Annual Report 08/09 - Home
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Annual Report 08/09 - Home
Annual Report 08/09 beyondblue: the national depression initiative www.beyondblue.org.au 1300 22 4636 Vision • A society that understands and responds to the personal and social impact of depression and anxiety disorders. • A society that works actively to prevent depression and anxiety disorders and improves the quality of life of everyone involved. Principles for action • Respect for human rights and dignity • Strong community involvement, understanding and support • A population health approach • Recognition of diversity and special needs • A co-ordinated and collaborative approach • An evidence-based approach • Sustainable action Mission To provide national focus and leadership that increases the capacity of the broader community to prevent depression and anxiety disorders and respond effectively. Government partners: ABN 87 093 865 840 ACN 093 865 840 Introduction Annual Report 08/09 beyondblue: the national depression initiative beyondblue is an independent, not-for-profit organisation working to increase awareness and understanding of depression, anxiety and related disorders throughout Australia and reduce the associated stigma. beyondblue works to promote early intervention and prevention of depression and anxiety disorders through our programs and research activities. We also provide information about the real-life experiences of people who live with depression and anxiety disorders, and their carers, and promote their needs with policy makers and health care providers. beyondblue is supported by the Australian Government and every State and Territory Government in Australia. beyondblue also receives considerable unsolicited donations from businesses and individuals, in particular The Movember Foundation. beyondblue is not supported by pharmaceutical company funding. beyondblue’s five priority areas 1. Community awareness and destigmatisation 2. Consumer and carer participation 3. Prevention and early intervention 4. Primary care 5. Targeted research DISCLAIMER Every effort has been made to ensure that this publication is free from error and/or omission at the date of printing. The authors, publisher, and any person involved in the preparation of the beyondblue Annual Report 2008/09 take no responsibility for loss occasioned to any person or organisation acting or refraining from action as a result of information contained in this publication. ©beyondblue: the national depression initiative 2009 This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without prior permission from beyondblue: the national depression initiative. Requests and enquiries concerning reproduction and rights should be addressed by email to [email protected] ISSN: 1832-2778 1 Contents Chairman’s Foreword 3 • Youth training 24 Coach the Coach beyondblue Rounds 47 Chief Executive Officer’s Report 4 • Stay on Track 24 yshareit Youth Project 47 Current Strategies and Priority Areas to 2010 5 Raising Awareness of Depression in Rural Areas 24 Clinical Adviser’s Report 6 Build Your Game (Good Sports, Good Mental Health) 47 Research Adviser’s Report 7 • Don’t beat about the bush! Campaign – building awareness across rural Australia 24 Tackling Depression in Older People 48 • beyond maturityblues Program 48 Board of Directors 8 • Over Bl**dy Eighties (OBE) Campaign 48 • beyondblue-Bowls Community Partnership 48 49 Priority Area One: Community Awareness and Destigmatisation 9 25 • Australian Rural Information Network (ARIN) online drought and disaster assistance map 25 Working with the Media 10 • Rural information kit 25 Tackling Depression in People with a Chronic Illness Media and community interest 10 beyondblue National Advertising Campaign 12 • Depression and anxiety rural roundtable discussion in Perth 26 • Raising awareness of depression in men with prostate cancer and their partners 49 • Field days 26 Men’s Sheds 26 beyondblue Information resources for Gay, Lesbian, Bisexual, Transgender and Intersex (GLBTI) People 50 Foundation 49: Men’s Health 26 New beyondblue Information Materials 27 • New material produced between July 2008 and October 2009 • CALD Carers Participation Program 50 27 • Assertive Communication in Multicultural Australia 50 • Youthbeyondblue fact sheets 28 Tackling Depression in Indigenous Communities 51 • Languages other than English 29 • Rites of Passage • Information materials for health professionals 29 • Indigenous Men’s Sheds/Spaces Pilot Project 51 • Save A Mate (SAM) Our Way 51 Youthbeyondblue National Multimedia Campaign 13 National Mailout 14 beyondblue Website www.beyondblue.org.au 14 • Revised Directory of Medical Allied Health Practitioners Map 15 • Ordering beyondblue information materials online 15 New Youthbeyondblue Website www.youthbeyondblue.com 15 Events 15 • Anxiety and Depression Awareness (ADA) Month in October, Mental Health Week and World Mental Health Day 2009 15 • Movember: Changing the Face of Men’s Health 16 Tackling Depression in Culturally and Linguistically Diverse (CALD) Communities 50 51 Priority Area Two: Consumer and Carer Participation 30 • Indigenous Hip Hop Projects 51 blueVoices 31 beyondblue Ambassador Program 32 Priority Area Four: Primary Care 52 53 • Community Forum – beyondblue, The Werribee Banner and Rotary Club of Werribee 16 • beyondblue’s high profile Ambassadors 32 Better Access to Mental Health Care Initiative • Footy tackles depression – beyondblue AFL and VFL Cup 16 beyondblue Information and Referral Line 1300 22 4636 33 beyondblue’s National Doctors’ Mental Health Program 54 The beyondblue Directory of Medical and Allied Health Practitioners in Mental Health 34 The beyondblue Guide to the Management of Depression in Primary Care 54 Carers Campaign 2009 34 Young Minds 55 • The beyondblue Guide for Carers 34 Priority Area Three: Prevention and Early Intervention Clinical Practice Guidelines: Depression in Adolescents and Young Adults 55 35 beyondblue National Workplace and Social Enterprise Portfolio Clinical Practice Guidelines for Depression and Related Disorders (anxiety, bipolar disorder and puerperal psychosis) in the Perinatal Period 56 36 • The beyondblue National Workplace Program 36 beyondblue Disaster Strategy – Addressing Mental Health Issues in Bushfire and Flood-affected Communities 40 • New booklet and information card for disaster-affected communities 40 • Looking Beyond Netball Partnership 17 • SA Grade Cricket clubs go into bat for depression awareness during FeBLUary 17 • beyondblue takes to the catwalk 18 • Seniors’ Weeks and Festivals 18 • Keeping active for mental health 18 • Working with the Australian music industry 18 • beyondblue Partners Lunch and Rural Mental Health Roundtable in Western Australia 19 • Men and Depression Public Forum 19 • Generation Next Forums Melbourne and Adelaide 19 • Rokewood, Community Forum – The Big Night Off 19 • Special Efforts 19 RANZCP Indigenous Mental Health Website 56 Depression Yarns DVD 56 Research 56 Priority Area Five: Research 57 beyondblue Victorian Centre of Excellence 58 • 2009 bbVCoE Research Grant Round 58 • Other events in which beyondblue participated in 08/09 20 • Community Support Training (Victorian bushfires) 41 Depression Awareness Partnerships 20 Community Programs 41 • National funding resulting from bbVCoE investment 59 • Tackling depression in Wyndham (VIC) 20 Employment and Workforce 42 Medical Journal of Australia Supplement 59 • Driving partnerships through golf 21 • Mental Health and Insurance Discrimination Project 42 • Silvan Australia 21 • Job and financial loss 42 Examples of beyondblue’s Current Research Projects 60 • Barry Plant Real Estate (VIC) 21 • Employment and Workforce research projects 43 • Cancer Australia Partnership 60 • Trans-Help Foundation 21 KidsMatter Primary 43 • Master Builders Western Australia 21 KidsMatter Early Childhood 44 • Depression and Cardiovascular Disease Strategic Research Program 60 • Bowls Victoria 21 61 • Magnolia Square 21 beyondblue High Schools Classroom Program (SenseAbility) • Beyond Ageing Research Project – Australian National University 45 • The 45 and Up Study 61 • Australian Medical Students’ Association (AMSA) 21 Developing Resilience in Tertiary Students 45 • Feeling Queer and Blue 61 Youthbeyondblue 22 Completed bbVCoE Research Projects 62 • National Youth Week 2009 22 beyondblue National Perinatal Depression Initiative 45 • Community festivals 22 • Rock Eisteddfod 23 • Anti-Racism Action Band (ARAB) • Indigenous Hip Hop Projects (IHHP) • Red Frogs Schoolies and Education/ Tertiary Programs 2 • Mental Health Support for Drought-Affected Communities Initiative • Guidelines Expert Advisory Committee for Perinatal Mental Health The beyondblue Team 64 46 Partners and Supporters 65 23 • New information materials for new mothers, their families and carers 46 Journal Articles 66 24 • Information regarding training programs 46 Conference Partnerships 67 Phunktional 46 Annual Financial Report 69 24 beyondblue: the national depression initiative Chairman’s Foreword $18.7 million to look after the mental health and well-being of Australian primary and pre-school children by extending this program. In addition, beyondblue has committed a total of $7.8 million to the KidsMatter Primary Schools and KidsMatter Early Childhood initiatives. This is a great investment in our children’s future. This year also saw the launch of a new Youthbeyondblue national advertising campaign focusing on young people, which included revamping our youth website www.youthbeyondblue.com and information materials (see page 13). When I reflect on the breadth and volume of beyondblue’s work in the past financial year, I am pleased that we have achieved so much, but I know there remains a great deal of work to do. Across the country, we have seen people battling a range of adverse conditions which have affected their livelihood, their lifestyle and in many cases, their mental health. We have seen bushfires, floods and drought impact on communities already affected by the fallout from the global financial crisis. For many people, it’s been an extremely tough time – and beyondblue has worked with a range of agencies to get information to people affected by these crises, so they’re able to access the help they need. It has been particularly gratifying to see the results of beyondblue-funded research translated into practical, early-intervention programs to which governments have committed funding. Two, in particular, stand out. Firstly, the National Perinatal Mental Health Initiative (see page 45), which screens and supports pregnant women and new mothers with depression, is well underway – thanks to a financial commitment of $85 million from the Federal, State and Territory Governments and a collaborative commitment from all governments in delivering the program. Secondly, well aware of the value of spending dollars on preventing mental health problems rather than solving them and following the successful evaluation of the pilot stage of the KidsMatter Primary Schools initiative (see page 43), the Rudd Government has committed a further www.beyondblue.org.au At Admiralty House in August, beyondblue’s new Patron, Her Excellency The Governor-General, launched a beyondblue booklet – Guide for Carers – which is aimed at helping and supporting people who care for a person with depression, anxiety or related disorders (see page 34). It’s important that everyone understands that it’s not just the person with the illness who needs help – the people who care for and support a person with depression need to know there is support available for them too. The Movember Foundation has again put in a stirling effort, not only in raising awareness of depression and anxiety in men, but in raising more than $8 million for both beyondblue and the Prostate Cancer Foundation (see page 16). This is a marvellous contribution to beyondblue for which we are very grateful. These funds will enable us to continue our work to support men’s health programs in rural, remote, regional and metropolitan areas across Australia. My thanks go as well to the Federal, State and Territory Governments for their vote of confidence in continuing to fund and support beyondblue. I never cease to be amazed by the truly wonderful bipartisan support that has been extended to beyondblue by political parties and politicians of all persuasions. We value this support and commit to continue our work in partnership with all tiers of government, the health sector, our corporate and community partners, and the media. I would also like to acknowledge and thank all the people with depression and anxiety – and their carers – who have shared publicly their personal stories so that others may benefit from their experiences. We greatly appreciate the generosity of the hundreds of individuals, families and businesses who support the work of beyondblue through financial donations, or from in-kind business support worth many millions of dollars. Given the prudent governance policy the beyondblue Board applies to all funds received from governments, corporates and individuals, beyondblue does not invest in the share market nor in property. Therefore, the organisation has not lost a single dollar as a result of the global financial crisis. We remain today in a very strong financial position. And last, but not least, I thank my fellow Board Members, beyondblue’s CEO Leonie Young and her dedicated team, for their hard work and commitment in helping everyday Australians (no matter where they live or what they do) to get the help they need. It has been nine years since I took on this role as Chairman of beyondblue, and in that time, I have seen changes in social policy, government support, and public understanding and acceptance of mental illness that I would never have thought possible in such a short period of time. But as I mentioned earlier – there is still a lot of work to be done – and we look forward to continuing to serve the Australian public. Our Board has decided to extend our work for a further five-year term to 2015. We look forward to continuing our work in changing attitudes, reducing stigma and improving services for people with depression, anxiety and related disorders and their carers. I commend this report to you. The Hon. Jeff Kennett AC Chairman 3 Chief Executive Officer’s Report I am pleased to report on beyondblue’s activities and outcomes for the 2008/09 financial year, including achievements and challenges, as we also complete our 9th year of operations. The broad extent of our activities and the diversity of people collaborating with us as the national focal point for depression and related disorders in Australia is illustrated throughout this report. The beyondblue Board, clinical and research advisers, staff, blueVoices members, ambassadors, partners and associated researchers have worked tirelessly throughout the year to improve access and services, to reduce the stigma and impact of depression and anxiety disorders across Australia. Throughout this year, we have reviewed and consolidated our administration, internal operations and systems to support the growth of the organisation and the delivery of national programs across five priority areas – community awareness and destigmatisation, consumer and carer participation, prevention and early intervention, primary care and targeted research. When we measure community awareness and participation in beyondblue programs, we regularly find levels of interest and engagement that surpasses our expectations. This is evident across Australia, from Maningrida to Maydena, Albany to Ayr, Port Hedland to Broulee. It’s best illustrated by the increased volume of people seeking information and assistance and people now speaking up, breaking down the stigma that for so long silenced people and prevented them from seeking help. On average, there are 100,000 visits to our website and 9,000 calls to the info line per month. Every day we despatch around 400 orders for depression information and resources – and 100 new organisations register online. During October, which is Anxiety and Depression Awareness (ADA) month, more than two million items were requested and despatched. 1.5 million people now accessing primary care services. It’s important to concede that while our health systems are improving, they’re supporting only 50 per cent of the population with high prevalence disorders. Many people remain reluctant to seek help from a GP for their depression symptoms, stating they ‘don’t want to bother’ their already busy GP. Together with people affected by the illness and their families, we have started conversations – and debates – on depression and anxiety with clinicians, policy makers, politicians and the media, Australia wide. We’ve encouraged people to share their personal stories and, by drawing on their lived experiences, initiated practice change and service reforms. We’ve supported quality research and guidelines development to reduce depression and its co-occurrence with other chronic illnesses, including asthma, diabetes, heart disease and cancers. Without a radical change to the current health service models and collaborations to actively address stigma and discrimination, the imbalance and burden of depression, anxiety and related disorders will continue to increase. Our researchers have delivered evidencebased results; the critical information on what depression and anxiety disorders are – and how they are best treated. Based on this solid foundation, beyondblue has produced quality, clinical information in easy-to-understand fact sheets, booklets and DVDs, including in other languages and in Braille. We’ve also embraced new technology to deliver our key messages online through social networking sites and mobile phones. During this past decade, the success we have had in implementing a national action plan for addressing depression and related disorders using a combined targeted and multi-sectored, bi-partisan approach, has provided Australia with a focal point for destigmatising the illness. However, many challenges remain. Improving access to health services and addressing workforce shortages are daunting challenges we all share. As beyondblue continues to raise awareness and promotes early intervention, help-seeking behaviour, the demand for services far exceeds the supply. The severe shortage of services and health professionals is not likely to improve for many years. We know that our awareness-raising efforts, and those of others, have contributed greatly to the success of the Better Access Initiative with more than Depression and anxiety are the leading causes of non-fatal burden of disease in Australia for men (10.0 per cent) and women (18.1 per cent).1 Measures of depression, anxiety and related disorders – and their impact – have been well recorded in Australia these past ten years. beyondblue will work collaboratively with all governments on the Fourth National Mental Health Plan, the National Health and Hospital Reforms and Primary Care Review recommendations. We will increase our efforts on strengthening primary care and self-help interventions with innovative e-health strategies. The results of our 2009/10 Depression Monitor survey and an independent evaluation of beyondblue will assist our strategic planning and delivery to 2015. To the Federal Government, state and territory governments; to our generous benefactors Mitchell & Partners, APN Outdoor, Convenience Advertising, businesses and schools across Australia; to the mo bros and mo sistas of Movember and the Movember Foundation; we sincerely thank you all for your ongoing support and look forward to another dynamic year. As we move towards our tenth year, with our driving Chairman, Board and our creative and talented staff, I am confident that beyondblue will continue to reduce the burden of depression and anxiety disorders throughout Australia. Leonie Young Chief Executive Officer 1 Begg S, Vos T, Barker B, Stevenson C, Stanley L, Lopez AD. (2007). The burden of disease and injury in Australia 2003. PHE 82. Canberra: AIHW. 4 beyondblue: the national depression initiative Current Strategies and Priority Areas to 2010 Overall Strategic Direction and five-year focus (to 2010) CREATE new and improve current responses to depression and anxiety, building on early achievements and partnerships to: • implement project and research outcomes in prevention and treatment • lead implementation of prevention strategies • develop and partner new styles of health models and services • target bipolar, chronic disease comorbidity, anxiety and related drug and alcohol disorders • target young people, women, men, the workforce, older people, Indigenous, rural; Gay, Lesbian, Bisexual, Transgender and Intersex (GLBTI) community and Culturally and Linguistically Diverse (CALD) communities. FOCUS on increased recognition of depression and anxiety and their health impact across the lifespan. RESPOND to community needs resulting from situational or natural disasters. DEVELOP and extend corporate and philanthropic partnerships. Priority One Community awareness and destigmatisation DEVELOP and implement new advertising and other mass media campaigns with a particular focus on co-existing illnesses including chronic illness, and at-risk populations. IMPLEMENT targeted strategies, monitoring against benchmarks with a focus on help-seeking and recovery. BUILD school, university and youth depression and anxiety initiatives through Youthbeyondblue, education and health sector partnerships. IMPLEMENT workplace prevention programs across a broad range of sectors. SUPPORT strategies targeting older people. CONDUCT regional community consultations to support nationally-agreed objectives. INITIATE programs arising from attitudinal monitoring. Priority Two Consumer and carer participation DEVELOP new forms of consumer and carer self-management including prevention, assessment and treatment of depression, anxiety and related disorders. INITIATE programs to strengthen engagement and response to families and community. CONSULT with people who have experienced or cared for someone with depression, anxiety and related disorders and support them to speak publicly about their experiences, including diagnosis, treatment and recovery. Priority Three Prevention and early intervention Priority Four Primary care PROMOTE, fund and develop early intervention and prevention programs in priority areas of young people, men, older people, Indigenous Australians, rural communities, GLBTI communities and CALD communities. ENHANCE collaboration and partnerships with chronic disease agencies e.g. National Heart Foundation, Diabetes Australia, Cancer Australia and Cancer Councils, National Stroke Foundation, the Asthma Foundation, Alzheimer’s Australia. ASSIST implementation of Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule program. PROVIDE information, training and support to primary care professionals in the diagnosis, treatment and management of people with depression and anxiety. EXPAND partnerships with rural doctors, mental health and primary care providers, regional and Indigenous health services and Co-operative Research Centres (CRCs). Priority Five TARGET research into prevention and treatment outcomes. Targeted research COLLABORATE with agencies such as the National Health and Medical Research Council, Australian Research Council, National Heart Foundation, Cancer Australia and applied research organisations. EXPAND applied research program in priority areas with rigorous evaluation. DISSEMINATE research results and assist in implementing recommendations. We aim to: EXPAND and provide leading international practice in depression and anxiety awareness, prevention, early intervention, treatment and pathways to care and recovery, across the lifespan. IMPLEMENT a national program to address antenatal and postnatal depression, building on research undertaken in beyondblue’s first term. ENHANCE delivery of a national cross-portfolio approach across health, education, family and community services. IMPLEMENT a national depression, anxiety and related disorders prevention and early intervention program for children and young people through schools, education and integrated health systems. DELIVER and promote workplace depression awareness, education and training across a range of sectors, including professional sport, transport, mining, government, corporate, professionals and vocational areas. www.beyondblue.org.au 5 Clinical Adviser’s Report Research Council in 2009 outline recommendations for adults, children and pregnant women based on evidence to reduce risk from alcohol consumption. The report on the latest national survey examining the mental health of Australians1 re-confirms that depressive, anxiety and substance use disorders are widespread in our community. Depressive disorders carry with them the greatest risk of suicide and the greatest degree of severity. Yet, only a third of those with any mental disorder had sought treatment in the last year. We know that the disability caused by depression and anxiety disorders can become entrenched if these illnesses are not treated. There are treatments that can be tailored to help individuals and that will work for most people. One of the challenges for those providing treatment is to ensure that the appropriate treatments are applied and that they are available for everyone. Over this last year, we have worked on ways to address these issues. ‘Depression’ has a number of meanings. While it denotes a normal human emotion, it can also be used to describe a state of unhappiness that lasts beyond what is expected. It can also describe the clinical condition that is one of the ‘Depressive Disorders’. We need to be quite specific in our use of the term. We do not want to turn a normal human emotional experience into a medical problem and we do not want to trivialise a very disabling condition. Research makes it very clear that depressive disorders are more commonly seen with another condition rather than on their own. Paired with substance misuse, they are very dangerous. The new safe drinking guidelines released by the National Health and Medical 6 Clinical experience and some research suggests that people with depressive disorders and anxiety disorders must be very cautious about how much alcohol they consume, however, there is a lack of published research to be able to include a guideline for these groups. Furthermore, there is not enough research to be able to recommend a safe level of alcohol consumption for a person experiencing depressive or anxiety disorders. It is worrying when an individual uses alcohol or illicit drugs to self-medicate, as this behaviour is more likely to lead to substance dependence and can hinder recovery. The term ‘co-morbidity’ is commonly used to describe the presence of two disorders simultaneously, for example, substance misuse and depression. Other co-morbidities are even more common, such as depressive and anxiety disorders. In fact, it is more common for a person to have anxiety on top of a depressive disorder than for him/ her to have a depressive disorder alone. Physical conditions also commonly co-exist with depressive disorders. Mental Health Services are not currently set up to treat people with multiple conditions, whereas General Practitioners see this on a daily basis. Over the last year, beyondblue’s webbased information, research and public education programs have placed greater focus on co-existing conditions and their impact. Stigma associated with depression and related disorders appears to be declining, but it still exists. Despite this, there are more people willing to talk about it openly. Well-known individuals who experience depression or anxiety and speak publicly about their illness have made a difference. Unfortunately, the stigma prevails to the point where there is still courage required to do this. Yet, the media now appears to be more accustomed to reporting on mental health issues and less likely to see it as a novelty. As a practising clinician, I often hear people say they were helped to feel better about their own illness when they learnt about a famous person’s experience through the media. With more people thinking of depression and related disorders as treatable conditions, we hope this attitude change will result in an increase in demand for treatment. New approaches are needed to improve access to treatment, particularly psychological therapies. For many people, these are first-line treatments. For others, psychological therapies complement medication. To make quality psychological treatment accessible, we are exploring new ways of delivering services. We also need to learn more about the factors that lead to a good response to medication, so that we can better tailor our treatments and interventions. The treatment of young and adolescent Australians who have depression has been a matter of contention over the past 12 months. New developments and research findings have caused uncertainty among some clinicians. beyondblue and the NHMRC have embarked on an important review of this area and new guidelines will be completed in 2010 (see page 55). Although the areas I have covered have been the focus over the last year, we need to continue to address the clinical basics: correct recognition of the problem when it arises; encouraging appropriate individual treatment; preventing the onset in whatever way we can; and expanding our knowledge of the causes of depression and related disorders and the treatments that work. A/Prof. Michael Baigent Clinical Adviser 1 Australian Bureau of Statistics (ABS) (2008). 2007 National Survey of Mental Health and Wellbeing: Summary of Results. ABS: Canberra. beyondblue: the national depression initiative Research Adviser’s Report An important part of the research process is getting results published. beyondblue continues to support research supplements in the Medical Journal of Australia (MJA) which bring together a body of work in a single area. In early 2009, beyondblue supported its sixth MJA supplement (see page 59). This edition featured 11 articles examining the links between depression and physical illness, including a useful review of the evidence as well as specific intervention studies. beyondblue continues to encourage and support relevant research which has immediate and long-term benefits for people with depression, anxiety and related disorders – and their carers. Depression is a complicating factor in heart disease, and is associated with significantly worse health outcomes. In 2008/09, we continued our collaboration with the Heart Foundation to encourage and support more research in this area. Following a competitive grant application round, four research projects were chosen examining a range of interventions which may be effective in this situation. Similarly, we have continued our collaboration with Cancer Australia to fund projects looking at improving quality of life for people with depression associated with cancer and their carers (see page 60). These competitive grants are assessed by the National Health and Medical Research Council. In 2008, six grants were funded, and 2009 applications are under consideration. beyondblue is a partner in the 45 and Up study being run by the Sax Institute in New South Wales (see page 61). This is a large cohort study of 250,000 NSW residents which aims to identify, by regular follow-up, risk factors for a range of illnesses. Depression and other psychosocial factors clearly impact health and this study will provide a great opportunity for researchers to measure the extent of the interactions between depression and other common chronic illnesses. Studies of this size are rare and have enormous capacity to inform and influence health and social policy. www.beyondblue.org.au Men’s health has been a continued focus in 2008/09, with beyondblue funding two grants in the area of prostate cancer, plus one in testicular cancer, and links to mental illness and well-being. In 2009, beyondblue and the Victorian Government allocated $1.39 million to researchers through the annual beyondblue Victorian Centre of Excellence in Depression and Related Disorders grants round (see page 58). The research priorities included a focus on depression and co-existing physical illness, eating disorders, chronic injury, pain and trauma and disaster recovery. Ten projects were chosen from 54 applications. Research is incredibly important in the endeavours of beyondblue. The results inform our messages to the public as well as advice to governments. But research also often produces new questions and so the commitment to research must continue if we are to improve the availability of effective care for people with depression, anxiety and related disorders and reduce the burden that these illnesses often bring. Prof. David Clarke Research Adviser 7 Board of Directors The Directors of the Company at any time during or since the end of the financial year are: The Hon. Jeffrey Kennett AC (Chairman) 23 years experience in Victorian Parliament, including Premier of Victoria 1992-1999. Chairman of Open Windows Pty Ltd, Australian Commercial Catering Pty Ltd and Amtek Corporation Pty Ltd. Chairman of the Board of Management of PFD Food Services Pty Ltd. Director of Equity Trustees Limited and Jumbuck Limited. President of the Hawthorn Football Club. Director of beyondblue since 19 October 2000. Mr John McGrath AM (Deputy Chairman) Inaugural Chairman of the Mental Health Council of Australia. Former member of the Victorian Government, carer of a family member with a mental illness and Chairman of the Victorian Ministerial Advisory Committee on Mental Health. Director since 19 October 2000. Professor Steven Larkin A Kungarakany man, has extensive leadership experience in Indigenous health including the National Aboriginal Community Controlled Health Organisation, NT Health Services and the Commonwealth Department of Health and Ageing. Currently Pro ViceChancellor – Indigenous Leadership at Charles Darwin University in Darwin. Appointed 17 February 2009. Associate Professor Brett McDermott Clinical and Research Specialist – Child and Youth Psychiatry. Director of the Mater Child and Youth Mental Health Service Queensland and Associate Professor of Child and Adolescent Psychiatry, University of Queensland. Director since 26 October 2006. Mr Garry McDonald AO Australian actor and media spokesperson. Past Patron of the Anxiety Disorders Foundation, New South Wales Branch. Director since 19 October 2000. Dr Michael Bonning Mr Tim Marney Immediate Past President of the Australian Medical Students’ Association. Director since 19 August 2008. Churchill Fellow 2009. Western Australia Under Treasurer and beyondblue Ambassador. Director since 19 August 2008. Ms Kate Carnell AO CEO, The Australian Food and Grocery Council – former CEO of the Australian General Practice Network and ACT Chief Minister 1995-2000. Director since 19 August 2008. The Hon. Caroline Hogg Former member of Victorian Parliament holding a number of human services portfolios including Minister for Health. Director since 19 October 2000. Professor Kenneth Kirkby Professor of Psychiatry, University of Tasmania. Past President of the Royal Australian and New Zealand College of Psychiatrists. Director since 18 March 2003. Resigned 18 August 2009. Dr Leanne Rowe AM Deputy Chancellor Monash University, holds appointments with The University of Sydney and The University of Melbourne, past Chair of the Royal Australian College of General Practitioners and rural medical practitioner for 26 years. Director since 19 August 2008. Ms Natasha Stott Despoja Retired Senator and former leader of the Australian Democrats in the Federal Parliament of Australia. Director since 19 August 2008. Ms Leonie Young Chief Executive Officer Former Executive with the Commonwealth Department of Health and Ageing. CEO since 15 July 2003 and Director since 15 September 2003. Top: beyondblue Board Directors, 2009 Third from top: beyondblue Board Director The Hon. Caroline Hogg and Deputy Chairman John McGrath Bottom: beyondblue Board Director Natasha Stott Despoja at the beyondblue Board meeting in Western Australia, June 2009 8 beyondblue: the national depression initiative Community Awareness and Destigmatisation priority area Objective: To increase community awareness of depression, anxiety and related disorders and to address the stigma linked to these health problems. Many new resources have been developed, with beyondblue’s fact sheets on depression and anxiety available in 26 languages. Over the past year, beyondblue has had considerable success in continuing to raise community awareness about depression, anxiety and related disorders. Media coverage of beyondblue’s work continues to grow and the beyondblue website remains one of the most-visited health and medical websites in Australia (see page 14). beyondblue Anxiety and Depression Awareness (ADA) Month in October 2009 generated widespread interest, with more than 104,000 depression/anxiety information kits distributed to more than 2,800 organisations, workplaces and individuals nationally. www.beyondblue.org.au The beyondblue distribution team sent out more than 11 million individual information materials to meet unprecedented public demand. Above: A selection of newspaper and magazine articles featuring beyondblue’s work in 2008/09. 9 Working with the Media beyondblue has continued to raise community awareness of depression and anxiety-related disorders by working with the media across television, radio, print and online. On a daily basis, the communications team responds to requests from journalists writing or producing stories, facilitating public discussion of depression, anxiety and related disorders specifically and mental health issues in general. beyondblue also submits research articles and reports on a range of depression and anxiety-related topics for inclusion in a wide variety of publications – many on a regular and ongoing basis. From 1 July 2008 to 30 October 2009, beyondblue was mentioned, or beyondblue spokespeople participated, in around 12,000 stories across the Australian media, which is an increase of around 2,000 for the same period the year before. Issues covered included: • the economic downturn/financial crisis and risk of depression for those affected • the effects of bushfires/floods (disasters) on people’s mental health • drought and depression in rural areas • depression in men (particularly following divorce or separation) • anxiety disorders • depression and suicide in young people (and media coverage of the topic) • the effects of cyberbullying on young people’s mental health • depression/anxiety in the gay, lesbian, bisexual, transgender and intersex community • ante- and postnatal depression • bipolar disorder • depression in older people From top to bottom: Journalists interview students at Monmia Primary School in Victoria at a press conference announcing $18.7 million Federal Government Funding for KidsMatter; beyondbluefunded researchers talk to TV journalists about their findings; Melbourne ABC Radio Conversation Hour host Catherine Deveny, beyondblue Deputy CEO Dr Nicole Highet, beyondblue Ambassador Nathan Thompson and Melbourne writer Barry Dickens before a live studio interview in August 2009; beyondblue Chairman Jeff Kennett talks to media at the launch of the Youthbeyondblue national advertising campaign in May 2009. 