BUSHkids Annual Report 2015-16

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CASES
Case studies
3 The Gemfields
The Gemfields are located west of Emerald and comprise Anakie,
Rubyvale, Sapphire and The Willows. The population is approximately
1,700 with 1,300 people living in the four towns in the 900km2 area and
the remainder living in the rural surrounds.
BUSHkids has been working in this community for nearly three years.
An initial meeting between the Anakie school principal, BUSHkids team
and Clinical Services Manager identified a high level of need among
children and families in the local area, with only 30% attendance at
kindergarten programs (approximately 40 minutes away) prior to school
commencing. This was due to the distance, time and associated
expense of accessing programs in Emerald. There were no daycare
facilities available and limited support for children’s development and
parenting. The principal noted that one of the strengths of the community
was the existence of an informal playgroup run by two local mums.
This playgroup provided a starting point and the BUSHkids team took
a ‘soft entry,’ community capacity-building approach, with the FHSW
and Psychologist attending the group in 2014-15. Initial aims were to
establish rapport, identify strengths and explore how BUSHkids could
contribute to children’s development. The team assisted the playgroup
with school readiness activities, modelling strategies and supporting
relationships between mothers with young children. In 2015, 50% of
the children starting prep had informally accessed prep readiness
support from the FHSW and Psychologist at playgroup.
A need for speech and language therapy was identified and the team
worked with the playgroup mums to arrange a screening day through the
local Facebook page. Eighteen children between the ages of 18 months
and four years attended the first session. In the later monthly attendance
by the Speech Pathologist, three or four children presented for screening
each week for four months.
Many of these children went on to receive speech and language
therapy and/or multidisciplinary team intervention as well referral and
linking to other services. BUSHkids sessions took place at playgroup,
at the school and in the BUSHkids Centre, with our Speech-Language
Pathologist and FHSW providing weekly outreach to playgroup and the
school. Read and Grow sessions were incorporated into playgroup and
attendance rates increased.
In 2016, the playgroup venue for The Gemfields was in need of repairs to
ensure it met health and safety requirements for a safe place for children.
With the playgroup parents, the BUSHkids team compiled a list of repairs
required and facilitated links with The Gemfields RSL. A father who was
attending the playgroup contacted council and created a running sheet
of tasks to be completed and, together, council and community took on
the job of bringing the venue back to good condition. The playgroup
father took charge and with donations from local businesses and support
from volunteers, the playgroup hall is now serviceable and BUSHkids
has been able to continue its work in this community.
4 The ‘Jones family’
The Jones family has received support from its local BUSHkids team
at several points during the past few years. When first referred to
BUSHkids, the family was struggling with life in a new town and
experiencing difficulty finding employment with a very limited support
network. The mother presented to the Centre and indicated she was
clinically depressed, expecting her fourth child and experiencing
pregnancy complications. She also reported parental conflict and
previous contact with Child Safety when living interstate.
The mother was concerned about her older son’s (aged four) speech
as his two year-old brother appeared to be catching him up. Initial
Centre-based appointments were not attended and it soon became
apparent that being pregnant and having three young children, with no
car in a rural area was limiting this mum’s ability to access our service.
Although Centre-based parenting group and speech and language
therapy intervention were initially considered, an alternate strategy was
required to provide a service which would meet the needs of the family.
Initial links to informal supports in the community were made and some
routine-based interviewing and problem-solving was undertaken with
mum in the family home. As baby four was due to arrive, informal family
support (mother) arrived from interstate and input with BUSHkids was
deferred until a time more suitable for the family.
A few months after the birth of the fourth child, contact was made with the
family and a FHSW visit was arranged. Due to complexities in the family,
the family was not at home at the arranged time of the visit. Following
further telephone discussions with mum, a home visit was arranged on a
day that both the mother and father could be home to be involved.
This provided the opportunity for both mum and dad to contribute to
planning and prioritising intervention. Sessions were then arranged at
the Centre on a fortnightly basis to coincide with the father’s RDOs.
These initial sessions focused on shared parenting strategies and
toileting approaches. Flexibility and involving both father and mother
were keys to success in achieving good results for this family.
Since then, the three older children have received therapy intervention
at BUSHkids. Assessment for one child supported a diagnosis of
autism spectrum disorder and this has enabled the family to access
ongoing therapeutic support through a private therapist. Two other
children received Speech and Occupational Therapy services and this
has contributed to successful transition into formal schooling.
Parenting and communication strategies have enabled the parents to
support their youngest child’s development and she is now meeting all
of her milestones as a happy toddler and has not required any clinical
intervention services.
BUSHkids is committed to working to build the capacity of
communities and families to support all children to reach their
potential. Our teams engage in a range of community capacity-
building activities depending on the needs and resources available
locally. We work collaboratively with other agencies, services and
organisations to ensure needs are prioritised according to local
requirements and strengths, services are not duplicated and that
the greatest benefit is achieved with limited resources. This is
aimed at three key areas:
1. Building the capacity of families, parents or carers to support
their children’s developmental needs through the provision of
information, education and support for parents and carers.
2. Building the capacity of the local workforce to support
children’s developmental needs through the provision of high-
quality Professional Development activities in regional locations
in Queensland.
3. Working collaboratively with other organisations to ensure a
holistic approach to meeting the needs of children within local
communities (e.g. addressing other issues which impact on child
development – adult mental health, disaster management, etc.)
Source: BUSHkids Client Services Handbook
Family-centred service is made up of a set of values, attitudes,
and approaches to services for children and families. Family-
centred service recognises that each family is unique; that the
family is the constant in the child’s life; and that they are the
experts on the child’s abilities and needs.
The family works with service providers to make informed
decisions about the services and supports the child and family
receive. In family-centred service, the strengths and needs of all
family members are considered.
service
CAN Child definition from website
(Names and details have been amended to maintain confidentiality)