Prevention and early intervention strategies
Includes referrals, when a prevention and early intervention response is appropriate, and key programs in NSW
Key prevention and early intervention programs in NSW
A wide range of prevention and early intervention initiatives are available in NSW, delivered by non-government organisations and by NSW Government and Commonwealth Government agencies.
These diverse services are designed to help children, young people and families across the spectrum of needs, from universal programs for families who need minimal basic support or guidance right through to intensive, integrated, multi-component programs for families with complex issues.
This section offers a summary of the some of the key programs and services and provides links for further information. Before considering these options it is important to keep in mind that referral to a prevention or early intervention program or service does not automatically guarantee the family a place.
For example, NSW Government early intervention programs, such as Brighter Futures, have specific eligibility criteria targeting families that are most suitable for involvement in the program.
|The Aboriginal Child, Youth and Family Strategy||Early Childhood Health Services|
|Aboriginal Child and Family Centres||Families NSW|
|Aboriginal Maternal and Infant Health Strategy|
|Building Strong Foundations for Aboriginal Children, Families and Communities|
|Child and Family Health services||Maternity services|
|Children’s services||Home visiting|
|Community Builders||Parenting programs|
|Communities for Children||Playgroups|
|Communities for Children Plus||Police and Community Youth Clubs|
|Brighter Futures||Early childhood intervention programs|
|Community Builders||The REACh program|
|Early Intervention and Placement Prevention||Sustained Health Home Visiting|
|Karitane and Tresillian Family Care services||Getting It Together|
|Child and family services|
Aboriginal Child, Youth and Family Strategy
The Aboriginal Child, Youth and Family Strategy (ACYFS) is a prevention and early intervention strategy that aims to provide Aboriginal children and young people with the best start in life. The ACYFS has a particular focus on supporting Aboriginal families expecting a baby or with children aged up to 5 years and includes parenting programs, transition to school programs, family support and community capacity building.
The ACYFS works in close partnership with Families NSW and the NSW Aboriginal Maternal and Infant Health Strategy.
Under the Indigenous Early Childhood National Partnership Agreement, 9 integrated Aboriginal Child and Family Centres will be established across NSW in Blacktown (two Centres), Campbelltown, Ballina, Gunnedah, Nowra, Toronto, Lightning Ridge and Brewarrina.
The overall aim is to deliver more coordinated and integrated services that cover all aspects of a child or young person’s health and wellbeing. Tailoring services to each community’s needs, and bringing them all under one banner, will provide a whole suite of services that are readily accessible to families to improve child care and early learning outcomes.
Once established, Centres will provide early learning and care, parent and family support services as well as health services. Local communities have been involved at every stage of the Centres’ development and Local Reference Groups have been set up to guide the establishment and operation of the centres.
The Aboriginal Maternal and Infant Health Strategy (AMIHS) is a NSW Health initiative that aims to improve the health of Aboriginal women during pregnancy and reduce mortality rates for Aboriginal babies. AMIHS provides culturally appropriate, community based health services for Aboriginal women and is provided by a midwife and an Aboriginal health worker or Aboriginal education officer.
These services include antenatal and postnatal care, education about the effects of smoking, drugs and alcohol during pregnancy and the benefits of breastfeeding, home visits and transport to appointments.
Building Strong Foundations for Aboriginal Children, Families and Communities aims to provide culturally specific early childhood health services to assist parents to provide a good start to life and to assist in children being socially, emotionally and physically prepared to engage in education and life in the following areas: Taree; Tamworth; Newcastle; Gosford, (including Bateau Bay, Long Jetty and The Entrance); Penrith, Cranebrook; Menai and Nowra.
It has strong links to AMIHS, the New Directions for Mothers and Babies program and mainstream maternity, child and family health services. It aims to assist parents to provide a good start to life and to assist in children being socially, emotionally and physically prepared to engage in education and life
Quality children’s services
Quality children’s services help children get a good start to life. The types of children’s services available in NSW include long day care, preschool, occasional care, vacation care, toy libraries, supported playgroups, family day care, home-based care, mobile children’s services and outside school hours care.