10 • treatment for depression and anxiety disorders – antidepressants, psychological therapies and alternative treatments • depression in the workplace • depression and exercise • depression and chronic illness. beyondblue continues to work closely with journalists and producers leading to widespread media coverage of depression, anxiety and beyondblue’s programs. Chairman The Hon. Jeff Kennett AC, CEO Leonie Young, Deputy CEOs Dr Nicole Highet and Clare Shann, Deputy Chairman John McGrath AO, Board Members, A/Prof. Brett McDermott, Clinical Adviser A/Prof. Michael Baigent, Research Adviser Prof. David Clarke, consumers and carers from blueVoices, beyondblue Ambassadors and Senior Program Managers have all contributed to raising beyondblue’s profile and community awareness of depression, anxiety and related disorders, and helped to reduce the associated stigma. “I found today’s conversation interesting and helpful, having experienced depression myself and with three friends who struggle today. As you said today, public figures and medical specialists who speak in public reduce the stigma. It was good to hear again that there is a range of options to treat it, and the point that early intervention is key.” – Feedback from ABC 774 Conversation Hour listener after hearing beyondblue Deputy CEO Dr Nicole Highet and beyondblue Ambassador Nathan Thompson on air. Media and community interest included: The fallout from the global financial crisis In December 2008, in response to the world economic downturn and the subsequent effects of the global financial crisis on ordinary Australians, beyondblue produced a booklet – Taking care of yourself after retrenchment or financial loss – to help people look after their health and well-being and that of their families (see page 42). News Limited partnered with beyondblue to promote the booklet by donating space to run big, coloured ads in the following newspapers: Sunday Times (WA), Daily Telegraph (NSW) Courier Mail (QLD), Herald Sun (VIC), The Adelaide beyondblue: the national depression initiative Advertiser (SA) and The Australian (national). Significant media interest followed the promotion of the booklet which led to numerous interviews across the country and resulted in more than 305,000 booklets distributed to date. Working with The Werribee and Point Cook Banner and Fairfax Community Newspapers In December 2008, in her electorate of Lalor (VIC), The Deputy Prime Minister The Hon. Julia Gillard along with beyondblue Chairman, The Hon. Jeff Kennett, launched beyondblue’s partnership with The Werribee and Point Cook Banner. The General Manager of the Fairfax Community Network, and Werribee resident Colin Moss, committed the paper to running weekly stories on people with depression and anxiety, including information on where to get help locally. The series of stories won Suicide Prevention Australia’s (SPA) Life Award (print media) for Banner journalist Cameron Tait. In October 2009, 10 Fairfax suburban papers were printed with blue covers (pictured below) to promote awareness of beyondblue and depression during Anxiety and Depression Awareness (ADA) Month and to mark Mental Health Week. See page 15 in the events section of this chapter for more information. Breast Cancer Network Australia partners with beyondblue In December 2008, Jeff Kennett and Raelene Boyle, Olympian and breast cancer survivor, launched the BCNA/ beyondblue partnership and joint fact sheet at the MCG. There was good media coverage on the day, plus followup interviews about the importance of women caring for their mental health as www.beyondblue.org.au well as their physical health. Research shows that 50 per cent of breast cancer survivors report they have been affected by depression or anxiety after a breast cancer diagnosis. Launch of Youthbeyondblue awareness campaign In May 2009, beyondblue launched the national Youthbeyondblue campaign at Federation Square in Melbourne (see page 13). The new Youthbeyondblue TV, radio and print ads were launched and shown publicly for the first time. This coincided with the revamping of the Youthbeyondblue website and information materials for young people. Australia’s leading media buyer Harold Mitchell, Executive Chairman of the Mitchell Communication Group and beyondblue supporter, enlisted the support of major media outlets and gained a commitment from them to run the ads at no cost to beyondblue. There was extensive media and community interest in the Youthbeyondblue campaign following the launch, with 7,000 downloads from the Youthbeyondblue website in 21 days. To view the ads go to www.youthbeyondblue.com SBS TV Insight program – Coping with baby Dr. Nicole Highet represented beyondblue and the National Perinatal Depression Initiative on the SBS TV program Insight on 22 September 2009, which provided a forum for discussion of issues relevant to perinatal depression. Participants included consumers, carers and professional experts, including Professor Marie-Paule Austin, Chair of the beyondblue NHMRC Clinical Practice Guidelines. After the program, over 400 people logged on to the website to chat, and more than 300 people posted comments. It was the biggest response Insight had had following a program. “Thank you so much for such an honest show. I was able to relate to a lot of the stories told. It gave me the courage to go to my GP for help.” – ‘Julie’, Brisbane viewer of the Insight program on perinatal depression From top to bottom: beyondblue Ambassador Craig Hamilton on location for the filming of a beyondblue DVD; Werribee Banner journalist Cameron Tait accepts the Suicide Prevention Australia Life Print Media Award for his beyondblue series from Senator Claire Moore; Indigenous Hip Hop Projects (IHHP) perform at the Youthbeyondblue launch in May 2009; beyondblue Chairman Jeff Kennett with the IHHP crew at the launch. 11 KidsMatter – announcement of further funding At the start of Mental Health Week in October 2009, a big media contingent attended the Monmia Primary School in the Melbourne suburb of Keilor Downs to cover Federal Health Minister Nicola Roxon’s announcement of $18.7 million in addition to beyondblue’s $7.8 million to extend the KidsMatter Primary and Pre-school initiatives (see page 43). The successful KidsMatter initiative, which looks after the mental health and wellbeing of children, will be rolled out to a further 400 primary schools and 100 preschools/long day care centres over the next three years. National media interest and coverage was extensive. Getting ADA on the RADAR in Anxiety and Depression Awareness (ADA) Month in October Media outlets across Australia were very supportive in promoting ADA Month (see page 15) by running stories about the prevalence of anxiety and depression and where to get help, promoting the availability of free beyondblue resources and reporting on events/activities held to promote anxiety and depression awareness and the importance of maintaining good mental health. Promotion of a beyondblue info kit across Australia resulted in numerous interviews and the playing of beyondblue community service announcements (CSAs) during October. Throughout the month, there were around 50 interviews with beyondblue clinicians, staff and ambassadors – including personal stories, information about depression and anxiety and where to get help. Stars shine light on depression Top: Federal Health Minister Nicola Roxon talks to school children from Monmia Primary School in Victoria at the KidsMatter funding announcement in October. Second from top to bottom: beyondblue advertisements on billboards, trams and buses – space kindly donated by APN Outdoor. 12 Throughout the year, there has been continuing media interest in interviewing high profile beyondblue Ambassadors about their experiences of depression, anxiety and recovery. TV news presenter Jessica Rowe was interviewed about her experience of postnatal depression following the birth of her daughter and growing up caring for her mother who has bipolar disorder. Other celebrities who have continued to raise awareness of depression and anxiety by talking publicly about their personal experiences include beyondblue Board Member and actor Garry McDonald, former AFL footballer Nathan Thompson, Olympian John Konrads, ABC Radio sports commentator Craig Hamilton and The Choirboys lead singer Mark Gable. beyondblue National Advertising Campaign The beyondblue National Advertising Campaign enjoys the support of many media agencies, enabling wide dissemination of beyondblue’s community service announcements (CSAs) across a range of media. Each of the ads portrays a person’s experience of a particular depression or anxiety-related mental health condition, with the ads encouraging: • people to learn more about the condition via beyondblue’s website or information and referral line • friends and family members to help people with depression and/or anxiety disorders to seek help from a health professional. The current campaign covers: • postnatal depression • anxiety disorders • depression and anxiety with drug and alcohol use • depression in later life • depression in the workplace • depression in men. Each CSA has been developed by drawing on research and the personal experiences of people who have experienced these conditions. The CSAs have been disseminated via television, print and radio, with some translated into languages other than English and circulated via ethnic media networks. Captioning and spoken versions are also available. The campaign’s extensive coverage has been generously supported by Australia’s leading media buyers, Harold and Stuart Mitchell of Mitchell and Partners, together with the following media outlets which have donated space and time – Networks Seven, Nine, Ten, SBS, community TV, several Pay TV channels, Regional Radioworks and numerous magazines, newspapers, radio stations and Radar Promotions Australia in Tasmania. beyondblue: the national depression initiative Convenience Advertising has also donated space and provided generous additional support by distributing the printed poster ads to people via bathroom advertising at venues such as shopping centres, cinemas, airports, universities/TAFEs, hotels and bars. This campaign has placed more than 4,700 beyondblue ads featuring eight creative concepts in nearly 1,000 venues nationwide and continues to reach more than 11 million people each week. A three-year partnership with APN Outdoor has seen beyondblue’s messages splashed across billboards, buses, trams and railway stations in Melbourne, Sydney, Brisbane, Adelaide and Perth. beyondblue billboards have also appeared regularly in rural areas of SA, NSW, QLD and WA thanks to Fox Out of Home Advertising, Sports and Outdoor Media, Paradise Outdoor Advertising and WA Billboards respectively. Youthbeyondblue National Multimedia Campaign “Help someone find a way back from anxiety and depression.” Launched on 18 May 2009, the Youthbeyondblue National Multimedia Campaign aims to raise awareness of the signs and symptoms of depression and anxiety in young people – and where to get help. The campaign aims to encourage family members, friends, school and workmates of the person who may be experiencing depression and anxiety to: • LOOK for the signs of depression • LISTEN to what the person is saying • TALK about what’s going on • SEEK HELP together. www.beyondblue.org.au The ads aim to demonstrate open communication and supportive behaviour such as encouraging the person to seek professional help and/or assisting the person to get help from a GP or other health professional. The concept and scripts were developed and focus-tested in consultation with young people who have experienced depression and anxiety (including some from blueVoices – see page 31) and experts in youth mental health. “These ads are realistic and resonate with people because the scripts incorporate the words and actions young people used to describe how they feel and behave when they are unwell.” – beyondblue CEO Leonie Young Developed by Frontier Advertising in close consultation with beyondblue, the ads for TV/cinema/web are ‘shot in reverse’. Two of the three ads begin with the main character at his/her most depressed or anxious and the action plays in reverse with the last scene the same as the opening scene, except that the main character is well. This fits with the call to action: “You can help someone find a way back from anxiety and depression. Find out where to get help at Youthbeyondblue.com or call 1300 22 4636.” The multimedia campaign includes radio ads, print ads and an updated Youthbeyondblue website (see page 15), which contains new information materials for young people, including 23 fact sheets on a wide range of topics – from helping a friend with depression or anxiety, to eating disorders and cyberbullying. Thanks to the ongoing support from Mitchell and Partners, the Youthbeyondblue ads have been shown in donated advertising space by national TV, radio, cinema and newspaper media outlets. Convenience Advertising has placed Youthbeyondblue ads in bathrooms at more than 50 TAFEs and universities across the country and a total of 110,000 free Youthbeyondblue postcards were distributed through ‘Avant Card’ display units in shopping centres, cinemas, high schools and cafes in every state and territory. From top to bottom: Mitchell and Partners Executive Chairman Harold Mitchell talks about the company’s support for the Youthbeyondblue advertising campaign; beyondblue CEO Leonie Young unveils the Youthbeyondblue campaign in May 2009; beyondblue Deputy CEO Clare Shann with the production crew at the Youthbeyondblue shoot; On location at the filming of the Youthbeyondblue TV ads; A new Youthbeyondblue poster featuring a school aged boy and his mum. 13 National Mailout By the end of 2009, most households in Australia will have received a beyondblue depression checklist and fridge magnet with information about the signs and symptoms of depression and where to get help. The mailout has had a significant impact, and a high proportion of residents recall receiving the beyondblue information. Many have sought further information via the beyondblue website or info line. “Someone close to me has suffered with depression for many years, but refused to discuss the issue with family members, friends or healthcare workers. Recently he received an information brochure from beyondblue as part of a letterbox drop. The brochure helped him to recognise that he was unwell and gave him confidence to finally talk to his doctor about how he was feeling. He is now being treated for depression, and he tells us he is feeling better already, and feels optimistic that things will continue to get better for him. It’s made a big difference in his life and the lives of all the people who care about him.” – ‘Erin,’ NSW beyondblue Website www.beyondblue.org.au “Thanks for your fabulous website. I did the online depression checklist and found out that what I was feeling was depression. I’ve since gone to my GP, who referred me to a psychologist, which has been really helpful.” – ‘Gerry,’ WA To its 83,000 monthly visitors1, beyondblue’s website remains an important source of information about depression, anxiety and related disorders and where to get help. From July 2008 to October 2009 (see graph below), there were over 1.7 million visits to the beyondblue website, with nearly 70 per cent of visitors looking at the site for the first time. On average, visitors spend more than six minutes on the site. The most popular pages contain the interactive depression checklists, information on signs and symptoms of depression, available treatments and fact sheets. The site received a Hitwise Australia Online Performance Award for the most-visited health and medical organisation website in Australia in 2008, 2007 and in 2004. Monthly visits to the beyondblue website A guide to the beyondblue website www.beyondblue.org.au beyondblue: the national depression initiative beyondblue is a national, independent not-for-profit organisation working to increase awareness and understanding of depression, anxiety and related disorders in Australia and reduce associated stigma. beyondblue works to reduce and prevent depression through our programs and research activities. We also provide information about effective treatments for depression, anxiety and related disorders. To find out more about beyondblue’s goals and priorities visit the ‘About us’ section of our website. The beyondblue website: one stop for depression and anxiety disorders information Log onto www.beyondblue.org.au to join the 110,000 people who visit the beyondblue website each month* and find the answers to your questions about depression, anxiety, postnatal depression, bipolar disorder and beyondblue programs and research. Since launching in April 2001, more than 6.6 million visitors have used the beyondblue website to find information about depression and how to help someone. The site received a Hitwise Australia Online Performance Award for being the most-visited health and medical organisation website in Australia in 2004, 2007 and in 2008. Home Page Through the home page you can also access beyondblue’s website for young people, Youthbeyondblue, the ‘Find a Doctor or other Mental Health Practitioner List’ and the beyondblue Australian Rural Information Network (ARIN) Map. July 2008 August 2008 September 2008 October 2008 November 2008 December 2008 January 2009 February 2009 March 2009 April 2009 May 2009 June 2009 July 2009 August 2009 September 2009 October 2009 0 Do you have depression? Depression is not just a low mood, but a serious health condition which affects biological functioning and wellbeing for a sustained period of time – more than a few days or weeks. Depression can seriously affect a person’s physical and mental health. A series of confidential interactive checklists allows visitors to rate themselves to see if they may have depression. The website also has similar symptom checklists for anxiety disorders, bipolar disorder and postnatal depression. * figure based on website statistics for October 2008 – September 2009 14 50,000 100,000 150,000 1 Figure based on Google Analytics statistics for unique visitors (not including repeat visitors) from July 2008 to October 2009 Left top to bottom: A Youthbeyondblue post card; the beyondblue website has 83,000 monthly visitors; A flyer outlines the rationale behind the Youthbeyondblue national advertising campaign; A guide to the beyondblue website. beyondblue: the national depression initiative Revised Directory of Medical Allied Health Practitioners Map New versions of the Directory of Medical Allied Health Practitioners and Australian Rural Information Network maps (see pages 33 and 25) were launched on the beyondblue website in September 2009. These interactive maps provide a visual and text-based nationwide directory of health and rural assistance services. The new maps feature improved usability, speed, design and quality of information. To access these maps visit www.beyondblue.org.au, then click Get Help. Ordering beyondblue information materials online Members of the public, organisations and health professionals can now order more easily beyondblue’s fact sheets, booklets, DVDs, posters and information materials using the organisation’s new web-based ordering system. Launched in June 2009, the system enables website visitors to view the full catalogue of information materials (over 450 different items) and place orders using a ‘shopping cart’ system. Over 3,400 organisations and health professionals have registered to use the system and over 3.7 million individual items have been sent out (figures correct as at 27 October 2009). To use the new ordering system visit www.beyondblue.org.au, then click Get Information and Order beyondblue information materials. New Youthbeyondblue Website www.youthbeyondblue.com To support the Youthbeyondblue National Multimedia Campaign (see page 13), the Youthbeyondblue website was re-developed to include a fresh, improved design, easier navigation, updated content and new fact sheets. The new site also includes a section for young people to share their thoughts and stories. The number of monthly visitors to the website has tripled compared to the previous Youthbeyondblue website since its launch in May 2009 (54,000 visitors1 from May to October 2009). www.beyondblue.org.au Events Anxiety and Depression Awareness (ADA) Month in October, Mental Health Week and World Mental Health Day 2009 beyondblue’s ADA Month provided an opportunity for workplaces, community groups and individuals to participate in raising awareness of anxiety and depression and reduce the associated stigma by holding activities throughout October. Australians certainly put ADA on their RADAR! with over 2,800 organisations, community groups and individuals across Australia ordering a total of more than 104,000 ADA kits this year. Some of the ADA activities included: • nominating a ‘wear blue’ day at work to raise awareness of beyondblue • organising a staff morning tea and screening the beyondblue DVD Stories of Hope and Recovery to raise awareness about depression and anxiety • displaying beyondblue information and posters at work • wearing a beyondblue wristband • encouraging work colleagues or community group members to participate in regular physical activity for ADA Month. In 2008 and 2009, beyondblue also participated in and promoted Mental Health Week (second week of October) and World Mental Health Day (10 October) during ADA Month by supporting each of the state and territory mental health week launches and activities with beyondblue representatives and/or information stands. ADA Month 2009 highlights • beyondblue distributed thousands of ADA kits at Melbourne Central throughout Mental Health Week. • Austereo recorded an ADA Month community service announcement and played it across their national radio network throughout October. • Barry Plant Real Estate (VIC) provided free boards promoting ADA Month. Top to bottom: beyondblue staff at Flinders Street Station in Melbourne to promote Anxiety and Depression Awareness Month 2008; Mental Health Foundation Secretary Russell Jones, beyondblue Program Director for Public Health, Judy Finn, and beyondblue blueVoices member Jim Goodin at the launch of Victorian Mental Health Week in October 2009; The rebranded Youthbeyondblue website for young people aged 12-25, their parents and carers; A new user-friendly ordering system on the beyondblue website was launched in June 2009. 15 • Fairfax Community Network newspapers in the western suburbs of Melbourne featured stories and a blue cover across 10 of their weekly community papers to raise awareness of mental health issues and beyondblue. • beyondblue partner organisations promoted ADA Month to their staff and networks. • The Australia Trucking Association encouraged truck drivers to participate in ADA Month with a communications campaign. Movember: Changing the Face of Men’s Health In 2008, around 125,000 Australian men grew moustaches in support of beyondblue and The Prostate Cancer Foundation of Australia. The annual Movember men’s health awareness campaign has been phenomenally successful with almost 30,000 more registrations in 2008 than the previous year. beyondblue has been a beneficiary of Movember Foundation funds since 2006. Movember has grown to become an international awareness raising event, with thousands of registrations in New Zealand, the USA, UK, Canada and several other countries. Movember Changing the face of men’s health In June 2009, Movember co-founder Luke Slattery presented a cheque for $8.1 million from the 2008 campaign to beyondblue Chairman The Hon. Jeff Kennett and the board. The funds are being used to help improve men’s mental health in the following ways: • expansion of the beyondblue info line service beyondblue: the national depression initiative encourages you to Grow a Mo during Movember! beyondblue is one of the men’s health partners for the Movember campaign and funds raised by Movember participants will be dedicated to improving men’s health in rural, remote, regional and metro areas across Australia through beyondblue’s men’s health programs. For more information and to register for Movember go to www.movember.com Top: Movember co-founder Luke Slattery presents beyondblue Chairman Jeff Kennett with an $8.2 million cheque from the 2008 Movember campaign in Perth, June 2009. Middle: (left to right) Powderfinger bass player John Collins, Movember co-founders Travis Garone and Luke Slattery, beyondblue’s Emily Armet and Carolyn Salmon, with Powderfinger lead guitarist Ian Haug, at the Brisbane Movember launch in November 2009. Bottom: Movember promotional material for the 2009 campaign. 16 • support for the Save a Mate Our Way Indigenous program • commissioning of vital research into the link between depression and men’s cancers • printing the Taking Care of Yourself and Your Family self-help book which is distributed free of charge • supporting the Don’t beat about the bush! campaign (see page 25). An evaluation of the 2008 campaign found that as a result of Movember, 82 per cent of participants talked about men’s health, 55 per cent did their own research into depression or prostate cancer, 13 per cent sought medical advice and 38 per cent encouraged someone else to seek medical advice. Community Forum – beyondblue, The Werribee Banner and Rotary Club of Werribee On 22 April 2009, a successful community forum was held at the Wyndham Leisure and Events Centre in Hoppers Crossing. Jeff Kennett and Paul Walshe, a beyondblue Ambassador, spoke to over 450 people. beyondblue bags and information were available to everyone who attended. Footy tackles depression – beyondblue AFL and VFL Cup AFL The fourth annual AFL beyondblue Cup match between Hawthorn and Geelong was hailed by footy fans as one of the best games of the ‘09 season. Each year, the Cats and Hawks play for the coveted cup, with Geelong emerging victorious for the second year running in the Round 17 clash at the MCG on 25 July. The thrilling match saw the Cats win by one point in front of almost 65,000 people. The inaugural beyondblue Cup match was played in 2006, with the aim of raising awareness of depression, anxiety and associated drug and alcohol problems and to reduce stigma within the AFL community. beyondblue ads were played during half-time and beyondblue volunteers handed out wristbands and depression information to footy fans before the game. The Victorian Minister for Mental Health, The Hon. Lisa Neville presented the Cup to Cats player Cameron Ling. In the lead up to the game, on 21 July, around 150 people attended a public Youthbeyondblue forum held in Hawthorn where beyondblue Chairman, The Hon. Jeff Kennett, and guests including beyondblue Ambassador Nathan Thompson, psychiatrist Dr Andrew Channen and two Youthbeyondblue beyondblue: the national depression initiative Ambassadors, discussed issues about depression and anxiety in young people aged 12 to 25. VFL beyondblue CEO Leonie Young spoke at the Werribee Football Club presentation night on 19 March when the club launched its partnership with beyondblue. During the 2009 season, the Werribee Football Club has worked with beyondblue to raise awareness of depression and anxiety among the Werribee Football Club players, staff, supporters and the local community. Activities included featuring the beyondblue logo on the players’ jumpers during the 2009 season, beyondblue training sessions for players and support staff, links on the website and the distribution of materials. In May, the Werribee Tigers football team beat the Box Hill Hawks by 21 points to take out the inaugural Victorian Football League beyondblue Cup. Both teams have signed up to play for the annual VFL beyondblue Cup until 2012. Deputy Prime Minister Julia Gillard attended the inaugural game – held on her home turf – to show support for beyondblue and the Tigers. Looking Beyond Netball Partnership June 2009 was designated Blue Month and netballers across the country ‘turned blue’ to raise awareness of depression and anxiety. The awareness-raising event is one component of the Looking Beyond partnership established in 2008 between beyondblue and Netball Australia. Netball teams took part by handing out beyondblue materials at matches, wearing blue clothes and wristbands on the court and holding barbeques to raise awareness. On 21 June, Netball’s Festival of Stars celebrity charity match was televised on Channel 10. Sports commentator Luke Darcy led the beyondblue team to victory over Captain Liz Ellis and her Breast Cancer Network team. Celebrity players included media personalities Wil Anderson and Adam Spencer, pro-surfer Layne Beachley, Olympic diving silver medallist Melissa Wu, Kirk Pengilly of INXS, and former Wallabies rugby union captain John Eales. Other components of the Looking Beyond partnership included beyondblue involvement in the International Test Series, depression information on the Netball Australia website and a beyondblue National Professional Sports program for elite players and support staff. SA Grade Cricket clubs go into bat for depression awareness during FeBLUary In February 2009, cricketers across South Australia took part in FeBLUary to raise awareness of beyondblue. FeBLUary was launched by the Southern District Cricket Club in 2008. This year, the campaign was extended to the South Australian Cricket Association’s 13 Grade Cricket Clubs involving an estimated 1,400 players, umpires and staff. On the first weekend of February, matches across all men’s and women’s grades featured blue balls and players wore blue caps and wristbands. Planning is underway for 2010, with the goal of delivering the FeBLUary message to cricket clubs throughout South Australia. beyondblue Ambassador Craig Hamilton and CEO Leonie Young launched FeBLUary with the South Australian Cricket Association at the Adelaide Oval on 1 February 2009. Right from top to bottom: Geelong Cats stars Shane Mumford and Paul Chapman and the St Mary’s Geelong Under-14 Aussie Rules team with the beyondblue Cup; Geelong player Cameron Ling accepts the beyondblue Cup from Victorian Health Minister Lisa Neville (photo: The Slattery Media Group); Werribee Tigers captain Dom Gleeson is awarded the inaugural VFL beyondblue Cup from beyondblue CEO Leonie Young in May 2009; (left) Hawthorn players Tim Boyle and Tom Murphy with the AFL Cup at the Youthbeyondblue Forum in Hawthorn on July 21; (right) Olympic diver Melissa Wu and former Bulldogs AFL player Chris Grant played for beyondblue in the Netball Australia Festival of Stars charity match in June 2009; SA Grade Cricketers take part in FeBLUary in 2009. www.beyondblue.org.au 17 beyondblue takes to the catwalk Blue was the new black at the 2009 L’Oréal Melbourne Fashion Festival from 15–22 March with beyondblue the official community partner. Patrons at the week-long festival were treated to cutting edge design from Australia’s most innovative designers while the festival promoted important mental health messages. The event, now in its 13th year, attracted 360,000 people. The theme for Seniors’ events was: ‘Depression is not a normal part of ageing. There are things people can do to help themselves – keeping active and healthy helps.’ A new booklet – Older people and depression – was developed for these events. The booklet contains information on signs and symptoms of depression in older people and features insights from older people on how they keep mentally and physically healthy. Keeping active for mental health beyondblue and the LMFF team created a depression information card which was distributed at festival events with wristbands and supporter pins. A LMFF/beyondblue community service announcement was produced by Channel 10 and aired nationally. The official charity event – Runway Deluxe on 21 March – raised awareness of beyondblue and funds from the sale of surprise envelopes. beyondblue has been selected as the official community partner of the 2010 L’Oréal Melbourne Fashion Festival. Seniors’ Weeks and Festivals Keeping active for a healthy mind and body Over a million people in Australia live with depression. beyondblue continues its partnership with the Pedestrian Council of Australia to promote messages about how physical activity can help people maintain good mental health. Over 10,000 people participated in the 7 Bridges Walk in Sydney on 26 October 2008 and again on 25 October 2009. beyondblue volunteers were located at Pyrmont Bridge and handed out beyondblue information to walkers. beyondblue supported Walk Safely to School Day on 15 May 2009 and encouraged Australians to become ‘walking class heroes’ on Friday 2 October 2009 by walking all, or part of the way, to work on National Walk to Work Day. beyondblue took an active role in Seniors’ events in 2009. beyondblue staff and volunteers attended festivals around the country to raise awareness of depression and anxiety in older people. Free beyondblue materials were made widely available to organisers of events. From top to bottom: Models at the L’Oreal Melbourne Fashion Festival (LMFF) Runway Deluxe show; beyondblue staff volunteered as hosts and hostesses for the LMFF Fashion Festival; beyondblue staff with former Miss Universe and Myer model, Jennifer Hawkins; A promotional poster for the LMFF. 18 beyondblue’s Over Bl**dy Eighty (OBE) campaign (page 48) was promoted during Seniors’ festivals in March (ACT, NSW), August (NT, QLD) and October (TAS, VIC, WA and SA). Working with the Australian music industry Australian musicians gathered in Melbourne in September 2009 to mentor up-and-coming young artists at the Dream Inc. music workshops, held over three days. Ella and Jesse Hooper (formerly of Killing Heidi, now known as The Verses), vocalist Katie Noonan, band members from Eskimo Joe and Natalie Bassingthwaighte from Rogue Traders participated in the workshops. beyondblue: the national depression initiative Dream Inc. and IMG partnered with beyondblue to raise awareness of the signs and symptoms of depression and anxiety among workshop participants aged 10 to 30. Everyone who attended the workshops took home Youthbeyondblue information materials. Mark Gable, a beyondblue Ambassador and lead singer with Australian rock band The Choirboys, spoke at the event about his experience as a musician with depression. Part of the proceeds was donated to beyondblue. beyondblue Partners Lunch and Rural Mental Health Roundtable in Western Australia beyondblue Chairman The Hon. Jeff Kennett hosted a lunch for more than 100 people at the Hilton Hotel, Perth in June 2009, with beyondblue Board Members, Western Australia partners and media. The event was an opportunity for beyondblue to promote its depression awareness, early intervention and research partnerships in WA. The lunch was followed by a roundtable discussion with rural representatives and members of the beyondblue Board on combating drought and mental health issues in WA (see page 25 Don’t beat about the bush!). Men and Depression Public Forum beyondblue and Prostate Cancer Foundation of Australia WA held a free public forum in Perth in July 2009 where beyondblue Deputy Chairman John McGrath and CEO Leonie Young launched the new booklet – Maintaining your WellBeing: Information on depression and anxiety for men with prostate cancer and their partners. Other speakers included Dr Tom Shannon, Perth urologist and Prostate Cancer Foundation Ambassador. Generation Next Forums Melbourne and Adelaide beyondblue Youth Ambassador Jeremy Mann (who has experienced depression), psychologist Dr Michael Carr-Greg and other youth mental health practitioners gave presentations to 1,000 parents, teachers and young people at forums in Melbourne and Adelaide in June 2009. The Generation Next Forums are a series of seminars aimed at protecting and enhancing the well-being of children and teenagers. www.beyondblue.org.au Rokewood, Community Forum – The Big Night Off beyondblue Chairman The Hon. Jeff Kennett and Men’s Health Ambassador, Tim Mathieson attended the forum and community barbeque, which was open to residents from the Golden Plains Shire in Victoria. This community event gave locals an opportunity to take a break from the farm and spend time socialising and learning about beyondblue and local support services. Special Efforts The Giving Beads 2009 To coincide with the L’Oreal Melbourne Fashion Festival, e.g.etal, jewellery designers challenged 50 designers to produce one bead each to make several necklaces. The jewellery was auctioned on March 10 with the proceeds donated to beyondblue. Woolworths Regional Office In September 2009, beyondblue Chairman The Hon. Jeff Kennett attended the Woolworths Regional Office in Mulgrave North, Melbourne, to receive a cheque for $15,100. Staff raised the money by holding an Easter buns sales challenge. Australia Post In December 2008, Australia Post chose beyondblue as the official charity for its annual Be Seen in Red and Green fundraiser. Hundreds of staff across Australia raised $140,000 and a further $60,000 was donated by Australia Post’s Managing Director, Graeme John. A $200,000 cheque was presented to beyondblue Chairman, The Hon. Jeff Kennett and CEO Leonie Young in June 2009. Men in Black Gala Ball Momentum Women’s Forum WA, led by Barbara McNaught, held the second Men in Black Gala Ball at the Hyatt Hotel in Perth on 13 June 2009. More than 300 guests attended. Deputy Chairman John McGrath and CEO Leonie Young were guest speakers and beyondblue was the beneficiary of the funds raised at the event. Victorian Country Fire Authority volunteer David Tree, well-known for giving Sam the koala a drink of water during the Victorian bushfires February 2009, received the Men in Black Man of the Year award. From top to bottom: A poster for the Generation Next forums in June 2009; (left to right) Youthbeyondblue Ambassadors Hayley Bester and Jeremy Mann with beyondblue Senior Program Manager for Consumers and Carers, Bonnie Vincent, and Ella and Jesse Hooper of the band The Verses; The audience at the Rokewood Community Forum; (left to right) Australia Post General Manager Commercial Division, Bill Mitchell, beyondblue Chairman Jeff Kennett and Australia Post Managing Director Graeme John at a cheque presentation from Australia Post’s annual Be Seen in Red and Green fundraiser. 