09.04.2014 Views

Annual Report 2005-2006 - Forensicare

Annual Report 2005-2006 - Forensicare

Annual Report 2005-2006 - Forensicare

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

VICTORIAN INSTITUTE of<br />

FORENSIC MENTAL HEALTH<br />

<strong>Annual</strong> <strong>Report</strong> <strong>2005</strong> ~ <strong>2006</strong><br />

“Building on our Knowledge”


Contents<br />

Our Organisation IFC - 2<br />

<strong>2005</strong>-<strong>2006</strong> – The Year in Review 3-9<br />

Chairman’s <strong>Report</strong> 10<br />

Chief Executive Officer’s <strong>Report</strong> 11-13<br />

Clinical Services 14-27<br />

<strong>Report</strong>s Clinical Director<br />

Director of Psychological Services<br />

Director of Nursing Practice<br />

Inpatient Services -<br />

Thomas Embling Hospital, Prison Services<br />

Community Forensic Mental Health Service<br />

Professional Education and Research 28-36<br />

Centre for Forensic Behavioural Science 37<br />

Corporate Support and Development 38-45<br />

Corporate Services<br />

Legal Services<br />

Business Support<br />

Sustainability Management 46-53<br />

Corporate Performance<br />

Our People<br />

Social Performance<br />

Our Environment<br />

Corporate Governance 54-67<br />

Principles<br />

Victorian Institute of Forensic Mental Health Council<br />

Organisational Chart<br />

Management Team<br />

Legislative Compliance<br />

Financial Performance 68-95<br />

Financial Overview<br />

Certification<br />

Auditor-General’s <strong>Report</strong><br />

Financial Statements<br />

Statement of Corporate Intent 96-97<br />

Glossary 98<br />

Disclosure Index 99<br />

Index 100<br />

Contact details and location<br />

BC<br />

The <strong>Annual</strong> <strong>Report</strong> and complementary <strong>Annual</strong> Research<br />

<strong>Report</strong> to Council are available on our website –<br />

www.forensicare.vic.gov.au<br />

Victorian Institute of Forensic Mental Health<br />

Yarra Bend Road<br />

Fairfield 3078<br />

Tel 61 3 9495 9100 Fax 61 3 9495 9190<br />

Email info@forensicare.vic.gov.au<br />

www.forensicare.vic.gov.au<br />

ABN 32 807 323 885 ISSB 1442-990X<br />

Our Organisation<br />

The Victorian Institute of Forensic Mental Health, known as<br />

<strong>Forensicare</strong>, was established as a statutory agency in 1997<br />

to provide forensic mental health services to adults in<br />

Victoria. These services are required to meet the needs of<br />

mentally disordered offenders, the mental health and justice<br />

sectors and the community. While we primarily focus on<br />

providing clinical services, which include the effective<br />

assessment, treatment and management of forensic<br />

patients and clients, we also undertake research, training<br />

and professional education. Organisationally, <strong>Forensicare</strong><br />

is structured to provide –<br />

• Clinical Services – consisting of Inpatient, Prison and<br />

Community programs<br />

• Professional Education and Research – our Academic<br />

Unit, together with Research and Professional<br />

Education programs<br />

• Corporate Support and Development – Administration<br />

and Support, Advice and Planning, Development,<br />

Consultancy Services and Communication.<br />

Legislation<br />

• Mental Health Act 1986 – the Act that establishes<br />

the Institute and governs our responsibilities<br />

• We also provide services under the Crimes (Mental<br />

Impairment and Unfitness to be Tried) Act 1997,<br />

Corrections Act 1986 and Sentencing Act 1991.<br />

Clinical Operations<br />

• Thomas Embling Hospital – a 100 bed, secure inpatient<br />

hospital located in Fairfield.<br />

• Prison Mental Health Service – consisting of a 16-bed<br />

Acute Assessment Unit, specialist clinics, outpatient<br />

services and a reception assessment program at<br />

Melbourne Assessment Prison, together with a<br />

consultant psychiatric service to the larger statemanaged<br />

prisons.<br />

• Community Forensic Mental Health Service – providing<br />

four specialist community programs – Community<br />

Forensic Mental Health Program, Court Services,<br />

Problem Behaviour Program and the Transitional<br />

Accommodation Program.<br />

Values<br />

<strong>Forensicare</strong> is guided by the Values established by the<br />

State Services Authority for the public sector, and promotes<br />

behaviours that are consistent with these values at all times<br />

and in all circumstances. The values are - responsiveness,<br />

integrity, impartiality, accountability, respect and leadership.<br />

The values are:<br />

• responsiveness<br />

• integrity<br />

• impartiality<br />

• accountability<br />

• respect<br />

• leadership


Victorian Institute of Forensic Mental Health<br />

Our Vision<br />

….. To become an international centre of excellence<br />

in understanding and treating mental disorders<br />

associated with criminal behaviour.<br />

Our Mission<br />

….. To provide effective mental health services in a<br />

safe and secure environment to people who have both<br />

a mental disorder and a history of criminal offending or<br />

who present a serious risk of such behaviour.<br />

Our Objectives<br />

We are committed to …..<br />

• improving outcomes for people with a mental<br />

disorder in the criminal justice system<br />

• reducing the burden of mental illness in the<br />

criminal justice system<br />

• contributing to the delivery of public mental health<br />

services<br />

• enhancing community safety.<br />

At <strong>Forensicare</strong>, we are proud of our staff and the reputation<br />

that they have gained for quality and innovative service<br />

provision in the mental health field, both nationally and<br />

internationally. As an organisation, we take the opportunity<br />

to showcase our staff in their daily work environment in our<br />

<strong>Annual</strong> <strong>Report</strong>. Staff have asked not to be named individually,<br />

and we respect their wishes. We thank all our staff for their<br />

assistance and willingness to be photographed. 1


Building on our Knowledge<br />

The Highs and Lows of <strong>2005</strong>-<strong>2006</strong><br />

✔ Government funding of $21.1m (over 5 years) to expand<br />

our inpatient bed capacity at Thomas Embling Hospital<br />

on an interim basis (pages 11, 18).<br />

✔ Commencement of the Forensic Behavioural Science<br />

program, in collaboration with Monash University, to<br />

increase the level of available skills in forensic mental<br />

health (pages 16, 37, 40).<br />

✔ Completion of an organisation-wide governance review<br />

and implementation of a new governance framework<br />

to ensure compliance with contemporary governance<br />

requirements (pages 10, 12 56).<br />

✔ Completion of the organisation-wide training of all staff<br />

required under the Consolidating and Strengthening<br />

Clinical Programs initiative (pages 12, 29).<br />

✔ No significant security incidents during the year (page 48).<br />

The Australian Council on Healthcare Standards and<br />

receiving a Gold Award for the <strong>Annual</strong> <strong>Report</strong> 2004-<strong>2005</strong><br />

in the Australasian <strong>Report</strong>ing Awards (pages 12, 40).<br />

✔ Establishment of a new program, Community Integration<br />

Program, to provide essential post release planning for<br />

prisoners with a serious mental illness (pages 12, 25).<br />

✘ Struggle to meet the information technology needs<br />

of the organisation (page 42).<br />

✘ Limited progress in enhancing the capacity of the<br />

Community Forensic Mental Health Service to meet<br />

the demand for services (page 40).<br />

✘ Lack of success in negotiating additional mental health<br />

services at the Melbourne Assessment Prison through<br />

a sub-acute step-down unit (page 20).<br />

✔ Delivering a small surplus budget of $30,000, despite<br />

operational pressures that required additional and<br />

unplanned expenditure (pages 3, 11, 69).<br />

✔ Acknowledgement of best practice by maintaining<br />

our accreditation status in the periodic review by<br />

2


<strong>2005</strong>-<strong>2006</strong> The Year in Review<br />

FINANCIAL PERFORMANCE<br />

The Victorian Institute of Forensic Mental Health Council and<br />

the Department of Human Services approved a $1.309 million<br />

deficit budget for <strong>Forensicare</strong> for <strong>2005</strong>-<strong>2006</strong>. To deliver the<br />

$1.205 million deficit (outlined below and detailed in the <strong>2005</strong>-<br />

<strong>2006</strong> Financial Statements, pages 69-95), while absorbing<br />

unbudgeted costs (due to high levels of patient acuity and<br />

associated additional staffing shifts) of $0.398 million, is<br />

therefore a significant achievement for the organisation.<br />

The deficit budget included depreciation of $1.235 million,<br />

which is provided for separately by Government via capital<br />

payments in response to submissions by <strong>Forensicare</strong>. No<br />

Capital Funds were provided to <strong>Forensicare</strong> by the Department<br />

of Human Services for the <strong>2005</strong>-<strong>2006</strong> financial year.<br />

<strong>Forensicare</strong>’s financial performance is assessed by the<br />

operating result before capital purpose income and<br />

depreciation. This is because Government recurrent funding<br />

for <strong>Forensicare</strong> is not intended to pay for the replacement of<br />

<strong>Forensicare</strong> buildings or major capital equipment items. The<br />

inclusion of capital grants and depreciation in the overall<br />

operating result would distort any assessment of financial<br />

performance.<br />

The financial result is a tribute to the experience and<br />

dedication shown by our managers and staff, who retained<br />

a focus on their budgets while continuing to strive to<br />

provide better care to our patients.<br />

FINANCIAL PERFORMANCE AGAINST<br />

BUDGET PLAN<br />

The deficit budget approved by the Victorian Institute of<br />

Forensic Mental Health Council for <strong>2005</strong>-<strong>2006</strong> excluded<br />

capital income and depreciation of $0.088 million. The<br />

decision by Council to continue the improvements in<br />

financial performance that commenced in 2004-<strong>2005</strong><br />

contributed to the final outcome of a $0.030 million surplus.<br />

Full details of the Institute’s Financial Performance Against<br />

Budget are on page 71.<br />

HOW WE ARE FUNDED<br />

Total revenue from ordinary activities for the Institute was<br />

$33.283 million, an increase of $0.654 million, or 2.0%, on<br />

funding received in 2004-<strong>2005</strong>. The Institute receives 87%<br />

percent of its revenue from the Department of Human<br />

Services (see below). Increases in revenue from the<br />

Department of Human Services and other sources were<br />

used to fund increases in award entitlements.<br />

COMPOSITION OF REVENUE<br />

05/06 04/05 03/04 02/03<br />

% $’000 % $’000 % $’000 % $’000<br />

Service Agreement - Dept of Human Services 87% 28,844 86% 28,233 87% 26,347 86% 25,777<br />