Positive early childhood experiences provided by children’s services can prevent problems in families by:
- providing children with a nurturing environment and programs that assist their development
- helping ensure ‘school readiness’
- detecting early, and providing support for, children with behavioural and learning problems
- giving families a break and helping to relieve stress
- giving parents the opportunity to participate in the workforce, to have a break from care duties or to join in social activities
- providing communities, particularly small rural townships, with a focal point for the sharing of information on child and family issues and as a referral point to health, family support and other community services.
A comprehensive listing of children’s services in NSW is available HS Net
Community Builders is a community capacity building funding program that contributes to building stronger communities by funding projects and services that focus on outcomes, alleviate disadvantage, adopt a strengths-based approach and develop community capacity. Community Builders has four service activity categories: community capacity building, community skills development, community sector development and community hubs.
Communities for Children
Communities for Children (C4C) is part of part of the Commonwealth’s Family Support Program which provides prevention and early intervention programs for families with children up to 12 years, who are at risk of disadvantage and who remain disconnected from childhood services.
Of the sites funded nationally, eleven are located in NSW (Blacktown; Campbelltown; Dubbo, Wellington, Narromine; Fairfield; Lismore; Miller; Murwillumbah; Raymond Terrace; Shellharbour; Taree and Wyong).A key local non-government organisation (facilitating partner) in each site acts as broker in engaging smaller local organisations to deliver a range of activities in their communities via a C4C Committee, which is representative of the community.
The facilitating partner oversees the development and implementation of strategies and activities and manages the funding allocation for the site. Much of the funding is allocated to other local service providers to deliver the activities. Examples of activities being implemented under C4C are:
- home visiting
- early learning and literacy programs
- early development of social and communication skills
- parenting and family support programs
- child nutrition
- community events to celebrate the importance of children, families and the early years.
Communities for Children Plus expands the C4C model, but has a stronger focus on building links with statutory child protection services, as well as with services primarily targeted to adults. It aims to tackle known parental risk factors including mental health, family violence, housing and substance abuse.
Six sites nationally have been announced, including Kempsey and Campbelltown in NSW.
Early Childhood Health Services
Early Childhood Health Services are provided to children in the 0-5 year age group and their families. They provide advice and information on a range of parenting and child health matters, assessment of growth and developmental progress of children, dealing with behaviour and developmental issues and early identification of child abuse and post natal depression.
Early Childhood Health Centres are staffed by registered nurses with specialised qualifications and experience in child and family health nursing. Services are offered on a one to one basis either by drop-in, appointment, in group situations, home visiting or telephone.
In addition, Early Childhood Health services are supported by a range of other child and family health professionals such as allied health, women’s health and counselling services. Parenting and other intervention groups are also provided within these services. These services also refer families to other services as appropriate e.g. dental, mental health and General Practitioners.
Families NSW is the NSW Government’s whole-of-government prevention and early intervention strategy for families expecting a baby or with children aged 0 to 8 years. The strategy is implemented through service models that are focused on supporting parents to be confident, connected to their community and its services and equipped to support their children’s development. These service models include:
- Universal Health Home Visiting (UHHV) includes the offer and provision of at least one contact in the family’s home within two weeks of birth by a child and family health nurse. The aim of UHHV is to engage all families with newborns and to provide support to parents with young children.
- Family Worker Services involve skilled professionals working with a range of groups (such as teenage parents, fathers and Aboriginal parents) within local communities to provide support and assistance to parents in developing social networks, life and parenting skills.
- Schools as Community Centres are located in primary schools and provide a range of early childhood initiatives, including supported playgroups, parenting skills courses, breakfast clubs and transition-to-school projects.
- Supported Playgroups are facilitated by qualified workers and provide an informal way for parents to learn from each other, the facilitator and invited professionals about child development and play.
- Volunteer Home Visiting Services involve volunteers visiting parents of newborn babies and toddlers in their home to provide practical advice and support. Volunteers also assist parents in linking up with services and supports within their local community.