19 Ninth Australian Fleece Competition The Australian Fleece Competition is the largest fleece competition in the world, this year attracting almost 500 entries. The Australian Wool Traders’ Association, Landmark Ltd. and the Australian Sheep Breeders Association gave the proceeds from the annual Australian Fleece Competition auction to beyondblue. Over 60 per cent of the fleeces were sold at auction, with proceeds of $8,200 donated to beyondblue. Dr Nicole Highet, Deputy CEO beyondblue, attended the competition, held in Bendigo in March 2009. Triple M Footy Jumper Friday The Austereo Radio Network held Footy Jumper Friday on 24 April 2009 to help raise awareness of beyondblue. Triple M, Fox FM and other Austereo Network radio stations heavily promoted the event, which encouraged all Australians to wear a footy jumper to work or school in return for a small donation to beyondblue. Prime Minister Kevin Rudd endorsed Footy Jumper Friday. The event was a huge success, raising over $75,000. Other events in which beyondblue participated in 08/09 • The Medical Insurance Group of Australia 110th Anniversary Gala Ball (SA) • Prostate Cancer Foundation of Australia Conference (QLD) • 2009 Angus Youth Roundup (ACT) • Young Rural Health Professionals Black and White Gala Ball (QLD) • Bond University Medicine Ball (QLD) • 12th Australian Masters Games (VIC) • Carers Forum (VIC) • Australian Business Economist Seminar (NSW) • Surviving the Financial Crisis – Rotary Club of Frankston Dinner (VIC) • The Loddon Shire Community Forum (VIC) • COTA Seniors Voice – beyond maturityblues multicultural launch (SA, VIC, WA) • COTA QLD Annual Peer Educators’ Forum (QLD) • Ulverstone Rotary Club Out of the Blue Dinner (TAS) • AGFEST (TAS) • The Macedon Ranges Business Excellence Awards (VIC) • Emergency Services Foundation Alumni Dinner (VIC) • Master Builders Australia WA Leadership Lunch (WA) • Mental Health Week launch Darwin (NT), Hobart (TAS), Sydney (NSW), Canberra (ACT) • City of Casey Motorcycle Riders Association GP Run (VIC) Depression Awareness Partnerships Tackling depression in Wyndham (VIC) Deputy Prime Minister The Hon. Julia Gillard and beyondblue Chairman The Hon. Jeff Kennett launched an important community partnership between beyondblue and The Werribee and Point Cook Banner in December 2008. The partnership is focused on raising awareness of depression and anxiety in the Wyndham community. The Werribee and Point Cook Banner newspaper runs weekly articles about mental health issues and beyondblue filler ads (see earlier page 11). Real estate and community billboards have promoted beyondblue across Wyndham. The Banner, The Rotary Club of Werribee and beyondblue worked in partnership to present a mental health awareness forum in Hoppers Crossing in April which attracted more than 400 people. Left from top to bottom: Landmark Wool Area Manager Athol Frederick, beyondblue CEO Leonie Young and Tim Steere, Sampling Operations Manager at the Australian Wool Traders’ Association, inspect the fleece before the Australian Fleece Competition in Bendigo; Austereo staff in Sydney take part in Footy Jumper Friday; Brisbane Broncos captain Darren Lockyer presents Prime Minister Kevin Rudd with a Kevin 07 footy jersey; Fairfax Community Network General Manager Colin Moss at the Werribee Banner business breakfast; City of Casey mayor Geoff Ablett and beyondblue Research Adviser Professor David Clarke get set to burn some rubber at the City of Casey MRA GP Run motorbike ride in October. 20 beyondblue: the national depression initiative The Banner, Wyndham City Council and beyondblue held the Wyndham Business Breakfast on 16 September which was well-attended by local business leaders, and beyondblue Ambassador, Olympian John Conrads. Driving partnerships through golf beyondblue’s partnership with the Professional Golfers Association (PGA) continued in 2008/09 with beyondblue information sessions for PGA staff, newsletter and web articles about depression and anxiety. In 2010, beyondblue golf tees (pictured below) will be given away to members. See page 39 for more on this partnership. With long, solitary hours on the road, working in the transport industry can lead to poor physical and mental health. The Trans-Help van is equipped with a computer, enabling visitors to take online health checks, as well as a TV playing beyondblue’s Don’t beat about the bush! DVD. beyondblue pamphlets and fact sheets covering depression and anxiety are also available. Master Builders Western Australia beyondblue and Master Builders WA have partnered to distribute depression and anxiety information to more than 1,500 member organisations. The partnership also includes beyondblue workplace training and a link to the beyondblue website. Bowls Victoria Silvan Australia beyondblue has formed an awarenessraising partnership with a leading agribusiness company, Silvan Australia. Silvan staff members have received beyondblue workplace training and the company promotes beyondblue in product guides and materials targeted at rural and regional customers. Barry Plant Real Estate (VIC) Barry Plant Real Estate continued to support beyondblue in several ways: by including ads and articles in its weekly magazine, posting website links, promoting the annual beyondblue Cup and beyondblue’s website and info line number on real estate advertising boards and advertising ADA Month with a letterbox drop to Victorian households. Trans-Help Foundation In August 2008, beyondblue supported truck drivers’ support group The TransHelp Foundation by providing free depression tests and resources during its national roadshow. The Trans-Help Mobile Health and Support van travelled to major truck events around the country, providing transport drivers with basic physical and mental health check-ups. www.beyondblue.org.au beyondblue has developed a depression awareness partnership program with Victorian Bowls, with the support of Bowls Australia. beyondblue is working with Victorian Bowls as the first of the states to pilot the Depression awareness in bowls program. The program incorporates awareness-raising activities, information distribution, training, events and promotional activity with over 500 Victorian bowls clubs. See page 48 for more information. Magnolia Square beyondblue is working with online shopping store Magnolia Square to raise awareness of depression in Australian mums, their partners, friends and families. beyondblue materials have been distributed at Magnolia Square events throughout the year. Resources include fact sheets, booklets and checklists for women who may be experiencing depression during pregnancy or after their babies have been born. Australian Medical Students’ Association (AMSA) beyondblue reached AMSA members across the country in 2009 by supporting the annual AMSA conference, providing depression awareness articles and advertisements in publications, fact sheets and web links on the AMSA website. From top to bottom: beyondblue CEO Leonie Young, Deputy Prime Minister Julia Gillard and beyondblue Ambassador ex-police officer Paul Walshe at the launch of the Werribee Banner partnership in December 2008; beyondblue Chairman Jeff Kennett, A/Prof. Tony Jorm, Paul Walshe and John Nicol, President of the Werribee Football Club; A Barry Plant Real Estate billboard supporting beyondblue; The TransHelp Foundation’s Mobile Health and Support Unit has beyondblue checklists onboard for transport drivers. 21 Youthbeyondblue Youthbeyondblue aims to: • promote awareness and reassure young people that it’s OK to talk about depression and anxiety and the Minister for Youth and Sport, The Hon. Kate Ellis MP attended. National Youth Week Ambassador Sermsah bin Saad represented beyondblue. • encourage young people, their families and friends to get help when it’s needed. Each year, almost 160,000 young people in Australia experience depression. In early 2009, a three-year project culminated in a total redesign and relaunch of the Youthbeyondblue brand, with a national marketing campaign and the development of a new website and resources for people aged 12 to 25. See pages 13 and 15 for details. National Youth Week 2009 Community festivals In 2009, beyondblue again partnered with the Federal and each State and Territory Government to support 300 events during Australia’s largest celebration of young people – National Youth Week – from 28 March to 5 April. In 2008/09 beyondblue partnered with three regional youth festivals – Vibe Alive, the Wakakirri Story Telling Competitions and Deadly Days. The Indigenous Hip Hop Projects team ran two-day workshops at each festival. Community festivals are a great opportunity to reach young people across the country, particularly in rural and remote areas. More than 150,000 Youthbeyondblue fact sheets and wristbands were distributed around the country. An estimated three-quarters of a million young people aged between 12 and 25 are actively involved in National Youth Week (NYW) each year. Top: A poster from the Youthbeyondblue national advertising campaign Middle: Young people share their opinions at the launch of National Youth Week in Canberra in March 2009. Third from top: (left to right) beyondblue Deputy CEO Clare Shann, youth ambassador Sermsah Bin Saad and beyondblue Youth Project Officer Melissa Reid act out the Youthbeyondblue ‘Look, Listen, Talk’ message at the Brisbane National Youth Week launch March 2009. 22 During NYW, beyondblue also supported sports and arts events, community festivals, community projects, conferences, debates, forums, workshops, online polls, competitions and exhibitions, with a focus on promoting good mental health and well-being. The official National Youth Week Launch was held in Brisbane on 28 March 2009. Video Hits – Network Ten’s youth music program – held a live outdoor broadcast event and concert at Reddacliff Place in the city. beyondblue Deputy CEO Clare Shann Vibe Alive The Vibe Alive festivals are a celebration of Aboriginal and Torres Strait Islander cultures with music, sport, dance and art in a youth-friendly setting. Participants have the opportunity to connect with role models, learn about healthy living and career options, and are able to sharpen their literacy and numeracy skills. beyondblue: the national depression initiative beyondblue partnered with Vibe Alive in 2009 for the second year, supporting the co-ordination of the five Vibe Alive community festivals in Coonamble (NSW), Mildura (VIC), Port Augusta (SA), Kalgoorlie (WA) and Weipa (QLD). These workshops aim to break down barriers through dance, increase selfesteem and confidence and talk to young people about positive mental health. Wakakirri In 2009, beyondblue supported Wakakirri, a performing and visual arts festival created specifically for primary school children. Wakakirri aims to teach students about themselves and others through a National Story Telling competition in three categories – city, country and outback. Wakakirri performances include live shows, exhibitions, online and performances aired on national television. beyondblue funded Indigenous Hip Hop Projects to go to Katherine (NT) and Ceduna (SA) to work closely with rural and remote primary school children and teachers to help develop their stories. More than 500 primary schools participated in Wakakirri festivals involving around 30,000 primary schools students. beyondblue also sponsored the Wakakirri National Story Telling Competition. At the grand final events, a beyondblue award was presented to the school that created the best story incorporating positive mental health messages. Youthbeyondblue community service announcements featured on the DVD of Wakakirri performances. Deadly Days Deadly Days Festivals were held in Kingscliff, Grafton and Port Macquarie in NSW in September 2009. Co-ordinated by the North Coast Institute of TAFE, the two-day festivals attracted around 1,500 young Indigenous leaders, 400 elders, as well as other community members. Deadly Days Festivals promote education, health and well-being within Indigenous communities. beyondblue supported Indigenous Hip Hop Projects to run workshops for young people attending the festival, promoting the Youthbeyondblue key messages of ‘Look, Listen, Talk and Seek Help together’. www.beyondblue.org.au Rock Eisteddfod The Rock Eisteddfod Challenge is a long-running national dance, drama and design competition involving 25,000 secondary school students aged 12 to 18 from nearly 300 schools. Performances were held in 17 regions across Australia. The event aims to cultivate selfconfidence and resilience, encourage team work and educate students about the risks of drugs and alcohol. This is the seventh year beyondblue and the Rock Eisteddfod Challenge have worked together to raise awareness of depression and anxiety among participants. In 2009, beyondblue hosted a ‘chill out lounge’ for teachers and parents supporting young performers. This provided a quiet space for people to relax, enjoy a cuppa and read the 23 new Youthbeyondblue fact sheets. beyondblue volunteers handed out wristbands to a total of over 25,000 people across all of the grand finals in Tasmania, Victoria, SA and NSW, from August to the end of September 2009. beyondblue staff also presented a schools community award in each state. Anti-Racism Action Band (ARAB) ARAB is a Melbourne-based youth performing arts group involving 200 young people aged from 12 to 25 from culturally-diverse backgrounds. beyondblue supported ARAB to perform at a range of youth events during 08/09 to assist young people to develop crosscultural relationships, promote good mental health and build self-esteem and confidence. Each performance allows young participants to explore and celebrate their cultural differences, while embracing the things they have in common. The group showcases a wide array of dance styles from contemporary and modern dance to rap and Arabic drumming. With over 50 cultures represented in the group, ARAB helps beyondblue to deliver its important messages to a wide cross-section of young people. From top to bottom: Indigenous Hip Hop Projects perform at the NSW National Youth Week celebrations; A poster for the Darwin National Youth Week; 2009 Rock Eisteddfod Challenge poster. 23 Indigenous Hip Hop Projects (IHHP) beyondblue continues its partnership with Indigenous Hip Hop Projects (IHHP) to raise awareness of depression, anxiety and related disorders in regional, rural and remote communities with Indigenous and multicultural populations. IHHP travels across the country to work with schools and local services, running workshops in hip-hop and beat boxing. The multicultural group of award-winning artists promote Youthbeyondblue’s messages of ‘Look, Listen, Talk and Seek Help together’. In addition to their work at community festivals across the country, IHHP have promoted these key messages at a range of conferences, launches and forums. Red Frogs Schoolies and Education/Tertiary Programs To support young people during the transition period after high school, beyondblue and the Red Frogs Australia Chaplaincy Network are working together on the Red Frogs Schoolies and Education program. Red Frogs volunteers visit schools in the lead up to Schoolies Week each November to provide information about how to stay safe during this week of celebration. During Schoolies Week, Red Frogs volunteers help school-leavers by walking young people home, cooking pancakes, cleaning rooms, handing out Allen’s Red Frogs lollies (8.1 tonnes this year!) and offering emotional support through what can often be a challenging week. The partnership enables beyondblue to reach a large number of young people, increases community awareness of depression and anxiety and related drug and alcohol problems, and where to get help. From top to bottom: The Indigenous Hip Hop Projects (IHHP) team hold a dance workshop in the Grampians (VIC) at an Indigenous men’s health camp in November 2009; IHHP crew at the Deadly Days festival (NSW); IHHP strike a pose in Darwin with players from the Hawthorn AFL team; The crew performs at a primary school; A group of Schoolies involved with Red Frogs celebrate the end of exams. 24 Youthbeyondblue is also partnering with the Red Frogs for their Tertiary Program which involves the distribution of over 47,000 university wall planners. These planners contain key dates (such as ADA Month) and information about beyondblue. Red Frogs volunteers also distribute beyondblue information at university Orientation Weeks. beyondblue trains Red Frogs volunteers to identify signs and symptoms of depression and anxiety and how to assist a young person to get help, if needed. Youth training In 2009, beyondblue developed and piloted Youthbeyondblue training in rural Victoria. The training sessions were designed for Office for Youth staff, youth workers, mental health workers, social workers and professionals working in the youth sector. The training increases awareness of depression and anxiety and promotes early intervention and prevention. The training also provides information on how to identify depression and anxiety and how to assist young people to get professional help if needed. beyondblue now works with government and community partners to deliver these training sessions in all states and territories. Stay on Track beyondblue supported the evaluation of the Stay on Track program, managed by Mission Australia in Tasmania. Stay on Track is an innovative, peer education program that raises awareness of depression in young people. The program was delivered to 290 students from 10 high schools in southern Tasmania. An evaluation showed that peer education can be an effective method of increasing awareness of the signs and symptoms of depression among young people. Raising Awareness of Depression in Rural Areas Don’t beat about the bush! Campaign – building awareness across rural Australia beyondblue’s national rural campaign, Don’t beat about the bush! aims to increase awareness and understanding of depression, let people know where they can get help and provide community support. Launched in March 2007, it involves all tiers of government and community and corporate partners. beyondblue: the national depression initiative Agencies involved in the campaign include: • Australian Drug Foundation • Australian General Practice Network • Divisions of General Practice in each state and territory • NSW Farmers Mental Health Network • Queensland Mental Health Advisory Group • Centre of Rural and Remote Mental Health NSW and Queensland • Centrelink • Royal Flying Doctor Service • Remote National Health Priorities Network • National Rural Health Alliance. Mental Health Support for Drought-Affected Communities Initiative Since 2007, beyondblue has worked with the Australian General Practice Network and 43 Divisions of General Practice to raise awareness of depression and related disorders in drought-affected areas in New South Wales, Victoria, South Australia and Queensland. The Mental Health Support for Droughtaffected Communities Initiative (MHDI) was originally funded by the Federal Government until 2009, however, due to the widespread impact of the ongoing drought, the initiative has been extended until 2010. This initiative works in conjunction with beyondblue’s Don’t beat about the bush! Campaign. As part of the arrangement, beyondblue provides: • activities to raise community awareness of depression and related disorders • education and training for business and community leaders www.beyondblue.org.au • improved access to mental health services in rural and remote areas of Australia. As part of this initiative, beyondblue has delivered 86 workshops (Frontline Training) to local business and community leaders (e.g. hairdressers, newsagents, publicans or bank managers) who often come into contact with community members who may be experiencing tough times and are at risk of developing mental health problems. Australian Rural Information Network (ARIN) online drought and disaster assistance map As a result of the Don’t beat about the bush! Campaign, beyondblue has developed an online service for people living in drought-declared and flood and fire-affected areas in rural, regional and remote Australia. The Australian Rural Information Network map is a continuously-updated interactive webbased map designed to give people living in affected communities better access to mental health information and local support services. beyondblue is working with the Divisions of General Practice to establish information kiosks at community centres and businesses in affected areas. The information kiosks ensure that people have access to information on depression and anxiety in their communities. The ARIN map shows where beyondblue information kiosks are located and lists the details of rural and health agencies (e.g. nearest Centrelink and rural counselling services). As of October 2009, there was a total of more than 100 information kiosks across QLD, NSW, VIC and SA. Rural information kit As part of the Don’t beat about the bush! Campaign, beyondblue provides free rural information kits for people living in the country or outback. The kits include: • fact sheets • envelope-size information cards on the signs and symptoms of depression and anxiety disorders and where to get help From top to bottom: beyondblue’s poster for men in rural, remote and regional Australia; the Australian Rural Information Network map on the beyondblue website, Taking Care of Yourself and Your Family book is now in its 10th edition; the Don’t beat about the bush! campaign DVD. 25 • a book, Taking Care of Yourself and Your Family • a DVD – Don’t beat about the bush! DVD featuring a 20-minute segment on rural depression produced by the ABC Landline team and beyondblue ads focusing on rural men/alcohol and depression. • a manual on how to organise a public forum about depression • beyondblue’s mini-magazine the Rural Womens Bulletin. Since 2007, 385,000 Taking Care of Yourself and Your Family books have been distributed. More than half a million pieces of beyondblue’s information for rural communities have been sent out through the Mental Health Support for Drought-affected Communities Initiative. Rural information kits were provided on Centrelink Drought Buses as they travelled through rural and remote Australia. Depression and anxiety rural roundtable discussion in Perth beyondblue hosted a roundtable discussion in Perth on 9 June 2009 to address depression, anxiety and related substanceuse disorders in rural Western Australia. The event was attended by experts from Curtin University, Natural Resources Management, the Divisions of General Practice, Women in Agriculture and Mentally Healthy WA’s Act, Belong, Commit Campaign. Guest speakers included Leonie Young, Act, Belong, Commit Campaign Manager, Amberlee Laws and several beyondblue Board Members. Field days The Don’t beat about the bush! Campaign also saw beyondblue participate in several field days in 2008/09. With beyondblue information stalls and – in many cases – a beyondblue speaker, messages about depression and anxiety and where to get help reached thousands of rural families. From top to bottom: An image from beyondblue’s rural ad campaign; The Centrelink Drought Assistance Bus in Seymour (VIC); Council on the Ageing (COTA) peer educator Kathy Behrendt at the Yorke Peninsula Field Day 2009 (SA); beyondblue Occupational Therapist David Juriansz conducts a depression awareness workshop at the Brimbank Men’s Shed (VIC). 26 • September 2008: Yorke Peninsula Field days (SA), South Gippsland Field Days (VIC), Riverland Field Days (SA) • October 2008: Elmore Field Days (VIC), Wandin Field Days (VIC) • March 2009: Agfest Field Days (TAS) • August 2009: Gunnerdah Field Days (NSW), Dowerin Field Days (WA), Speed Field Days (VIC) • September 2009: Newdegate Field Days (WA), Yorke Peninsula Field days (SA) Men’s Sheds beyondblue is promoting awareness of depression and anxiety through community-based Men’s Sheds. beyondblue has developed a Men’s Shed Kit, which includes information about depression, how men can get support for themselves or their mates, DVDs and self-help resources. Over 360 Men’s Shed Kits have been distributed since September 2008. A beyondblue depression awareness training program for Shed leaders and facilitators has also been developed. This program provides leaders of Men’s Sheds with the skills to recognise the signs and symptoms of depression and to be confident to approach someone about whom they’re concerned, and support the person to seek help. The training program has been delivered to seven groups of sheds in Victoria, South Australia and New South Wales. Foundation 49: Men’s Health beyondblue has partnered with Foundation 49 to provide men with information on how to look after their health. The magazine A whole new ball game raises men’s awareness of health issues, including depression and anxiety, and encourages men to have regular health checks. beyondblue and Foundation 49 have also translated each of Foundation 49’s Decades of Life men’s health fact sheets into: • Chinese • Vietnamese • Arabic • Dari • Somali • Italian • Greek • Polish. beyondblue: the national depression initiative New beyondblue Information Materials More people than ever before are ordering beyondblue’s free depression and anxiety-related information materials as a result of the new online ordering system on the beyondblue website (see page 15). Between 1 July 2008 and 30 October 2009, beyondblue distributed more than 11 million resources to people throughout Australia. This is in addition to the beyondblue depression checklist and fridge magnet, which were sent to 8.2 million households across Australia as part of the national mail campaign (see page 14). “Thanks so much for the books and flyers we received in the mail today. beyondblue is a great service and we appreciate very much the work that you do in distributing information and support materials.” – ‘James’, General Practitioner In the past year, beyondblue has expanded and updated its range of materials, which is provided free to anyone who requests it – individuals, academics, clinicians, schools, researchers, conference organisers and journalists. The list of beyondblue and Youthbeyondblue resources now includes more than 350 fact sheets and information resources on topics including: • caring for someone with depression and anxiety New material produced between July 2008 and October 2009 included: • A Guide to What Works for Depression booklet – a comprehensive review of all known treatments for depression, including medical, psychological, complementary and lifestyle interventions • Self-help book – Taking care of yourself and your family by John Ashfield – 10th edition • beyondblue Guide for Carers – Supporting and caring for a person with depression, anxiety and/or a related disorder: Caring for others, caring for yourself booklet (see page 34) • DVD – Carers’ Stories of Hope and Recovery – personal accounts of caring for a family member or friend with depression, anxiety or a related disorder (see page 34) • Taking care of yourself – and your family – after retrenchment or financial loss booklet (see page 42) • Taking care of your staff and yourself during job losses: Information for managers and supervisors – booklet • Booklet – Older people and depression: Depression is not a normal part of ageing including information on the Over Bl**dy Eighty! Campaign • Anxiety – wallet card • Post-Traumatic Stress Disorder – fact sheet • anxiety disorders • Generalised Anxiety Disorder – fact sheet • bipolar disorder • Panic Disorder – fact sheet • types of help available • effective treatments for depression • depression checklist • help for depression under Medicare • depression linked with a range of chronic illnesses • antidepressant medication • postnatal depression • cyberbullying. All beyondblue’s information materials are updated regularly to ensure they include the latest information, research and statistics. www.beyondblue.org.au • Obsessive Compulsive Disorder – fact sheet • Specific Phobias – fact sheet • Social Phobia – fact sheet • Depression and breast cancer – fact sheet • Emotional Health during Pregnancy and Early Parenthood – booklet for parents of multiple birth children Right: Examples of the vast range of beyondblue’s printed materials – from booklets to factsheets, posters, translated materials and much more. 27 • Edinburgh Postnatal Depression Scale – Checklist for pregnant women and new mothers • Taking care of yourself after a disaster – booklet (in association with The Australian Centre for Posttraumatic Mental Health, The Australian Centre for Grief and Bereavement and Australian Red Cross) • Maintaining your well-being: Information on depression and anxiety for men with prostate cancer and their partners – booklet (in association with the Prostate Cancer Foundation of Australia) • Treatments for depression and anxiety • Dealing with anxiety disorders • Getting help for depression or anxiety • Depression and anxiety disorders in women – fact sheet • Antidepressants for the treatment of depression in children and adolescents • Prostate cancer and the risk of depression/anxiety – fact sheet • Helping a friend with depression or anxiety • Depression and incontinence – fact sheet • Dealing with stress • Healthy eating for people with depression, anxiety and related disorders – fact sheet • Keeping active for a healthy mind and body – information cards • Support beyondblue Anxiety and Depression Awareness Month – flyer 28 Youthbeyondblue fact sheets: • Emotional responses after a disaster – information card • Depression in people who are deaf or hard of hearing – fact sheet Bottom: beyondblue information on its involvement in the Movember campaign • Talk to your doctor – poster for GP waiting rooms. • Depression in young people • Anxiety disorders and depression in men with testicular cancer Middle: In 2009, beyondblue partnered with Relationships Australia (VIC) and MensLine Australia to produce a booklet to assist separated men. • Youthbeyondblue posters • Men and separation: navigating the future – booklet (in association with Relationships Australia and MensLine Australia) • Depression and anxiety in people who are gay, lesbian, bisexual, transgender or intersex (GLBTI) – fact sheet Top: beyondblue’s depression checklist is requested more often than any other item. • Research reports: Eating disorders with co-morbid depression and anxiety – literature review, A mapping project of eating disorder organisations in Australia and Feeling queer and blue: A review of the literature on depression and related issues among gay, lesbian, bisexual and other homosexually active people (see page 61) • Drinking, depression and anxiety • Drug use and your mental health • Cannabis and your mental health • Recovering from depression or anxiety • Staying healthy • Getting the sleep you need • Suicide: knowing when to get help • Managing self-harm • Dealing with loss and grief • Coping with family break-up • Understanding eating disorders • Making the most of studying • beyondblue Rural Womens Bulletin • Bullying • Co-badged depression and anxiety information materials with partner organisations including Netball Australia, PGA Australia, Bowls Victoria, FeBLUary, TNT Pty Ltd and the Movember Foundation • Cyberbullying • Depression and anxiety in young people who are gay, lesbian, bisexual, transgender or intersex (GLBTI) • Information for parents. Six of these new Youthbeyondblue fact sheets are also available in Braille format, produced in association with Vision Australia. beyondblue: the national depression initiative Languages other than English Many of beyondblue’s depression and anxiety-related information and promotional materials have been translated into the following languages: • Arabic • Korean • Assyrian • Lao • Bosnian • Macedonian • Cambodian/Khmer • Polish • Chinese simplified • Punjabi • Chinese traditional • Russian • Croatian • Serbian • Dari Somalian • Spanish • Farsi/Persian • Tamil • Greek • Thai • Indonesian • Turkish • Italian • Vietnamese • Japanese For more information see www.beyondblue.org.au (Click Other languages) Information materials for health professionals: • beyondblue Guide to the Management of Depression in Primary Care – a guide for health professionals (includes diagnosis and treatments) • Edinburgh Postnatal Depression Scale – A guide for health professionals • Edinburgh Postnatal Depression Scale – A checklist for pregnant women and new mothers • Antenatal and Postnatal Depression – A guide to management for health professionals (information sheet for each state/territory) • Eating Disorders with Comorbid Depression and Anxiety Research: A Literature Review • Young Minds: Treating Depression & Anxiety in Young People – online training program for health professionals – see page 55 and www.ebmcbt.com Between July 2008 and October 2009, visitors to 1,850 GP practices across VIC, NSW, QLD, ACT, WA, SA and TAS picked up more than 110,000 beyondblue depression and anxiety information leaflets. During that time, more than 110,000 copies of beyondblue’s Emotional Health During Pregnancy and Early Parenthood booklet were also distributed nationally to new mothers. This initiative was in partnership with state and territory governments, child and maternal health centres, Hello Babe ‘bounty’ bags and EGG maternity stores. beyondblue also distributes information through schools, universities, pharmacies, health centres, public libraries and local councils. Every public library in Australia now has copies of the book Taking Care of Yourself and Your Family, audio CD-versions of beyondblue’s fact sheets and several beyondblue DVDs. All beyondblue resources can be downloaded or ordered online at www.beyondblue.org.au (click Get information), or by calling the beyondblue info line on 1300 22 4636. Several of these materials are also available in Braille and audio-CD formats. • Postnatal depression: Evidence relating to infant cognitive and emotional development (guide for health professionals) • Medical Journal of Australia Supplement: Depression and Anxiety with Physical Illness (see page 59) • Indigenous Mental Health First Aid Guidelines Pack for Health Professionals • Eating Disorders with Comorbid Depression and Anxiety Research: A Mapping Project of Eating Disorder Organisations in Australia www.beyondblue.org.au Right from top to bottom: beyondblue’s leaflets are included in brochure stands in General Practitioners’ waiting rooms (photo: InfoMed Australia); A poster aimed at raising awareness of depression in the Chinese community; A beyondblue-funded literature review for health professionals. 29 Consumer and Carer Participation priority area Objective: To provide people living with depression, anxiety and related disorders – and their carers – with information about the illness and effective treatment options, and to promote their needs and experiences with policy makers and health care service providers Participation by people with personal experiences of depression, anxiety and related disorders and their carers underpins all beyondblue activities. In 2008/09, the organisation’s blueVoices consumer and carer reference group provided feedback on the development of beyondblue’s Ambassador Program, assisted with the development of the beyondblue Guide for Carers and the DVD Carers’ Stories of Hope and Recovery, and beyondblue’s online mental health practitioner directory. Importantly, blueVoices provides input to a range of national projects, committees, research and community events. Above: The new Youthbeyondblue advertisements use the actual words young people have used to describe their experiences of depression and anxiety disorders. 30 beyondblue: the national depression initiative blueVoices blueVoices is beyondblue’s national consumer and carer reference group. Anyone in Australia who has experienced depression, anxiety, perinatal depression or bipolar disorder can join blueVoices. The reference group also includes family members and friends who care for people with one or more of these illnesses. blueVoices members may also have experienced depression or anxiety in association with a chronic physical illness such as diabetes, cancer or heart disease or have a co-existing drug or alcohol problem. There are also groups for young people and older people. Established in 2002, blueVoices underwent significant changes in 2008/09, restructuring into email-based groups (e-groups). The e-group structure allows for a large, representative and diverse membership and increased accessibility for members across Australia. Email communication allows for individual comment, faster feedback and co-ordination of face-to-face consultations and activities. blueVoices currently has over 400 members who have the opportunity to: • speak publicly at forums or to the media about their personal experiences • represent blueVoices and talk about their experiences on committees and advisory groups • provide input and feedback around the development of beyondblue information resources and community awareness campaigns • advise on national mental health policies and programs • participate in research studies • assist with the distribution of beyondblue resources at events and forums. During 2008/09, blueVoices members sat on the following committees and advisory groups: • Mental Health Council of Australia • General Practice Mental Health Standards Collaboration www.beyondblue.org.au • beyondblue Victorian Centre of Excellence Expert Committee • National Mental Health Consumer and Carer Forum • Guidelines Expert Advisory Committee for the development of beyondblue/National Health and Medical Research Council (NHMRC) Clinical Practice Guidelines for Perinatal Depression • beyondblue working committee: Update of the NHMRC Clinical Practice Guidelines: Depression in Young People (1997) • The Australian College of Rural and Remote Medicine – assisting with the design and evaluation of an online distance education program on mental health disorders for rural doctors • Mental Health Professionals Network • beyondblue Consumer Reference Group • National Private Mental Health Consumer and Carer Network • Discrimination in Insurance Project • Royal Australia College of General Practitioners GP Psych Support service. blueVoices members played a vital role in the development of the concepts, messages and scripts for the Youthbeyondblue National Multimedia campaign in 2009 (see page 13), taking part in several focus groups to make sure the ads were both realistic and effective. To become a blueVoices member: 1. Visit www.beyondblue.org.au and click Getting involved, then National Reference Group blueVoices 2. Download the Expression of Interest form 3. Complete the form and return to beyondblue, either by post or email. From top to bottom: beyondblue Deputy Chairman John McGrath talks about his experience as a carer; the blueVoices Postnatal Depression Reference Group; Youthbeyondblue Ambassador Hayley Bester shares her story about living with bipolar disorder at the Youthbeyondblue National Advertising campaign launch in May 2009; (left to right) blueVoices Chair Lyn Chaplin and beyondblue Senior Program Manager for Consumers and Carers, Bonnie Vincent, with Youthbeyondblue members Hayley Bester, Danielle Stapleton, Bronwyn Collins and Jeremy Mann. 31 beyondblue Ambassador Program The Ambassador Program is a key component of beyondblue’s consumer and carer focus. People who have personal experience, or who have cared for someone, with depression, anxiety and/or a related disorder speak publicly about their personal experiences of diagnosis, treatment and recovery. The program will be recruiting more people shortly to speak publicly to raise community awareness and reduce stigma through the powerful tool of sharing personal stories. The program includes three groups: consumers and carers who are blueVoices members, high-profile beyondblue Ambassadors and health professionals. Ambassadors work with beyondblue in a number of ways including: • speaking about their experiences to the media • speaking at community forums, events, conferences and at workplaces • De Backman Hoyle, a carer from Melbourne, VIC • Paul Walshe, an ex-police officer from Melbourne, VIC • Hollie Cavanagh, of Perth, WA. beyondblue’s high profile Ambassadors People with a high profile who have experienced depression, anxiety and related disorders – or have cared for someone with these illnesses – play a crucial role in assisting beyondblue to raise awareness. Over the years, beyondblue has been very fortunate to have many high profile personalities and sports people donate their time to talk publicly about their experiences of depression, anxiety and related disorders. High profile Ambassadors in 2008/09 include: • Jessica Rowe, TV presenter • Craig Hamilton, ABC broadcaster • Garry McDonald, legendary Australian comedian, actor, and beyondblue Board Director • providing input and advice to shape beyondblue awareness campaigns (TV, print and radio ads, printed resources and DVDs) which tackle stigma and discrimination • Nathan Thompson, AFL/VFL player, media spokesperson • sharing their stories on the beyondblue website. • Mark Gable, lead singer/guitarist of The Choirboys Ambassador Program training for blueVoices members was piloted in June 2009 and there are plans to extend the Program in 2009/10. Nine new Ambassadors from a range of backgrounds joined beyondblue in 2009. They are: • Tony Wynd, from Canberra, ACT • Heather Nowak, from Mount Gambier, SA • Jeremy Mann, a young person from Canberra, ACT • Julina King, from Townsville, QLD • Vicki Katsifis, from Sydney, NSW • David Corduff, of Melbourne, VIC • John Konrads, Olympic gold medallist swimmer and businessman • Nova Peris, Olympic gold medallist and Indigenous advocate • John Sudholz, ex-VFL South Melbourne player and retired farmer. Men’s Health Ambassadors in 2009 include: • Dr Mick Adams, Chairperson of The National Aboriginal Community Controlled Health Organisation • Prof. David de Kretser, Governor of Victoria and Founder of Andrology Australia • Prof. John Macdonald, Co-Director of Men’s Health and Resource Centre, University of Western Sydney • Tim Mathieson, retired hairdresser, beyondblue advocate Left top to bottom: New beyondblue Ambassadors (back row L-R) David Corduff, Vicki Katsifis, Julina King, Hollie Cavanagh, Tony Wynd, Paul Walshe, (front row L-R) beyondblue’s Bonnie Vincent, Heather Nowak, De Backman-Hoyle and Jeremy Mann; Jeremy Mann tells his story about depression at a press conference; Retired police officer Paul Walshe; Julina King and her family; high profile Ambassador Olympic swimmer John Konrads often speaks publicly about his bipolar disorder. 