Service Agreement - Dept of Justice 8% 2,528 7% 2,435 8% 2,338 7% 2,290<br />

Service Agreement - Care Plan Assessments<br />

Victoria 1% 222 1% 348 1% 301 0% –<br />

Investments 1% 292 1% 233 1% 187 1% 238<br />

Contracted Services 1% 498 2% 492 2% 610 1% 461<br />

Other Revenues 2% 899 3% 853 1% 288 2% 574<br />

Capital 0% 0% 0% 3% 788<br />

HOW WE SPENT THE MONEY<br />

The services provided by the Institute are split in to four<br />

outputs for financial performance (see Financial<br />

Performance Against Budget, page 71). The operating<br />

expenses for these outputs were $33.253 million, an<br />

increase of $0.971 million, or 3.01% on the previous year.<br />

The major contributor to the increase in Operating<br />

Expenses was a rise in Employee Benefits and Property<br />

and Maintenance expenses of approximately $2.051 million<br />

or 6.36% from 2004-<strong>2005</strong>. This was offset, however, by<br />

a reduction of Contracted Staff and Other Expenses of<br />

approximately $1.139 million, or 3.53% from the previous<br />

year.<br />

Included in the above increase is $0.398 million that the<br />

Institute was required to absorb for two unbudgeted<br />

expenses (WorkCover increase and the transfer of<br />

employee entitlements). To offset these two additional<br />

expenses, the Institute reduced expenditure in two areas -<br />

Contracted Services and Other Expenses - through the<br />

continued enhancements and ongoing reductions in the<br />

deficit management plan developed and introduced in the<br />

2004-<strong>2005</strong> financial year. Reduction in expenditure in both<br />

areas was achieved without affecting the delivery of<br />

patient/client services.<br />

3


<strong>2005</strong>-<strong>2006</strong> The Year in Review<br />

FINANCIAL ANALYSIS OF OPERATING REVENUES AND EXPENDITURES<br />

Year 05/06 04/05 03/04 02/03 01/02 Change 03/04<br />

$’000 $’000 $’000 $’000 $’000 – 05/06<br />

Total Revenue 33,283 32,629 30,071 30,130 27,202 10.5%<br />

Total Expenses 34,488 33,514 31,924 29,592 26,484 7.9%<br />

Net Operating Result (b/f abnormals) (1,205) (885) (1,853) 538 718 35.0%<br />

Total Assets 47,017 47,408 41,232 43,221 40,604 14%<br />

Total Liabilities 6,713 5,899 5,089 5,225 3,128 31.9%<br />

FINANCIAL ANALYSIS OF THE OPERATING RESULT<br />

<strong>2005</strong> – <strong>2006</strong> Operating Result<br />

2004 – <strong>2005</strong> Operating Result<br />

2003 – 2004 Operating Result<br />

2002 – 2003 Operating Result<br />

-2.0 -1.5 -1.0 -0.5 0.0 0.25 0.50 1.0<br />

$M<br />

*Result after capital and depreciation<br />

*Result before capital and depreciation<br />

*Measuring <strong>Forensicare</strong> Financial Performance<br />

<strong>Forensicare</strong>’s financial performance is usually assessed by the operating result before capital purpose income and<br />

depreciation. This is because Government recurrent funding for <strong>Forensicare</strong> is not intended to pay for the replacement<br />

of <strong>Forensicare</strong> buildings or major capital equipment items. The inclusion of capital grants and depreciation in the overall<br />

operating result therefore distorts any assessment of financial performance.<br />

FIVE YEAR COMPARISON OF DEBTORS BY CATEGORY<br />

2,500,000<br />

2,000,000<br />

1,500,000<br />

1,000,000<br />

500,000<br />

0<br />

05/06 04/05<br />

03/04<br />

02/03<br />

01/02<br />

4<br />

Trade Debtors<br />

Dept Human Services - Employee Entitlements<br />

Note - The Department of Human Services debt is primarily related to employee entitlements (long service leave) -<br />

see Financial Statements, note 1(o) Indirect Contributions and note 2 (Statement of Understanding and Service<br />

Agreement). Trade Debtors consist of amounts owing by a range of businesses/agencies for services rendered<br />

by <strong>Forensicare</strong>.


SERVICE PERFORMANCE AT A GLANCE<br />

<strong>2005</strong>-<strong>2006</strong> 2004-<strong>2005</strong> 2003-2004 2002-2003 2001-2002 Change<br />

2003-2004<br />

- <strong>2005</strong>-<strong>2006</strong><br />

Thomas Embling Hospital<br />

Number of beds 100 beds 100 beds 100 beds 80 beds to Oct. 2002 80 beds<br />

then increase to 100<br />

Occupied bed days 36,426 36,293 36,356 33,577 28,616 0.2%<br />

Occupancy rate 99.75% 99.12% 99.4% 97.29% 98.4% 0.4%<br />

Number of admissions 131 146 149 142 175 12.1%<br />

Number of separations 130 137 147 119 170 11.6%<br />

Number of reports prepared for Victorian courts 63* 109 111 120 120 43.2%<br />

Community<br />

Number of clients 895 654 562 447 n/a 59.3%<br />

Number of reports prepared for Victorian courts 303* 328 355 372 274 14.6%<br />

Number of assessments performed<br />

for public mental health services 189 254** 191 138 77 1%<br />

Prison<br />

Number of reception assessments 4,396 3,886 3,568 3,885 4,014 23.2%<br />

Referrals for psychiatric assessments (incl. Psych.<br />

Consultants, Psych. Registrars, Psych. Outpatients) 5,782 5,661 4,689 3,169 2,893 23.3%<br />

Number of reports prepared for Victorian courts 205 199 190 197 145 7.9%<br />

Corporate<br />

Employees, EFT number at 30 June 254.9 249.5 243.5 233.9 210.3 4.7%<br />

Staff turnover rate 5.81% 9.26% 6.28% n/a n/a 7.5%<br />

* The demand for court reports is entirely court driven. <strong>Forensicare</strong> has struggled over past years to meet the level of requests for reports, and the waiting time for report completion<br />

has increased from 4 to 6 weeks. Even though the number of reports provided to courts reduced in <strong>2005</strong>-<strong>2006</strong>, there was still an average of 1.21 reports prepared each week on<br />

patients in Thomas Embling Hospital and an average of 5.82 reports prepared by Community Forensic Mental Health Service. These figures exclude reports requested by the Adult<br />

Parole Board and the Office of Public Prosecutions, and other agencies, including assessments/opinions requested in relation to the Serious Sex Offender Monitoring Act <strong>2005</strong>.<br />

** The focus placed on the provision of training to area mental health services in 2004-<strong>2005</strong> resulted in the substantial increase in the number of requests received for secondary<br />

consultations from these services in the same period.<br />

5


<strong>2005</strong>-<strong>2006</strong> The Year in Review<br />

REPORTING AGAINST OUR OBJECTIVES <strong>2005</strong>-<strong>2006</strong><br />

A Corporate Plan is prepared each year for the Minister for<br />

Health. The Plan includes initiatives to be undertaken in the<br />

coming year, together with the performance measures<br />

established for <strong>Forensicare</strong> by the Department of Human<br />

Services.<br />

The key initiatives established for <strong>2005</strong>-<strong>2006</strong> are detailed<br />

below, together with a summary of our achievements, a<br />

self-assessment of our performance during the year and<br />

future projections in respect to each initiative.<br />

<strong>Report</strong>s against Performance Measures/Targets are<br />

included under individual program areas (pages 21, 23,<br />

26, 33, 36, 45).<br />

INITIATIVE PROGRESS SELF-RATED THE FUTURE<br />

PERFORMANCE<br />

Clinical Services<br />

Inpatient<br />

(Performance Measures see pages 21, 23)<br />

Implement new clinical programs and<br />

systems to effectively address patient<br />

management requirements and cooccurring<br />

disorders and offending<br />

behaviour.<br />

✔<br />

Developments continued to the<br />

Consolidating and Strengthening<br />

Clinical Programs initiative - further<br />

and ongoing clinical training was<br />

conducted, a range of patient<br />

programs introduced and the overall<br />

program evaluation commenced<br />

(pages 18-19).<br />

The Consolidating and Strengthening<br />

Clinical Programs initiative will continue<br />

to be the major focus for clinical<br />

development across the organisation.<br />

Evaluation will form the basis for<br />

ongoing service enhancement.<br />

Establish a comprehensive Vocational<br />

Rehabilitation Program.<br />

A Vocational Rehabilitation Program<br />

has been implemented as a 12-month<br />

pilot program across the hospital<br />

(page 19).<br />

✔<br />

Ongoing provision of the program will<br />

be subject to the 12 month evaluation<br />

conducted early in <strong>2006</strong>-2007.<br />

Implement new contractual<br />

arrangements within Thomas Embling<br />

Hospital for the provision of catering,<br />

cleaning, pathology, pharmacy.<br />

Implemented. New contracts have<br />

been established for catering,<br />

cleaning, pathology and pharmacy.<br />

New arrangements have also been<br />

established for the provision of<br />

recreation services (page 19).<br />

✔<br />

These contracts are subject to regular<br />

review and strategies have been<br />

implemented to ensure close<br />

monitoring of contract performance.<br />

Review the computer infrastructure<br />

supporting the individual components<br />

of the security system at Thomas<br />

Embling Hospital to determine longterm<br />

viability, and implement review<br />

recommendations.<br />

An external review of the security<br />

infrastructure was conducted and<br />

recommendations made to upgrade<br />

identified equipment (page 48).<br />

✔ <br />

Funding to upgrade the security<br />

infrastructure will be sought from the<br />

Department of Human Services in the<br />

coming year.<br />

Further consolidate and advance<br />

service delivery to Juvenile Justice.<br />

<strong>Forensicare</strong> continued to provide<br />

fortnightly consultant psychiatrist<br />

sessions to juvenile justice and has<br />

taken steps to develop new specialist<br />

capability for adolescent and young<br />

offenders through the provision of<br />

specialist clinical training (page 19).<br />

✔ <br />

Subject to staffing levels, further steps<br />

will be taken in the coming year to<br />

provide additional assistance to<br />

juvenile forensic mental health service.<br />

Community<br />

(Performance Measures see page 26)<br />

Implement the recommendations<br />

relating to <strong>Forensicare</strong>’s Court Liaison<br />

Service that were included in the draft<br />

review of statewide mental health<br />

court liaison services.<br />

✔<br />

All relevant recommendations<br />

contained in the view of the Court<br />

Liaison Service have been<br />

implemented (page 25).<br />

Negotiations have commenced with<br />

Court Services to formalise an<br />

exchange of information between the<br />

Court Liaison Service and the Court<br />

Services Integration Program (to be<br />

implemented by courts in <strong>2006</strong>-2007).<br />

6<br />

Undertake a 12 month evaluation of<br />

Transitional Accommodation Program.<br />

Evaluation completed and<br />

implementation of recommendations<br />

commenced. Implementation works<br />

have ceased pending the temporary<br />

cessation of the program (subject to<br />

planning requirements, the existing<br />

program accommodation is to be used<br />

to expand the inpatient capacity of<br />

Thomas Embling Hospital) (page 25).<br />

✔<br />

Development of an alternative<br />

transitional outreach/accommodation<br />

service has commenced and will be<br />

established, subject to funding, in<br />

<strong>2006</strong>-2007.