- Triple P (Positive Parenting Program) assists all families with children aged 3-8 years to have the opportunity to access parenting information and support, so they have increased skills and confidence and feel better equipped to raise their children. Parents across the state can access Triple P through information seminars, small groups and a self directed program.
The program is provided to parents through a variety of practitioners in local areas, with many courses advertised on the Families NSW website.
Home visiting is often cited as a successful evidence-based intervention. However, home visiting is not a single, uniform intervention, but a strategy for delivering a multiplicity of services. It is often a highly valued and accepted strategy for the provision of parenting information and family support.
It can be used as a means of delivering services to vulnerable, first time mothers in need of support, or offered in conjunction with other services which target the child more directly (such as attending an early childhood education program).
Parenting programs is an umbrella term often used to describe programs that are focused short-term interventions aimed at helping parents improve their parenting skills, their relationship with their child, and preventing or treating a range of problems including behavioural and emotional adjustment.
This can include parent education, parent training, parent support and family skills training. Programs can be offered on a group or individual basis. Parenting programs aim to help parents in the following ways:
- develop knowledge and strategies to build positive behaviours in children and promote positive family relationships
- develop knowledge about appropriate ways to manage misbehaviour
- develop a sense of self worth as a parent.
Play groups provide an opportunity for parents, carers, babies and children (up to school age) to meet on a regular basis in a structured, but informal environment. Playgroups provide an opportunity:
- for children to have fun, make new friends and develop new skills through informal play
- for parents to meet other parents and carers, make friends and share ideas and experiences
- for parents to spend quality time with their children, encouraging, helping or simply playing with them.
Police and Community Youth Clubs are designed to get young people active in life, work with young people to develop their skills, character and leadership and prevent and reduce crime by and against young people.
Brighter Futures is a voluntary program delivered in partnership by Community Services and non-government organisations. The program provides vulnerable families who are expecting a child or have children aged under 9 years with the necessary services and resources to help prevent an escalation of emerging child protection issues.
The program delivers case management and range of tailored services including home visiting, quality child care and parenting programs.
The Early Intervention & Placement Prevention (EIPP) program includes services along a continuum of family and community needs from child, family and youth support to higher intensity and longer term targeted support. The aim of this integrated system is to reduce the likelihood of entering the statutory child protection system, or for those already in the system, from progressing into out-of-home care.
Services or programs under the EIPP service continuum include former Community Services Grants Program services, Brighter Futures, Intensive Family Support and Intensive Family Preservation Services.
Early childhood intervention programs provide support to young children who have developmental delays or disabilities in order to promote the child’s development and inclusion in family and community life. Early childhood intervention programs can include therapy, education, health services, inclusion support in early childhood services, family support and the provision of information and support for transition into school.
The REACh program is intended to improve the capacity of families and caregivers to respond appropriately to children's needs for care, development and safety through timely access to community resources that can support them in their parenting role. It aims to improve access to support services and encourage at risk and vulnerable families to engage with their community through collaborative approaches.
REACh has an emphasis on ensuring the best possible start and promoting successful transitions for children in vulnerable families. The program is about child-centred, family focused and community connected responses. In NSW there are number of funded services, including home visiting, parenting programs, outreach, referral and advocacy.
The Sustaining NSW Families (Sustained Health Home Visiting Program) is presently provided in 3 sites in NSW (Wyong; Kurri Kurri, Cessnock, Maitland and Fairfield, Liverpool) and provides intensive structured health home visiting based around a positive parenting program which commences in pregnancy and continues until the child’s second birthday.
A further two sites will commence from 2011 at Arncliffe and in the Richmond Valley, Kyogle, Lismore local government areas. Services will be provided by the same child and family health nurse and the family will be supported by a social worker and have access to other appropriate early childhood, family and specialist services as required.
Getting It Together provides intensive case management and brokerage for young people, with a focus on helping them gain access to support services such as health, education, training, housing, treatment and counselling.
Services are currently operating in Broken Hill, Cabramatta, Campbelltown, Central Coast, Crows Nest, Darlinghurst, Dubbo, Kings Cross, Lismore, Mt Druitt, Nowra, Penrith, Toomelah-Boggabilla, Waterloo and Wollongong.