32 beyondblue: the national depression initiative • Bill Noonan, Secretary Transport Workers’ Union, Victoria/Tasmania Branch • Dr Rob Walters, practising GP in Hobart and past chair of the Australian Divisions of General Practice (ADGP) • Barry Williams, President of the Lone Fathers Association. beyondblue Information and Referral Line 1300 22 4636 The beyondblue information and referral line, 1300 22 4636 (1300 bb info), was established in July 2006 to target men, particularly rural men, and in response to the increasing number of people seeking information about depression and related disorders. “I just wanted to let you know that whoever I spoke to saved my life. I’m very grateful for the service.” – Male caller with bipolar disorder The info line operates 24 hours a day, seven days a week and is staffed by trained mental health professionals. For the cost of a local call from a landline, people can access information about depression, anxiety and related disorders and referrals to health practitioners and organisations with appropriate expertise. “I called to say thank you for the information you sent for my friend. It was very useful and he now seems to be heading in a positive direction.” – Female caller concerned about a friend with depression The broad reach of beyondblue’s awareness campaigns and activities continues to generate strong demand for the info line service, with record numbers of incoming calls in the past year. Between July 2008 and June 2009, the service provided information and referrals to more than 40,000 callers. The demand for the service grew by an average of 901 calls per month when compared to the previous year. “Last week I called you in a very desperate state. I wanted to let you know that because of your encouragement I’ve since spoken to my GP about how I’ve been feeling and I’m starting treatment.” – Female caller with anxiety People across Australia call the beyondblue info line for a range of reasons. Almost half of the calls (49 per cent) were made by people seeking information about their own mental health, with about a third (34 per cent) seeking information for a family member or friend. A further 14 per cent of callers were health professionals seeking information. While the info line is accessible to anyone within Australia, from its inception in 2006, beyondblue has aimed to reach and support men across Australia. Men are less likely to access information and seek help for mental health issues, particularly men who live in rural areas.1 Given that over 45 per cent of all calls to the info line are from men, we know that increasingly men are now making use of this service, with around 30 per cent of these calls coming from men in regional and rural areas of Australia. Given that half of the calls are from people seeking information about their own mental health, the info line continues to be an important resource and complements beyondblue’s early intervention and prevention messages and resources. Around 40 per cent of people who call seek help for themselves; this contact with beyondblue is often their first step and onethird of these callers have not been formally diagnosed with a mental illness. The continually-increasing level of use, together with the delivery of a quality information and referral service, have ensured the continuation and expansion of the beyondblue information line for 2009/10. “I called to say how excellent and appropriate the resources you sent me have been for my patients.” – General Practitioner from a bushfire-affected area 1 beyondblue focus groups 2003 www.beyondblue.org.au From top to bottom: beyondblue Ambassadors – The Choirboys lead singer Mark Gable, famous actor Garry McDonald; ex-AFL player Nathan Thompson; A beyondblue information line operator (1300 22 4636). 33 The beyondblue Directory of Medical and Allied Health Practitioners in Mental Health Early research undertaken by beyondblue and blueVoices showed many people encountered difficulties with access to care for depression, anxiety and related mental health problems when they needed it. Bottom: The free beyondblue Guide for Carers and DVD – Carers’ Stories of Hope and Recovery. 34 At Admiralty House in Sydney on 24 August 2009, beyondblue Patron, The Governor-General, Her Excellency Ms Quentin Bryce AC, launched the booklet – beyondblue Guide for Carers – Supporting and caring for a person with depression, anxiety and/or a related disorder. Since 2001, beyondblue has conducted extensive consultations with carers and family members about their experiences while supporting a person with depression and anxiety and/or a related disorder. beyondblue produced the carers booklet to help people with the many challenges they may face in the caring role. Written by carers for carers, the booklet contains people’s knowledge and wisdom about their caring experiences. This directory enables people to find health practitioners in their local area and provides specific details such as languages spoken, wheelchair accessibility, bulk billing and areas of special interest or expertise. This resource provides carers with practical strategies, advice and guidance. The guide also focuses on how carers can look after their own health and looks at the impact the caring experience may have on them. As of August 2009, the directory listed 2,329 practitioners – 656 GPs, 762 clinical psychologists, 721 psychologists, 167 social workers in mental health and 23 occupational therapists in mental health. After meeting the eligibility criteria, practitioners can nominate themselves for inclusion in the directory. The DVD – Carers’ Stories of Hope and Recovery – includes interviews with television presenter Jessica Rowe, about caring for her mother with bipolar disorder and beyondblue Deputy Chairman, John McGrath, on caring for his sons who battled mental illness. In September 2009, the directory was updated to make it more user-friendly including online mapping which is faster to load and navigate, and an improved design which is easier to read. Middle: beyondblue carer representatives with beyondblue Chairman Jeff Kennett at the launch of the Guide for Carers in Sydney, August 2009. The beyondblue Guide for Carers To meet this need, beyondblue developed an online directory of mental health practitioners. The directory includes General Practitioners with postgraduate mental health training and clinical psychologists. beyondblue expanded the directory to include other health professionals following the introduction of Medicare rebates under the Better Access initiative for mental health services provided by psychologists, social workers and occupational therapists in mental health. A highly utilised resource on the beyondblue website, the directory of Medical and Allied Health Practitioners (MAHP) received more than 84,000 website visits between July 2008 and June 2009. Top: beyondblue Chairman Jeff Kennett, beyondblue Patron Governor-General Quentin Bryce and beyondblue Ambassador Jessica Rowe at the launch of the Carers booklet. Carers Campaign 2009 To access the directory, go to www.beyondblue.org.au and click on Find a Doctor or other Mental Health Practitioner. Eligible health practitioners can also register their details by clicking on the same links. New registrations are welcome. There are also interviews with people (who aren’t well-known) who have cared for partners and children with depression – in the hope that others may benefit from the sharing of their stories. The DVD includes an interview with beyondblue’s Clinical Adviser A/Prof. Michael Baigent who provides information and advice for carers. The booklet – beyondblue Guide for Carers – and the DVD – Carers’ Stories of Hope and Recovery – are freely available. Both can be ordered from the beyondblue website www.beyondblue.org.au (click on Get Information) or by calling the beyondblue information line 1300 22 4636. beyondblue: the national depression initiative Prevention and Early Intervention priority area Objective: To develop prevention and early intervention programs around depression, anxiety and related disorders In the Australian mental health sector, the word prevention refers to “interventions that occur before the initial onset of a disorder.”1 With the right treatment, most people recover from depression and anxiety disorders, making prevention and early intervention essential. beyondblue encourages people to educate themselves about the signs and symptoms and to understand that: www.beyondblue.org.au • depression and anxiety disorders are common • effective treatments are available • seeking help and getting the right treatment early is vital for recovery. In addition, beyondblue runs programs in workplaces, schools, local communities, hospitals and health centres and continues to test new ways of tackling these health conditions and their risk factors. 1 Mrazek & Haggerty, Review of the evidence for prevention in mental health, United States Institute of Medicine, 1994 Above: The KidsMatter initiatives aim to support children at a young age to prevent mental health problems developing later in life. 35 beyondblue National Workplace and Social Enterprise Portfolio The National Workplace and Social Enterprise portfolio’s main focus is on promoting mental health and education in Australian workplaces. It has also developed non-workplace education programs including those for young people, men, people with chronic illness, older people and community leaders. beyondblue also works with the Australian Government Department of Health and Ageing (DoHA) to deliver training through the Mental Health Drought-Affected Communities Initiative (see page 25) and DoHA’s Mental Health Response to the Victorian Bushfires. The portfolio operates on a social enterprise model, meaning it seeks to benefit the community. ‘I think he may be depressed. Should I say something?’ Since 2008, the number of training sessions delivered through the portfolio has grown by 41 per cent. More than 730 workplace sessions were held across Australia from July 2008 to October 2009 and there were an additional 200 nonworkplace education sessions. If you see someone struggling at work, it can be hard to know what to National Workplace Program do or say. You don’t want to offend the person. beyondblue can give you information and strategies to guide and support you as you assist someone you’re concerned about at work. To find out more visit our website or call the info line: 1300 22 4636 The beyondblue National Workplace Program The beyondblue National Workplace Program EVALUATION RESULTS BAckgROUNd beyondblue: the national depression initiative has developed, delivered and evaluated a national program designed to address the issue of depression and other related disorders such as anxiety and substance use in the workplace. The beyondblue National Workplace Program has been developed in response to the need for organisations to be better informed and equipped to appropriately and effectively respond to and manage these common conditions in the workplace. It is vital to ensure that people are supported to get the help they need to promote recovery and return to work. The program has been evaluated and proven to be effective in increasing awareness and knowledge, reducing stigma, and importantly, increasing employees’ willingness and confidence to take a proactive approach to respond to depression and related disorders in an appropriate manner. Ultimately, this will reduce the personal, social and economic cost of these conditions in the workplace throughout Australia. This document provides an outline of the key elements of the beyondblue National Workplace Program, together with demonstrated outcomes. don’t underestimate the cost of depression to your organisation’s bottom line. dEpRESSION ANd RELATEd dISORdERS IN ThE wORkpLAcE: ThE fAcTS More than one million people in Australia experience depression, anxiety or related substance use disorders each year1. Depression affects one in five people at some point in their adult lifetime. Depression is second only to heart-related illness in terms of disability in Australia2 – resulting in a profound impact on all aspects of life, including work. The impact of these disorders on organisations is considerable. For example, depression accounts for three to four days off work per month for each person experiencing depression – that’s over six million working days lost each year in Australia. Untreated depression can result in a significant reduction in work performance. Depression accounts for more than 12 million days of reduced productivity each year, with serious implications for work safety1. It is estimated that each employee with untreated depression will cost their organisation $9,660 per year3. Depression and related disorders, including anxiety and drug and alcohol problems, are not managed well across organisations. In fact, many current management practices, such as recommending taking time off work or a holiday may compound the problem and make the situation worse. Promoting mental health to employers, managers and staff is the main aim of beyondblue’s National Workplace Program (NWP). It is an evidencebased awareness, early intervention and prevention program that gives managers and supervisors the skills and confidence to manage staff with depression or a related disorder effectively. It also gives staff the confidence to advise a colleague about seeking help and encourages employers to consider employee mental health in the same way as they consider employee physical health. Demonstrated outcomes from the program include increased: of 4 beyondblue: the national depression initiative • www.beyondblue.org.au or info line 1300 22 4636 Above: Promotional material used for beyondblue’s National Workplace Program training. 36 • awareness and understanding of the signs and symptoms of common mental health problems in the workplace • understanding of what it’s like to live with depression • positive attitudes towards someone with depression and reduction in the associated stigma • confidence to approach and assist a colleague or employee experiencing difficulty • confidence to address and appropriately manage employees experiencing depression, anxiety or a related disorder. The beyondblue National Workplace Program has grown significantly in 2008/09, which has led to new partnerships and more sessions. In 2008/09, beyondblue has trained more accredited facilitators and hired extra staff to meet unprecedented demand. Most of the team’s work focuses on the design, delivery and evaluation of large-scale, planned roll-outs within large organisations. This includes promoting mental health through consultancy, advice on policies and procedures and education sessions. “An employee with depression should be treated no differently to someone who’s had a shoulder injury.” – Employee from a major bank Examples of program growth in 2008/9 • The number of new enquiries about the program has increased significantly since last year. • The NWP’s five workshop and presentation modules have been adapted in line with new research, adult learning principles and feedback. • New program materials have been developed including training DVDs featuring personal stories of depression and recovery developed for the accounting profession and communities affected by the Victorian bushfires, a wallet card with practical tips for managers and a fact sheet about managing the return to work of employees with depression (codeveloped with WorkSafe Victoria). beyondblue: the national depression initiative • beyondblue’s network of accredited beyondblue facilitators has expanded to 47 (see diagram below for numbers). All facilitators have qualifications in mental health and clinical and training experience. Many also have experience in human resource management, trauma, professional sports or rural mental health. Locations of beyondblue facilitators (excluding workplace-based facilitators) • Victorian Department of Human Services (DHS) – a statewide roll-out across DHS offices including five senior management briefings, 19 management workshops and 28 staff workshops • Australian Government Solicitor (AGS) – a nationwide roll-out across AGS offices including 10 management workshops and 27 staff workshops • Victoria Police – training of 12 workplace-based facilitators for a continuation of a statewide roll-out of management workshops • Defence Support Group – the delivery of 16 management workshops including the senior leadership group Advice For employers 2 6 2 4 10 5 17 1 beyondblue’s facilitators can deliver training in several capacities: • National Workplace – 36 For more information www.beyondblue.org.au or • Rural – 14 • WorkSafe SA –16 sponsored workshops focusing on return to work sessions for small to medium-sized enterprises. Feedback from beyondblue National Workplace Program participants: • Community Support Training (Victorian bushfires) – 9 (new in 2009). “beyondblue provided worthwhile and effective information sessions that generated awareness and discussion among employees on a very difficult topic.” – Doug Cross, Director of HR and People Development Services, Australian Government Solicitor beyondblue has delivered the National Workplace Program to more than 40,000 employees in over 400 organisations since 2004, including: • TNT Australia – 45 sessions across TNT including senior management briefings, management workshops, staff workshops and an advanced management workshop Advice For employers More than one million people in Australia experience depression, anxiety or related substance-use disorders each year1. With depression affecting one in five people at some point in their lifetime, these figures have a significant impact on Australian workplaces. Depression is the leading cause of non-fatal disability in Australia and the World Health Organization has predicted that by 00, depression will be the second leading cause of disability and mortality in the world. Depression affects different people in different ways. Most people experiencing depression are able to effectively manage the condition while remaining at work. Others however, will need time off. In these cases, employers can play a key role in ensuring that the return to the workplace is a smooth process for the individual, the team and the organisation. If an employee experiencing depression returns to work in an appropriate and meaningful role, this may decrease the likelihood of relapse and increase the likelihood of the organisation retaining the skills and experience of that individual. Not proactively addressing these issues in the workplace can be costly and affect productivity. WhAt is depression? Ingeneral,apersonmaybedepressedifhe/shehashada persistentlylowmoodoveraperiodoftwoormoreweeksand alossofinterestintheirusualactivities.Depressioncanalso haveanegativeeffectonaperson’sconcentration,memory, sleeproutine,motivationandactivitylevels,appetite,social behaviour,thinkingpatternsandfeelings. Changes in behaviour Intheworkplace,thefollowingchangesinbehaviourmay beasignofdepression: • findingitdifficulttoconcentrateontasks • turninguptoworklate • feelingtiredandfatigued • unusuallytearfuloremotional • gettingangryeasilyorfrustratedwithtasksorpeople • avoidingbeingaroundworkcolleagues,forexample,sitting bythemselvesatlunchtime • findingitdifficulttomeetreasonabledeadlines • findingithardtoacceptconstructiveandwell-delivered feedback • difficultymanagingmultipletasksordemands • beingvulnerabletostressandanxiety • drinkingalcoholtocopewithothersymptomsofdepression and/oranxiety • lossofconfidenceandnegativethoughtpatterns • highamountsofsickleave/absenteeism. Pleasenote,theseareonlysignsthatanemployeemayhave depression,itdoesnotmeanthatanemployeeisdepressed. Foradiagnosisofdepression,thepersonmustbeassessedby amedicalpractitionerorotherhealthprofessional. • 99.4% would recommend training to someone else This information sheet was produced in association with WorkSafe Victoria AndrewsG,HallW,TeesonMandHendersonS.(999).The Mental health of Australians.MentalHealth Branch,CommonwealthDepartmentofHealthandAgedCare. • 97.6% rated the workplace beyondblue info line 1300 22 4636 facilitator’s www.beyondblue.org.au info line 1300 22 4636 presentation beyondblue “good” or “excellent” • Professional Sports – 7 (new in 2008) Supporting the return to work of employees with depression For more information or • 96.1% said the information was relevant for themselves, a family member or friend. MathersC,VosT&StevensonC(999).The burden of disease in injury in Australia.AIHWCatNoPHE7,AustralianInstituteofHealthandWelfare,Canberra. MurrayCJL&LopezAD.(996).The Global Burden of Disease: A comprehensive assessment of mortality and disability, injuries and risk factors in 1990 and projected to 2020.WorldBank,HarvardSchoolof PublicHealthandWorldHealthOrganisation,Geneva. For more information www.beyondblue.org.au or beyondblue info line 1300 22 4636 1 of 6 In association with Depression ‘Victoria Police said that since the department turned to beyondblue: the national depression initiative, and introduced the psychological health education program to help officers deal with stress on the job, the number of stressed officers has fallen [measured through stress leave and compensation]. To find out more visit www.beyondblue.org.au or call 1300 22 4636 (local call) 1 in 5 people will experience depression in their lifetime. If it’s not you, maybe it’s someone you know. Effective treatments are available and recovery is common. Talk to your doctor or another health professional. Helping someone with depression isn’t beyond you The psychological health program was developed by senior police in collaboration with beyondblue to raise awareness of the effects of stress related illness on the state’s 11,000 officers.’ – Excerpt from ‘New back-up for life on the thin blue line’, The Age, 1 February 2009 Top: New workplace program facilitators in 2009 (from left to right) beyondblue Training Manager Marie-Anne Schull, Ray Dowd, Therese Fitzpatrick, Simone Caynes, Narelle Henderson, Patricia Durning, Tanja Limnios and Justin Rowe. Middle and bottom: Workplace-specific information from beyondblue is handed out to all workplace training session participants. www.beyondblue.org.au 37 Conference Presentations and Industry Briefings Working with the Accounting Profession The Workplace Program team has presented at 34 conferences and industry briefings to more than 7,400 participants. Where possible, presentations include a consumer presentation on personal experience of depression. See page 67 for a full list of conferences. Building on its work with the legal profession, beyondblue has customised its National Workplace Program for the accounting profession. The initiative was inspired by results from the 2007 Beaton Consulting Annual Professions Survey which revealed a high prevalence of depression in the accounting profession. Working with the Legal Profession Since 2007, beyondblue has worked with law firm leadership groups and legal professionals to address the high rate of depression and related substance use in the profession. Groups who have worked with beyondblue include: • Australian Government Solicitor – 11 management workshops and 28 staff workshops • NSW Crown Solicitors Office – 10 workplace workshops for management and staff • Freehills law firm – nine management and staff workshops. beyondblue exports the National Workplace Program to the United Kingdom The London-based Sainsbury Centre for Mental Health selected beyondblue’s National Workplace Program after an international search and review of education programs in the UK and abroad. beyondblue’s Board endorsed a UK trial of the NWP. Seven companies trialled the program, including the submarine business of Rolls-Royce, Kent County Council and the UK Department of Health. An evaluation of the pilot, held late 2008, found training significantly influenced managers’ confidence to approach colleagues and staff about whom they’re concerned, to assist them to get help and to provide ongoing support. beyondblue and the Sainsbury Centre have subsequently extended the licence and a broader licensing agreement is planned. From top to bottom: Director of the Sainsbury Centre for Mental Health (SCMH) Employment Program in London, Bob Grove; Baroness Julia Neuberger and beyondblue’s Workplace Program Manager Therese Fitzpatrick; Therese Fitzpatrick with SCMH trainers. 38 Case Study: Institute of Chartered Accountants in Australia (ICAA) This partnership enables beyondblue to share its messages with 50,000 ICAA members and their clients and allows ICAA the opportunity to give back to their members by investing in their health and well-being. The relationship also allows the beyondblue National Workplace Program to work within small to medium accounting practices – traditionally, a difficult group to reach. “This is an important partnership, particularly in these tough economic times.” – Elaine McFadzean, Deputy Chief Executive of the ICAA “What I would like to see is a workforce that is much more able to deal with depression, to know where to go for help. Ultimately that will end up with better business performance, not only for the accounting profession, but for the Australian economy at large.” – Richard Deutsch, President, ICAA The beyondblue National Professional Sports Program The beyondblue National Workplace Program has been adapted to suit the professional sporting environment. The impact of depression in professional sport remains largely unexplored and despite anecdotal evidence and media reports, there is little information available on the prevalence of depression and beyondblue: the national depression initiative For this reason, beyondblue has developed targeted training and information resources for the professional sporting environment. The program aims to equip people with the knowledge to recognise the common signs of depression, anxiety and related disorders in order to reduce stigma and promote help-seeking as early as possible. In 2008/9 this program has continued to expand its reach, delivering workshops in the following sports: • Australian Football League – Through the AFL Players’ Association, workshops were delivered to all Victorian club players. • Rugby Union – Following an agreement with the Rugby Union Players’ Association (RUPA), workshops were delivered to players and staff of the Waratahs (NSW), Reds (Queensland) and the Western Force (WA). • Australian Cricketers’ Association – A tailored version of the program was developed and delivered to the statebased men’s and women’s teams, their coaches and support staff. This included the production of a training DVD featuring interviews with players, Ryan Campbell and Michelle Goszko. • Netball Australia – Workshops were delivered to the national Under 17 and Under 19 squads and coaches, and the Netball Australia staff. • Wheelchair Sports Victoria – beyondblue has developed and delivered workshops for Wheelchair Victoria Sports staff and stakeholders, including production of a training DVD featuring an interview with Paralympian Brian McNicholl. “…I know one player who has already sought help as a result of [this session].” – AFL player www.beyondblue.org.au Case Study: Professional Golf Association (PGA) In 2007, beyondblue formed a partnership with the Professional Golf Association (PGA) Australia to tackle depression in the Australian golfing community. This partnership was generously supported by $105,000 donated from pro-golfer Stuart Appleby. The partnership has involved the following joint activities: • articles in the PGA members magazine • co-branded information for PGA members, attendees at the PGA Golf Show and golf clubs around Australia • beyondblue’s training and presentations delivered to PGA staff, PGA members, professional tour players, coaches and golf club staff. beyondblue Rural Frontline Program Managing common mental health problems can be difficult in rural communities because of high levels of stigma and limited access to mental health services. The beyondblue NWP has been adapted to the rural environment as part of beyondblue’s overall drought response strategy. The tailored program was developed to meet increasing demand from rural organisations, local councils and community groups to assist people who are distressed because of pressures associated with drought. In late 2007, beyondblue received funding from the Commonwealth Department of Health and Ageing to raise awareness of depression and related disorders in rural communities in collaboration with the Australian General Practice Network (AGPN) and 43 Divisions of General Practice. As part of the Mental Health Support for Drought-Affected Communities Initiative, beyondblue has delivered 86 depression awareness workshops (Rural Frontline Training) to business and community leaders. beyondblue also works with communities to set up Information Kiosks in businesses in rural areas. This program has now been extended with a further 30 workshops to be delivered in 2009/10. “Don’t let depression and anxiety put you off your game. Find out more at www.beyondblue.org.au” Stuart Appleby PGA Member Photo: Anthony Powter anxiety in sportspeople. Risk factors for depression in elite sportspeople are often different from those experienced by the general population and can include constant media scrutiny of performance, the impact of injuries and being dropped from a team. Don’t let depression put you off your game Over a million people in Australia live with depression. If it’s not you, maybe it’s someone you know – a friend, partner, workmate or family member. To find out more visit www.beyondblue.org.au or call the info line 1300 22 4636. beyondblue and the Professional Golfers Association (PGA) of Australia are working together to raise awareness of depression and anxiety in the golf community. From top to bottom: Institute of Chartered Accountants president Richard Deutsch with beyondblue CEO Leonie Young; (left to right) Chief Financial Officer at the Macquarie Group Greg Ward, with Leonie Young and Richard Deutsch at the signing of a Memorandum of Understanding in March 2009; a co-branded beyondblue/Professional Golfers Association of Australia poster aimed at the golfing community. 39 beyondblue Disaster Strategy – Addressing Mental Health Issues in Bushfire and Floodaffected Communities “As a community, I think it’s important that we think about other people who are vulnerable and we draw close together and support those who have been affected.” – beyondblue Clinical Adviser, A/Prof. Michael Baigent LOOKING AFTER YOURSELF AFTER A DISASTER Since February 2009, beyondblue has worked closely with the Australian and Victorian Governments to implement a long-term strategy in response to the devastating Victorian bushfires and to the widespread floods in NSW and Queensland. The aim of the stategy is to develop and provide information and support to bushfire and flood-affected communities. beyondblue worked with a range of leading national agencies and experts to develop a comprehensive booklet designed to provide information and advice on emotional responses to trauma and loss following a natural disaster. These resources were developed in association with beyondblue’s mental health experts, the Australian Centre for Posttraumatic Mental Health, Australian Red Cross, the Australian Centre for Grief and Bereavement and, importantly, in consultation with survivors of the 2003 Canberra bushfires. The booklet – Taking Care of Yourself after a Disaster – contains tear-out practical work sheets and information cards, and lists help and information phone numbers and web addresses. Emotional responses after a natural disaster People may be at risk of developing depression and anxiety after experiencing a traumatic event like a bushfire, flood or earthquake. Normal reactions • Feelingoverwhelmed • Feelingnumbanddetached • Inabilitytofocus beyondblue has established nearly 90 information stations in local communities in NSW, Queensland and Victoria with the support of Bushfire Recovery Community Service Hubs, libraries, neighbourhood centres, local councils and state government agencies. Community members can access information on depression and anxiety at any time from these stations. • Inabilitytoplanahead • Constanttearfulness • Intrusivememoriesorbaddreamsrelatedtotheevent • Sleepdisturbances • Constantquestioning–“WhatifIhaddonex,yorz,instead?” • ‘Replaying’theeventandinventingdifferentoutcomesinorder tobepreparedshouldithappenagain Thesereactionscanbesevereandareattheirworstinthefirstweek,however, inmostcases,theyfadeoveramonth.Ifaperson’sday-to-dayfunctioningis seriouslyaffectedformorethantwo months after the event,it’simportant todiscussitwithaGeneralPractitionerormentalhealthprofessional. Beyond a normal reaction If you experience any of these symptoms at any time, seek professional help: • Asensethattheemotionalandphysicalreactionsarenotnormal • Thoughtsofendingone’slifeorself-harm • Lossofhopeorinterestinthefuture • Avoidingthingsthatbringbackmemoriesofwhathappenedtothepoint whereday-to-daytaskscannotbecarriedout • Beingstartledeasilye.g.jumpingwhenadoorslams • Feelingoverwhelmingfearfornoobviousreason • Panicattacksymptoms:increasedheartrate,breathlessness,shakiness, dizzinessandasuddenurgetogotothetoilet • Excessiveguiltaboutthingsthatwereorweren’tsaidordone. For immediate assistance New booklet and information card for disaster-affected communities Top: Community Service Hub employees from fire-ravaged Kinglake (VIC) with a beyondblue information station; Looking after Yourself after a Disaster booklet was produced in consultation with Australia’s leading disaster and mental health agencies and produced in August 2009. 