INITIATIVE PROGRESS SELF-RATED THE FUTURE<br />

PERFORMANCE<br />

Subject to funding, strengthen and<br />

develop effective post release planning<br />

for prisoners with a serious mental<br />

illness.<br />

Implement new reporting systems for<br />

the management of offenders on Non-<br />

Custodial Supervision Orders.<br />

Develop a fee-for-service specialist<br />

Victim Assessment Service.<br />

Professional Education and Research<br />

A Community Integration Program was<br />

established to provide intensive<br />

integration support to prisoners with a<br />

serious mental illness about to be<br />

released from custody. Additional<br />

funding was received from the<br />

Department of Human Services to<br />

enable the program to commence<br />

(page 25).<br />

Implemented. The new reporting<br />

systems are used in the clinical and<br />

administrative management of these<br />

orders (page 25).<br />

The Victim Assessment Service<br />

commenced operating in October<br />

<strong>2005</strong>. Priority has been given to<br />

promoting the service among the<br />

agencies funded to provide initial<br />

support to victims (page 25).<br />

✔<br />

✔<br />

✔<br />

A 12-month review of the Community<br />

Integration Program will be conducted<br />

in <strong>2006</strong>-2007.<br />

The new reporting systems are now<br />

operational.<br />

<strong>Forensicare</strong> will continue to work<br />

closely with the Victim Support Agency<br />

to assist and support its development<br />

and operations.<br />

Research<br />

(Performance Measures see page 36)<br />

Under the auspice of the Research<br />

Committee, undertake research on –<br />

• the effectiveness and impact of the<br />

Crimes (Mental Impairment and<br />

Unfitness to be Tried) Act 1997<br />

• risk management and risk<br />

management tools<br />

• stalkers and their victims<br />

• problem gambling<br />

• threats to kill<br />

• sex offending, including the use of<br />

child internet pornography<br />

• the role of nursing in improving<br />

mental health outcomes and<br />

evidence-based psychiatric<br />

nursing practice<br />

• substance abuse and mental<br />

illness<br />

• inpatient aggression<br />

• cognitive behaviour therapy with<br />

forensic patients<br />

• prevalence of offenders with a<br />

mental illness re-entering prison<br />

in the context of a relapse of their<br />

mental illness<br />

• violence on the roads.<br />

Work has commenced and is ongoing<br />

on all identified research projects<br />

(pages 34-35).<br />

✔<br />

Our research program continues to be<br />

an integral part of our organisation and<br />

our ongoing developments in service<br />

delivery.<br />

Professional Education<br />

(Performance Measures see page 33)<br />

Provide specialised training to rural<br />

and metropolitan area mental health<br />

services and other services.<br />

<strong>Forensicare</strong> has provided specialised<br />

forensic mental health training to area<br />

mental health services and other<br />

agencies and participated in the North<br />

Eastern Victoria Introduction to<br />

Learning (NEVIL) cluster group<br />

established to facilitate cross agency<br />

training (page 30).<br />

✔<br />

<strong>Forensicare</strong> will continue to promote<br />

forensic mental health skills and<br />

training to area mental health services<br />

and other agencies.<br />

Promote a better understanding of<br />

forensic mental health within the legal<br />

and criminal justice sectors.<br />

Working closely with the Judicial<br />

College of Victoria, we have provided<br />

tours of Thomas Embling Hospital and<br />

presentations to Judges, their<br />

Associates and Magistrates (page 45).<br />

✔<br />

<strong>Forensicare</strong> will continue to work<br />

closely with the legal and criminal<br />

justice sectors to promote a greater<br />

understanding of forensic mental<br />

health issues.<br />

7


INITIATIVE PROGRESS SELF-RATED THE FUTURE<br />

PERFORMANCE<br />

Further pursue fee-for-service<br />

consultancies and develop a grant<br />

application capability to assist in<br />

underwriting our professional<br />

education and research program.<br />

<strong>Forensicare</strong> was a member of two<br />

consortia successful in obtaining<br />

research grants in <strong>2005</strong>-<strong>2006</strong>. The<br />

outcome of another funding<br />

application submitted in <strong>2005</strong>-<strong>2006</strong><br />

will be advised later in <strong>2006</strong> (page 41).<br />

✔ <br />

These activities will continue as an vital<br />

source of funding for our research<br />

program.<br />

Corporate Support and<br />

Development<br />

(Performance Measures see page 45)<br />

With the agreement of the Department<br />

of Human Services, review and<br />

resubmit the funding proposal for the<br />

development of a combined secure<br />

extended care/medium-secure<br />

forensic hospital (with approx 100 bed<br />

capacity) to the Department.<br />

Completed. On the basis of our<br />

proposal, the Department of Human<br />

Services succeeded in obtaining<br />

funding in the May <strong>2006</strong> Budget<br />

to enable planning to commence<br />

on a facility to provide secure<br />

accommodation for people requiring<br />

longer-term care, which will build on the<br />

commitment to increase bed capacity<br />

at Thomas Embling Hospital (page 40).<br />

✔<br />

It is envisaged that the planning<br />

process for a new facility will<br />

commence as a matter of urgency<br />

early in <strong>2006</strong>-2007.<br />

With the agreement of the Department<br />

of Human Services, prepare and<br />

submit a funding proposal to the<br />

Department to expand the Community<br />

Forensic Mental Health Service to<br />

meet the documented growth in<br />

demand for specialist community<br />

forensic mental health services.<br />

Completed. A formal proposal for<br />

capacity enhancement of the<br />

community service was submitted to<br />

Department of Human Services. The<br />

outcome of our proposal has not been<br />

advised (page 40).<br />

✔<br />

Addressing the identified service<br />

demand issues will require future<br />

government resourcing.<br />

Continue the development of<br />

organisational and clinical benchmarks<br />

with other Australian forensic<br />

jurisdictions.<br />

<strong>Forensicare</strong> has continued to<br />

participate in the federally funded<br />

National Benchmarking Project, as<br />

one of the four invited forensic mental<br />

health service agencies. Development<br />

of the benchmarks has continued and<br />

is ongoing (page 40).<br />

✔ <br />

The project is scheduled to conclude<br />

in May 2007.<br />

Develop a formal arrangement with the<br />

Victorian Institute of Forensic Medicine<br />

to enhance inter-agency co-operation<br />

and undertake joint research and<br />

funding applications.<br />

Completed. The formal agreement<br />

was signed in November <strong>2005</strong><br />

(page 40).<br />

✔<br />

Opportunities for joint collaborations<br />

will be pursued.<br />

Seek approval from Monash University<br />

to establish a Centre for Forensic<br />

Behavioural Sciences at Monash<br />

University, School of Psychology,<br />

Psychiatry and Psychological Medicine.<br />

Agreement has been reached by<br />

Monash University for this initiative<br />

to proceed (page 37).<br />

✔<br />

The Centre, through research, teaching<br />

and clinical outputs, will make a vital<br />

contribution to the development of best<br />

practice models of care and treatment<br />

in forensic behavioural science.<br />

Continue the curriculum development<br />

and establishment of an accredited<br />

post-graduate course in forensic<br />

behavioural science with Monash<br />

University (for specialist clinicians and<br />

those in area mental health services,<br />

corrections, law, teaching, child<br />

protection and juvenile justice). Partner<br />

with NSW Justice Health to tailor the<br />

teaching program to markets outside<br />

Victoria.<br />

Curriculum development was<br />

completed for the Certificate in<br />

Forensic Behavioural Science, and<br />

the program commenced in February<br />

<strong>2006</strong>. Discussions with NSW Justice<br />

Health are ongoing. NSW has<br />

determined to develop a local<br />

program, however synergies and<br />

collaboration make some sort of joint<br />

future approach likely (pages 37, 40).<br />

✔<br />

A Graduate Certificate and Graduate<br />

Diploma in Forensic Behavioural<br />

Science will be offered through<br />

Monash University, commencing<br />

in 2007 academic year.<br />

Contribute to the national endeavour<br />

to establish forensic mental health<br />

service standards and performance<br />

targets.<br />

Standards for forensic mental health<br />

have been endorsed by all state<br />

Health Ministers. Approval by state<br />

Corrections Ministers is awaited<br />

(page 40).<br />

✔<br />

Victoria has a high level of compliance<br />

with the National Standards and we<br />

will continue to work with the<br />

Department of Human Services and<br />

other jurisdictions on progressing this<br />

project.<br />

8<br />

Successfully undertake The Australian<br />

Council on Healthcare Standards<br />

periodic review and maintain<br />

accreditation status.<br />

Achieved. The formal periodic review<br />

of our accreditation status was<br />

conducted in August <strong>2005</strong> and our full<br />

accreditation confirmed (page 40).<br />

✔<br />

We are required to complete a selfassessment<br />

under the Australian<br />

Council on Healthcare Standards<br />

(ACHS) accreditation contract in<br />

August <strong>2006</strong>. Our next ACHS<br />

organisation-wide survey will be<br />

held in August 2007.


