firstly i'd like to acknowledge the
0:18
traditional owners on all the lands on
0:20
which we're meeting today and
0:22
pay my respects to their elders past
0:24
present and emerging
0:26
i'm very happy to be living here on
0:29
wajak nang abuja in perth in western
0:31
australia
0:32
and i'm grateful that this country has
0:34
been so well looked after that i get to
0:36
live here and raise my children
0:39
so this is me i'm from the pilbara
0:41
region in western australia although i
0:43
grew up in perth
0:45
but my homelands are in the pilbara
0:47
region around marble bar and i'm a pelco
0:50
woman
Generational Stories
0:51
and of course knowing who you are and
0:53
where you come from is really important
0:55
to mental health and so are our
0:57
generational stories of our families so
1:00
this is my grandmother and mom and
1:03
this is me with my first child and i
1:05
think that the foundations to our mental
1:08
health actually start here with our
1:09
families so as my grandmother holds my
1:12
mum my mum holds me and i hold my first
1:15
child and this is establishing good
1:17
mental health and wellbeing and
1:19
resilience throughout the generations
Why Focus on Children
1:22
so why is it important to focus on
1:24
infant and children in particular and
1:26
i'm really pleased that the government
1:29
decided to do a 0-12 strategy
1:32
because this is a an area of focus that
1:34
hasn't received a lot of attention in
1:36
recent years
1:37
at this point i also just want to thank
1:39
everyone who's been involved in the
1:41
development of the strategy
1:43
it was a lot of hard work for everyone
1:44
involved and i think that they've done a
1:46
really fantastic job
1:48
so why focus on on children well we know
1:52
and the science is in fact very clear
1:54
that the early years offer both the
1:56
greatest opportunity for development but
1:59
also present a time of considerable risk
2:02
so things really can and do go wrong in
2:04
early childhood and this sets kids on a
2:06
path for poor mental health and
2:08
well-being down the track often not
2:11
manifest until
2:12
the
2:14
youth period or in adulthood but the
2:17
origins of this distress
2:19
actually start in childhood
2:21
so this is a time that we have to focus
2:23
on really building our mental health and
2:25
well-being and our resilience
2:28
if we're going to actually have
2:30
healthy development later on down the
2:32
track
2:33
so we need to focus on building sturdy
2:35
brains through nurturing relationships
2:37
through good experiences that promote
2:39
growth and development through healthy
2:41
environments and through really
2:43
promoting those strong social and
2:45
emotional developing mental milestones
2:48
which are actually critical for our
2:49
development later
2:51
and of course if we do all of that then
2:53
this will establish the foundations for
2:55
well-being and resilience throughout our
2:57
lifespan and if by chance adversity does
3:00
uh we do face adversity later on down
3:03
the track we will be much more able to
3:05
handle these sorts of issues if we've
3:07
got these really strong foundations
3:12
so some of the considerations that we
3:13
also have to think about when we're
3:15
looking at mental health and well-being
3:17
is that most of our mental health
3:19
challenges or disorders actually have
3:20
their origins somewhere in childhood
3:23
sometimes in infancy or in a very early
3:26
childhood most disorders don't really
3:28
just start up in adolescence there are
3:31
some of course that do but for many some
3:34
of their origins or risk factors are
3:36
present early on we also know that there
3:38
are many risk and protective factors
3:40
that we we know about we know how to
3:43
deal with them we know what
3:45
some of the things that will promote the
3:47
protective factors and also some of the
3:48
things that we can do to try and reduce
3:51
risk and we can identify some of this
3:53
within our population
3:55
there's an increasing evidence base for
3:57
really effective interventions from
3:59
infancy right through to adulthood that
4:01
will support healthy development and
4:03
also promote healing and recovery
4:06
and of course if you intervene early
4:08
when the brain is more malleable before
4:10
things have become permanent in terms of
4:13
changes to brain development and
4:14
structure and function
4:16
then this is much easier to intervene at
4:18
this stage so the earlier we intervene
4:21
in life the earlier we intervene into
4:23
stress and in the onset of illness
4:26
the chances for better recovery
4:29
are much much greater so the cost
4:31
benefit for early intervention is
4:33
compelling a small amount of investment
4:36
in childhood to get kids back on track
4:38
is going to yield much better outcomes
4:40
than trying to intervene
4:42
much later down the track when things
4:44
may have caused permanent changes to the
4:46
brain or become entrenched and more
4:48
difficult to shift
Concerns
4:52
of course some of the concerns about the
4:53
service system that have been around for
4:55
some time now is that there has been a
4:57
lack of development and investment in
4:59
clinical services for children
5:01
particularly the under 12s over many
5:04
decades
5:05
there are also very few specialised
5:07
service services that can deal with some
5:09
of the particular issues that develop in
5:11
infants and in young children there are
5:14
lots of gaps in our service system as
5:16
well particularly for those children who
5:18
may have some high risk groups such as
5:20
children in out of home care as well as
5:22
those children who find themselves in
5:24
the juvenile justice system many of
5:26
those children are really at risk for
5:28
later mental health challenges if they
5:29
don't have them already within the
5:31
systems of care they find themselves in
5:34
we also know there are large gaps in
5:35
mental health services in rural and
5:37
remote locations and certainly in some
5:40
of our aboriginal
5:42
communities that
5:44
live in very remote circumstances
5:46
we have currently a very poorly trained
5:49
and fragmented service system we we have
5:52
a lack of staff and development and
5:55
support
5:57
and of course what we've seen is a rapid
6:00
rise in demand for mental health
6:02
services for children and and young
6:04
people in recent years and even more so
6:07
in the covered years and this has far
6:09
exceeded the services capacity to
6:12
actually meet
6:13
any sort of current levels of need
6:16
so we've got a long way to go but
6:18
hopefully this strategy will address
6:19
some of these concerns by getting in
6:22
early having a much stronger
6:24
collaborative approach from primary care
6:26
right through to the specialist service
6:28
system
6:29
and promote that sort of
6:33
focus on children's mental health and
6:35
well-being for everybody
Summary
6:37
so just to leave you with something a
6:39
little bit more positive we know that if
6:41
we give children the best start the
6:44
right start in life and development then
6:46
they are going to grow into happy
6:49
healthy adults
6:51
and although we
6:53
have many stories to tell wouldn't it be
6:55
nice if we could tell the best story of
6:57
all and that is we put in the investment
7:00
that was required we built the systems
7:02
of care that we needed and it didn't
7:04
matter who you were or where you lived
7:07
or who your family was
7:09
every child got the chance to achieve
7:11
the best possible well-being
7:14
and that would be a great story to tell
7:16
thank you