40 In the weeks following the Victorian bushfires and north Queensland floods, an information card Emotional responses following a natural disaster was developed in close consultation with beyondblue’s Clinical Adviser A/Prof. Michael Baigent. The card lists the normal reactions people may have to a traumatic situation and the warning signs that a person may be at risk of developing an anxiety disorder and/or depression. The card also lists disasterspecific help and information lines and web addresses. By October 2009, 60,000 had been distributed to flood and fire-affected communities. • Lifeline131114 • MenslineAustralia1300789978 • SuicideCallBackService1300659467 For more information on depression, anxiety, available treatments and where to get help visit www.beyondblue.org.au or call 1300 22 4636. www.beyondblue.org.au ✆ 1300 22 4636 An information card was released two months after the February 2009 bushfires in Victoria “We received a delivery of ‘Looking after yourself after a disaster’ booklets. It’s a great little booklet which we have put on our coffee table in the Community Services Hub and the clients are all taking a copy home which is fantastic!” – Andrea, Department of Human Services Hub Administrator, Kinglake & Kinglake West Community Hubs (VIC) beyondblue: the national depression initiative Community Support Training (Victorian bushfires) In June 2009, the Australian Government Department of Health and Ageing, in close consultation with the Victorian Government Department of Human Services, employed beyondblue to develop, deliver and evaluate a Community Support Training Project for communities affected by the Victorian bushfires of February 2009. The training aims to build the community’s capacity to respond to a range of common psychological reactions people may experience after a traumatic event and includes a focus on children, young people and those impacted, either directly or indirectly, by the bushfires. Fifty workshops delivered to community leaders aim to improve knowledge, skills and confidence to assist others to seek help and support if needed. The workshops and supporting information materials have been developed by a team of experts, including the Australian Centre for Posttraumatic Mental Health and the Mater Child and Youth Mental Health Service, and reflect Australia’s international expertise in developing best practice disaster recovery initiatives. The workshops are tailored to the needs of each community. Following the workshops, participants receive newsletters containing information learned in the workshops and helpful info lines and web addresses. This program was piloted in the Victorian country town of Whittlesea and is being implemented in 2009/10 across bushfire-affected areas. See page 40 for new resources developed for these communities. Community Programs beyondblue’s NWSE portfolio has worked with other beyondblue program areas to develop and deliver awareness and early intervention training programs outside of the workplace including: • Chronic Illness – development of training materials for workshops and conference presentations including information on the links between kidney disease, prostate cancer, breast cancer and depression/anxiety. • Men’s Sheds – beyondblue’s depression awareness training has been delivered to Men’s Shed leaders around Australia and Men’s Shed conferences. Feedback has been positive: 96 per cent of participants increased their awareness of depression and anxiety, 93 per cent felt more confident to approach someone about whom they were concerned and 99 per cent indicated that they would recommend the session to others. • Young people – A training program was developed specifically for young people and those that work with them. It has been delivered to the Australian Office for Youth and Red Frogs staff and volunteers who work with young people. • Bowls Victoria – As part of beyondblue’s partnership with Bowls Victoria (see page 48), training has been developed for coaches and delivered to coaches and players, as well as staff, Board and Council Members. From top to bottom: The call centre team from Telstra 000 Emergency present a cheque to beyondblue following the February 2009 Victorian bushfires; A briefing session for beyondblue’s Community Support Training (bushfires) facilitators; beyondblue Director of National Workplace and Social Enterprise, James Beckford Saunders (far left) with the new facilitators; Staff at the Alexandra Community Service Hub (VIC) with a beyondblue information station; Whittlesea bushfire training participants. www.beyondblue.org.au 41 Employment and Workforce Mental Health and Insurance Discrimination Project • Provide information to financial planners on the MOU and the potential interactions between mental health and insurance. • Develop a uniform approach to complaints processing and monitoring across all industries. • Continue data collection to measure effectiveness of initiatives and identify areas for further work. Job and financial loss Dealing with tough times 1 The project builds on the Memorandum of Understanding (MOU) established between the Investment and Financial Services Association (IFSA) and the mental health sector stakeholders (MHSS), including The Mental Health Council of Australia (MHCA) and beyondblue. When Work dries up There are Things you can Do, To look afTer yourself anD your family. In 2007, beyondblue and the MHCA conducted an online survey to identify the extent, nature and type of discrimination that people were experiencing. Copies of this report and recommendations are available on the beyondblue website www.beyondblue.org.au Hit by retrenchment or the current financial situation? • Lostyourjoborsavings? • Feeloverwhelmedwiththe pressureandstress? • Don’tknowwhattodo? Financial loss affects different people in different ways. Some people may need to cut back on spending or put retirement on hold, while others will need to apply for financial assistance. TIPSTOGETTHROUGH THETOUGHTIMES Adjusting to a loss or financial hardship is difficult emotionally and on a practical level. Remember, help is available. You can’t change the economy, but you can take steps to respond to the situation and look after your financial and emotional well-being. The Mental Health and Insurance Discrimination project arose following reports that people with a history of mental health problems often experience difficulty when attempting to buy various types of insurance, particularly life and income protection insurance. People said they were either charged significantly higher premiums for their insurance cover or were denied insurance policies. Taking care of yoursel f after retrenchment or financial loss The recommendations of this report and other data collected by IFSA have guided the direction of a revised MOU and action plan between the mental health and insurance industries, signed in Canberra on 13 October 2008. Looking after your health and well-being – and that of your family – in the current financial situation Recommendations from the MHCA/ beyondblue survey: For more information www.beyondblue.o rg.au or beyondblue info line 1300 22 4636 For information on where to get assistance and tips to help you through these tough times orderafreecopy of beyondblue’s booklet Taking care of yourself after 1300 22 4636 • www.beyondblue.org.au retrenchment or financial loss – • Review, revise and simplify insurance forms and processes. • Provide training to underwriting and claims staff on mental health issues. • Disseminate Mental Illness and Insurance fact sheets to raise community awareness of the application process and activities under the MOU. At the end of 2008, beyondblue responded to an increasing number of anecdotal reports of people deeply affected by the global economic downturn. In particular, people were seeking practical advice about what services were available to them and how to look after their health and well-being, and that of their families, during this period of unexpected hardship. To address this issue, beyondblue developed a booklet – Looking after yourself after retrenchment or financial loss. The booklet was designed to provide practical information to people who have been affected by the global financial crisis. It provides strategies and advice for people on how to take care of themselves and their families, and information about regaining control over their financial and emotional situation. Financial advice in the booklet was sourced from and included with permission from the Australian Securities and Investment Commission and the Department of Education, Employment and Workplace Relations. The resource has been widely distributed (more than 305,000 copies ordered) to employees, employers, outplacement and employment services, human resource managers, financial counsellors and advisors, community-based organisations, and also disseminated through Government service agencies, including every Centrelink office in Australia. In response to high demand for the financial booklet, beyondblue developed a version of the booklet for managers who may be required to retrench staff. This booklet contains practical advice Top: Members of the Investment and Financial Services Association with beyondblue CEO Leonie Young at the 2008 signing of an MOU to prevent discrimination in insurance. Middle to bottom: Since December 2008, beyondblue has produced and contributed to a range of information materials designed to ease the emotional burden of retrenchment and financial loss, given the widespread impact of the Global Financial Crisis. 42 beyondblue: the national depression initiative about how change can affect individuals and teams, common reactions to job loss and how to encourage people to access further assistance if necessary. The superannuation company for the building and construction industry, Cbus, is working with beyondblue, Master Builders Association SA and SuperFriend to adapt the beyondblue booklets for use in the building and construction industry. These resources will be piloted in South Australia. beyondblue and Cbus will co-fund an evaluation with a view to national roll-out. Employment and Workforce research projects Job Stress and Workplace Mental Health Study ACT Health has provided funding to beyondblue to design, develop and evaluate a workplace mental health promotion program. This program will combine workplace prevention and early intervention initiatives and will draw on beyondblue’s partnership with The University of Melbourne-based McCaughey Centre at the VicHealth Centre for the Promotion of Mental Health and Community Wellbeing. Ten Canberra-based organisations across the public, private and small business sectors have volunteered to participate in the three-year study. This study is due for completion in 2010. Help-seeking among apprentices in the building and construction industry beyondblue has funded Incolink to conduct a two-year research project to examine and increase help-seeking behaviour for common mental health problems by apprentices in the building and construction industry. This study is due for completion in 2010. An evaluation of mental health education in the nursing profession beyondblue has funded The University of Newcastle to conduct a two-year research project that examines the effectiveness of adapting the beyondblue National Workplace Program to the nursing profession. Once completed, beyondblue will work with the profession to explore opportunities for rolling out the nurses training package nationally. This study was completed late 2009. Promoting employee mental health in small businesses beyondblue has funded The University of Tasmania to conduct a three-year research project, Promoting employee mental health through the development of managers’ psychological capital: A controlled field experiment. This research will examine strategies to improve the mental health of managers in small to medium businesses. The study is co-funded by the Australian Research Council Linkage Grant, WorkCover and has in-kind support from the Tasmania Chamber of Commerce and Industry. The project is due for completion in 2012. An investigation of the impact of beyondblue’s Rural Workforce Training beyondblue has funded the School of Rural Health at The University of Melbourne to conduct an investigation into the effectiveness of the beyondblue National Rural Workforce Training Program delivered through a Primary Care Partnership in rural Victoria. This study is due for completion in December 2009. KidsMatter Primary KidsMatter is the first national mental health initiative developed specifically for primary schools. It was developed by beyondblue, the Australian Government Department of Health and Ageing, Principals Australia, the Australian Psychological Society and Australian Rotary Health. KidsMatter provides a comprehensive whole-school framework that builds a school’s capacity to support student mental health and well-being and assist those experiencing mental health difficulties such as depression and anxiety. Top three images: Photos used to promote beyondblue’s workplace initiatives Bottom: A flyer for KidsMatter Primary, which will be rolled out to 400 primary schools across Australia until 2012 www.beyondblue.org.au 43 The Australian National Survey of Mental Health and Wellbeing (published in 2000) found that one in seven primary school children has a mental health problem – with anxiety, depression and hyperactivity being the most common. Children with these problems have difficulty making friends and achieving at school. KidsMatter focuses on four areas where schools can really make a difference to student mental health, including: • a positive school community by enhancing student, staff and parent sense of belonging and connection to the school • social and emotional learning for students by delivering evidencebased programs that teach students important life skills such as how to manage feelings, develop positive relationships and deal with problems • parenting support and education by providing parents with important information about child development and effective parenting strategies as well as how to access programs and support services • early intervention for students experiencing mental health difficulties by recognising and helping students who are experiencing difficulties as well as knowing how to access professional help if needed. full report Evaluation Final Report Phillip T. Slee, Michael J. Lawson, Alan Russell, Helen Askell-Williams, Katherine L. Dix, Laurence Owens, Grace Skrzypiec, Barbara Spears Centre For Analysis of Educational Futures FLINDERS UNIVERSITY 2009 Second from top: Teachers and students at Bexley Public School (NSW) take part in KidsMatter. Third from top: Students from Settlers Primary School (WA) make a poster as part of the KidsMatter course work. Bottom: The Flinders University independent evaluation of KidsMatter found very encouraging results – the final report can be downloaded from www.kidsmatter.edu.au 44 KidsMatter Primary was piloted nationally in 101 schools from 2006 to 2008. There were participating schools in all states and territories, all three education systems (Government, Catholic and Independent) and metropolitan, rural and remote communities. Flinders University of South Australia conducted the evaluation of KidsMatter Primary, which produced overwhelmingly positive results. For students, optimism and coping skills improved and there was a reduction in mental health difficulties such as emotional symptoms, hyperactivity, conduct and peer problems. The most pleasing result of all was that the children experiencing the most problems at the start of the pilot benefitted the most. “Look, it really works. You can really make a profound difference in your school and in those children’s lives …One of the best parts of KidsMatter is it has changed the culture and focus within the school community.” – Primary School Principal who participated in the KidsMatter pilot in 2008. KidsMatter Early Childhood beyondblue has joined forces with the Australian Government Department of Health and Ageing, the Australian Psychological Society and Early Childhood Australia to improve the mental health and well-being of children from birth to five years old. Although no national data exists about the prevalence of mental health problems in very young children, a Victorian study found up to one in seven children aged one-and-a-half to three years old have behavioural problems such as aggression and hyperactivity or internalising problems resulting in their being withdrawn, anxious or even depressed. KidsMatter Early Childhood began in November 2009 following the successful evaluation of KidsMatter Primary. The national three-year pilot will involve 110 long-day and pre-schools, with the view to making it more broadly available to early childhood services from 2012. beyondblue has committed $3 million to the pilot and the Federal Government has contributed a further $6.5 million. To learn more about KidsMatter Primary or KidsMatter Early Childhood, including access to resources, visit www.kidsmatter.edu.au As a result of the positive evaluation, the Federal Government announced $12.2 million on 6 October 2009 for a national roll-out of KidsMatter Primary to an additional 400 primary schools until 2012. beyondblue: the national depression initiative beyondblue High Schools Classroom Program (SenseAbility) From early developments in 2003 and adaptations in 2009, the beyondblue High Schools Classroom Program is a 30-session program developed to prevent depression and anxiety in secondary school students. This program aims to teach students core skills for resilience such as relationship skills, problem solving, managing stress and optimistic thinking, with the view to developing six protective factors. These are: • self-worth (knowledge of and belief in one’s strengths, skills, and abilities – an acceptance of one’s inherent value) • belonging (feeling valued, needed and accepted – being connected meaningfully to a social network) • control (belief that one has the skills and ability to cope with life challenges and to manage one’s own emotions) • purpose (capacity to make sense of the world and to perceive some meaning in one’s life) • future (hopefulness about the future enabling us to act positively and with purpose) • humour (being able to see the lighter and ‘funnier’ side of life – including one’s own foibles). Originally, the classroom program was trialled in 25 schools between 2003 and 2005. Since mid 2006, more than 900 schools have ordered hard copies of the classroom program including student workbooks, teacher manuals and accompanying DVDs from the beyondblue website. beyondblue has now contracted the original program developers from The University of Queensland to create the SenseAbility program. SenseAbility will provide schools with greater flexibility and a wide range of materials and activities to meet the needs of more students. SenseAbility will be widely promoted and freely available to all schools early in 2010. www.beyondblue.org.au Developing Resilience in Tertiary Students In April 2009, beyondblue contracted a team from The Queensland University of Technology to develop a 10-module online program to build resilience in tertiary students. The program, which includes Cognitive Behaviour Therapy, Interpersonal Therapy and positive psychology principles, will target issues unique to students from university, TAFE, and VET sectors. The modules will cover recognising existing strengths, stress and anxiety management, overcoming depression, effective time management and tips on establishing and maintaining social supports. The multimedia program will incorporate videos, graphics and interactive learning. It will be completed in the first half of 2011 and widely promoted to all tertiary institutions across Australia. beyondblue National Perinatal Depression Initiative The beyondblue National Postnatal Depression Research Program 2001-20051 focused on improving healthcare for new and expectant mothers with depression. The program aimed to improve screening and treatment of depression during the perinatal period (during pregnancy and after birth) for women. This initial research led to the development of beyondblue’s National Action Plan for Perinatal Mental Health (2007).2 The National Action Plan aimed to improve the mental health and well-being of mothers and their families with routine screening and assessment of all Australian women during pregnancy and the first postnatal year. Depression and anxiety can be found in around 9 per cent of women antenatally and about 16 per cent postnatally.2 In November 2008, the Commonwealth, State and Territory Governments agreed to support the development of the National Perinatal Depression Initiative (NPDI) based on the beyondblue National Action Plan. The Federal Government committed $55 million with an additional $30 million contributed 1 The beyondblue National Postnatal Depression Program. Prevention and Early Intervention 2001-2005. Final Report. Volume 1: National Screening Program. 2006 2 beyondblue Perinatal Mental Health National Action Plan 2008-2010 Full Report September 2008 From top to bottom: The KidsMatter National Team; Teachers at a KidsMatter implementation briefing in Adelaide; A poster for KidsMatter; A beyondblue poster to raise awareness of postnatal depression. 45 by State and Territory Governments for the development of a national approach and the implementation of the NPDI, with beyondblue receiving $5 million to support the Initiative. The aim of the NPDI (2008-2013) is to improve the prevention and early detection of perinatal depression and anxiety with routine and universal screening of all expectant and new mothers. It also aims to provide better care and support for those who do experience depression and anxiety. beyondblue’s role includes: • providing a centre of excellence and evidence about perinatal depression and funding research to improve knowledge of perinatal depression • providing advice and informing governments about best practice activities in perinatal depression, including advice in relation to Culturally and Linguistically Diverse communities and Aboriginal and Torres Strait Islander communities • developing perinatal depression screening guidelines and training materials • community awareness activities (including advertising campaigns) that encourage women to seek help early for perinatal depression • conducting research with focus groups involving people who have experienced perinatal depression and anxiety, carers, partners and health professionals to inform education and awareness-raising activities. ‘Postnatal depression is like living in a fog. You wonder how you’re going to keep going.’ Guidelines Expert Advisory Committee for Perinatal Mental Health beyondblue formed a Guidelines Expert Advisory Committee (GEAC) in 2008 to develop the National Health and Medical Research Council and beyondblue Clinical Practice Guidelines. Being pregnant or having a baby can increase your risk of experiencing depression and anxiety. Postnatal depression affects one in six women giving birth in Australia, so it’s important to be aware of the signs and check it out. The sooner you seek help, the sooner you can recover. To find out more visit our website or call the infoline. 1300 22 4636 BEY0044 Metro press_HR.indd 3 6/9/06 12:09:14 PM Top: The beyondblue Perinatal Mental Health Program Implementation Working Group Second from top: The Perinatal Mental health Program IWG in session Bottom images: A multicultural image and poster for the beyondblue perinatal mental health program 46 GEAC members include consumer, carers, allied health professionals, GPs, maternal and child health nurses, midwives, rural/remote and Indigenous representatives and leading experts in women and children’s health (see page 56 for information on the guidelines). New information materials for new mothers, their families and carers A large range of perinatal information resources is available on the beyondblue website to download or order free. Perinatal mental health information packs for women and their families and for health professionals are available. Information produced in 2008/09 includes: • envelope-sized card for health professionals with photos of all beyondblue’s perinatal resources • summary document of beyondblue’s progress on implementation of the NPDI • updated state and territory-specific fact sheets – Antenatal and postnatal depression – a guide for management for health professionals • revised Edinburgh Postnatal Depression Scale for health professionals and envelope-sized card for pregnant women and new mothers • Emotional health during pregnancy and early parenthood – an information booklet for parents of multiple births • Emotional health during pregnancy and early parenthood booklets in Chinese, Mandarin, Indonesian and Italian have been revised and updated. Information regarding training programs beyondblue has compiled a list of training programs available in each state and territory which will be placed on the beyondblue website. A reference group of leading experts in perinatal mental health will review training requirements and assist in developing additional training materials, including online packages. Phunktional In 2009, beyondblue supported a peereducation initiative with Victoria-based youth group Phunktional – Calling the Shots. It began in 2008 in schools in suburban Epping and Mildura, Victoria. These areas were chosen because of cultural diversity and breadth of issues experienced by young people e.g. depression, truancy, crime rates, alcohol beyondblue: the national depression initiative and drug use. The project involved school-based workshops in dance, drama and music in partnership with local police, health, council, legal and community services. The workshops culminated in live community performances at the end of 2009, showcasing the stories developed by the young participants. Coach the Coach beyondblue Rounds In August 2008 and again in August 2009, beyondblue and Familycare Victoria hosted beyondblue sports rounds in the Goulburn Valley Football League and the Picola Football League. During the beyondblue Rounds, all umpires wore beyondblue t-shirts and beyondblue caps to raise awareness. beyondblue information on depression and anxiety was distributed at all matches. yshareit Youth Project • education about reputable e-mental health sites • activities to improve their communications skills • teaching strategies to share information they have learned with other young people in the community. Build Your Game (Good Sports, Good Mental Health) In 2007, the Australian Drug Foundation (ADF), funded by beyondblue, piloted a Good Sports Good Mental Health (GSGMH) project. The evaluation of the pilot showed sports clubs can actively increase the awareness of depression and anxiety in the local community. This led to beyondblue funding the Build Your Game Initiative in 2009. From 2009 to 2011, Build Your Game will be implemented in 400 rural sports clubs throughout rural and regional Victoria and NSW. The program aims to: Emotional health during pregnancy and early parenthood For more information www.beyondblue.org.au or beyondblue info line 1300 22 4636 • support sports clubs to be inclusive environments for engaging in mental health awareness-raising interventions • increase club members’ awareness of depression and anxiety and mental health in general and to improve help-seeking behaviour A mental health web portal and peersupport training program has been developed specifically for young people in Tasmania. Created by The University of Tasmania’s Discipline of Psychiatry, www.yshareit.com draws on resources of five leading Australian e-mental health sites: ReachOut.com MoodGYM, Youthbeyondblue, BluePages and Kids Help Line. beyondblue supported the evaluation of the Tasmanian-based yshareit Virtual Youth Ambassador Training Program in 2008/09. The training aims to develop supportive e-mental health peer networks for young Tasmanians. The Virtual Youth Ambassador Training program is designed to increase young people’s knowledge and ability to share information through: www.beyondblue.org.au • provide information support and appropriate referrals to services, and support to communities through sports clubs Emotional health during pregnancy and early parenthood An information booklet for parents of multiple birth children For more information www.beyondblue.org.au or beyondblue info line 1300 22 4636 • improve and promote ongoing community access to and participation in, safe and healthy sport clubs. In 2009, Build Your Game was introduced to community partners in Wangaratta and Shepparton, Victoria. These community partners are working with 150 rural and regional sports clubs located in Northern Victoria and in the Riverina, NSW to increase mental health awareness in the community sports environment. Top and middle: beyondblue’s materials for new mothers, pregnant women and their families continue to diversify Bottom: Goulburn Valley Football League (VIC) umpires wear beyondblue t-shirts at a Coach the Coach beyondblue Round 47 Tackling Depression in Older People beyond maturityblues Program OLDER PEOPLE AND DEPRESSION beyondblue continues to work with Councils on the Ageing (COTA) around Australia on the beyond maturityblues program. This educational program, which has run since 2007, aims to raise awareness of depression in older people. The sessions are delivered by COTA volunteers who talk about depression to people around their own age. Depression is not a normal part of ageing The primary message of the program is that ‘depression is not a normal part of ageing’. For more information www.beyondblue.org.au or beyondblue info line 1300 22 4636 their insights on what they do to stay physically and/or mentally healthy over the age of 80. beyondblue posts selected stories on the website. The stories will also help inform beyondblue’s community education, research agenda and to recruit new blueVoices members for the older person’s group (see page 31 on blueVoices). By August 2009, around 140 inspirational stories had been received from OBEs and several of these have been published on the beyondblue website and in the new beyondblue booklet Depression and Older People. See page 18. Close to 35,000 people from around Australia have attended a beyond maturityblues session. In 2008/09, more than 700 sessions were held reaching close to 16,000 attendees. Due to the success of the program and the desire to reach older people of nonEnglish speaking backgrounds, beyond maturityblues is being developed in four languages. An Italian program was successfully piloted in early 2009 in Adelaide and the national roll-out commenced soon after. Programs in Greek, Chinese and Vietnamese will be made available nationally from the end of 2009. Additionally, from mid-2009, the program was expanded to target men, veterans, people with chronic conditions and people living in rural and remote areas. Over Bl**dy Eighties (OBE) Campaign beyondblue launched a campaign in early 2009 targeting the over 80s, utilising the affectionate and humorous term ‘OBE’. Translations include ‘Over Bloomin’ Eighty’, ‘Over Bloody Eighty’ and ‘Old But Everlasting’. The title OBE has been borrowed from the now defunct British Awards (Order of the British Empire) which used to be bestowed on selected Commonwealth citizens by the Queen. The aim of the Over Bl**dy Eighties campaign is to promote positive ageing and encourage community awareness of factors that help protect against depression in older people. People over the age of 80 were invited to write, telephone or email beyondblue with 48 beyondblue-Bowls Community Partnership beyondblue and the Victorian peak bowls organisations began working together in 2009 with the aim of raising awareness of depression and anxiety within the bowls community. The idea for such a partnership arose out of a successful depression awareness-raising initiative with the Wangaratta Bowls Club in late 2008. It was recognised that bowls clubs offer excellent potential to promote awareness of depression due to their strong community networks, appeal across all age groups, and accessibility in both metropolitan and rural/regional areas. The partnership commenced with the Royal Victorian Bowls Association and the Victorian Ladies’ Bowling Association in the first year. It is intended that other states/territories will follow suit under the leadership of Bowls Australia in subsequent years. All Victorian bowls clubs will be provided with information kits beyondblue: the national depression initiative for dissemination to their members and a beyondblue-themed round of Pennant took place in November. See page 21 for more information on these partnerships. Tackling Depression in People with a Chronic Illness beyondblue has partnered with chronic illness organisations to: • research the links between different chronic illnesses and depression and anxiety disorders, including effective treatment models (see page 60) • develop information and resources for people living with a chronic illness, identifying the links between depression and chronic illness • provide people with a chronic illness and their carers with education and training on depression and anxiety • enhance health professionals’ understanding of the links between chronic illnesses and depression/anxiety. beyondblue’s key chronic illness projects and partners include: • researching the links between heart disease and depression, through a collaborative research program with the Heart Foundation (see page 60) • investigating the relationship between cancer and depression/anxiety, in partnership with Cancer Australia (see page 60) • developing a fact sheet on the links between breast cancer and depression with the Breast Cancer Network of Australia (see page 11) • increasing awareness of the risk of depression and anxiety in men with prostate cancer and their partners, in partnership with the Prostate Cancer Foundation of Australia (see right) • piloting a training program to educate counsellors on the relationship between stroke and depression, in partnership with the National Stroke Foundation • developing a DVD with Diabetes Australia Victoria, to help people with co-existing diabetes and depression • providing information and training on depression and its impact on kidney disease at Kidney Health Australia consumer and carer workshops • exploring opportunities to develop tailored resources on the impact of arthritis and other musculoskeletal conditions, in partnership with Arthritis Australia Victoria • developing an education and training program with Alzheimer’s Australia Victoria, on the co-existing conditions of depression and dementia. Two training programs are being developed that target professional care workers, family members and carers of people with dementia. 1300 22 4636 www.beyondblue.org.au • increasing awareness of the links between Parkinson’s disease and depression, by developing a DVD and a fact sheet with Parkinson’s Australia (Victoria). Raising awareness of depression in men with prostate cancer and their partners beyondblue is raising awareness of depression and anxiety in men with prostate cancer and their partners. beyondblue has partnered with the Prostate Cancer Foundation of Australia (PCFA) to: • promote awareness of depression and anxiety through community forums and the PCFA national conference • develop information and resources for men with prostate cancer and their partners. This includes a fact sheet on prostate cancer and the risk of depression/anxiety, a booklet on Maintaining your well-being: Information on depression and anxiety for men with prostate cancer and their partners and a co-badged wallet card on the signs and symptoms of depression. Opposite page from top to bottom: beyondblue’s Older people and depression booklet has been well received at seniors’ weeks and festivals around the country; COTA Seniors Voice General Manager of National Programs Debra Petrys with beyondblue representative Adrian Booth at the launch of the Italian-language peer education workshops in South Australia in April 2009; beyondblue Program Manager of Population Health Sue Gherdovich (second from left) with Victorian Italian peer educators Maria Manobianco, Maria Garzo, Vic Guarino, (left to right) COTA peer educator Maria Chiera with Chairman of the South Australian Multicultural and Ethnic Affairs Commission Hieu Van Le and Chris Overland, President of COTA Seniors Voice Depression and anxiety can affect anyone at any time. If it’s not you, maybe it’s someone you know – a team-mate, workmate, partner, friend or family member. To find out more visit www.beyondblue.org.au or call the info line 1300 22 4636. beyondblue and Victorian Bowls: working together to raise awareness about depression and anxiety in the bowls community. Pennant is turning BLUE during November help your Club take aim against depression beyondblue and Victorian Bowls: working together to raise awareness about depression and anxiety in the bowls community. www.beyondblue.org.au ☎ beyondblue info line 1300 22 4636 Right from top to bottom: A poster about depression aimed at older Vietnamese people; A poster promoting the Bowls Victoria and beyondblue partnership; Champion bowler Lee Schraner features on a poster advertising the beyondblue Pennant bowls rounds in November 2009. www.beyondblue.org.au 49 • train prostate cancer support group convenors and ambassadors on the signs and symptoms of depression and assist others to seek help • support the development and piloting of a telephone support group for men with prostate cancer and their partners. This innovative program is being implemented by the Cancer Council Victoria and MensLine Australia. beyondblue has also supported the development of the Advanced Prostate Cancer Consumer Guidelines. These Guidelines provide information for men with advanced prostate cancer on their cancer, treatment options, and strategies to maintain well-being. The guidelines are available on the following websites: www.beyondblue.org.au www.andrologyaustralia.org www.cancer.org.au/ Healthprofessionals/ www.prostatehealth.org.au New resources include: • beyondblue fact sheet: Depression and anxiety in gay, lesbian, bisexual, transgender or intersex (GLBTI) people – information for adults. • Youthbeyondblue fact sheet: Depression and anxiety in young people who are gay, lesbian, bisexual, transgender or intersex (GLBTI). • Feeling Queer and Blue: A review of the literature on depression and related issues among gay, lesbian, bisexual and other homosexually active people (see page 61 for information on this report). Tackling Depression in Culturally and Linguistically Diverse (CALD) Communities CALD Carers Participation Program In 2009, beyondblue and Nova Community Care in Queensland worked together to produce a CALD Carers Participation Program Kit. MAINTAINING YOUR WELL-BEING: Information on depression and anxiety for men with prostate cancer and their partners This educational kit was designed specifically for carers from a Culturally and Linguistically Diverse (CALD) background who care for a person with a mental illness. The program aims to assist carers to understand the mental health system and to provide quality care for someone experiencing depression, anxiety or an associated mental health disorder. In association with For more information www.beyondblue.org.au or beyondblue info line 1300 22 4636 beyondblue Information resources for Gay, Lesbian, Bisexual, Transgender and Intersex (GLBTI) People Following the 2008 review of the literature on depression and related disorders in same sex-attracted people and in recognition of the need to raise awareness of depression and anxiety within the GLBTI communities and to promote available support services, beyondblue developed targeted information for the GLBTI community in 2009. 50 The CALD Carers Participation Program provides the tools to deliver training and to ensure quality and consistency of these programs across Australia. Program sessions include: • introduction to mental illness • dealing with the complexities of the mental health system – legal issues and treatment • responding to difficult behaviour • principles and reduction of carer stress. The free program can be downloaded from the Carers page of the beyondblue website. The kit is also available on request from beyondblue. beyondblue: the national depression initiative Assertive Communication in Multicultural Australia Research evidence supports a strong link between social isolation and clinical depression. In 2009, beyondblue partnered with The Chinese Australian Services Society Cooperative and the Centre for Primary Health Care and Equity (University of NSW) to conduct a highly successful, seven-week program aimed at managing anxiety and stress in situations where cross-cultural communication is required. The training was presented to ChineseAustralians to equip men and women with culturally appropriate assertive communication skills. The course has the potential to be extended to other CALD communities with appropriate cultural adaptations. The final project report is due in Febuary 2010. Tackling Depression in Indigenous Communities Rites of Passage Rites of Passage is an innovative, early intervention program for Aboriginal young people designed and led by the Social and Emotional Wellbeing team at the Aboriginal Medical Service Western Sydney (AMSWS). The AMSWS, together with the Sax Institute, received funding from beyondblue to evaluate the pilot phase of this project. Rites of Passage involves small groups of Aboriginal young people aged eight to 16-years experiencing depression or anxiety. The young people work closely with an Aboriginal youth worker over three months. The project culminates in a weeklong, resilience-building camp where groups of young people, along with local elders, participate in a range of activities designed to create positive relationships, increase pride in and knowledge of Aboriginal culture, build skills and learn about health and social issues. As a result, a network of Indigenous men has been trained by Mibbinbah to become leaders within their communities. These men are supporting Indigenous men’s groups, promoting awareness of depression and anxiety and encouraging Indigenous men to seek help. Save A Mate (SAM) Our Way beyondblue has partnered with the Australian Red Cross over three years (2008-2011) for the SAM Our Way program. This program supports 40 remote Indigenous communities to address social and emotional well-being issues for young people within their own communities. Communities and local partners in 13 communities the NT, SA, Queensland and WA are involved in the first phase of the project. SAM aims to assist community members to help young people – and adults – who may be experiencing depression, anxiety, violence, alcohol and/or drug problems through peer leadership and support. Through the program, beyondblue will develop culturally-appropriate information for Indigenous communities. Indigenous Hip Hop Projects beyondblue has partnered with the Indigenous Hip Hop Projects (IHHP) to raise awareness of depression, anxiety and related disorders among remote communities with young Indigenous populations. As part of its Communities’ Initiatives Tour, IHHP have held weeklong workshops and performances in over 60 communities, working with young people, schools and local health services. To complement this, IHHP also run leadership camps and employ young people from disadvantaged communities. Above, from top to bottom: David Pross (left) and Jamie Munnings at the Mibbinbah Men’s Camp at Halls Gap (VIC) in November 2009; Indigenous Hip Hop Projects (IHHP) perform; Men at the Mibbinbah Men’s Camp chat to IHHP Co-Director Michael Farah at the five-day leadership camp in November 2009; Northern Territory-based social worker Jo Battaglini features on beyondblue’s Depression Yarns DVD. Indigenous Men’s Sheds/ Spaces Pilot Project Indigenous Men’s Spaces are safe and healthy places for men to come together. beyondblue has supported the project, implemented by Mibbinbah, since 2007. www.beyondblue.org.au beyondblue’s comic for Indigenous young people, produced in association with Streetwize Communications. Opposite page, from top to bottom: A new beyondblue fact sheet for the Gay, Lesbian, Bisexual, Transgender or Intersex community; Participants at the Assertive Communication Skills seven week workshop in September/November 2009; A role playing exercise at the Assertive Communication Skills Workshop; A group of children aged 8 to 16 enjoy a team building exercise at the Rites of Passage camp. 51 Primary Care priority area Objective: To improve training and support for GPs and other health care professionals around depression Four out of five people with depression who seek help for the illness visit a General Practitioner (GP).1 beyondblue is dedicated to supporting and developing initiatives that assist GPs and other primary care practitioners to provide improved health care for people with depression, anxiety and related disorders. 