INITIATIVE PROGRESS SELF-RATED THE FUTURE<br />

PERFORMANCE<br />

Identify opportunities to broaden the<br />

delivery of clinical services across the<br />

organisation to enable specialist<br />

services to be provided for –<br />

• victims<br />

• sex offenders<br />

• aged/elderly patients and clients.<br />

A specialist service has been<br />

developed and commenced operating<br />

in <strong>2005</strong>-<strong>2005</strong> for victims of crime.<br />

Specialist clinical services continue to<br />

be provided for sex offenders through<br />

our Problem Behaviour Program.<br />

A large research initiative has been<br />

approved to commence in July 2007<br />

to investigate the physical and mental<br />

health needs of elderly prisoners in<br />

Victoria (pages 25, 41).<br />

✔ <br />

<strong>Forensicare</strong> will continue to monitor<br />

emerging target groups and pursue<br />

clinical developments to meet their<br />

specific needs. The research initiative<br />

on the mental health needs of elderly<br />

prisoners will inform our future<br />

provision of targeted services to the<br />

emerging population of elderly mentally<br />

disordered offenders.<br />

Review the reports prepared across<br />

the organisation for all agencies within<br />

the criminal justice sector to identify<br />

the level of demand and resource<br />

impact, and develop a management<br />

strategy for the ongoing preparation<br />

of reports.<br />

A review of reports prepared across<br />

the organisation, which incorporated<br />

a detailed analysis of reports for the<br />

Office of Public Prosecutions over the<br />

previous three years, was completed<br />

in <strong>2005</strong>-<strong>2006</strong>. A strategy was<br />

developed to manage future demand<br />

(page 44).<br />

✔ <br />

The strategy developed to manage<br />

the demand for reports will require<br />

ongoing monitoring to ensure service<br />

demands do not outstrip available<br />

resources.<br />

Continue to seek funding to implement<br />

wide ranging environmental<br />

sustainability initiatives across the<br />

organisation.<br />

A loan was accepted from the<br />

Department of Human Services to<br />

implement a range of environmental<br />

initiatives. Implementation of the<br />

initiatives commenced in <strong>2005</strong>-<strong>2006</strong><br />

and will be ongoing in the coming year<br />

(pages 52-53).<br />

✔ <br />

The ongoing improvement of our<br />

environmental performance continues<br />

to have a high priority across the<br />

organisation. Funding avenues will<br />

continue to be sought to further our<br />

performance in this regard.<br />

Subject to funding, continue the<br />

redevelopment of information<br />

technology based management<br />

systems, for operational, planning<br />

and research purposes.<br />

Additional funding was not provided<br />

by the Department of Human Services<br />

in response to our proposal to<br />

redevelop our information technology<br />

management system. We have<br />

refocussed our governance<br />

arrangements to strengthen our<br />

capacity for strategic planning in this<br />

vital business process area of our<br />

operations (pages 42-43).<br />

✘ <br />

<strong>Forensicare</strong> is currently preparing<br />

a business case for the Department of<br />

Human Services on the redevelopment<br />

of our information technology systems.<br />

Continue to endeavour to influence<br />

the development of a more rational,<br />

effective and efficient health service<br />

arrangement for men and women<br />

in Victorian prisons.<br />

<strong>Forensicare</strong> submitted a proposal<br />

to the Department of Justice for a<br />

significant increase in mental health<br />

service capacity at Melbourne<br />

Assessment Prison and other prisons<br />

in <strong>2005</strong>-<strong>2006</strong>. To date, we have had<br />

no response to the proposal (page 20).<br />

✔ <br />

<strong>Forensicare</strong> will continue to monitor<br />

developments in Victoria in respect to<br />

the provision of forensic mental health<br />

services and work collaboratively with<br />

Corrections Victoria and the<br />

Department of Justice to improve<br />

service delivery in forensic mental<br />

health. We understand that the<br />

Department of Justice is holding<br />

an external review of health services<br />

in the criminal justice system early in<br />

<strong>2006</strong>-2007.<br />

Consolidate and further develop<br />

organisational (including financial) risk<br />

assessment and management<br />

systems, including aggressive pursuit<br />

of new organisational governance<br />

compliance requirements.<br />

Completed. A review of the<br />

governance arrangements within<br />

<strong>Forensicare</strong> was completed and<br />

recommendations significantly<br />

progressed (page 56).<br />

✔<br />

Governance compliance will continue<br />

to be monitored across <strong>Forensicare</strong> to<br />

ensure that the standards established<br />

for public hospitals and contemporary<br />

initiatives in private sector agencies<br />

are met.<br />

Examine the feasibility of establishing<br />

a forensic mental health specialist<br />

advisory and support service for police<br />

and mentally ill people detained in<br />

police custody.<br />

Work with Victoria Police in relation to<br />

the management and care of mentally<br />

ill offenders/alleged offenders<br />

commenced and is ongoing (page 41).<br />

✔ <br />

Ongoing support will include the<br />

provision of advice on police training<br />

content and joint research activity<br />

regarding policing and the mentally ill.<br />

✔<br />

✘<br />

<br />

Initiative completed<br />

Initiative not achieved/not completed<br />

Initiative is ongoing<br />

9


Chairman’s <strong>Report</strong><br />

The Council was very pleased that funding was provided<br />

by Government in the May <strong>2006</strong> Budget to increase our<br />

inpatient capacity at Thomas Embling Hospital on a shortterm<br />

basis by an additional 18 interim beds. We were also<br />

pleased to see that Government committed funding for the<br />

initial planning of a permanent enhancement to the<br />

statewide secure inpatient capacity.<br />

Addressing our immediate service provision shortfall has<br />

been a major focus for us over the past two years. It has<br />

not, however, been our sole focus. We have continued to<br />

develop our services to meet the ongoing and emerging<br />

needs of our patients, clients and stakeholders through<br />

program developments such as the Consolidating and<br />

Strengthening Clinical Programs initiative and the<br />

broadening of our Problem Behaviour Program at our<br />

community clinic.<br />

During the past year we also addressed the importance<br />

of corporate governance across the organisation. Council<br />

authorised an external review of our corporate governance<br />

arrangements to ensure that our systems and processes<br />

were in keeping with contemporary practice. The wideranging<br />

recommendations of the review are rapidly being<br />

implemented, and we report against a new Committee<br />

structure and Principles in this <strong>Annual</strong> <strong>Report</strong>.<br />

In terms of budget, Council is pleased to report a surplus<br />

position for the organisation, excluding depreciation. This is<br />

due primarily to the close monitoring and prudent financial<br />

management by our senior management and staff.<br />

We welcomed two new members to Council during the<br />

year, Dr Joan Clarke, OAM, and Dr Peter Doherty, each<br />

of whom filled a vacancy created through the retirement<br />

of previous members. I would like to thank the retiring<br />

members Judith Player and Dr Robert Adler for their<br />

enthusiasm, interest and input while members of Council.<br />

Judith Player was a foundation member of the Council,<br />

joining the first Council in 1998, and her contribution over<br />

the past eight years has been invaluable.<br />

Our management team and staff, led by Michael Burt,<br />

our Chief Executive Officer, and our clinical team led by<br />

Professor Paul Mullen, have continued to deliver quality<br />

service with their dedication to forensic mental health.<br />

We thank them and look forward to the coming year<br />

with enthusiasm.<br />

Jim Kennan, SC<br />

Chairman<br />

10


Chief Executive Officer’s <strong>Report</strong><br />

It is very pleasing to report that this year has been our most<br />

successful since the historic commissioning in 2000 of what<br />

is internationally regarded as the world’s leading forensic<br />

facility, the Thomas Embling Hospital. While we have<br />

continued to struggle with unrelenting demand growth for<br />

our clinical services from both the criminal justice system<br />

and general mental health services, we have achieved<br />

substantive progress on multiple dimensions of our<br />

organisation’s responsibilities and building our sustainability<br />

for the future.<br />

Mental illness and the need to address the challenges<br />

of service delivery has been under the spotlight at both<br />

a federal and state level during the past year. Particularly<br />

encouraging has been the extent to which the unmet needs<br />

of seriously mentally ill people in Australia’s criminal justice<br />

systems have been acknowledged. Importantly, there<br />

seems to be an increasing recognition of the overlap<br />

in mentally ill populations of those with very challenging<br />

illnesses and those who transition our criminal justice<br />

systems. The extent to which our society is prepared to<br />

invest resources in treating and managing the seriously<br />

mentally ill must be recognition of the opportunities that<br />

exist, not only to relieve the illness burden, but to prevent<br />

serious crime. <strong>Forensicare</strong> acknowledges the Victorian<br />

Government’s leadership in embracing this issue in its<br />

service development planning.<br />

In <strong>2005</strong>-<strong>2006</strong> <strong>Forensicare</strong> has –<br />

Met our financial and operational obligations<br />

Virtually all performance requirements have been met<br />

or exceeded and we ended the year with a significantly<br />

better budget outcome than forecast. This was despite<br />

unexpected expenses and several months of inflated<br />

operating costs, due to a large number of particularly ill<br />

and disturbed patients. A productivity improvement culture<br />

is evident in our operations, and this, together with an<br />

outstanding staff retention level (particularly in our<br />

predominately nursing workforce), is largely responsible<br />

for the excellent outcome.<br />

Received funding to begin addressing<br />

identified service shortfalls<br />

In May <strong>2006</strong>, the Victorian Government announced funding<br />

of $21.1m (over 5 years) to enable immediate work to<br />

commence on the provision of additional secure acute<br />

inpatient beds at Thomas Embling Hospital. Subject to<br />

the requisite planning approvals, eighteen additional beds<br />

should be commissioned early in 2007. This will, in the<br />

short term, ease the unrelenting and increasing demand<br />

pressures, particularly from the prison system. It is,<br />

however, critical to note that this modest increase in<br />

capacity will be rapidly consumed. It is imperative for<br />

the justice system, the mental health system and for the<br />

community safety of Victoria, that a permanent and more<br />

sustainable capacity is developed as a matter of urgency,<br />

to actively treat and manage forensic and challenging civil<br />

patients.<br />

It was most encouraging to see funding earmarked<br />

in the budget for planning to begin on a new specialist<br />

secure extended care facility, envisaged by <strong>Forensicare</strong><br />

to be developed collaboratively with a major metropolitan<br />

public hospital mental health service. This large project,<br />

capital funding permitting, will likely take 3-4 years to<br />

commission. It is urgently needed and such a facility will see<br />

Victoria leading Australia in the recognition that provision of<br />

adequate intensive treatment and rehabilitation in a secure<br />

environment will deliver tangible enhancements to<br />

community safety.<br />

11


Continued to build on our capacity and<br />

sustainability<br />

A major focus for us during the year was the strengthening<br />

of our governance capability to ensure that our<br />

arrangements reflect best practice. We comprehensively<br />

re-aligned our internal governance structures and strategic<br />

audit and planning processes, in accordance with the<br />

Department of Human Services and central government<br />

agency expectations. This will position us to meet our<br />

public responsibilities and to sustain and develop our<br />

services into the future. It was rewarding to have our 2004-<br />

<strong>2005</strong> <strong>Annual</strong> <strong>Report</strong> recognised with a gold award for the<br />

second year in a row by the Australasian <strong>Report</strong>ing Awards,<br />

and in doing so, be benchmarked against Australia and<br />

New Zealand best practice reporting in both the public<br />

and private sectors.<br />

The new Centre for Forensic Behavioural Science,<br />

which is highlighted in this <strong>Report</strong>, establishes a multidisciplinary<br />

professional training and research organisation<br />

across <strong>Forensicare</strong> and Monash University. This will<br />

constitute a new, permanent and dynamic infrastructure<br />

supporting and promoting long term sustainability for both<br />

our own specialist clinical services and other public sector<br />

and non-government organisation ‘forensic’ workforces,<br />

ie. Victoria Police, Child Protection, Community Corrections<br />

and very importantly, general mental health service clinicians<br />

and managers across Victoria. While the Centre should be<br />

officially launched in <strong>2006</strong>-2007, the academic training<br />

program, a key component of the Centre’s activities,<br />

commenced in the <strong>2006</strong> academic year.<br />

High quality research productivity remains a centrepiece<br />

of our organisation’s activities. We have demonstrated the<br />

power of our research strategy in building a successful<br />

service. While research outcomes inform policy and<br />

program development, the culture of continual questioning<br />

of our practices drives quality improvement as an inherent<br />

dimension of our business.<br />

Upgraded and strengthened security<br />

Major progress occurred during the year on planning<br />

for the replacement of the security infrastructure at Thomas<br />

Embling Hospital. Funding of $245,000 was received from<br />

the Department of Human Services to support initiation of<br />

the roll-out of security enhancements. Importantly, no major<br />

security incidents occurred during the year.<br />

Developed innovative programs<br />

• Community Integration Program – This small pilot<br />

program targets seriously mentally ill remand and<br />

sentenced prisoners prior to their release from prison<br />

and facilitates effective linkages and referrals to mental<br />

health treatment programs in the community. The<br />

program has demonstrated effective outcomes and is<br />

important, as we know that without intervention this<br />

target population of prisoners is very likely to relapse<br />

into illness and recidivism.<br />

• Problem Behaviour Program – The development<br />

of this clinical assessment, advisory and treatment<br />

program within our small community forensic service<br />

continued during the year. It is an internationally leadingedge<br />

initiative for people who demonstrate worrying<br />

and potentially dangerous behaviour (including sex<br />

offenders), with or without the presence of a formal<br />

Axis I psychiatric diagnosis.<br />

• Consolidating and Strengthening Clinical Programs<br />

– The momentum of the organisation-wide<br />

implementation of this program continued during the<br />

year. This development is seeing <strong>Forensicare</strong> expand its<br />

core business of assessment and treatment of mentally<br />

disordered offenders to incorporate systematic attention<br />

to substance abuse disorders and recidivism reduction<br />

interventions. The initiative recognises the central role<br />

that abuse of substances has in exacerbating mental<br />

disorders and increasing the risk of recidivism.<br />

Pictured at the launch of the Memorandum of Understanding<br />

between the Victorian Institute of Forensic Medicine and<br />

<strong>Forensicare</strong>. From left, The Hon. Jim Kennan, Chair, Victorian<br />