1 Australian Bureau of Statistics (ABS) (2008). 2007 National Survey of Mental Health and Wellbeing: Summary of Results. ABS: Canberra. Above: beyondblue is working to promote better understanding of depression and related disorders among health professionals. 52 beyondblue: the national beyondblue: depressionthe initiative national depression initiative Better Access to Mental Health Care Initiative The Australian Government’s Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule program allocated $753.8 million over five years from November 2006 to provide better access to these services through Medicare. The beyondblue website includes a list of more than 2,300 GPs and allied mental health practitioners in all states and territories who are accredited under Better Access. To access the list, visit www.beyondblue.org.au and click Find a Doctor or Other Mental Health Practitioner or phone the beyondblue information line. Announced in November 2006, the initiative aims to improve community access to quality primary mental health services. General Practitioners are encouraged to work closely with psychiatrists, clinical psychologists, psychologists, social workers and occupational therapists in mental health. More than $34 million of the Better Access funding has been invested in education and training for health professionals. Twenty-eight Medicare Benefits Schedule (MBS) items are grouped under the Better Access initiative, however just five items account for 90 per cent of all services claimed. These are: • GP Mental Health Treatment Plans • GP Mental Health Care Consultation • Psychological Therapy Long Consultation • Focused Psychological Strategies Long Consultation • Consultant Psychiatrist, Initial Consultation or a New Patient. During the 2007/08 financial year, nearly 3.8 million Better Access Medicare subsidised mental health services were accessed by Australians living with mental illness (see table below). The number of Australians who have received the primary mental health services clearly demonstrates the need for such subsidies. Under the Better Access program, healthcare is more affordable with Medicare rebates available for up to 12 individual consultations (or 18 in exceptional circumstances) and 12 group-based appointments a year with a psychologist, social worker or occupational therapist if referred by a GP, psychiatrist or paediatrician. Better Access MBS Services for July 2008 to June 2009 MBS Item Total Services GP Mental Health Care Plan (now Mental Health Treatment Plans) 605,225 GP Mental Health Care Consultation 728,018 Consultant Psychiatrist, Initial Consultation on a New Patient Psychological Therapy Long Consultation – provided by Clinical Psychologists 81,479 872,794 Focused Psychological Strategies Long Consultation – provided by Registered Psychologists 1,482,745 Total Services 3,770,261 beyondblue works in partnership with primary care workers to ensure best practice when treating depression, anxiety and related disorders (photos: AGPN). www.beyondblue.org.au 53 beyondblue’s National Doctors’ Mental Health Program The mental and physical health of medical practitioners in Australia continues to be of concern within the profession and the community. This has been the focus of several research and media reports. These reports2 indicate high rates of suicide, depression, anxiety disorders, substance use and self-medication in medical practitioners. beyondblue is developing a national doctor’s mental health program in consultation with key stakeholders to address these issues. The program follows on from the joint Royal Australian College of General Practitioners (RACGP) – beyondblue project Keeping the Doctor Alive and the trial of a professional peer support program to increase awareness of depression and anxiety among the medical workforce.3 Former President of the Australian Medical Association, Dr Mukesh Haikerwal, will Chair the Advisory Committee for the program. The work of the Advisory Committee will be complemented by a larger Expert Reference Group with broad representation across the medical and mental health sectors. The first activity of the Committee is to oversee a literature review on doctors’ mental health. This review will build on and extend the RACGP 2004 literature review – The Conspiracy of Silence: Emotional Health among Medical Practitioners. The beyondblue Guide to the Management of Depression in Primary Care The beyondblue Guide to the Management of Depression in Primary Care was developed by beyondblue Research Adviser and Clinical Director at the Monash Medical Centre, Prof. David Clarke. The guide aims to help GPs assess and diagnose depression and implement management plans that include evidencebased treatments. It is divided into three parts: assessing the problem, making the diagnosis and matching evidenced-based treatments to the diagnosis. It includes a lift-out flowchart which helps GPs move through these steps. The information in the guide is concise and suitable for GPs working in busy practices. beyondblue guide to the management of depression in primary care A guide for health professionals For more information www.beyondblue.org.au or beyondblue info line 1300 22 4636 The aims of the program are to: • develop self-help tools specific to the medical profession “This booklet was developed to give GPs guidance. There are existing clinical practice guidelines available, but generally people don’t read them because they are long and complicated, and GPs often don’t have the time. This is a way of making it simple.” • develop a structured education program for doctors. – Prof. David Clarke, Research Adviser to beyondblue • address high rates of depression and anxiety in doctors • raise awareness of depression and anxiety and encourage help-seeking behaviour 2 The Conspiracy of Silence: Emotional Health among Medical Practitioners, published by RACGP, 2004 3 Keeping the Doctor Alive: A Self Care Guidebook for Medical Practitioners, published by RACGP, 2006 Left top and middle: beyondblue information for doctors and medical students on taking care of their own mental health while caring for others. Left second from bottom: A rural health student on placement (photo: National Rural Health Network). Left bottom: beyondblue CEO Leonie Young and beyondblue Program Manager for Primary Care Anne Edmonds with the 2009 Annual Conference Research Award from the Australian College of Mental Health Nurses Inc. for a beyondblue presentation on the Young Minds program. 54 beyondblue: the national depression initiative Young Minds beyondblue: the national depression initiative has partnered with the Australian General Practice Network to develop a training program for General Practitioners, Practice Nurses, allied health professionals and other primary care workers The Young Minds: Treating Depression focusing on skills development in the diagnosis, management and treatment of high prevalence mentalin health disorders commonly occurring in young people. and Anxiety Young People training package for General Practitioners, practice staff, mental health professionals and allied health professionals was developed by beyondblue and the Australian General Practice Network (AGPN). The training includes up-to-date clinical information, guidelines for the diagnosis, treatment and management of depression and anxiety in young people, fact sheets, and advice on how to create a more ‘youth-friendly’ practice. Further information on accreditation is available on the training website. If you would like to access this training opportunity go to www.ebmcbt.com The Young Minds training package was launched on 12 May 2009 at the Australian General Practice Network Joining the Dots mental health conference in Sydney. beyondblue Deputy CEO Dr Nicole Highet and GP Dr Grant Blashki spoke at the conference. Since then, over 100 health professionals in every state and territory in Australia have completed the online training. The Young Minds training package is approved as Mental Health Skills Training by the General Practice Mental Health Standards Collaboration and endorsed by the Royal College of General Practitioners, Australian College of Rural and Remote Medicine, Australian Association of Social Workers and Royal College of Nursing, Australia. beyondblue has also agreed to fund a face-to-face version of Young Minds through Divisions of General Practice around Australia. For more information on Young Minds visit www.ebmcbt.com “The training package is comprehensive and specifically designed to address the challenges many GPs have when consulting with young people. I found it informative, educational, innovative and even exciting.” – Dr Rajen Pillay, Victorianbased General Practitioner Clinical Practice Guidelines: Depression in Adolescents and Young Adults In 2008, beyondblue began the development of clinical practice guidelines which make recommendations for the prevention, identification, treatment and management of the symptoms of depression in adolescents and young adults. Initially, beyondblue intended to update the revoked National Health and Medical Research Council (NHMRC) Clinical Practice Guidelines: Depression in Young People (1997). However, an early decision of the Working Committee was that entirely new guidelines were needed to cover adolescents aged 13 to 18 years and young adults aged 19 to 24 years. The aim of the new guidelines is to: • improve health outcomes and prevent the incidence of further depressive episodes and ongoing depression for adolescents and young adults who have experienced depressive symptoms, or been diagnosed with depression • promote effective treatment, limit illness duration, advise on strategies if treatment-resistant and help prevent relapse for those with a diagnosis of depression. It is anticipated that the draft guidelines will be released for a 60-day public consultation in early 2010. The final guidelines, which will take into account the feedback received, will be completed by mid-late 2010. Top: A poster in a GP surgery promoting beyondblue’s Guide to the Management of Depression in Primary Care (photo: Medical Media Group). (Other photos: AGPN) www.beyondblue.org.au 55 The Edinburgh Postnatal Depression Scale1 A GUIDE for HEALTH ProfESSIoNALS WHY SCrEEN for DEPrESSIoN DUrING PrEGNANCY AND EArLY PArENTHooD? Emotional disturbances during pregnancy and early parenthood are common, complex, and may take many forms. Postnatal depression is the most prevalent mood disorder associated with childbirth and affects around 16 per cent of women giving birth in Australia. This may have long-term consequences for women, their partners, the infant and other children. As GPs and Maternal and Child Health workers are often the first point of contact for women with postnatal depression, it is important that they are familiar with a reliable screening instrument to supplement their clinical assessment/judgement and assist with decision-making. SCrEENING for PrEGNANCY-rELATED DEPrESSIoN: THE EPDS Internationally, the Edinburgh Postnatal Depression Scale (EPDS) is the most widely accepted screening instrument used in the perinatal period. The EPDS was developed by Cox, Holden & Sagovsky (1987), and was designed to allow screening of postnatal depression in the primary care setting.1 It excludes some symptoms that are common in the perinatal period (tiredness, sleep disturbance, irritability) that other depression instruments include, as such symptoms do not differentiate between depressed and nondepressed postnatal women. As a screening instrument, the EPDS should only be used to assess a woman’s mood over the past seven days. High scores do not themselves confirm a depressive illness and, similarly, some women who score below a set threshold might have depression. Thus, the EPDS does not provide a clinical diagnosis of depression and it should not be used as a substitute for full psychiatric assessment or clinical judgement. Importantly the EPDS cannot be used to predict whether or not a respondent will experience depression in the future – it can only be used to determine current mood. select one of 4 responses that most closely represents how they have felt over the past seven days. Each response has a value of between 0 and 3 and scores for the 10 items are added together (see sample). NOTE – Several items are reverse scored. The value of the EPDS lies in the fact that it is easy to complete, has been validated in relation to other standardized psychiatric measures,1,2 and has been found to be acceptable to women who are asked to complete it.2-4 Its use provides women with the opportunity to discuss their feelings and enables health professionals to discreetly raise the issue of postnatal depression.3-5 The EPDS may be administered at any stage after birth.6 Very high scores within the first week may indicate severe ‘baby blues’ and this, in turn, may signal that postnatal depression is likely to eventuate. Routine administration at 6-8 weeks2,6-8 with repetition between 3-6 months is recommended,1,8,10 however, screening through to 12 months is beneficial. The minimum time period which the EPDS should be readministered is two weeks.1 rESEArCH rESULTS Numerous studies have recommended different cut-off scores; however, there is consensus in the literature that women with scores consistently of 13 or more have a 60-100 per cent probability of meeting diagnostic criteria for depression.1,2,6-8,10 Very high EPDS scores may suggest a woman in crisis or a personality disorder that warrants further evaluation. Although originally used postnatally, the EPDS has been validated for use antenatally11 (with a higher cut-off score of 15 or more possibly being optimal) and has been translated into more than a dozen languages including Arabic and Vietnamese.12 NOTE – Where language versions other than English are used, scores should be interpreted cautiously as different cut-off points may be required, since each version is validated within a specific cultural or language group.12 The EPDS is a 10-item self-report questionnaire. It is usually administered as a pencil-and-paper test. Women are asked to Studies using the EPDS have included those in routine primary care administered by midwives,6 maternal and child health nurses,1,5,10 psychologists8 and researchers.8 It has also been found to be highly correlated with other measures of depression including the Beck Depression Inventory (BDI)13-14 and General Health Questionnaire (GHQ).15 REFERENCES 8. Boyce P, Stubbs J, Todd A. Aust NZ J Psychiatry 1993; 27: 472-6 1. Cox J, Holden J, Sagovsky R. Br J Psychiatry 1987; 150: 782-6 9. Boyce P, Hickie I, Parker G. J Affect Disord 1991; 21: 245-55 GUIDELINES for ADMINISTErING THE EPDS 2. Murray L, Carothers A. Br J Psychiatry 1990; 157: 288-90 10.Leverton T, Elliot S. J Reprod Infant Psychol 2000; 18: 279-95 3. Holden J, in Cox J & Holden J (eds) Perinatal Psychiatry 1994; London: Gaskell: 125-144 11.Murray D, Cox J.J Reprod Infant Psychol 1990; 8: 99-107 4. Gerrard J, Holden J, Elliot S. J Adv Nursing 1993; 18: 1825-32 12.Matthey S, Barnett B, Eliott A. Aust NZ J Psychiatry 1997; 31: 360-9 5. Holden J, Sagovsky R, Cox J. BMJ 1989; 298: 223-31 13.Milgrom J, McCloud P. Stress Med 1996; 12: 177-86 6. Harris B, Huckle P, Thomas R et al. Br J Psychiatry 1989; 154: 813-7 14.Harris B, Huckle P,Thomas R. Br J Psychiatry 1989; 154: 813-17 7. Zelkowitz P, Milet T. Can J Psychiatry 1995; 40: 80-6 15.Lussier V, Parid H, Saucier J et al. Pre & Perinatal Psych 1996; 11: 81-91 For information on the beyondblue National Perinatal Action Plan or to receive a free copy of beyondblue’s Emotional Health During Pregnancy and Early Parenthood booklet visit www.beyondblue.org.au or call the beyondblue info line on 1300 22 4636 Clinical Practice Guidelines for Depression and Related Disorders (anxiety, bipolar disorder and puerperal psychosis) in the Perinatal Period beyondblue is developing clinical practice guidelines under the National Perinatal Depression Initiative (NPDI). beyondblue acknowledges the support of the National Health and Medical Research Council (NHMRC) which is providing a Guideline Assessment Register (GAR) consultant to support and guide the development of the guidelines. and training course aim to support health practitioners and increase awareness of Indigenous mental health problems. The website (pictured below) and training course was launched in September 2008 at the RANZCP Creating Futures conference in Cairns and is available at http://indigenous.ranzcp.org/ beyondblue formed a Guidelines Expert Advisory Committee (GEAC) of professionals and consumers in 2008 to develop the guidelines (see page 46). The aim of the guidelines is to: • improve prevention and early detection of perinatal depression, anxiety, bipolar disorder and puerperal psychosis. • improve support and treatment for expectant and new mothers experiencing depression, anxiety, bipolar disorder or puerperal psychosis in the perinatal period. For the purpose of the guidelines, the perinatal period is defined as pregnancy and the first year after childbirth. The guidelines are also addressing perinatal depression and related mental health issues for Indigenous Australians, as well as rural and remote issues. Following NHMRC requirements, it is anticipated that the draft guidelines will be released for a 60-day public consultation in early 2010, with the final guidelines, which take account of feedback received, completed by mid-late 2010. Depression Yarns DVD beyondblue has produced a DVD to assist allied health professionals who provide mental health care services to Aboriginal and Torres Strait Islander people. The Depression Yarns DVD has been developed in consultation with Aboriginal mental health workers and gives mental health care practitioners insight into Aboriginal and Torres Strait Islander social and emotional well-being and culturally appropriate responses to people with signs and symptoms of depression and anxiety. The DVD includes mini-dramas depicting men and women living with depression with commentary from Aboriginal mental health service providers. RANZCP Indigenous Mental Health Website Top: An information leaflet for primary health care workers to help detect perinatal depression Bottom: Former rugby league star Nathan Blacklock features on the Depression Yarns DVD (photo: Colin Whelan/Action Photographics) 56 The Royal Australian and New Zealand College of Psychiatrists (RANZCP), in partnership with beyondblue, has developed an online training course for psychiatrists, GPs, Indigenous and allied health workers focused on improving Aboriginal and Torres Strait Islander mental health. Through a range of issues-related stories, scenarios and comprehensive literature, the website Research See page 62 for a list of beyondbluefunded research in the area of Primary Care. beyondblue: the national depression initiative Research priority area Objective: To initiate and support depression-related research It is critical that initiatives for improving community education, prevention, treatment and health care policy and practice around depression, anxiety and related disorders are underpinned by quality research. In the past nine years, beyondblue has invested more than $50 million in practical, applied and partnership research, with plans to spend another $10 million over the next year. • promote help-seeking behaviour • inform better service delivery • improve tools for measuring the effectiveness of programs or interventions • promote evidence-based research and outcomes to the Australian public. Key beyondblue strategic research projects include the Depression and Cancer partnership with Cancer Australia (see page 60) and the beyondblue Victorian Centre of Excellence (see page 58). By working with individuals and agencies such as the National Health and Medical Research Council (NHMRC), Australian Research Council (ARC) and Cancer Australia, beyondblue aims to: All beyondblue’s research programs are rigorously evaluated and the final reports are available on the beyondblue website www.beyondblue.org.au (click Research). • improve early intervention Above: Prof. Jeannette Milgrom, Director, Clinical and Health Psychology at Austin Health addresses the 2009 beyondblue Victorian Centre of Excellence Research Forum. www.beyondblue.org.au 57 beyondblue Victorian Centre of Excellence 2009 bbVCoE Research Grant Round The beyondblue Victorian Centre of Excellence (bbVCoE) in Depression and Related Disorders funds depression and anxiety research in Victoria through a competitive grants process. Established in 2002 as a joint initiative of beyondblue and the Victorian Government, the bbVCoE aims to build a body of research evidence to support improving policy and practice in Victoria and across Australia. The 2009 bbVCoE Research Forum was held on 22 October in Melbourne. The Hon. Lisa Neville, Minister for Mental Health, Community Services and Senior Victorians presented 10 successful research applicants with their awards. The strategic research program is focused on agreed priorities within the field of depression and anxiety-related health, as well as at-risk populations. The bbVCoE has funded over 110 research projects totalling $11.7 million. The focus of the 2009 grants was on co-existing depression and/or anxiety with physical illness, including chronic illness, eating disorders and obesity, trauma and disaster recovery and the relationship between mental illness and long-term injury. The successful 2009 grants (total funding $1.35 million) were: • Building resilience in fire-affected communities, Prof. Graham Burrows, Mental Health Foundation of Australia • The efficacy of the Nothing Ventured Nothing Gained online adolescent and parent mental health program for the prevention of depression, anxiety and other adverse mental health problems in rural adolescents with Type 1 diabetes, Dr Naomi Hackworth, Parenting Research Centre • Traumatic brain injury and subsequent depression, A/Prof. Graeme Hawthorne, The University of Melbourne • The impact of adult attachment on depression and anxiety for people dealing with arthritis over the lifespan, Dr Gery Karantzas, Deakin University • Treating trauma in refugee youth: An Australian experience, Dr Glenn Melvin, Monash University • Telephone-administered early psychological intervention for depression and anxiety following serious injury, Dr Meaghan O’Donnell, Australian Centre for Posttraumatic Mental Health • An innovative e-self-management support system for people with depression and anxiety and co-morbidities, Prof. Richard Osborne, Deakin University • Body image, eating disorder and depressive symptom outcomes following a school-based body image prevention intervention: a one year follow up study, Dr Susan Paxton, LaTrobe University • Uptake and outcomes of a referral pathway for people with vision impairment and depressive symptoms, Dr Gwyn Rees, Centre for Eye Research Australia • Farming Fit?: Depression and obesity in farm men and women, A/Prof. Susan Brumby, Western District Health Service, Deakin University Above: Successful research grant recipients at the 2009 beyondblue Victorian Centre of Excellence (bbVCoE) grant round awards in Melbourne in October. Top left: Prof. Bruce Singh, Chair of the bbVCoE Expert Committee and Cato Professor of Psychiatry at The University of Melbourne 58 beyondblue: the national depression initiative National funding resulting from bbVCoE investment As a result of a bbVCoE-funded project from 2004-2008, Chief Investigator Dr Jane Gunn was successful in securing NHMRC funding for The DIAMOND cohort study – long term outcomes of depressive symptoms in primary care from 2009 to 2011. The NHMRC study will follow what happens to 800 people with depressive symptoms who attend general practice for care for five years. This study will map the severity of depressive symptoms, life circumstances, use of health care services and treatments to get a better understanding of the factors associated with relapse and recovery from depression. This will assist the researchers to develop models of care that better suit the needs of people experiencing depressive symptoms. Medical Journal of Australia Supplement In April 2008, beyondblue continued its Medical Journal of Australia (MJA) Supplement series with Depression and anxiety with physical illness. This was the sixth MJA supplement sponsored by beyondblue, showcasing quality Australian research in depression and anxiety, and highlighting the complex impact depression has on health outcomes for people with physical illness. Articles included: • Depression and physical illness: more complex than simple comorbidity, David M Clarke • Depression, anxiety and their relationship with chronic diseases: a review of the epidemiology, risk and treatment evidence, David M Clarke and Kay C Currie • Is caring a health hazard? The mental health and vitality of carers of a person with a disability in Australia, Benjamin Edwards and Daryl J Higgins • Depressive symptoms in patients with chronic pain, Michael K Nicholas, Carissa M Coulston, Ali Asghari and Gin Singh Malhi www.beyondblue.org.au • The role of post-traumatic stress disorder and depression in predicting disability after injury, Meaghan L O’Donnell, Alexander C Holmes, Mark C Creamer, Steven Ellen, Rodney Judson, Alexander C McFarlane, Derrick M Silove and Richard A Bryant • Medical morbidity and severity of depression in a large primary care sample of older Australians: the DEPS-GP project, Jon J Pfaff, Brian M Draper, Jane E Pirkis, Nigel P Stocks, John A Snowdon, Moira G Sim, Gerard J Byrne, Nicola T Lautenschlager, Leon A Flicker, Ngaire M Kerse, Robert D Goldney and Osvaldo P Almeida • The influence of depression and anxiety on outcomes after an intervention for pre-diabetes, Michael Kyrios, Susan M Moore, Naomi Hackworth, Simone A Buzwell, Naomi Crafti, Christine Critchley and Elizabeth Hardie • The psychological aftermath of prostate cancer treatment choices: a comparison of depression, anxiety and quality of life outcomes over the 12 months following diagnosis, Jeremy W Couper, Anthony W Love, Judith V Dunai, Gillian M Duchesne, Sidney Bloch, Anthony J Costello and David W Kissane • Depression in advanced physical illness: diagnostic and treatment issues, Brian J Kelly and Jane Turner • Anxiety and depression among longterm survivors of cancer in Australia: results of a population-based survey, Allison W Boyes, Afaf Girgis, Alison C Zucca and Christophe Lecathelinais • Is symptom burden a predictor of anxiety and depression in patients with cancer about to commence chemotherapy?, Sibilah J Breen, Carl M Baravelli, Penelope E Schofield, Michael Jefford, Patsy M Yates and Sanchia K Aranda From top to bottom: beyondblue Research Adviser Prof. David Clarke; (left to right) Researcher Dr. Susan Paxton accepts a grant from Victorian Mental Health Minister The Hon. Lisa Neville and beyondblue CEO Leonie Young; Monash University academics Prof. Louise Newman and Prof. Bruce Tonge; The Medical Journal of Australia Depression and Anxiety with Physical Illness beyondblue supplement published in April 2009. 59 Examples of beyondblue’s Current Research Projects Cancer Australia Partnership beyondblue has partnered with Cancer Australia to fund research into the links between cancer and depression through the Priority driven Collaborative Cancer Research Scheme (PdCCRS). The PdCCRS brings together partners to provide a coordinated approach to fund cancer research. Cancer Australia partners for 2008/09 also included The Cancer Council Australia, Cure Cancer Australia Foundation and the National Breast Cancer Foundation. With more than $1.25 million invested, beyondblue is keen to continue with collaborative research which leads to better understanding of the links between cancer and depression and to improved care for those affected. The successful 2008 grants were: • Improving the psychosocial health of people with cancer and their carers: a community-based approach, Professor Suzanne Chambers, Cancer Council Queensland • Understanding the psychosocial sequalae of surviving testicular cancer, Professor Ian Olver, University of Sydney • Psychological morbidity, unmet needs, quality of life and patterns of care in migrant cancer patients: The first year, Professor Phyllis Butow, University of Sydney • A web-based intervention to reduce distress and improve quality of life among younger women with breast cancer: ARCT, Dr Victoria White, Cancer Council Victoria • Blood cancer survivors and support persons: A national survey of rural/ urban unmet needs and psychological disturbance, Professor Robert SansonFisher, University of Newcastle From top to bottom: beyondblue/Heart Foundation Forum – ABC’s Dr Norman Swan gives a presentation; audience at the beyondblue/Heart Foundation Forum; beyondblue’s Research Book 2001-2007 is available to order from the beyondblue info line or online www.beyondblue.org.au 60 • A nurse-led psychosocial intervention with peer support to reduce psychosocial needs in women with gynaecological cancer, Dr Penelope Schofield, University of Newcastle. Depression and Cardiovascular Disease Strategic Research Program The Heart Foundation and beyondblue partnered again in 2008 to invest $1.9 million jointly in strategic research in the area of depression and cardiovascular disease. This follows on from the joint 2007 program, which funded three projects. Research evidence has found that depression, social isolation and lack of social support contributes to coronary heart disease in a similar way to the more widely-known conventional risk factors of smoking, high cholesterol and high blood pressure. Cardiovascular disease and depression are common illnesses and when combined, have considerable implications for a person’s health. By developing and testing effective treatments and health practices, this Strategic Research Program aims to improve health outcomes for people with, or at risk of, depression and cardiovascular disease. The program supports quality research that is practical and aims to improve the mental health and quality of life of participants. Project funding is shared equally between the Heart Foundation and beyondblue. The high-quality projects funded through this partnership will make a significant contribution to the evidence-base in this under-researched area. The successful research projects for the 2008 funding round were: • A randomised controlled trial of a web-based intervention to improve depression, cognitive function and adherence in people with CVD, Prof. Ian Hickie, University of Sydney • Does regular Tai Chi practice improve depression and metabolic syndrome for depressed adults at risk of developing CVD?, Dr Xin Liu, University of Queensland • A longitudinal study of dietary risk factors for CVD (metabolic syndrome) and depression in adolescence, Dr Wendy Oddy, University of Western Australia beyondblue: the national depression initiative • The acceptability and effectiveness of a system based approach to reducing CV risk, including depression and lifestyle risk factors in rural and remote general practices, Dr Sanson-Fisher, University of Newcastle. Beyond Ageing Research Project – Australian National University beyondblue is funding the Beyond Ageing Research Project, an intervention study that focuses on preventing depression in older Australians. The study examines the effectiveness of folate, vitamin B12, physical activity and the provision of information about depression. The project will be completed in late 2011, and the findings will add to the bank of knowledge about what works for depression in older people. The 45 and Up Study The 45 and Up Study is the biggest collaborative research effort ever undertaken in the Australian health field. The study examines what contributes to good health and well-being in later life. It is being coordinated by the Sax Institute and supported by the Cancer Council NSW, the National Heart Foundation (NSW), NSW Health and beyondblue. The target to recruit 250,000 participants has been exceeded and has now risen to 10 per cent of the NSW population aged between 45 and 105 who provide a range of health information on a confidential basis. The study aims to produce detailed profiles of people’s health and lifestyles as they move through the second half of life. This tracking of health and behaviour will assist with planning of better health services and health promotion campaigns. Visit www.45andup.org.au for details. Feeling Queer and Blue A research initiative between beyondblue and the Australian Research Centre in Sex, Health and Society at La Trobe University, has produced a detailed international literature review of the evidence on depression and related issues among non-heterosexual people. The resulting publication, Feeling Queer and Blue: A review of the research literature on depression and related issues among gay, lesbian, bisexual and other homosexually active people, is an important contribution to addressing the risk factors for depression, anxiety and related disorders in the gay, lesbian and bisexual communities. The results of the review suggest that: • Same-sex attracted young people, particularly women, are the group most susceptible to depression and suicide. Furthermore, those who identify as bisexual are at higher risk of developing mental health problems than gay or lesbian people. • Further research is needed to improve prevention, detection, diagnosis and treatment of mental health problems and reduce the associated stigma in this population group. • Mental health problems in same-sex attracted people can be prevented. • In addressing depression in nonheterosexual people, increased efforts are needed to combat discrimination in the general community and to reduce the stigma that often prevents people from seeking and receiving the help they need. As a result of the review, beyondblue has produced a number of resources for the gay, lesbian, bisexual, transgender and intersex people. See page 50 for details. Feeling queer and blue A review of the literature on depression and related issues among gay, lesbian, bisexual and other homosexually active people Executive Summary Julienne Corboz, Gary Dowsett, Anne Mitchell, Murray Couch, Paul Agius and Marian Pitts Project conducted by Australian Research Centre in Sex, Health, and Society Faculty of Health Sciences, Division of Health Research La Trobe University 215 Franklin Street, Melbourne, VIC 3000 December 2008 A Report from the Australian Research Centre in Sex, Health and Society, La Trobe University, prepared for beyondblue: the national depression initiative Right from top to bottom: Heart Foundation CEO Dr Lyn Roberts; 45 and Up Study (left to right) A/Prof. Emily Banks, beyondblue Research Adviser Prof. David Clarke, Heart Foundation NSW Julie Anne Mitchell, Cancer Council NSW A/Prof. Freddy Sitas; Image of a woman used in beyondblue’s National Advertising Campaign; The beyondblue/La Trobe University gay, lesbian and bisexual mental health research literature review. www.beyondblue.org.au For more information www.beyondblue.org.au or beyondblue info line 1300 22 4636 61 Completed bbVCoE Research Projects The following bbVCoE research projects are complete (year of funding in brackets), with all final reports available in the Research section at www.beyondblue.org.au Perinatal Mental Health • A brief psycho educational intervention to prevent the development of depression in anxious first-time mothers of newborns (2003) • Models of Care: Evaluating a best practice model for treating postnatal depression Year 1 (2003) and Year 2 (2004) • Optimising emotional health during pregnancy and early parenthood: Improving access to help for women with perinatal depression (2005) • Toward Parenthood: An antenatal selfhelp intervention for depression, anxiety & parenting difficulties (2005) Depression and Chronic Physical Illness • An investigation into the effectiveness of CBT Group on anxiety and depression in a disease-specific versus a general chronic disease management model (2008) • A nurse-assisted screening and referral program for depression among survivors of cancer: a pilot study (2008) • A pragmatic trial of a “stepped care” intervention for people with depression and cardiac failure (2005) • A preliminary investigation into the validity of techniques aimed at the therapeutic amelioration of post stroke depression (2005) • Comprehensive GP shared care following stroke; selective secondary intervention for depression and other morbidities in a highrisk group (2003) • Depression and musculoskeletal pain in primary care: An examination of practitioner, patient and socio-economic influences on detection and management (2004) • Depression as a predictor of long-term mortality and morbidity after heart attack (2004) • Depression in people living with HIV/AIDS: Outcomes, risks, and opportunities for intervention (2004) • Development and pilot of e-PACT: a psychological treatment of depression in people with spinal cord injury (2008) • Improving depression and anxiety screening of patients with heart disease: implementing a multidisciplinary clinical pathway (2008) • Multicultural information on depression online (MIDonline): development of an IT resource to improve depression literacy and assist in pathways to mental health care for people of CALD backgrounds (2005) • Regenerate: A strength-training program to enhance the physical and mental health of chronic post-stroke patients with depression (2005) • Screening and management of depression in cardiac settings: An examination of clinical practice and a national study of prevalence of screening for depression by cardiologists and their beliefs regarding screening and management (2008) • The emotional and lifestyle impact of type 2 diabetes: exploring the association between diabetes and depression (2004) • Type 1 diabetes as a risk factor for depression and other adverse outcomes for young people in rural Australia (2008) Depression and Primary Care • A randomised controlled trial of mindfulnessbased cognitive therapy and adherence therapy for the prevention of relapse and recurrence of depression in primary care (2003) • Consumer Evaluation of Intervention Guidelines for Intimate Partner Abuse and Depression in General Practice (2005) • Diagnosis, Management and Outcomes of Depression in Primary Care (DIAMOND) – a longitudinal study (2003) • DIAMOND consortium: building capacity in primary mental health care research and evaluation (2004) • Establishing management systems in primary care for depression co-occurring with heart disease and diabetes: Phase I identification of best practice model clinical pathways and pilot (2004) • Evaluation of the efficacy of an Internetbased treatment for panic disorder in general medical practice (2003) • Finding out what experienced general practitioners mean by ‘depression’ – a step towards developing a meaningful taxonomy of depression in primary care (2003) • PEP Collaboration: Effects of training in SPHERE Cognitive Behavioural Therapy, Performance, Clinical Outcome and Consumer/Carer Experience of Care – a randomised controlled trial (2004) • Problem gambling and depression: a prevalence study (2006) • Reducing suicide risk in men through general practice (the SIM Study) (2006) • Improving interpersonal communication as a means of reducing post-stroke depression in patients living in the community (2008) • Screening for co-morbid affective disorder and substance abuse disorder by General Practitioners (2004) • Is acculturation the nexus between chronic physical disease and depression and anxiety in culturally and linguistically diverse populations? (2008) • Shared care pathways for depression and related disorders (2003) 62 • Shared care pathways in primary and mental health services (2004) • The impact of antidepressants on men and their partners’ sexual desire, sexual functioning and intimate relationship (2006) • The integration of CBT for Obsessive Compulsive Disorder into the primary care context: An evaluation of three models (2004) • Therapeutic family involvement (TFI) in the management of persistent clinical depression: psycho-education, family support and multi-family group intervention (2003) Depression in Older People • A randomised, controlled, final stage evaluation of the beyondblue depression training program for aged care staff: Impact on the delivery of health care services for older people with depression (2008) • A training program for professional carers in recognising late-life depression: Impact on the delivery of health care services for depression among older people – Stage 1 (2004) • A training program for professional carers in recognising late-life depression: Impact on the delivery of health care services for depression among older people – Stage 2 (2005) • Caring for the depressed elderly in the emergency department: Establishing linkages between sub-acute, primary and community care (2004) • Linking the health and leisure sectors: using physical activity in the management of depressed older people (2003) • Recognising and screening for depression among older people living in residential care. (An innovative treatment program for depressed elderly people in residential care: a longitudinal analysis) – Stage 1 (2003) • Recognising and screening for depression among older people living in residential care. (An interdisciplinary approach to recognising and treating depression among older Australians living in residential care.) – Stage 2 (2003) • Specialist mental health consultation in the treatment of depression in nursing home residents with dementia (2006) Depression in Young People • A 3-8 year follow-up of adolescents treated for depression and their families: Predictors of treatment outcomes (2005) • An integrated approach to young people presenting with depression and substance use – a longitudinal study (2003) • Attitudes towards and pathways to and from Young People’s Health Service and mental health service (2003) • Does Interpersonal Psychotherapy improve clinical care for adolescents with depression attending a rural child and adolescent mental health service? (2006) • Effective management of school refusal and childhood anxiety as a community-based early intervention to prevent subsequent depression: A randomised comparative treatment study (2005) beyondblue: the national depression initiative • Evaluating evidence-based treatment of depression in adolescents using Acceptance and Commitment Therapy (ACT) delivered in rural/regional services (2006) Indigenous Support • Improving the engagement, detection and management of adolescent depression: Applying the mobile-type program to general practice settings (2008) • Development of depression first aid standards for Indigenous Australians (2006) • Mental health care for young people: toward a consumer produced quality of care instrument and universal intervention to improve help seeking behaviour (2003) This Project title changed to: Young people’s responses to emotional distress. • Development of alcohol misuse first aid guidelines for Indigenous Australians (2008) • Development of drug misuse guidelines for Aboriginal and Torres Strait Islander People (2008) Depression in Rural Areas • Depression in farmers and farming families (2003) • Novel ways of capturing adolescent depression: Development of an innovative youth friendly monitoring tool (2005) • Experiences and needs of cardiac patients with depression in regional and rural Victoria a qualitative study (2008) • Re-orientating general practice towards preventative mental health care for adolescents: A pilot study (2005) • Rural carers online: A feasibility study (2005) • The Prevention of Depressive Relapse in Young People using Mindfulness Based Cognitive Therapy (2004) • Time for a future: Effective treatment of depressed youth in urban and rural primary care settings (2003) Depression and Substance Use • An inter-professional intervention to detect and manage postnatal depression among drug-dependant, pregnant women: A pilot study (2005) • Evaluation of a best practice integrated intervention for regular methamphetamine users with co-morbid depression (2006) • Exploring Melbourne’s hidden epidemic: Medication overdose, depression and their management by first responders (2003) • Health problems of patients with dual diagnosis: To what extent do these patients slip through the net? (2004) • Helping smokers with a history of depression to quit smoking safely: Depression and smoking cessation outcomes among clients of a tailored Quitline callback service offering doctor-Quitline co-management of smoking cessation and depression (2006) • Treatment for depression: a qualitative exploration of the experience of alcohol and drug users (2005) Bipolar Disorder • A collaborative therapy treatment package for people with bipolar-affective disorder (2004) • A self-management treatment package for people with Bipolar Affective Disorder (2003) • Automated longitudinal monitoring to predict and counter relapse in bipolar disorder: A pilot investigation of effectiveness (2005) • MoodSwings: An online intervention program for bipolar affective disorder (2006) • Staying Well with Bipolar Disorder with a ‘Stay Well Plan’ (2003) www.beyondblue.org.au Depression and Intellectual Disability/Disability • Depression in people with intellectual disability (2005) • Depression in people with intellectual disability: An evaluation of a staff administered treatment program (2005) • Diagnosis and treatment of depression in adults with intellectual disability through general practitioner and psychiatric collaboration (2003) • Early detection and treatment of depression in mildly intellectually disabled adults (2003) • Ensuring best practice in terms of maintaining and seeking employment for people with depression and related disorders: An evaluation of the Disability Open Employment Services program (2006) • Identifying depression in people with vision impairment and developing pathways to care (2008) Depression in Culturally and Linguistically Diverse Communities • Extending the Emotional and Lifestyle Impact of Type 2 Diabetes Pilot Project: Exploring the association between diabetes and depression in rural Italians, Asians and Anglo-Australians (2003) • Multicultural Information on Depression online (MIDonline): Development of an IT resource to improve depression literacy and assist in pathways to mental health care for people of CALD backgrounds (2005) • Pathways of care for socially marginalised people with depression and related disorders (2004) • Supporting mental health care in general practice in relation to Australian ethnic minority communities (2003) • The development and evaluation of an intervention aimed at improving the mental health of a group of refugee women presenting to the Royal Women’s Hospital for obstetric care (2004) 63 The beyondblue Team In response to increased activities and programs nationally, beyondblue continues to expand. We now have a dedicated staff of 49 (including part-time staff) working on programs across the lifespan and among communities across the country to raise awareness of depression, anxiety and related disorders and to help reduce stigma. In addition to formal work commitments, our staff regularly give willingly of their free time to participate in beyondblue activities and other community events. Front Row (left to right) Judy Finn Therese Fitzpatrick Maria Tsang Leonie Young Melissa Reid Jane Gardner Cheryl Geels Program Director, Public Health P/T Program Manager, Workplace Assistant Accountant CEO Project Officer Youth Communications Officer PA to the CEO Second Row Ann Nicholls Arania Giannopoulos Bonnie Vincent Brooke Ward Ruth Kerr Michelle Noon Keith Mortimer Julie Foster Clint Butler Project Manager Community Training, Workplace Client & Operations Officer Senior Program Manager, Consumers & Carers / Ambassador Program Events Assistant Administration Officer, Corporate Support Program Manager, Youth Business & Finance Manager Senior Manager, Communications and Media Systems Administrator Third Row Marie-Anne Schull Bella Saunders Odette Commins Heidi Taylor Sandra Hooper Sarah Oakley Charlie DeBrincat Nicole Highet Bella Brushin Carol Purtell Training Manager, Workplace Program Manager, KidsMatter Early Childhood Executive Administration Officer Administration Officer (contract) Human Resources & Administration Manager P/T HR Adviser Information Technology Manager Deputy CEO Research Coordinator National Program Manager, Perinatal Depression Initiative 64 Fourth Row Yvette Pollard Sue Gherdovich Kimberley Nichols Carolyn Salmon Anne Edmonds Nikki Brown Emily Armet Elizabeth Galinec Stephen Harris Manager, Policy and Research Program Manager, Population Health Communications Officer Program Manager, Co-morbidity & Chronic Illness Program Manager, Primary Care P/T Operations Manager, Workplace Corporate and Community Partnerships Manager Receptionist Distribution Controller Back Row James Beckford Saunders Brian Graetz Tracie Manning Karline Ziegler Amie Reed Matthew Haworth Michael O’Hanlon Sridhar Ramaiah John Fulcher Program Director, National Workplace & Social Enterprise Program Director, Education & Early Childhood Events Manager Corporate & Legal Counsel HR Administration Officer Web Manager Business Manager, Workplace Accountant Social Marketing & Media Manager Below (left to right) Christine Benger Clare Shann Lyn Chaplin Nadine Bartholomeusz-Raymond Rachel Komen Michael Baigent David Clarke Senior Program Manager, National Guidelines Development Deputy CEO Project Officer, Consumer & Carers P/T Program Manager, Rural & National Drought Agenda Project Officer, Perinatal Depression Initiative Clinical Adviser P/T Research Adviser P/T (P/T = part time) beyondblue: the national depression initiative Partners and Supporters beyondblue has strong and productive partnerships with a wide range of organisations. Partner relationships are invaluable for the delivery of beyondblue’s information and program objectives and for addressing shared goals. We sincerely thank the many individuals and organisations who have worked with and supported beyondblue across the five priority areas of community awareness and destigmatisation; consumer and carer participation; prevention and early intervention; primary care; and targeted research. GOVERNMENT The Australian Government and all State and Territory Governments are stakeholder funding partners with beyondblue and we work closely with many different Departments within all levels of Government, including local governments. MENTAL HEALTH, HEALTH AND COMMUNITY SECTOR beyondblue works closely with peak bodies, professional groups, consumer groups, health promotion agencies and other organisations in the health and mental health sector including: ACT Division of General Practice, Alcohol Education and Rehabilitation Foundation Limited (AERF), Alzheimer’s Australia, Alzheimer’s Australia Victoria, Andrology Australia, arbias – Alcohol Related Brain Injury Australian Services, Arthritis Australia, Arthritis Australia Victoria, Asthma Foundation, Austin Health, Australasian College of Sports Physicians, Australian Association of Social Workers, Australian Cancer Network, Australian Centre for Posttraumatic Mental Health, Australian College of Rural and Remote Medicine, Australian General Practice Network, Australian Drug Foundation (ADF), Australian Health Insurance Association, Australian Indigenous Doctors Association, Australian Medical Association, Australian Medical Students’ Association, Australian Men’s Shed Association, Australian Principals’ Association Professional Development Council (APAPDC), Australian Private Hospitals Association, Australian Private Mental Health Alliance, Australian Prostate Cancer Collaboration, Australian Psychological Society, Australian Red Cross, Australian Rural Health Education Network, Black Dog Institute, Brain Tumour Alliance Australia, Breast Cancer Network Australia, Cancer Australia, Cancer Councils (National and states and territories), Cancer Voices Australia, Carers Australia and State/Territory Carers Networks, Chronic Illness Alliance, Clinical Oncological Society of Australia, Consumers Health Forum of Australia, Continence Foundation of Australia, Council on the Ageing – COTA (all states and territories), Christian Outreach Centre, Country Health SA, Country Women’s Association, Crisis Support Services, Deaf Children Australia, Diabetes Australia, Diabetes Australia Victoria, Drought Network Tasmania, Eating Disorders Foundation of Victoria, Epworth Hospital (Melbourne Health), Foundation 49, Freemasons Australia, General Practice Victoria, General Practice Network NT, General Practice NSW, General Practice QLD, General Practice South Australia, GROW, headspace, Inspire Foundation, International Diabetes Institute, Kidney Health Australia, Kids Helpline, Lifeline, Medical Benefits Fund of Australia Limited, MensLine Australia, Mental Health Association of New South Wales, Mental Health Council of Australia, Mental Health Research Institute of Victoria, Mercy Hospice, Mibbinbah, Migrant Resource Centre Melbourne, Mindmatters, Mission Australia, Monash Medical Centre, Multicultural Mental Health Australia, National Breast Cancer Foundation, National Heart Foundation of Australia, National Men’s Health Alliance, National Rural Health Alliance, National Rural Health Network, National Rural Women’s Coalition, National Stroke Foundation, Nova Community Care, NSW Divisions of General Practice, NSW Farmers Mental Health Advisory Group, Orygen Youth Health, Palliative Care Australia, Parkinson’s Australia, Parkinson’s Victoria, Peter MacCallum Cancer Centre, Pharmaceutical Society of Australia (Victorian Branch), Pharmacy Guild of Australia, Post and Antenatal Depression Association (PANDA), Prostate Cancer Foundation of Australia, Public Health Association Australia, QLD Mental Health Advisory Group, Reconnexion, Relationships Australia VIC, Royal College of Nursing Australia, Royal Flying Doctor Service of Australia, Rural Doctors Association of Australia, Rural Health Education Foundation, Rural Health Workforce Australia, Sainsbury Centre for Mental Health (UK), SA Divisions of General Practice, South Eastern Region Migrant Resource Centre, Southern Health, St John of God Health Care, St Vincent de Paul Society, St Vincent’s Health, Suicide Prevention Australia (SPA), Tasmanian Divisions of General Practice, The Alfred Hospital, The Alfred Psychiatry Research Centre, The Australian Rotary Health Research Fund, The Australasian College for Emergency Medicine, The Butterfly Foundation, Wellbeing, The Royal Australasian College of Physicians, The Royal Australasian College of Surgeons, The Royal Australian and New Zealand College of Obstetricians and Gynaecologists, The Royal Australian and New Zealand College of Psychiatrists, The Royal Australian College of General Practitioners, The Royal College of Pathologists of Australia, The Salvation Army, Therapeutic Goods Administration, Tinnitus Association of Victoria, Top End Mental Health Services (Northern Territory Government), Townsville Aboriginal and Islanders Health Services, Townsville Intercultural Centre, Turning Point Alcohol and Drug Centre, Urological Society of Australia & New Zealand, Victorian Arabic Social Services Incorporated, VicHealth, Victorian Deaf Society (Vicdeaf), Vision Australia, Wesley LifeForce, WA Divisions of General Practice, Women’s and Children’s Hospital (SA), Youth Substance Abuse Service. RESEARCH beyondblue works in partnership with universities and the medical workforce and provides funding or expertise for research projects and collaborations including: Australian National University, Australian Research Alliance for Children and Youth, Brain and Mind Research Institute (The University of Sydney), Australian Research Centre in Sex, Health & Society (La Trobe University), Canteen, Centre for Adolescent Health (Royal Children’s Hospital Melbourne), Centre for Eye Research Australia, Centre for International Mental Health (The University of Melbourne), Centre for Mental Health Research (The Australian National University), Centre for Rural and Remote Mental Health New South Wales (CRRMH Orange), Centre for Rural and Remote Mental Health Queensland (CRRMH Cairns), Centre for Rural Mental Health – Victoria (CRMH Bendigo), Charles Darwin University, Clinical Research Unit for Anxiety and Depression (The University of New South Wales), Cooperative Research Centre for Aboriginal Health, Curtin University, Deakin University, Edith Cowan University, The Greater Green Triangle University Department of Rural Health, Heart Research Centre, Hunter Institute of Mental Health, Hunter Medical Research Institute, James Cook University – School of Indigenous Australian Studies, La Trobe University, Mental Health First Aid, Monash University, Menzies School of Health Research, Monash University School of Psychology, Murdoch Childrens Research Institute, National Ageing Research Institute (The University of Melbourne), National Institute of Clinical Studies (NICS), NSW Association of Adolescent Health, Office for Aboriginal and Torres Strait Islander Health (OATSIH), Office of the Federal Safety Commissioner, ORYGEN Youth Health Research Centre, Parent-Infant Research Institute (PIRI), Psycho-Oncology Co-operative Research Group, Research Australia, Swinburne University of Technology, The National Health and Medical Research Council (NHMRC), The Sax Institute, The University of Adelaide, The University of Melbourne, The University of New South Wales, The University of Newcastle, The University of Queensland (School of Psychology), The University of Queensland Parenting and Family Support Centre, The University of Tasmania, Triple P International, Research Australia, Research Matters, University of Ballarat, University of Technology Sydney, Victorian Public Health Research and Education Council. AWARENESS-RAISING, EDUCATION, INFORMATION AND EVENT PARTNERS Organisations working with beyondblue to raise awareness through media and community campaigns, events, partnerships or information-sharing include: Australian Council of Trade Unions, Australian Football League (AFL), Australian Football League Players’ Association (AFLPA), Better Health Channel, Cbus – Construction and Building Industry Super, Centrelink, Commonwealth Government Child Support Agency, Community Service and Health Industry Training Council, Dream Inc, EGG Maternity Stores, Family Care Shepparton, Farmers Federations (States and Territories), Hawthorn Football Club, Geelong Football Club, Google, HealthInsite, Hello Babe, Hotel Chaplaincy – The Australian Schoolies Support Network (Red Frogs), Indigenous Festivals of Australia, Investment & Financial Services Association Limited, Indigenous Health Infonet (Edith Cowan University), Incolink, Indigenous Hip Hop Projects, Institute of Chartered Accountants in Australia, JobCo Employment Services, Master Builders SA, Master Builders WA, Municipal Association of Victoria, National Missing Persons Week (Australian Federal Police), National Parks Association, National Youth Week, Netball Australia, Ninemsn health, NSW Farmers Association, Parks and Leisure Australia, Parks Victoria, Pedestrian Council of Australia, Phunktional, Professional Golfers Association (PGA), Rock Eisteddfod Challenge Foundation, Royal Victorian Bowls Association, SBS Television, South Australia Cricket Association (FeBLUary), Southern District Cricket Club (FeBLUary), Stick and Ball (Australian Open Polo Championships), SuperFriend, The Movember Foundation, The People and Parks Foundation, The Upstream Foundation, Trans-Help Foundation, Transport Workers Union (VIC/TAS), Vibe, Victoria Police, Victorian Ladies’ Bowling Association, Victorian Farmers Federation, Victorian TAFE Association Inc, Victorian Taxi Association, Wangaratta Bowls Club, Wakariri, Werribee Football Club. CORPORATE SECTOR The following organisations generously support beyondblue through workplace giving programs, in-kind support or awareness-raising activities: APN Outdoor, AusAID, ANZ, Austereo, Australian Central Credit Union, Australian Institute of Company Directors, ASX, Barry Plant, BHP Billiton, Blake Dawson, CSC, Clayton Utz, Convenience Advertising, Employers Mutual, Ernst & Young, Fairfax, Fairfax Community Network, Fox Out of Home Advertising Pty Ltd, Frontier Advertising, Geoff Slattery Publishing, Goldman Sachs JBWere, ING, Leader Community Newspapers, L’Oréal Melbourne Fashion Festival, Macquarie Group and staff, Magnolia Square, Master Builders’ Association SA and WA, Medical Media Pty, Mitchell & Partners, MX Newspaper (NSW/VIC/QLD), Network Seven & Seven Affiliates, Network Ten, News Limited, Nine Network, Optus, Paradise Outdoor Advertising, PricewaterhouseCoopers Foundation, Radar Promotions Australia, Regional Radioworks, Sparke Helmore Lawyers, Silvan Australia, Sports and Outdoor Media, Suzanne Grae, Sydney Morning Herald, Sydney Opera House, The Age, The Hobart Mercury, The Northern Territory News, The Werribee & Point Cook Banner, Thunderbox Media, Travelex, WA Billboards. For more information about corporate partnerships and opportunities visit the corporate and community partnerships section of the beyondblue website. GOVERNMENT PARTNERS www.beyondblue.org.au 65 Journal Articles Journal articles written or research supported by beyondblue in 2008/09 include: Askell-Williams H., Russell. A., Dix, K. L., Slee, P. T., Spears, B. A., Lawson. M. J., Owens, L. D., & Gregory, K. (2008). Early challenges in evaluating the KidsMatter national mental health promotion initiative in Australian primary schools. The International Journal of Mental Health Promotion, 10, 2, 35-44. Blashki, G. A., Piterman, L., Meadows, G. N., Clarke, D. M., Prabaharan, V., Gunn, J. M., et al. (2008). Impact of an educational intervention of general practitioners, skills in cognitive behavioural strategies: a randomised controlled trial. MJA Supplement, 188(12), S129-S132. Boyes, A.W., Girgis, A., Zucca, A.C., & Lecathelinais, C. (2009). Anxiety and depression among longterm survivors of cancer in Australia: results of a population-based survey. MJA Supplement, 190, S94-S98. Breen, S.J., Baravelli, C.M., Scholfield, P.E., Jefford, M., Yates, P.M., & Aranda, S.K. (2009). Is symptom burden a predictor of anxiety and depression in patients with cancer about to commence chemotherapy? MJA Supplement, 190, S99-S104. Burns J., Boucher, S., Glover, S., Graetz, B., Kay, B., Patton, G., Sawyer M., & Spence, S. H. (2008). Preventing Depression in Young People. What Does the Evidence Tell us and how can we use it to Inform School-Based Mental Health Initiatives? Advances in School Mental Health Promotion, 1, 2, 5-16. Chambers, S. K., Girgis, A., Occhipinti, S., Hutchison, S., Turner, J., Carter, R., & Dunn, J. (2009). Beating the Blues After Cancer: Randomised controlled trial of a tele-based psychological intervention for high distress patients and carers. BMC Cancer, 9, 189. Clarke, D.M. (2009). Depression and physical illness: more complex than simple comorbidity. MJA Supplement, 190, S52-S53. Clarke, D.M., & Currie, K.C. (2009). Depression, anxiety and their relationship with chronic diseases: a review of the epidemiology, risk and treatment evidence. MJA Supplement, 190, S54-S60. Couper, J.W., Love, A.W., Dunai, J.V., Duchesne, G.M., Bloch, S., Costello, A.J., & Kissane, D.W. (2009). The psychological aftermath of prostate cancer treatment choices: a comparison of depression, anxiety and quality of life outcomes over the 12 months following diagnosis. MJA Supplement, 190, S86-S89. Gunn JM, Gilchrist GP, Chondros P, et al. (2008). Who is identified when screening for depression is undertaken in general practice? Baseline findings from the Diagnosis, Management and Outcomes of Depression in Primary Care (diamond) longitudinal study. MJA Supplement, 188(12 Suppl):S119-125. Hart, Laura M, Jorm, Anthony F, Kanowski, Leonard G, Kelly, Claire M, & Langlands, Robyn L. (2009). Mental health first aid for Indigenous Australians: using Delphi consensus studies to develop guidelines for culturally appropriate responses to mental health problems. BMC Psychiatry, 9:47. Kelly, B.J., & Turner, J. (2009). Depression in advanced physical illness: diagnostic and treatment issues. MJA Supplement, 190, S90-S93. Kyrios, M., Moore, S.M., Hackworth, N., Buzwell, S.A., Crafti, N., Critchley, C., & Hardie, E. (2009). The influence of depression and anxiety on outcomes after an intervention for prediabetes. MJA Supplement, 190, S81-S85. Manderson L, & Kokanovic R (2009) “Worried all the Time”. Distress and Circumstances of Everyday Life among Immigrant Australians with Type 2 diabetes. Chronic Illness. 5(210):21-32. McCabe, M., Davison, T., Mellor, D., & George, K. (2009). Barriers to care for depressed older people: Perceptions of aged care among medical professionals. International Journal of Aging and Human Development, 68(1), 53-64. McGillivray, J.A., McCabe, M.P. & Kershaw, M. (2008). Depression in people with intellectual disability: An evaluation of a staff administered treatment program. Research in Developmental Disabilities, 29; 524-536. Mellor, D., Davison, T., McCabe, M., & George, K. (2008). Professional carers’ knowledge and response to depression among their aged-care clients: The care recipients’ perspective. Ageing and Mental Health, 12, 389-399. Mellor, D., Russo, S., McCabe, M., Davison, T., & George, K. (2008). Depression training program for caregivers of elderly care recipients: Implementation and evaluation. Journal of Gerontological Nursing, 34(9), 8-15. Dowrick C, Kokanovic R, Hegarty K, et al. (2008). Resilience and depression: perspectives from primary care. Health (London); 12(4):439-452. Morgan M, Dunbar J, & Reddy P (2009). Collaborative Care for diabetes, heart disease and depression: the role of practice nurses. Australian Family Practice, accepted. Fenwick, E , Lamoureux, E L, Keeffe, J E, Mellor, D, & Rees, G. (2009). Identification and management of depression in patients with vision impairment. A qualitative study of hospital staff views. Optometry and Vision Science, 86(8); 948-954. Graetz B, Littlefield L. Trinder M, Dobia B, Souter M, Champion C, Boucher S, Killick-Moran C, & Cummins R. (2008). KidsMatter: A population health model to support student mental health and wellbeing in primary schools. The International Journal of Mental Health Promotion, 10, 4, 13-20. Rees G., Fenwick E. K., Keeffe J. E., Mellor D., & Lamoureux E. L. Detection and management of depression in people with vision impairment. A survey of current practice. Optom Vis Sci. (Accepted Aug 2009). Rees G., Fenwick E. K., Keeffe J. E.,Mellor D., & Lamoureux E. L. Managing depression in patients with vision impairment: Practitioners’ beliefs and confidence. Optom Vis Sci. (Accepted Aug 2009). Rowe, L., Bennett, D., & Tonge, B. (2009). I just want you to be happy: Preventing and tackling teenage depression. Crows Nest, NSW: Allen & Unwin. Russell, Sarah J. (2008) Role of a ‘stay well’ approach in the management of bipolar disorder, Australian and New Zealand Journal of Psychiatry, 42:7, 551-554. Sawyer MG, Pfeiffer S, & Spence SH (2009). Life events, coping and depressive symptoms among young adolescents: A one-year prospective study. Journal of Affective Disorders, 117(1):48-54. Sawyer MG, Pfeiffer S, Spence SH, Bond L, Graetz B, Kay D, Patton G, & Sheffield J (in press). Schoolbased Prevention of Depression: A Randomised Controlled Study of the the beyondblue Schools Research Initiative. Journal of Child Psychology and Psychiatry. Sims J., Galea M., Taylor N., Dodd K., Jespersen S., Joubert L. & Joubert J. (2008). Regenerate: assessing the feasibility of a strength-training program to enhance the physical and mental health of chronic post stroke patients with depression. Int J Geriatr Psychiatry. Mitchell, P. (2008). Mental health care roles of nonmedical primary health and social care services. Health and Social Care in the Community, 17(1): 71-82. Mitchell, P. F. (2009). A discourse analysis on how practitioners in non-medical primary health and social care services understand their roles in mental health care. Social Science and Medicine, 68: 12131220. Edwards, B., & Higgins, D.J. (2009). Is caring a health hazard? The mental health and vitality of carers of a person with a disability in Australia. MJA Supplement, 190, S61-S65. Potiriadis M, Chondros P, Gilchrist G, et al. (2008). How do Australian patients rate their general practitioner? A descriptive study using the General Practice Assessment Questionnaire. The Medical journal of Australia, 189(4):215-219. Milgrom, J., Ericksen, J., Leigh, B., Romeo, Y., Loughlin, E., McCarthy, R., & Saunders, B. (2009). Towards Parenthood: Preparing for the changes and challenges of a new baby. Australia: Australian Council for Educational Research. Davison, T., McCabe, M., & Mellor, D. (2009). An examination of the ‘gold standard’ diagnosis of major depression in research with aged care residents. American Journal of Geriatrics Psychiatry, 17, 359-367. Dunbar J, & Reddy P (2009). Integration and coordination of care. Australian Journal of Rural Health, 17, 27-33. Pfaff, J.L., Draper, B.M., Pirkis, J.E., Stocks, N.P., Snowdon, J.A., Sim, M.G., Byrne, G.J., Lautenschlager, N.T., Flicker, L.A., Kerse, N.M., Goldney, R.D., & Almeida, O.P. (2009). Medical morbidity and severity of depression in a large primary care sample of older Australians: the DEPSGP project. MJA Supplement, 190, S75-S80. Morgan M, Dunbar J, Reddy P, Coates M, & Leahy R (2009). Is practice nurse-led collaborative care effective in the management of depression for patients with heart disease or diabetes? BMC Family Practice, 10, 46. Nicholas, M.K., Coulston, C.M., Asghari, A., & Malhi, G.S. (2009). Depressive symptoms in patients with chronic pain. MJA Supplement, 190, S66-S70. O’Donnell, M.L., Holmes, A.C., Creamer, M.C., Ellen, S., Judson, R., McFarlane, A.C., Silove, D.M., & Bryant, R.A. (2009). The role of post-traumatic stress disorder and depression in predicting disability after injury. MJA Supplement, 190, S71-S74. The beyondblue/Medical Journal of Australia research supplement on depression and primary care, published June 2008. 66 beyondblue: the national depression initiative Conference Partnerships beyondblue was an information partner at many conferences in 2008/09, delivering keynote addresses, distributing depression information to delegates and/or providing experts and representatives to speak about beyondblue’s research, programs and activities. Conference highlights • Australian General Practice Network Joining the Dots – the national primary mental health care forum – Sydney, May 2009 beyondblue Deputy CEO, Dr Nicole Highet, beyondblue Research Adviser, Prof. David Clarke and beyondblue Program Manager Workplace, Therese Fitzpatrick presented at the conference on beyondblue’s perinatal, primary care and rural activities. beyondblue supported the promotion, prevention and early intervention stream at the conference. beyondblue materials were distributed and Dr Nicole Highet launched the beyondblue/AGPN Young Minds training package at the forum. • Reach to Recovery International Breast Cancer Support Conference – Brisbane, May 2009 beyondblue keynote presentation by Prof. Suzanne Chambers. Isla Gillespie, a beyondblue National Workplace Program facilitator, led a workshop about depression and breast cancer at the 15th Reach to Recovery International Breast Cancer Support Conference. It was the first worldwide forum for people with breast cancer, support organisations and health professionals to meet and discuss common goals. beyondblue supported the conference with an exhibition booth, advertisement in the program and satchel insert. • Hearts in Focus – Celebration, Collaboration and Challenges Heart Foundation Conference – Brisbane, May 2009 beyondblue participated in the conference with a keynote presentation by beyondblue Research Adviser, Prof. David Clarke, exhibition booth, advertisement in the program and satchel insert. • Pharmacy Expo – Sydney, June 2009 beyondblue Clinical Adviser, A/Prof. Michael Baigent and beyondblue Ambassador Craig Hamilton copresented at the independent education session. beyondblue had a strong presence at the Pharmacy Expo with an exhibition booth and education session for pharmacists and assistants. • Australian Medical Students Association National Convention – Brisbane, July 2009 beyondblue National Workplace Program facilitator, Edith Hurt delivered a presentation focusing on student well-being. beyondblue also supported the conference with information for satchels, an advertisement in the program and an exhibition booth. 2008/09 conference partnerships included: • Australian Research Alliance for Children and Youth Conference – Transforming Australia for our Children’s Future: Making prevention work (Melbourne, VIC) • Australian Cardiovascular Health & Rehabilitation Association Meeting (Sydney, NSW) • Australian Federation of Disability Organisations Conference 2009 (Melbourne, VIC) • Australian Guidance and Counselling Association National Conference (Hobart, TAS) www.beyondblue.org.au • Australian Medical Students Association (AMSA) National Leadership Development Seminar (Canberra, ACT) • Carers Australia Bring it! Young Carers Forum (Canberra, ACT) • Country Women’s Association of Australia Triennial National Conference (Shepparton, VIC) • Foundation Daw Park South Australia Defence and Veterans Health Research Day (Adelaide, SA) • Happiness and Its Causes Conference 2009 (Sydney, NSW) • Healthy Doctors, Better Medicine Conference (Adelaide, SA) • International Unity in Diversity Conference (Townsville, QLD) • Lifeline National Conference (Canberra, ACT) • Making Reform Real - 2009 Australian Medical Association National Conference (Melbourne, VIC) • Mental Health Council of Tasmania, Suicide Prevention Conference (Hobart, TAS) • National Legal Aid Best Practice conference (Cairns, QLD) • Palliative Care Australia and Asia Pacific Hospice Palliative Care Network Conference (Perth, WA) • Parks and Leisure National Conference (Darwin, NT) • Parks and Leisure Australia National Conference (Melbourne, VIC) • Prostate Cancer Foundation of Australia Conference (Gold Coast, QLD) • Psycho-Oncology and Nursing Meeting (held in conjunction with the 10th annual National Prostate Cancer Symposium) (Melbourne, VIC) • Queen Elizabeth Centre 5th Biennial International Conference (Melbourne, VIC) • Queensland Rural Women’s Network State Conference (QLD) • Reconnexion’s 4th Annual National Conference on Anxiety and Depression (Melbourne, VIC) 67 • The 10th International Mental Health Conference – Advancing with Knowledge (Surfers Paradise, QLD) • The 10th National Prostate Cancer Symposium (NPCS) – (Melbourne, VIC) • The 10th National Rural Health Conference (Cairns, QLD) • The 13th NSW Rural Mental Health Conference 2008 (Hunter Valley, NSW) • The Australian Men’s Shed Association National Conference (Hobart, TAS) • The Healthy Male: Andrology Australia Forum 2009 (Gold Coast, QLD) • The Mental Health Services (MHS) Conference (Perth, WA) • Third Biennial Conference of the Australian Association of Maternal, Child and Family Health Nurses (Adelaide, SA) • World Indigenous People’s Conference: EDUCATION 2008 (Melbourne, VIC) Conferences and industry briefings July 2008 to September 2009 – beyondblue National Workplace and Social Enterprise Portfolio • 13th NSW Rural Mental Health Conference (Pokolbin, November) • 9th International Mental Health Conference (Gold Coast, August) • Australian Glass & Glazing Association Conference (Melbourne, August) • Australian Golf Course Superintendent Association Conference (Launceston, July) From top to bottom: beyondblue volunteers look after a stall with free information at a Youthbeyondblue public forum in Hawthorn (VIC) in July 2009; A display at a conference; Indigenous Hip Hop Projects perform at a conference; A beyondblue stall at the AGPN conference in Darwin, September 2008 (photo: AGPN/Kirkland Photography); Delegates cut loose at an IHHP dance workshop at the Townsville Cultural Fest in August 2008. 