Institute of Forensic Mental Health Council, Professor Stephen<br />

Cordner, Director, Victorian Institute of Forensic Medicine, Michael<br />

Burt, CEO, <strong>Forensicare</strong>, Professor Paul Mullen, Clinical Director,<br />

<strong>Forensicare</strong>, The Hon Bronwyn Pike, Minister for Health, Silvio<br />

Tiziani, CEO, Victorian Institute of Forensic Medicine and The Hon<br />

Rob Hulls, Attorney-General.<br />

Formalising our relationship with the Victorian Institute of Forensic<br />

Medicine. Pictured left, Professor Stephen Cordner, Director<br />

Victorian Institute of Forensic Medicine with Professor Paul Mullen,<br />

Clinical Director, <strong>Forensicare</strong>.<br />

12


Collaborative undertakings<br />

• Victoria Police – The strong relationship developed in<br />

recent years between <strong>Forensicare</strong> and Victoria Police<br />

has continued. Over the past year we provided<br />

assistance and advice in relation to specialist training<br />

for operational Police on the management of mentally<br />

disordered persons. A collaborative and ambitious 5<br />

year research project, which will inform future policing<br />

policy and training, was also initiated.<br />

• Care Plan Assessments Victoria – Our consortia<br />

partnership with the Australian Community Support<br />

Organisation under the government’s innovative Multiple<br />

and Complex Needs Initiative has continued to evolve<br />

and strengthen. Care Plan Assessments Victoria prepares<br />

detailed multi-disciplinary assessments and care plans<br />

on Victoria’s most challenging group of clients.<br />

Continued prison mental health care service<br />

delivery<br />

<strong>Forensicare</strong>’s long-standing provision of specialist mental<br />

health care to Corrections Victoria continued and<br />

strengthened during the year. We commenced providing<br />

services to both the new Metropolitan Remand Centre<br />

and Marngoneet Correctional Centre. In the coming year,<br />

we anticipate a longer-term solution to service delivery<br />

difficulties inherent in the provision of health services to<br />

prisoners. It is encouraging to be advised that the<br />

Department of Justice is engaging expert consultants to<br />

examine the potential for reform and rationalisation of the<br />

current arrangements for providing prisoner health care<br />

in Victoria.<br />

Thank you to our Council and staff<br />

The sound achievements of the past year reflect a<br />

supportive Council, a highly skilled and dedicated senior<br />

management team and staff who are committed to<br />

providing quality care to people in the criminal justice<br />

system who have a mental illness. While being a year of<br />

many achievements, it has also been a year that has had<br />

difficult moments. On a clinical front, we have provided care<br />

and treatment to patients and clients with a high level of<br />

illness acuity, while dealing with what appears to be an<br />

ever-present demand for beds and services. Visitors to<br />

<strong>Forensicare</strong> frequently remark on the professionalism and<br />

friendliness of our staff, and I thank all staff for the skills and<br />

enthusiasm that they demonstrate on a daily basis and their<br />

contribution to our overall success. I would also like to<br />

thank our Chairman, Jim Kennan, and Council members for<br />

their support, vision and the genuine concern that they have<br />

for the continued wellbeing of our patients and clients.<br />

On behalf of <strong>Forensicare</strong> I acknowledge the close working<br />

relationships that we have with the Department of Human<br />

Services, the Department of Justice, the Victorian Institute<br />

of Forensic Medicine and other criminal justice and mental<br />

health agencies with whom we have close contact, in<br />

particular, Monash University, Victoria Police and Australian<br />

Community Support Organisation. We have worked closely<br />

with these agencies over the past year on joint ventures,<br />

and our fruitful and mutually beneficial relationship will<br />

continue over coming years.<br />

Conclusion<br />

Our activities over the past year reflect the ethos of<br />

<strong>Forensicare</strong> - despite being a health care agency, we<br />

accept that we have an inherent responsibility for not<br />

only the best interests of our patients and clients, but<br />

importantly, for the public safety of the Victorian community.<br />

We will continue to direct our energies over the coming year<br />

to providing quality care and protection to all parties. In<br />

doing so, we will rely heavily on the outcomes of our wide<br />

ranging research-related activities. These activities fuel our<br />

capacity building, inform policy, improve clinical programs<br />

and patient outcomes and contribute greatly to our ability<br />

to successfully recruit, retain and develop our specialist<br />

workforce.<br />

Michael Burt<br />

Chief Executive Officer<br />

The Hon Tony Abbott, Federal Minister for Health and Ageing<br />

visiting the Thomas Embling Hospital, pictured with Professor<br />

Paul Mullen, Clinical Director, <strong>Forensicare</strong> (left) and Michael Burt,<br />

CEO, <strong>Forensicare</strong> (right).<br />

13


14<br />

Clinical<br />

Services


Clinical Director’s <strong>Report</strong><br />

A rapid development in forensic mental health services<br />

is occurring in most of Australia’s states and territories.<br />

Tasmania has just opened a new inpatient unit; Queensland<br />

now has a new forensic hospital in Brisbane and a unit in<br />

Townsville; New South Wales is well advanced with plans not<br />

just for a new hospital, but an expansion and reconfiguration<br />

of all of its forensic services; Western Australia is considering<br />

ambitious plans for an expanded services for mentally ill<br />

offenders and a service for seriously personality disordered<br />

recidivist offenders (modelled on the Dangerous and Severe<br />

Personality Disordered Program recently commissioned in<br />

England). The Australian Capital Territory is also giving serious<br />

consideration to developing its own forensic mental health<br />

inpatient and community service. These Australian initiatives<br />

mirror similar developments overseas, where massive<br />

expansions have occurred over the last decade in the<br />

provision primarily of secure forensic inpatient services.<br />

The role of <strong>Forensicare</strong> in service<br />

development<br />

<strong>Forensicare</strong>, both organisationally and through the efforts<br />

of a number of individual staff members, has had the privilege<br />

of contributing to the developments in forensic services in the<br />

other states and territories. The lessons learnt in Victoria over<br />

the last decade are assisting our interstate colleagues in<br />

planning their own services. There is pleasure, and no small<br />

measure of pride, in being regarded to some extent as a<br />

model and a resource for these other services. But there<br />

is also a challenge. These new Australian services have the<br />

opportunity to start from where <strong>Forensicare</strong> reached after<br />

a decade of development.<br />

Already NSW has developed an organisational structure<br />

superior in many aspects to our own and giving priority to the<br />

development of adolescent forensic mental health services,<br />

Western Australia is contemplating what can only be<br />

regarded as an adventurous initiative in the management of<br />

high risk recidivist offenders, and Queensland is seriously<br />

facing up to the challenge of service provision for the mentally<br />

disordered offenders from our indigenous communities. Other<br />

states are leaving us considerably behind in establishing<br />

coordinated programs for sex offenders, particularly child<br />

molesters, in which systematic assessment and management<br />

is provided by integrating forensic mental health and<br />

correctional resources in the common pursuit of a safer<br />

community for our children. <strong>Forensicare</strong>’s days of being able<br />

to assume pre-eminence in the provision of forensic mental<br />

health services in Australia is over. We will now have to strive<br />

to keep up with our interstate colleagues.<br />

Our staff and clinical practice<br />

We still retain in <strong>Forensicare</strong> certain advantages. Our greatest<br />

resource is our staff and the culture of care which has<br />

developed over a decade. Few other mental health services<br />

could even attempt the radical restructuring of clinical<br />

approach represented by the Consolidating and<br />

Strengthening Clinical Programs initiative. This new approach<br />

to clinical practice augments the traditional emphasis on<br />

managing the symptoms of mental illness with an equal<br />

emphasis on both the treatment of substances abuse, and<br />

the improvement of the psychological and social disabilities<br />

which together impair our patients functioning, and increase<br />

their risks of returning to antisocial and violent behaviours.<br />

The culture of care, which employs therapeutic rather than<br />

custodial approaches to behavioural control, enables our<br />

inpatient services to manage the State’s potentially most<br />

violent and disturbed group of patients, without resort to the<br />

intimidation and force implicit in the use of security guards.<br />

Research collaborations between our nursing and psychology<br />

staff have developed systematic approaches to evaluating and<br />

managing the risks of violence in the inpatient context which<br />

are already being adopted in other services around the world.<br />

Looking to the future<br />

We can be proud of the current quality of care delivered by<br />

<strong>Forensicare</strong>, but not complacent. Excellence, particularly in<br />

forensic mental health care, is always fragile, and there is an<br />

ever present risk of reversion to the custodial practices of<br />

institutional oppression which has historically defined secure<br />

forensic services. The energetic and able input from our<br />

consumer consultants is one defence against such<br />

degeneration. The quality of our clinical staff is another. Above<br />

all, we are defended from deteriorating back into the practices<br />

of yesterday by an environment characterised by openness<br />

to new ideas, research, and the self-critical monitoring and<br />

willingness to change which makes quality improvement<br />

a reality. These defences are, for all their apparent solidity,<br />

vulnerable to policy decisions over which we have little control.<br />

We live in a time when punitive responses dominate the<br />

western world’s approach to the fear of crime and criminals.<br />

Imprisonment rates continue to skyrocket, guaranteeing<br />

nothing but larger and larger cohorts of men and women<br />

destined for lives of crime. We also live in a community<br />

where fiscal restraint is bearing heavily on the less politically<br />

appealing areas of state funded health care, including mental<br />

health. We are able to glimpse current signs of more<br />

enlightened approaches from the State Government.<br />

This however, will avail us little without effective advocacy.<br />

We must also make constant efforts to make clear to the<br />

community and their representatives that what we provide at<br />

<strong>Forensicare</strong> is not just good medicine, but a real contribution<br />

to a safer community.<br />

Paul E Mullen<br />

MB BS, DSc., FRANZCP, FRC Psych.<br />

Professor of Forensic Psychiatry, Monash University<br />

Clinical Director, Victorian Institute of Forensic Mental Health<br />

15


Director of Psychological Services’ <strong>Report</strong><br />

Across the organisation, psychologists have continued<br />

to contribute to all areas of <strong>Forensicare</strong>’s operations.<br />

In addition to clinical interventions, psychologists are active<br />

in program and policy development, training and our<br />

ongoing research program.<br />

Centre for Forensic Behavioural Science<br />

In the past year a number of significant milestones have<br />

been passed in the development of the forensic mental<br />

health area between <strong>Forensicare</strong> and Monash University.<br />

Central among these is the development of the Centre for<br />

Forensic Behavioural Science that was approved by the<br />

School of Psychology, Psychiatry, and Psychological<br />

Medicine at Monash University in June <strong>2006</strong>. In 2004 an<br />

independent consultation was undertaken to review the<br />

relationship between <strong>Forensicare</strong> and Monash University.<br />

One of the recommendations of the review was to create<br />

a centre within the University to allow the further<br />

development of the areas of forensic mental health and<br />

forensic behavioural science. While the Centre for Forensic<br />

Behavioural Science is an entity within the university,<br />

<strong>Forensicare</strong> will play a key partner role in the Centre. It is<br />

envisaged that further related agency members will become<br />

affiliated with the Centre in due course. The vision of the<br />

Centre is to become the pre-eminent organisation for<br />

research, training, and consultation in the forensic mental<br />

health and forensic behavioural science areas.<br />

Certificate in Forensic Behavioural Science<br />

This year marked the inauguration of the Certificate<br />

in Forensic Behavioural Science (FBSci) under the<br />

coordination of Dr Andrew Carroll and Dr Kylie Thomson.<br />

Twenty six students from a range of agencies and<br />

professional backgrounds enrolled in the Certificate course.<br />

We are now in the final stages of developing the Graduate<br />

Certificate and Graduate Diploma in Forensic Behavioural<br />

Science that will provide a greater level of training to those<br />

in the field. It is anticipated that the Graduate Diploma will<br />

be offered from the beginning of the 2007 academic year.<br />

Our Staff<br />

Psychologists continue to make strong contributions in<br />

<strong>Forensicare</strong>. Dr Michael Daffern, Principal Psychologist,<br />

has spent the past year in the United Kingdom where he<br />

is working as a Research Fellow with the Peaks Academic<br />

and Research Unit at Rampton Hospital and at Nottingham<br />

University. He is involved in evaluating the Dangerous and<br />

Serious Personality Disorders Unit at Rampton Hospital.<br />

This experience will prove useful to <strong>Forensicare</strong> as we<br />

continue to develop evaluation strategies for our programs<br />

and activities. Dr Kylie Thomson has been Acting Principal<br />

Psychologist in Dr Daffern’s absence. In addition,<br />

Dr Thomson has taken up the post of Manager of the<br />

Problem Behaviour Program in the Community Forensic<br />

Mental Health Services, replacing Lisa Warren who has<br />

taken an academic position at Monash University.<br />

Three new psychologists have joined <strong>Forensicare</strong> in <strong>2005</strong>-<br />

<strong>2006</strong>. Ann Davidson has joined the Thomas Embling<br />

Hospital, and Rachel MacKenzie and Kate McSweeney<br />

have joined the Community Forensic Mental Health Service.<br />

Finally, Chris Drake moved from the Community Forensic<br />

Mental Health Service to the Thomas Embling Hospital.<br />

We welcomed Dr Stuart Thomas, a forensic epidemiologist,<br />

to <strong>Forensicare</strong> in late <strong>2005</strong>. Dr Thomas is employed as a<br />

Lecturer in the Centre for Forensic Behavioural Science at<br />

Monash University and he is working closely with <strong>Forensicare</strong><br />

staff in a number of research and evaluation projects.<br />

Professor James Ogloff<br />

Director of Psychological Services, Victorian Institute<br />

of Forensic Mental Health<br />

Foundation Professor of Clinical Forensic Psychology,<br />

Monash University<br />

16


Nursing Practice Director’s <strong>Report</strong><br />

Nursing at <strong>Forensicare</strong>, as in most mental health services,<br />

comprises by far the greatest number of staff. The value of<br />

nursing, however, and the contribution of nursing to patient<br />

care and service development do not often receive the<br />

deserved attention. The lack of recognition occurs for a<br />

variety of reasons.<br />

Nursing practice at <strong>Forensicare</strong><br />

Nursing practice at <strong>Forensicare</strong> is inspiring, but nurses, by<br />

virtue of their expertise, perceive what they do as ‘ordinary’<br />

and take for granted their contribution. The scope of<br />

nursing knowledge and skill is huge, and brings to mind the<br />

adage that a nurse is a ‘Jack/Jill of all trades and master of<br />

none’. To be contemporary with the vast array of nursing<br />

knowledge and skill is an impossible task. The discipline of<br />

nursing often receives criticism for lacking depth in many<br />

areas, rather than the recognition of possessing a breadth<br />

of knowledge and skill.<br />

Nurses also work in large teams and can be viewed as<br />

interchangeable and the unique expertise of individuals can<br />

be difficult to determine. Due to the large number of nurses,<br />

it is often difficult to capture the range of nursing initiatives<br />

and achievements in reports about nursing. For these and<br />

other reasons, nursing as a discipline is not adept at<br />

promoting nursing accomplishments.<br />

Nurses at <strong>Forensicare</strong> hold significant roles at all levels of<br />

the organisation in management, education, research and<br />

practice. In this report I will make special mention of two<br />

groups - the clinical nurses, and the nurses who are the<br />

middle management group.<br />

Middle management nurses<br />

The middle management nursing group comprises the<br />

team leaders at the Melbourne Assessment Prison, the<br />

Community Forensic Mental Health Service and the unit<br />

managers at Thomas Embling Hospital. These nurses<br />

provide leadership and management in their specific areas<br />

and contribute to service development, education and<br />

research at an organisational level. Consistently meeting the<br />

competing demands of their positions demonstrates that<br />

<strong>Forensicare</strong> has been fortunate to recruit an outstanding<br />

group of nurse middle managers.<br />

Organisational appreciation<br />

Every year a steady stream of nurses from Victoria,<br />

interstate and overseas visit <strong>Forensicare</strong>. The most<br />

consistent feedback describes the nurses as friendly, open,<br />

competent and helpful. Nurses appreciate the opportunities<br />

at <strong>Forensicare</strong>, and while often understated, <strong>Forensicare</strong><br />

appreciates the contribution of nursing.<br />

Trish Martin<br />

Director of Nursing Practice<br />

Clinical nurses<br />

Clinical nurses at the Melbourne Assessment Prison, our<br />

Community program and Thomas Embling Hospital provide<br />

assessment and care of patients who are challenging, have<br />

complex needs and are at high risk of many behaviours of<br />

concern. <strong>Forensicare</strong> nurses continue to provide proficient<br />

care to patients and their carers, while demonstrating<br />

commitment, motivation and satisfaction with their work.<br />

The contribution of clinical nurses to student teaching and<br />

support, our sound level of nursing recruitment and retention,<br />

and to <strong>Forensicare</strong>’s reputation for clinical services cannot be<br />

underestimated.<br />

17


Inpatient Services<br />

18<br />

Strategic objectives<br />

• Provide specialist forensic mental health inpatient<br />

treatment and care to people with a serious mental<br />

disorder in the criminal justice system and those<br />

patients at risk of behaving violently.<br />

• Provide high quality clinical services that meet<br />

regulations, legislative and security requirements.<br />

• Provide liaison and consultative services to public<br />

mental health services and other agencies in relation to<br />

treatment of mentally disordered clients with significant<br />

forensic issues.<br />

Challenges<br />

• Minimising the impact within the organisation of the<br />

international shortage of specialised forensic mental<br />

health clinicians.<br />

• Maintaining the provision of high level services to the<br />

criminal justice system in the face of mounting demand<br />

for care and treatment.<br />

• Ensuring that technology, security and associated<br />

building infrastructure at the Thomas Embling Hospital<br />

remains of the highest calibre.<br />

How we plan to succeed in <strong>2006</strong>-2007<br />

Consolidating and Strengthening Clinical Programs –<br />

• Continue to develop and implement clinical programs<br />

and systems to address patient management<br />

requirements in dual diagnosis and offending behaviour,<br />

as part of the ongoing Consolidating and Strengthening<br />

Clinical Programs project.<br />

• Continue to evaluate the implementation process,<br />

clinical program reform and the outcomes of the new<br />

clinical programs and systems developed to address<br />

management requirements and co-occurring disorders<br />

and offending behaviour.<br />

Security –<br />

• Subject to funding by the Department of Human<br />

Services, implement the findings of the review of<br />

security and associated infrastructure undertaken<br />

in <strong>2005</strong>-<strong>2006</strong>.<br />

• Implement new security maintenance tender<br />

arrangements.<br />

Subject to funding, establish a Campus Program Coordinator<br />

position to develop and implement a whole-ofhospital<br />

approach to therapeutic, vocational, recreational<br />

and educational programs.<br />

Review the Consumer and Carer Participation Plans and<br />

develop a five year strategic plan for consumer and carer<br />

participation.<br />

Provide support and programs to specialist patient<br />

populations that include –<br />

• aged<br />

• adolescents<br />

• culturally diverse<br />

• women<br />

PROFILE<br />

• Thomas Embling Hospital - a 100-bed secure hospital<br />

for patients from the criminal justice system who are<br />

in need of psychiatric assessment and/or care and<br />

treatment for patients from the public mental health<br />

system who require specialised management.<br />

• Specialist prison mental health services at Melbourne<br />

Assessment Prison, and sessional psychiatric<br />

consultations at the larger regional prisons operated<br />

by Corrections Victoria.<br />

• Services provided at Melbourne Assessment Prison<br />

include a 16-bed Acute Assessment Unit (for<br />

assessment of prisoners thought to be mentally ill<br />

and/or at risk), reception assessment program,<br />

outpatient services and after-hours crisis intervention.<br />

KEY OUTCOMES<br />

FUNDING TO INCREASE CAPACITY<br />

OF THOMAS EMBLING HOSPITAL<br />

Pressure on beds at Thomas Embling Hospital continued<br />

to increase during the year, despite measures introduced to<br />

ensure prisoners certified for admission wait no longer than<br />

72 hours for a bed at the hospital. Critically elevated levels<br />

of patient acuity at Thomas Embling Hospital were the most<br />

overt symptom of the underlying system capacity shortfalls.<br />

Pressures from within prisons, from courts and from area<br />

mental health services showed no sign of remitting.<br />

Council proposed an interim service capacity increase<br />

of 18 beds to the Department of Human Services, and we<br />

worked closely with the Department to further develop the<br />

proposal. The proposal for an interim expansion of bed<br />

capacity was approved and funding for this program was<br />

announced by the Minister for Health in May <strong>2006</strong>. Subject<br />

to receiving the requisite planning approvals, it is anticipated<br />

that the new 18-bed inpatient unit will be commissioned<br />

early in 2007.<br />

CONSOLIDATING AND<br />

STRENGTHENING CLINICAL<br />

PROGRAMS<br />

New clinical programs and systems to address patient<br />

treatment requirements in the areas of dual diagnosis and<br />

offending behaviour continued to be developed and<br />

implemented as part of the Consolidating and Strengthening<br />

Clinical Programs initiative. The Implementation Working<br />

Group met fortnightly throughout <strong>2005</strong>-<strong>2006</strong> to oversee the<br />

development and implementation of the initiative across the<br />

organisation. Outcomes in <strong>2005</strong>-<strong>2006</strong> include –<br />