68 • Diversity Council of Australia (Sydney, May) • Happiness and Wellbeing at Work (Sydney, September) • Health and Productivity Management Conference (Melbourne, August) • ‘In for the Long Haul’ – Sustaining HSE&C in Resources and Construction Conference (Adelaide, July) • Joining the Dots, AGPN Conference (Sydney, May) • Kidney Health Forum (Cairns, June) • Local Govt OH&S Conference (Sydney, November) • Mental Health and Injury in the Workplace (Sydney, April) • National Men’s Health Gathering (Newcastle, October) • National Rural Health Conference (Cairns, July) • NSW Mental Health Conference (Sydney, November) • NT Build National Conference of Construction Industry Long Service Leave Schemes (Darwin, September) • NT Mental Health Forum (Darwin, October) • Occupational Health & Wellbeing Conference (Sydney, September) • Prostate Cancer Foundation Australia Conference (Gold Coast, November) • Prostate Cancer Foundation Conference (Perth, February) • Reach to Recovery (Breast Cancer Conference) (Brisbane, May) • Australian Institute Foundry Conference (Melbourne, September) • Social Firms Australia (SoFA) (Melbourne, November) • Australian Legal Practice Management Association Conference (QLD, August) • Tasmanian Chamber of Commerce and Industry (Launceston, October) • Australian Medical Students Association Conference (Brisbane, July) • Transfield Worley Services Group Staff Conference (Sydney, September) • Australian National University Law Students Society Forum (Canberra, October) • Transport Workers Union Leadership Conference (Melbourne, May) • Continuing Legal Education Association of Australasia Conference (Sydney, October) • Defence Support Group Conference (Canberra, June) • Women in Insurance Victoria (Melbourne, November) • WorkCover SA Conference (Adelaide, September) • Workplace & Risk Summit (Melbourne, August) beyondblue: the national depression initiative Annual Financial Report for the year ended 30 June 2009 Contents: ABN 87 093 865 840 ACN 093 865 840 www.beyondblue.org.au Directors’ report 70 Income statement 72 Balance sheet 72 Statement of changes in equity 73 Statement of cash flows 73 Notes to the financial statement 74 Directors’ declaration 83 Independent audit report 83 Lead auditor’s independence declaration 84 69 Financial Statements DIRECTORS’ REPORT The Directors present their report together with the financial report of Beyond Blue Limited (“the Company”) for the financial year ended 30 June 2009 and the auditor’s report thereon. Directors The Directors of the Company at any time during or since the end of the financial year are: The Hon. Jeffrey Kennett AC (Chairman) 23 years experience in Victorian Parliament, including Premier of Victoria 1992-1999. Chairman of Open Windows Pty Ltd., Australian Commercial Catering Pty Ltd and Amtek Corporation Pty Ltd. Chairman of the Board of Management of PFD Food Services Pty Ltd. Director of Equity Trustees Limited and Jumbuck Limited. President of the Hawthorn Football Club. Director of beyondblue since 19 October 2000. Mr John McGrath AM (Deputy Chairman) Inaugural Chairman of the Mental Health Council of Australia. Former member of the Victorian Government, carer of a family member with a mental illness and Chairman of the Victorian Ministerial Advisory Committee on Mental Health. Director since 19 October 2000. Dr Michael Bonning Immediate Past President of the Australian Medical Students’ Association. Director since 19 August 2008. Churchill Fellow 2009. Ms Kate Carnell AO CEO, The Australian Food and Grocery Council – former CEO of the Australian General Practice Network and ACT Chief Minister 19952000. Director since 19 August 2008. The Hon. Caroline Hogg Former member of Victorian Parliament holding a number of human services portfolios including Minister for Health. Director since 19 October 2000. 70 Professor Kenneth Kirkby Company Secretary Professor of Psychiatry, University of Tasmania. Past President of the Royal Australian and New Zealand College of Psychiatrists. Director since 18 March 2003. Resigned 18 August 2009. Mr Ian L Jenkins FCA, Dip. Bus (Acctg) was appointed Company Secretary in October 2005. Registered company auditor, tax agent and Partner in an accounting practice. Professor Steven Larkin Directors’ meetings A Kungarakany man, has extensive leadership experience in Indigenous health including the National Aboriginal Community Controlled Health Organisation, NT Health Services and the Commonwealth Department of Health and Ageing. Currently Pro Vice-Chancellor – Indigenous Leadership at Charles Darwin University in Darwin. Director since 17 February 2009. The number of Directors’ meetings and number of meetings attended by each of the Directors of the Company during the financial year are: Director Board meetings A B The Honourable Jeffrey Kennett AC 6 6 Associate Professor Brett McDermott Mr John McGrath AM 5 6 Clinical and Research Specialist – Child and Youth Psychiatry. Director of the Mater Child and Youth Mental Health Service Queensland and Associate Professor of Child and Adolescent Psychiatry, University of Queensland. Director since 26 October 2006. Dr Michael Bonning 5 6 Ms Kate Carnell AO 5 6 The Honourable Caroline Hogg 6 6 Professor Kenneth Kirkby 6 6 Mr Garry McDonald AO Australian actor and media spokesperson. Past Patron of the Anxiety Disorders Foundation, New South Wales Branch. Director since 19 October 2000. Mr Tim Marney Western Australia Under Treasurer and beyondblue Ambassador. Director since 19 August 2008. Dr Leanne Rowe AM Deputy Chancellor Monash University, holds appointments with The University of Sydney and The University of Melbourne, past Chair of the Royal Australian College of General Practitioners and rural medical practitioner for 26 years. Director since 19 August 2008. Professor Steven Larkin 2 3 Associate Professor Brett McDermott 6 6 Mr Garry McDonald AO 5 6 Mr Tim Marney 5 6 Dr Leanne Rowe AM 5 6 Ms Natasha Stott Despoja 6 6 Ms Leonie Young 6 6 A – Number of meetings attended. B – Number of meetings held during the time the Director held office during the year. Members’ guarantee The Company is limited by guarantee. The liability of the members is limited to a maximum of $50 each. Ms Natasha Stott Despoja Retired Senator and former leader of the Australian Democrats in the Federal Parliament of Australia. Director since 19 August 2008. Ms Leonie Young Chief Executive Officer Former Executive with the Commonwealth Department of Health and Ageing. CEO since 15 July 2003 and Director since 15 September 2003. beyondblue: the national depression initiative Principal activities Dividends Non-audit services The principal activities of the Company during the course of the financial year were the organisation, planning and implementation of projects designed to raise awareness of depression, anxiety, and reduce the prevalence, risks and the impact of depressive disorders, and increase the capacity of the Australian community to respond effectively to depression. The Company is limited by guarantee and is prohibited by its Memorandum of Association from paying a dividend to its members. Non-audit services of $4,530 were provided in the year ended 30 June 2009 (2008: $4,320). During the financial year ended 30 June 2009, the Board has continued to implement programs which are aimed at achieving the following objectives: • Increasing community awareness of depression, anxiety and related disorders and addressing associated stigma; • Initiating and supporting depressionrelated research; • Providing people living with depression and their carers with information on the illness and effective treatment options, promoting their needs and experiences with policy makers and healthcare service providers; • • Developing depression prevention and early intervention programs including workplace training; and Improving training and support for GPs and other healthcare professionals on depression and anxiety. The Company is funding its programs out of its retained surplus and financial commitments from Commonwealth, State and Territory Governments, corporations and public donations. Review and result of operations The surplus from ordinary activities for financial year 2009 amounted to $ 7,278,315 (2008: $10,758,964). The Company has been granted exemption from income tax under Section 50-5 of the Income Tax Assessment Act (1997). Beyond Blue Limited was initially funded for a five-year term from 20002005. Commonwealth, State and Territory Government funding has since been extended to 2010. The Board has resolved to continue for a further term to 2015. Events subsequent to reporting date There has not arisen in the interval between the end of the financial year and the date of this report any item, transaction or event of a material and unusual nature likely, in the opinion of the Directors of the Company, to affect significantly the operations of the Company, the results of those operations, or the state of affairs of the Company, in future financial years. Lead auditor’s independence declaration The Lead auditor’s independence declaration is set out on page 84 and forms part of the Directors’ report for the financial year ended 30 June 2009. This report is made with a resolution of the Directors: Likely developments It is not foreseen that the Company will undertake any change in its general direction during the coming financial year. The Company will continue to pursue its objective of raising awareness and reducing the prevalence, risks for and the impact of depressive disorders, and increasing the capacity of the Australian community to respond effectively to depression. The Hon. Jeffrey Kennett AC Director Indemnification and insurance of officers and auditors Indemnification The Company has not indemnified or made a relevant agreement for indemnifying against a liability any person who is or has been an officer or auditor of the Company. Ms Leonie Young Insurance premiums Dated at Melbourne this 20th day of October 2009. During the financial year the Company has paid premiums in respect of Directors’ and officers’ liability and legal expenses insurance contracts for the year ended 30 June 2009. Such insurance contracts insure against certain liability (subject to specific exclusions) persons who are or have been Directors or executive officers of the Company. Director The Directors have not included details of the nature of the liabilities covered or the amount of the premium paid in respect of the Directors’ and officers’ liability and legal expenses’ insurance contracts, as such disclosure is prohibited under the terms of the contract. State of affairs There were no significant changes in the state of affairs of the Company that occurred during the financial year under review, except that the Company relocated its office premises. www.beyondblue.org.au 71 Financial Statements Income Statement Note 2009 $ $ 5 27,260,149 23,216,797 (15,672,880) (9,620,582) (360,842) (263,074) (4,319,876) (3,141,112) (300,975) (243,586) For the year ended 30 June 2009 Revenue Project expenses Travel and accommodation expenses Personnel expenses 6 Occupancy expenses 2008 Depreciation and amortisation expenses (90,832) (77,054) Website expenses (55,418) (91,750) (1,474,169) (1,067,781) 4,985,157 8,711,858 2,293,158 2,047,106 2,293,158 2,047,106 Other expenses Results from operating activities Financial income Net financing income 8 7,278,315 10,758,964 Income tax expense Surplus before tax - - Surplus for the year 7,278,315 10,758,964 2009 2008 $ $ 9 26,364,456 12,639,196 Investments 11 20,049,284 28,382,658 Trade and other receivables 10 651,267 700,855 47,065,007 41,722,709 328,495 188,098 328,495 188,098 47,393,502 41,910,807 The income statement is to be read in conjunction with the notes to the financial statements set out on pages 74 to 83. Balance Sheet Note As at 30 June 2009 Current assets Cash and cash equivalents Total current assets Non-current assets Plant and equipment 12 Total non-current assets Total assets Current liabilities Trade and other payables 13 1,359,393 3,297,384 Employee benefits 15 224,918 137,385 1,584,311 3,434,769 61,391 6,553 61,391 6,553 Total current liabilities Non-current liabilities Employee benefits 15 Total non-current liabilities Total liabilities Net assets 1,645,702 3,441,322 45,747,800 38,469,485 45,747,800 38,469,485 45,747,800 38,469,485 Equity Retained surplus Total equity The balance sheet is to be read in conjunction with the notes to the financial statements set out on pages 74 to 83. 72 beyondblue: the national depression initiative Statement of Changes in Equity for the year ended 30 June 2009 Retained earnings Total equity $ $ 2008 Opening balance at 1 July 2007 27,710,521 27,710,521 Surplus for the year 10,758,964 10,758,964 Total recognised income and expense for the year 10,758,964 10,758,964 38,469,485 38,469,485 38,469,485 38,469,485 Surplus for the year 7,278,315 7,278,315 Total recognised income and expense for the year 7,278,315 7,278,315 45,747,800 45,747,800 Closing balance at 30 June 2008 2009 Opening balance at 1 July 2008 Closing balance at 30 June 2009 The statement of changes in equity is to be read in conjunction with the notes to the financial statements set out on pages 74 to 83. Statement of Cash Flows for the year ended 30 June 2009 Note 2009 2008 $ $ 30,355,261 25,681,533 (26,705,786) (14,076,269) 1,973,631 2,047,106 5,623,106 13,652,370 Net receipts from/(payments for) investments 8,333,374 (28,382,658) Acquisition of plant and equipment (231,220) (149,683) 8,102,154 (28,532,341) 13,725,260 (14,879,971) Cash flows from operating activities Cash receipts from operations Cash paid to program suppliers, other suppliers and employees Interest received Net cash from operating activities 18 Cash flows from investing activities Net cash provided by/(used in) investing activities Net (decrease)/increase in cash and cash equivalents Cash and cash equivalents at 1 July Cash and cash equivalents at 30 June 9 12,639,196 27,519,167 26,364,456 12,639,196 The statement of cash flows is to be read in conjunction with the notes to the financial statements set out on pages 74 to 83. www.beyondblue.org.au 73 Financial Statements NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 30 JUNE 2009 Cash and cash equivalents comprise cash balances and term deposits with maturities less than 90 days. Accounting for finance income is discussed in Note 3(g). 1. Reporting entity Non-derivative financial instruments are measured at amortised cost using the effective interest method, less any impairment losses. Beyond Blue Limited (the “Company”) is a company domiciled in Australia. The address of the Company’s registered office is 40 Burwood Road, Hawthorn, VIC 3122. The Company is primarily involved in the business of raising awareness of depression and its related illnesses to the Australian community. 2. Basis of preparation (a) Statement of compliance The financial report is a general purpose financial report which has been prepared in accordance with Australian Accounting Standards (AASBs) (including Australian Accounting Interpretations) adopted by the Australian Accounting Standards Board (AASB) and the Corporations Act 2001. The financial statements were approved by the Board of Directors on 20 October 2009. (b) Basis of measurement The financial statements have been prepared on the historical cost basis. (c) Functional and presentation currency These financial statements are presented in Australian dollars, which is the Company’s functional currency. (d) Use of estimates and judgements The preparation of financial statements requires management to make judgements, estimates and assumptions that affect the application of accounting policies and the reported amounts of assets, liabilities, income and expenses. Actual results may differ from these estimates. Estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised and in any future periods affected. (b) Plant and equipment (i) Recognition and measurement Items of plant and equipment are measured at cost less accumulated depreciation and accumulated impairment losses. Cost includes expenditure that is directly attributable to the acquisition of the asset. When parts of an item of plant and equipment have different useful lives, they are accounted for as separate items of plant and equipment. Gains and losses on disposal of an item of plant and equipment are determined by comparing the proceeds from disposal with the carrying amount of plant and equipment and are recognised net within “other income” in surplus and deficit. (ii) Subsequent costs The cost of replacing part of an item of plant and equipment is recognised in the carrying amount of the item if it is probable that the future economic benefits embodied within the part will flow to the Company and its cost can be measured reliably. The carrying amount of the replaced part is derecognised. The costs of the day-to-day servicing of plant and equipment are recognised in surplus or deficit as incurred. (iii) Depreciation Depreciation is recognised in surplus or deficit on a straight-line basis over the estimated useful lives of each part of an item of plant and equipment. The estimated useful lives in the current and comparative periods are as follows: Depreciation Years 3. Significant accounting policies The accounting policies set out below have been applied consistently to all periods presented in these financial statements. - Furniture and fittings 2-5 - Computer equipment 2-5 - Software 2-10 (a) Financial Instruments - Office equipment 2-5 (i) Non-derivative financial instruments - Leasehold improvements 3-9 Non-derivative financial instruments comprise trade and other receivables, cash and cash equivalents, investments and trade and other payables. 74 Depreciation methods, useful lives and residual values are re-assessed at each reporting date. (c) Impairment (i) Financial assets A financial asset is assessed at each reporting date to determine whether there is any objective evidence that it is impaired. A financial asset is considered to be impaired if objective evidence indicates that one or more events have had a negative effect on the estimated future cash flows of that asset. An impairment loss in respect of a financial asset measured at amortised cost is calculated as the difference between its carrying amount, and the present value of the estimated future cash flows discounted at the original effective interest rate. Individually significant financial assets are tested for impairment on an individual basis. The remaining financial assets are assessed collectively in groups that share similar credit risk characteristics. All impairment losses are recognised in surplus or deficit. An impairment loss is reversed if the reversal can be related objectively to an event occurring after the impairment loss was recognised. For financial assets measured at amortised cost, the reversal is recognised in surplus or deficit. (ii) Non-financial assets The carrying amounts of the Company’s nonfinancial assets are reviewed at each reporting date to determine whether there is any indication of impairment. If any such indication exists then the asset’s recoverable amount is estimated. An impairment loss is recognised if the carrying amount of an asset exceeds its recoverable amount. Impairment losses are recognised in surplus or deficit. The recoverable amount of an asset is the greater of its value in use and its fair value less costs to sell. In assessing value in use, the estimated future cash flows are discounted to their present value using a pre-tax discount rate that reflects current market assessments of the time value of money and the risks specific to the asset. Impairment losses recognised in prior periods are assessed at each reporting date for any indications that the loss has decreased or no longer exists. An impairment loss is reversed if there has been a change in the estimates used to determine the recoverable amount. An impairment loss is reversed only to the extent that the asset’s carrying amount does not exceed the carrying amount that would have been determined, net of depreciation or amortisation, if no impairment loss had been recognised. beyondblue: the national depression initiative (d) Employee benefits (h) Income tax (i) Defined contribution superannuation funds The Company has an exemption from income tax under Section 50-5 of the Income Tax Assessment Act (1997). Obligations for contributions to defined contribution superannuation funds are recognised as an expense in surplus or deficit when they are due. (ii) Other long-term employee benefits The Company’s net obligation in respect of long-term employee benefits is the amount of future benefit that employees have earned in return for their service in the current and prior periods plus related on costs; that benefit is discounted to determine its present value, and the fair value of any related assets is deducted. The discount rate is the yield at the reporting date on AA credit-rated (Commonwealth Government) bonds that have maturity dates approximating the terms of the Company’s obligations. (iii) Short-term benefits Liabilities for employee benefits for wages, salaries and annual leave represent present obligations resulting from employees’ services provided to reporting date and are calculated at undiscounted amounts based on remuneration wage and salary rates that the Company expects to pay as at reporting date including related on-costs, such as workers compensation insurance and payroll tax. (e) Revenue (i) Government funding Funding comprises the amounts received from the Commonwealth, State and Territory Governments. Revenue from Government funding is recognised in surplus or deficit upon the achievement and progress of specific objectives detailed in the funding agreements. (i) Goods and services tax Revenue, expenses and assets are recognised net of the amount of goods and services tax (GST), except where the amount of GST incurred is not recoverable from the taxation authority. In these circumstances, the GST is recognised as part of the cost of acquisition of the asset or as part of the expense. Receivables and payables are stated with the amount of GST included. The net amount of GST recoverable from, or payable to, the Australian Tax Office (ATO) is included as a current asset or liability in the balance sheet. Cash flows are included in the statement of cash flows on a gross basis. The GST components of cash flows arising from investing and financing activities which are recoverable from, or payable to, the ATO are classified as operating cash flows. (j) New standards and interpretations not yet adopted The following standards, amendments to standards and interpretations have been identified as those which may impact the Company in the period of initial application. They are available for early adoption at 30 June 2009, but have not been applied in preparing this financial report: • AASB 8 Operating Segments • Revised AASB 101 Presentation of Financial Statements The above new standards and interpretations not yet adopted are not expected to have a significant impact on the Company’s financial report. Any funding received for services which have not been performed is recorded as deferred income in the balance sheet. 4. Financial risk management (ii) Donations (a) Overview Donations are recognised as revenue upon receipt. The Company has exposure to the following risks from its use of financial instruments: (f) Lease payments • credit risk • liquidity risk • market risk. Payments made under operating leases are recognised in surplus or deficit on a straightline basis over the term of the lease. Lease incentives received are recognised as an integral part of the total lease expense, over the term of the lease. (g) Finance income Finance income comprises interest income on funds invested. Interest income is recognised as it accrues, using the effective interest method. www.beyondblue.org.au This note presents information about the Company’s exposure to each of the above risks, its objectives and policies and processes for measuring and managing risk. Further quantitative disclosures are included throughout this financial report. The Board of Directors has overall responsibility for the establishment and oversight of the risk management framework. Risk management policies are established to identify and analyse the risks faced by the Company, to set appropriate risk limits and controls, and to monitor risks and adherence to limits. Risk management policies and systems are reviewed regularly to reflect changes in market conditions and the Company’s activities. (b) Credit risk Credit risk is the risk of financial loss to the Company if a counterparty to a financial instrument fails to meet its contractual obligations, and arises principally from the Company’s receivables from operating activities and investments. Trade and other receivables The Company’s exposure to credit risk is influenced mainly by the individual characteristics of each debtor. Geographically there is no concentration of credit risk. Investments The Company limits its exposure to credit risk by only investing in liquid securities and only with counterparties that have a credit rating equal to or better than the Company. All investments are in the form of bank term deposits and are secured by the Australian Government’s 2008 Deposit and Wholesale Funding Guarantee. (c) Liquidity risk Liquidity risk is the risk that the Company will not be able to meet its financial obligations as they fall due. The Company’s approach to managing liquidity is to ensure, as far as possible, that it will always have sufficient liquidity to meet its liabilities when due, under both normal and stressed conditions, without incurring unacceptable losses or risking damage to the Company’s reputation. (d) Market risk Market risk is the risk that changes in market prices, such as interest rates and equity prices, will affect the Company’s income or the value of its holdings of financial instruments. The objective of market risk management is to manage and control market risk exposures within acceptable parameters, while optimising the return. All investment transactions are carried out within the guidelines of the Company’s Investment Policy. 75 Financial Statements 5. Revenue 2009 2008 $ $ 8,600,000 8,500,000 70,000 70,000 New South Wales Government 1,183,777 1,183,777 Northern Territory Government 38,340 36,919 Queensland Government 645,086 645,086 South Australian Government 278,000 278,000 Government funding Commonwealth Government Australian Capital Territory Government Tasmanian Government Victorian Government Western Australian Government Commonwealth Early Years National Forum Commonwealth National Perinatal Depression Initiative Commonwealth Drought Mental Health Initiative 88,102 88,102 3,500,000 3,500,000 341,768 341,768 47,500 - 1,700,000 - 750,000 750,000 17,242,573 15,393,652 9,034,093 7,047,617 983,483 775,528 Other revenue Donations Other Total revenue 10,017,576 7,823,145 27,260,149 23,216,797 2009 2008 6. Personnel expenses Wages and salaries $ $ 4,185,606 3,134,919 Increase in liability for long service leave 53,264 18,124 Increase/(decrease) in liability for annual leave 81,006 (11,931) 4,319,876 3,141,112 2009 2008 $ $ 12,470 11,880 4,530 4,320 17,000 16,200 7. Auditors’ remuneration Audit services Auditors of the Company KPMG Australia Audit and review of financial reports Other services Auditors of the Company KPMG Australia Accounting services 76 beyondblue: the national depression initiative 8. Net financing income 2009 Interest income from bank, term deposits and cheque accounts 2008 $ $ 2,293,158 2,047,106 Finance income 2,293,158 2,047,106 Net financing income 2,293,158 2,047,106 2009 2008 9. Cash and cash equivalents Bank balances Short term deposit maturing within 3 months Funds held in trust Cash on hand Cash and cash equivalents in the statement of cash flows $ $ 4,328,466 1,480,511 17,666,473 10,482,120 4,369,017 676,379 500 186 26,364,456 12,639,196 Funds held in trust represent donations received by the Company for the Beyond Blue Depression Research Ancillary Fund Trust. Included in short-term deposits is $2,112,276 (2008:$ 2,218,636) representing donations in respect of the Research Ancillary Fund Trust. 10. Trade and other receivables 2009 2008 $ $ Trade receivables 241,377 266,336 Other receivables and prepayments 409,890 434,519 651,267 700,855 2009 2008 11. Investments Term Deposits $ $ 20,049,284 28,382,658 20,049,284 28,382,658 All investments are in the form of bank term deposits and are secured by the Australian Government’s 2008 Deposit and Wholesale Funding Guarantee. www.beyondblue.org.au 77 Financial Statements 12. Plant and equipment 2009 2008 $ $ Furniture and Fittings At cost Accumulated depreciation 56,880 28,355 (22,100) (17,080) 34,780 11,275 Computer equipment At cost Accumulated depreciation 314,395 273,396 (228,281) (180,796) 86,114 92,600 Software At cost Accumulated depreciation 88,957 101,562 (76,886) (79,573) 12,071 21,989 Office equipment At cost Accumulated depreciation 52,013 33,475 (24,859) (24,733) 27,154 8,742 Leasehold improvements At cost 210,540 79,404 Accumulated amortisation (42,164) (25,912) 168,376 53,492 328,495 188,098 Total plant and equipment net book value 78 beyondblue: the national depression initiative 12. Plant and equipment (continued) Reconciliations Reconciliations of the carrying amounts for each class of plant and equipment are set out below: 2009 2008 $ $ Furniture and Fittings Balance at 1 July 11,275 7,482 Acquisitions 28,527 6,971 Disposals Depreciation Balance at 30 June - - (5,022) (3,178) 34,780 11,275 Computer equipment Balance at 1 July 92,600 44,317 Acquisitions 48,949 86,571 Disposals Depreciation Balance at 30 June (1,417) (71) (54,018) (38,217) 86,114 92,600 21,989 13,486 - 21,448 Software Balance at 1 July Acquisitions Disposals Depreciation Balance at 30 June - - (9,918) (12,945) 12,071 21,989 Office equipment Balance at 1 July Acquisitions Disposals Depreciation Balance at 30 June 8,742 7,067 24,227 6,248 (184) (1,223) (5,631) (3,350) 27,154 8,742 Leasehold Improvements Balance at 1 July 53,492 66,979 Acquisitions 131,137 28,445 Disposals Amortisation Balance at 30 June www.beyondblue.org.au - (22,568) (16,253) (19,364) 168,376 53,492 79 Financial Statements 13. Trade and other payables 2009 Trade payables Non-trade payables and accrued expenses Unearned income 2008 $ $ - 86,491 127,986 191,374 1,232,873 2,423,919 GST payable (1,466) 595,600 1,359,393 3,297,384 Unearned income in 2009 includes income received in advance from the NSW Government of $1,183,777 (2008:$ 2,367,554). 14. Financial Instruments (a) Credit risk Exposure to credit risk The carrying amount of the Company’s financial assets represents the maximum credit exposure. The Company’s maximum exposure to credit risk at the reporting date was: Note 2009 2008 Cash and cash equivalents 9 26,364,456 12,639,196 Trade and other receivables 10 651,267 700,855 Investments 11 20,049,284 28,382,658 47,065,007 41,722,709 Trade and other receivables The Company’s geographical exposure to credit risk for cash, trade receivables and other receivables and investments at the reporting date resides within Australia. (b) Impairment Losses The ageing of the Company’s trade and other receivables at the reporting date was: Not past due 2009 2009 2008 2008 Gross Impairment Gross Impairment $ $ $ $ 571,242 - 480,619 - Past due 0-30 days 11,125 - 98,110 - Past due 31-60 days 11,635 - 6,472 - More than 61 days 57,265 - 115,654 - 651,267 - 700,855 - Based on historic default rates, the Company believes that no impairment allowance is necessary, in the current or prior year, in respect of trade and other receivables; because these customers have a good credit history with the Company. (c) Liquidity risk The contractual maturities of trade and other payables are all within 6 months and equal the carrying amount. Refer note 13. 80 beyondblue: the national depression initiative (d) Interest rate risk At the reporting date the interest rate profile of the Company’s interest bearing financial instruments was: Note 2009 2008 $ $ Fixed rate instruments Cash – term deposits Investments – term deposits 9 17,666,473 10,482,120 11 20,049,284 28,382,658 9 8,697,483 2,156,890 Variable rate instruments Cash – bank balances and funds held in trust Fair value sensitivity analysis for fixed rate instruments The Company does not account for any fixed rate financial assets and liabilities at fair value through surplus or deficit. Therefore a change in interest rates at the reporting date would not affect surplus or deficit. Cash flow sensitivity analysis for variable rate instruments A change of 100 basis points in interest rates at the reporting date would have increased (decreased) surplus or deficit by the amounts shown below. This analysis assumes that all other variables remain constant. The analysis is performed on the same basis for 2008. Surplus or Deficit 100bp Increase 100bp Decrease $ $ 86,975 (86,975) 21,569 (21,569) 2009 2008 $ $ 194,634 105,527 30 June 2009 Cash 30 June 2008 Cash (e) Fair values All carrying amounts approximate fair value. 15. Employee benefits Current Liability for annual leave Liability for long service leave 30,284 31,858 224,918 137,385 61,391 6,553 61,391 6,553 286,309 143,938 Non-current Liability for long service leave www.beyondblue.org.au 81 Financial Statements 16. Operating leases Leases as lessee Non-cancellable operating lease rentals are payable as follows: 2009 2008 $ $ Less than one year 332,340 305,460 Between one and five years 167,030 610,920 499,370 916,380 The Company leases property under non-cancellable operating leases expiring within five years. Leases generally provide the Company with a right of renewal at which time all terms are renegotiated. 17. Segment reporting The Company operates in Australia and is involved in the reduction of the prevalence, risks for and the impact of depressive disorders and increasing the capacity of the Australian community to deal effectively with depression. 18. Reconciliation of cash flows from operating activities 2009 2008 $ $ 7,278,315 10,758,964 - 23,862 Cash flows from operating activities Surplus for the year Adjustments for: (Gain)/loss on disposal of non-current assets Depreciation 74,589 57,690 Amortisation 16,243 19,364 7,369,147 10,859,880 49,579 143,056 (1,937,991) 2,643,241 142,371 6,193 5,623,106 13,652,370 Operating surplus before changes in working capital Decrease in trade and other receivables (Decrease)/Increase in trade and other payables Increase in employee benefits Net cash from operating activities 19. Related parties Transactions with key management personnel Apart from the details disclosed in this note, no key management personnel has entered into a material contract with the Company and there were no material contracts involving key management personnel’s interests existing at year end. Key management personnel include the Directors of the Company. There were no key management personnel other than the Directors. Key management personnel compensation The key management personnel compensation, comprising of Directors’ remuneration, included in ‘personnel expenses’ (see note 6) are as follows: 2009 Short term employee benefits 82 2008 $ $ 379,881 340,599 beyondblue: the national depression initiative 19. Related parties (continued) The number of key management personnel of the Company whose income from the Company falls within the bands at right. 20. Economic dependency The Company is largely dependent upon the Commonwealth, State and Territory Governments for ongoing funding. 21. Members’ guarantees The Company is limited by guarantee and the liability of members is limited to a maximum of $50. 22. Subsequent events There have been no events subsequent to balance date which would have a material effect on the Company’s financial statements at 30 June 2009. $0 - $9,999 2009 2008 $ $ 3 2 $10,000 - $19,999 7 6 $20,000 - $29,999 1 1 $30,000 - $39,999 1 1 $200,000 - $209,999 - 1 $220,000 - $229,999 1 - DIRECTORS’ DECLARATION In the opinion of the Directors of Beyond Blue Limited (“the Company”): (a) the financial statements and notes, set out on pages 74 to 83, are in accordance with the Corporations Act 2001, including; (i) giving a true and fair view of the Company’s financial position as at 30 June 2009 and of its performance, for the financial year ended on that date; and (ii) complying with Australian Accounting Standards (including the Australian Accounting Interpretations) and the Corporations Regulations 2001; (b) there are reasonable grounds to believe that the Company will be able to pay its debts as and when they become due and payable. Signed in accordance with a resolution of the Directors: Dated at Melbourne this 20th day of October 2009. INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF BEYOND BLUE LIMITED Report on the financial report We have audited the accompanying financial report of Beyond Blue Limited (the Company), which comprises the balance sheet as at 30 June 2009, and the income statement, statement of changes in equity and cash flow statement for the year ended on that date, a description of significant accounting policies and other explanatory notes 1 to 22 and the Directors’ declaration set out on pages 72 to 83. Directors’ responsibility for the financial report The Directors of the Company are responsible for the preparation and fair presentation of the financial report in accordance with Australian Accounting Standards (including the Australian Accounting Interpretations) and the Corporations Act 2001. This responsibility includes establishing and maintaining internal control relevant to the preparation and fair presentation of the financial report that is free from material misstatement, whether due to fraud or error; selecting and applying appropriate accounting policies; and making accounting estimates that are reasonable in the circumstances. Auditor’s responsibility The Hon. Jeffrey Kennett AC Director Our responsibility is to express an opinion on the financial report based on our audit. We conducted our audit in accordance with Australian Auditing Standards. These Auditing Standards require that we comply with relevant ethical requirements relating to audit engagements and plan and perform the audit to obtain reasonable assurance whether the financial report is free from material misstatement. Ms Leonie Young Director www.beyondblue.org.au 83 Financial Statements An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial report. The procedures selected depend on the auditor’s judgement, including the assessment of the risks of material misstatement of the financial report, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity’s preparation and fair presentation of the financial report in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of accounting estimates made by the Directors, as well as evaluating the overall presentation of the financial report. We performed the procedures to assess whether in all material respects the financial report presents fairly, in accordance with the Corporations Act 2001 and Australian Accounting Standards (including the Australian Accounting Interpretations), a view which is consistent with our understanding of the Company’s financial position and of its performance. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. Independence In conducting our audit, we have complied with the independence requirements of the Corporations Act 2001. Auditor’s opinion In our opinion: (a) the financial report of Beyond Blue Limited is in accordance with the Corporations Act 2001, including: (i) giving a true and fair view of the Company’s financial position as at 30 June 2009 and of its performance for the year ended on that date; and (ii) complying with Australian Accounting Standards (including the Australian Accounting Interpretations) and the Corporations Regulations 2001. LEAD AUDITOR’S INDEPENDENCE DECLARATION UNDER SECTION 307C OF THE CORPORATIONS ACT 2001 To: the Directors of Beyond Blue Limited I declare that, to the best of my knowledge and belief, in relation to the audit for the financial year ended 30 June 2009 there have been: • no contraventions of the auditor independence requirements as set out in the Corporations Act 2001 in relation to the audit; and • no contraventions of any applicable code of professional conduct in relation to the audit. KPMG KPMG Ralph Ferguson Partner Dated at Melbourne this 20th day of October 2009. Ralph Ferguson Partner Dated at Melbourne this 20th day of October 2009. 84 beyondblue: the national depression initiative beyondblue: the national depression initiative PO Box 6100, Hawthorn West, Victoria 3122 Phone 03 9810 6100 Fax: 03 9810 6111 Info line: 1300 22 4636 Email: [email protected] BeyondBlue Limited ABN 87 093 865 840 www.beyondblue.org.au 1300 22 4636