Training<br />

A total of 1,295 training hours on aspects of the<br />

Consolidating and Strengthening Clinical Programs initiative<br />

was provided to clinical staff in <strong>2005</strong>-<strong>2006</strong>.<br />

The training provided included –<br />

Violence Risk Scale –<br />

Additional training was provided to twelve selected staff<br />

on the use of the Violence Risk Scale. This training will be


incorporated in the further development of assessment<br />

tools across the organisation. Three staff undertook ‘Trainthe-Trainer’<br />

sessions on the Violence Risk Scale, and will be<br />

utilised in ongoing staff training.<br />

Therapeutic approaches to offending and dual<br />

diagnosis –<br />

Clinical staff undertook further mandatory training on<br />

therapeutic approaches to offending and dual diagnosis<br />

during the year. In addition, a range of seminars was<br />

conducted by Professors Paul Mullen and James Ogloff<br />

on offending issues and risk assessment and management.<br />

The last mandatory training module on therapeutic<br />

programs was developed and will be delivered later in <strong>2006</strong>.<br />

The complete training program has been revised and is now<br />

available to all new staff on their commencement with<br />

<strong>Forensicare</strong>.<br />

Evaluation<br />

Evaluation measures were developed and the program<br />

evaluation commenced in <strong>2005</strong>-<strong>2006</strong>. Evaluation will<br />

continue during <strong>2006</strong>-2007, and will be ongoing thereafter.<br />

Dr Stuart Thomas (Centre for Forensic Behavioural Science,<br />

Monash University and <strong>Forensicare</strong>) joined the Implementation<br />

Committee to provide assistance with the development of the<br />

overall program evaluation. The evaluation will consider –<br />

• pre and post participation measures<br />

• staff attitude/knowledge/skills<br />

• patient attitudes<br />

• audits - patient clinical file and individual service plans<br />

• changes to clinical culture in relation to Consolidating<br />

and Strengthening Clinical Programs initiative.<br />

Programs<br />

Therapeutic programs have been developed and<br />

implemented within Thomas Embling Hospital. The<br />

programs incorporate campus wide, unit based and gender<br />

specific groups and programs. The group programs that<br />

were provided in <strong>2005</strong>-<strong>2006</strong> include –<br />

VOCATIONAL REHABILITATION<br />

PROGRAM<br />

A working group, chaired by the Senior Occupational<br />

Therapist, was established in May <strong>2006</strong> to lead the<br />

development of the Vocational Rehabilitation Program.<br />

The program was developed following a comprehensive<br />

literature review and identification of a suitable vocational<br />

model for patients residing within a secure environment.<br />

The Vocational Rehabilitation Program aims to enable<br />

patients to develop a career pathway, create and implement<br />

a personalised vocational plan, acquire a repertoire of work<br />

related skills and abilities and for some to be assisted to<br />

engage in suitable employment. The program was initially<br />

provided for patients within the Continuing Care program,<br />

but has subsequently been extended to incorporate all units<br />

within the hospital.<br />

Although the formal program is in its infancy there have<br />

been positive outcomes. Nine patients are undertaking<br />

paid part time employment, and one patient is participating<br />

in voluntary work, in preparation for paid employment.<br />

SERVICE CONTRACTS<br />

New contracts were established during the year for the<br />

provision of security, catering, cleaning, pathology and<br />

pharmacy in Thomas Embling Hospital. Measurable<br />

performance indicators have been implemented and are<br />

being regularly monitored. The new contracted service<br />

arrangements have enabled the following service<br />

enhancements to be achieved –<br />

• improved and environmentally friendly utilisation<br />

of cleaning products<br />

• expansion of the operating hours and scope of the<br />

hospital kiosk.<br />

The on-line provision of pathology results is also being<br />

considered for implementation in <strong>2006</strong>-2007.<br />

The recreation service contract was re-tendered during<br />

the year, and the YMCA was reappointed. Consumer input<br />

was obtained to redevelop the Recreation Services tender<br />

specifications in line with consumer requirements.<br />

Drug and Alcohol (Igniter)<br />

Assertiveness<br />

Coping Better<br />

Keeping Calm<br />

Problem Solving<br />

Conversational Skills<br />

Contemplation (drug and alcohol)<br />

Action (drug and alcohol)<br />

6 sessions per group x 3 groups<br />

12 sessions per group x 4 groups<br />

16 sessions per group x 3 groups;<br />

1 group run on a continuous basis<br />

6 sessions per group x 4 groups<br />

8 sessions per group x 3 groups<br />

20 sessions per group x 2 groups<br />

8 sessions per group x 2 groups<br />

12 sessions per group x 1 group<br />

JUVENILE JUSTICE<br />

<strong>Forensicare</strong> continued to provide a fortnightly consultant<br />

psychiatrist services to the Department of Human Services<br />

Juvenile Justice program. In seeking to build new specialist<br />

capability for this group of adolescent and young adult<br />

offenders, <strong>Forensicare</strong> is supporting the specialist training<br />

in forensic psychiatry (through our program) and child and<br />

adolescent psychiatry (through the Austin Hospital training<br />

program) of the <strong>Forensicare</strong> psychiatrist who provides the<br />

service to Malmsbury. On completion of training, this<br />

psychiatrist will be Victoria’s only specialist forensic child<br />

and adolescent psychiatrist. <strong>Forensicare</strong> will consider<br />

creating an ongoing advanced trainee position in the near<br />

future to consolidate and provide ongoing capability<br />

development in this specialist area of clinical expertise<br />

with young offenders.<br />

19


CAMPUS PROGRAM CO-ORDINATION<br />

The Campus Program Co-ordination project commenced as<br />

a 12 month pilot program in April <strong>2006</strong>. Working to facilitate<br />

the provision of patient programs across Thomas Embling<br />

Hospital, the project has been established to provide –<br />

• an outline of recently provided programs, their relevance<br />

and strategies for improvement<br />

• a centralised process for accessing key information<br />

about all campus run programs to facilitate access<br />

to programs in other units<br />

• centralised access to program resources (outlines,<br />

notes and other equipment required)<br />

• a register of skilled and interested staff members<br />

available to facilitate or assist programs.<br />

PRISON MENTAL HEALTH<br />

SERVICES<br />

<strong>Forensicare</strong> is contracted by Corrections Victoria to provide<br />

the forensic mental health service to prisoners at the<br />

Melbourne Assessment Prison (the state reception prison),<br />

and monthly consultant psychiatrist sessions at Ararat,<br />

Loddon, Tarrengower and Barwon prisons. Consultant<br />

psychiatrists and psychiatric registrars also provide twice<br />

weekly sessions to women prisoners at Dame Phyllis Frost<br />

Centre. Corrections Victoria engaged <strong>Forensicare</strong> during<br />

the year to double service levels at Barwon Prison and to<br />

provide mental health care at the two newly commissioned<br />

prisons, Marngoneet and Metropolitan Remand Centre.<br />

SERVICE ENHANCEMENT PROPOSAL<br />

<strong>Forensicare</strong> lodged a detailed submission with the<br />

Department of Justice in late <strong>2005</strong> to expand mental health<br />

services at Melbourne Assessment Prison. The proposal<br />

included the development of a 30-bed sub-acute stepdown<br />

unit, together with the establishment of a multidisciplinary<br />

clinical team to treat and support this prisoner<br />

group. A decision on the submission has not been reached,<br />

and we will continue to advocate for the expansion of<br />

mental health services within the prison system to meet the<br />

increasing demand for services from mentally ill prisoners.<br />

MELBOURNE ASSESSMENT PRISON<br />

The mental health services at Melbourne Assessment<br />

Prison consist of a 16-bed Acute Assessment Unit, in which<br />

initial assessment and treatment is provided to seriously<br />

mentally ill male prisoners, together with an outpatient<br />

service and a reception assessment service (a mental health<br />

assessment is undertaken on every prisoner received into<br />

custody at the prison). <strong>Forensicare</strong> has a multidisciplinary<br />

staffing profile at the prison that includes psychiatrists,<br />

psychiatric registrars, registered psychiatric nurses, an<br />

occupational therapist, social welfare worker, psychologist<br />

and medical records staff.<br />

Key outcomes for <strong>Forensicare</strong>’s prison mental health service<br />

based at Melbourne Assessment Prison in <strong>2005</strong>-<strong>2006</strong> –<br />

• All performance measures were exceeded during the<br />

year, with minimal additional resources (1 psychiatric<br />

registrar session per week).<br />

• Service demands continued to increase throughout the<br />

year. In particular –<br />

• The high level of acuity of prisoners with a mental<br />

illness remaining at Melbourne Assessment Prison<br />

continued, due primarily to the limited bed availability<br />

at Thomas Embling Hospital. Of a capacity of 276<br />

prisoners, there was an average over the year of<br />

100 prisoners who were unable to be moved from<br />

the prison for mental health reasons.<br />

• The number of prisoners referred for psychiatric<br />

assessment and care increased to 5,782 prisoners<br />

(from 5,661 in 2004-<strong>2005</strong>), and the number of<br />

prisoners assessed on reception to prison increased<br />

to 4,396 (from 3,886 in 2004-<strong>2005</strong>)<br />

• A 12-week program on medication compliance, mental<br />

health issues and living skills was developed by the<br />

occupational therapist and a psychiatric nurse. This<br />

was run as a pilot program for prisoners in the unit that<br />

provides step-down support for prisoners leaving the<br />

Acute Assessment Unit. Evaluation of the program has<br />

been used as the basis for ongoing provision, which will<br />

be subject to funding by Corrections Victoria.<br />

• Three training sessions were provided to correctional<br />

staff during the year on working with people with a<br />

mental illness, and a one-day workshop for correctional<br />

staff working in units with prisoners with a mental illness.<br />

• A close collaborative arrangement was established<br />

with the Community Integration Program, a program<br />

provided by the Community Forensic Mental Health<br />

Service, providing assistance to prisoners with a mental<br />

illness due for release from prison.<br />

• Discussions commenced and are ongoing with mental<br />

health staff at Melbourne Health (Royal Melbourne<br />

Hospital) on developing a service to provide immediate<br />

community care to people with a mental illness granted<br />

bail by the courts.<br />

20


HOW WE MEASURED OUR INPATIENT PERFORMANCE<br />

Our Performance Measures are established annually by the Department of Human Services and can therefore vary from<br />

year to year. In 2004-<strong>2005</strong> the Department of Human Services amended our performance measures – comparative annual<br />

data is only shown for measures that remained unchanged from 2002-2003.<br />

Performance Measures Required by Department of Human Services<br />

Performance Measures Performance Target Outcomes Outcomes Outcomes Outcomes % Change<br />

<strong>2005</strong>-<strong>2006</strong> 2004-<strong>2005</strong> 2003-2004 2002-2003 2003-04 –<br />

<strong>2005</strong>-06<br />

28 day readmission rate 2% 1.52% 3% 1.4% 1.4% 8.6%<br />

Number of inpatient episodes Target not required 122 completed n/a n/a n/a -<br />

Average length of acute inpatient stay Target not required 80 days n/a n/a n/a -<br />

Inpatient episodes with outcome assessments completed Target not required 885 n/a n/a n/a -<br />

Supplementary Performance Measures<br />

Performance Measures Performance Target Outcomes Outcomes Outcomes Outcomes % Change<br />

<strong>2005</strong>-<strong>2006</strong> 2004-<strong>2005</strong> 2003-2004 2002-2003 2003-04 –<br />

<strong>2005</strong>-06<br />

Bed Occupancy Rate 98% 98.8% 99.12% 99.4% 97.2% 0.6%<br />

Percentage of patients who have a physical examination completed<br />

within 48 hours of admission 95% 100% 100% 100% 100% n/c<br />

Number of admissions 176 131 146 149 142 12.1%<br />

Number of individual patients Target not required 124 139 130 131 4.6%<br />

Number of assessments performed for other agencies,<br />

including public mental health services 10 8 11* 25 16 68%<br />

Number of psychiatric and psychological reports prepared for Victorian courts 76 63* 109 111 120 47.5%<br />

Number of escapes from Thomas Embling Hospital 0 0 0 0 0 n/a<br />

Number of patient absconds from a leave 0 1 1 n/a n/a n/a<br />

Percentage of patient leave episodes involving a patient absconding 0% 0.015%+ 0.02%+ 0% 0% 0.015%<br />

Number of category one incidents (other than patient absconding) Target not required 5 1 4 4 25%<br />

Proportion of direct care staff undertaking aggression management<br />

training within 6 weeks of commencement 100% 98.9% 99.26% 99% 99% 0.1%<br />

* Community Forensic Mental Health Services have assumed responsibility for providing assessments for public mental health services.<br />

+ This represents one patient leave episode involving an abscond.<br />

21


THOMAS EMBLING HOSPITAL PROFILE<br />

<strong>2005</strong>-<strong>2006</strong> 2004-<strong>2005</strong> 2003-2004 2002-2003 % Change<br />

(100 beds) (100 beds) (100 beds) (100 beds) 2003-04<br />

– <strong>2005</strong>-06<br />

AVERAGE OCCUPANCY RATE<br />

Acute Program (men) – Argyle, Atherton 99.58% 99.28% 99.4% 97.2% 0.2%<br />

Acute Program (women) – Barossa 99.51% 97.18% 97.9% 93.9% 1.6%<br />

Continuing Care Program – Canning, Bass 99.98% 99.93% 99.9% 96.8% 0.1%<br />

Intensive Rehabilitation Program – Daintree 99.9% 99.79% 100% 96.9% 0.1%<br />

LEGAL STATUS ON ADMISSION<br />

Security Patients<br />

Mental Health Act, s.16(3)(b) – Restricted Hospital Order (transferred from prison) 92% 78% 81.5% 74.5% 12.9%<br />

Sentencing Act, s.93(1)(e) – Hospital Security Order (transferred from court) - 0.7% 4% 7.5% 100%<br />

Forensic Patients<br />

Crimes (Mental Impairment and Unfitness to be Tried) Act 4% 8.3% 9% 6% 55.6%<br />

Involuntary Patients<br />

Mental Health Act, s.12 – Involuntary Patients (transferred from other hospitals) 3% 13% 4.5% 9% 33.3%<br />

Sentencing Act, s.93(1)(d) – Hospital Order (transferred from court) - - 1% 2% 100%<br />

SNAPSHOT OF TOTAL PATIENT POPULATION<br />

30 June <strong>2006</strong> 30 June <strong>2005</strong> 30 June 2004 30 June 2003 % Change<br />

(100 patients) (100 patients) (100 patients) (100 patients) June 2004-<br />

June <strong>2006</strong><br />

PATIENT DIAGNOSIS<br />

Schizophrenia 92% 92% 62% 66% 48.4%<br />

Affective disorders 5% 6% 13% 18% 61.5%<br />

Adjustment disorders - - 4% 1% 100%<br />

Brief psychotic episode - - 9% 2% 100%<br />

Personality disorder 1% 1% 3% 5% 66.7%<br />

Other 3% - 9% 8% 66.7%<br />

LEGAL STATUS<br />

Security Patients<br />

Mental Health Act, s.16(3)(b) – Restricted Hospital Order (transferred from prison) 30+ 36+ 43+ 44+ 30.2%<br />

Forensic Patients<br />

Crimes (Mental Impairment and Unfitness to be Tried) Act 60 52* 49 44 22.4%<br />

Involuntary Patients<br />

Mental Health Act, s.12 – Involuntary Patients (transferred from other hospitals) 3 5 4 3 25.0%<br />

Other<br />

Sentencing Act, s.93(1)(d), Hospital Order; and s.93(1)(e), Hospital Security Order.<br />

(transferred from court) 7 6 4 9 75.0%<br />

+ Includes multiple patients on track for a mental impairment outcome.<br />

* Includes 1 patient who was returned to Thomas Embling Hospital following suspension of Extended Leave.<br />

22


HOW WE MEASURED OUR PERFORMANCE AT MELBOURNE ASSESSMENT<br />

PRISON<br />

Service delivery outcomes for services provided at Melbourne Assessment Prison are detailed in the contract between<br />

Victorian Institute of Forensic Mental Health and Department of Justice. The performance measures listed here show<br />

service delivery information maintained by <strong>Forensicare</strong>.<br />

Performance Measure Outcomes Outcomes Outcomes Outcomes % Change<br />

<strong>2005</strong>-<strong>2006</strong> 2004-<strong>2005</strong> 2003-2004 2002-2003 2003-04 –<br />

<strong>2005</strong>-06<br />

Melbourne Assessment Prison<br />

Number of services provided–<br />

• reception assessments 4,396 3,886 3,568 3,885+ 23.2%<br />

• psychiatric referrals 5,782 5,661 4,689 4,225+ 23.3%<br />

• psychiatric and psychological reports prepared for court 205 199 190 197 7.9%<br />

Acute Assessment Unit – bed occupancy rate 98.46%* 97.45%* 97%* 93.6%* 1.5%<br />

January –<br />

June 2003<br />

Average no. of days between certification and transfer to Thomas Embling Hospital 7.6** 8** 24 15.9 68.3%**<br />

Average number of prisoners waiting for admission to Acute Assessment Unit 8.8 7.5 5 5 76%<br />

+ Due to a problem experienced with an external computer system, this information covers actual data collected for the period 1 October 2002 – 30 June 2003. The data for the<br />

months of July – September 2002 is an average of the nine-month period for which data is available.<br />

* The bed occupancy rate at the Acute Assessment Unit reflects a lower-than experienced rate. Occupancy rates at the Melbourne Assessment Unit are based on actual bed<br />

vacancies at midnight each day. If a prisoner is discharged from the Acute Assessment Unit late in the afternoon, and a replacement prisoner not transferred in to the Unit until the<br />

following morning, the bed is shown as a vacancy in prison records. Records maintained by <strong>Forensicare</strong> indicate an almost 100% occupancy rate.<br />

** This decrease is the result of a change in policy by <strong>Forensicare</strong> regarding admission practices to Thomas Embling Hospital whereby prisoners are admitted to the hospital within<br />

72 hours post-certification.<br />

23


Community Forensic Mental Health Service<br />

Strategic objectives<br />

• Provide specialist community forensic mental health<br />

services to people with a serious mental disorder<br />

in the criminal justice system and people at high risk<br />

of behaving violently.<br />

• Provide multi-disciplinary assessment and treatment<br />

and management of people with a range of problem<br />

behaviours that are, or might become, associated with<br />

offending.<br />

• Provide specialist assessment and treatment for sexual<br />

offenders who have committed serious sexual offences<br />

and pose a high risk to the community.<br />

• Provide an intensive transitional support service to assist<br />

mentally disordered offenders exiting Thomas Embling<br />

Hospital to gain skills for independent community living.<br />

• Provide expert assessment and advice to courts,<br />

corrections, releasing authorities and general mental<br />

health services in relation to the early detection,<br />

assessment, treatment and risk management of<br />

mentally disordered offenders and potential offenders.<br />

• Provide liaison and consultative services and short-term<br />

case management of clients of public mental health<br />

services and other agencies in relation to the treatment<br />

of mentally disordered clients with significant forensic<br />

issues.<br />

Challenges<br />

• To work with area mental health services, community<br />

support services and justice agencies to enhance their<br />

response to mentally ill repeat offenders.<br />

• To stay abreast of developments in risk assessment<br />

technologies and adopt best practice in identifying<br />

and managing the risks our clients pose.<br />

• To continue to embed the learning from the<br />

Consolidating and Strengthening Clinical Practice<br />

training in clinical practice across the community<br />

programs.<br />

• To stay abreast of developments in the treatment<br />

of various problem behaviours through research<br />

and evaluation of treatment models.<br />

How we plan to succeed in <strong>2006</strong>-2007<br />

• Subject to funding, develop and implement an intensive<br />

outreach program to replace the existing transitional<br />

accommodation program (pending the closure of the<br />

existing program due to the planned expansion of<br />

inpatient bed capacity at Thomas Embling Hospital).<br />

• Continue to identify and develop strategies for<br />

implementing Consolidating and Strengthening Clinical<br />

Programs initiatives in the Problem Behaviour Program<br />

and the Mental Health Program.<br />

• Review the Community Integration Program with a view<br />

to further developing effective post release planning for<br />

prisoners with a serious mental illness.<br />

• Together with the Department of Human Services,<br />

provide comprehensive training in relation to the<br />

administration of the Department’s protocols for the<br />

statewide management and treatment of people on<br />

Non-Custodial Supervision Orders.<br />

• Continue the development of a statewide service<br />

for victims of crime, particularly victims of offences<br />

committed by people with a mental illness, victims with<br />

a serious mental illness, victims of stalking and victims<br />

of serious crime.<br />

• Develop a five year strategic plan for Consumer and<br />

Carer Participation, incorporating the involvement of<br />

consumers and carers in service planning, development<br />

and delivery.<br />

• Complete the implementation of the Forensic Risk<br />

Assessment Management Exercise (which focuses<br />

on risk assessment and individual service plans) across<br />

all community programs.<br />

• Subject to funding from the Department of Justice,<br />

provide specialist treatment to individuals with mental<br />

health and problem behaviours diverted by the courts<br />

through Court Integrated Services, a new diversion<br />

initiative of the Attorney-General.<br />

• Work with the Department of Justice to develop and,<br />

subject to funding, implement a voluntary treatment<br />

program for those in the community at greatest risk<br />

of becoming sex offenders.<br />

24


PROFILE<br />

• A statewide service providing assessment and<br />

multidisciplinary treatment services to high risk clients<br />

referred from correctional providers, police, courts,<br />

the Adult Parole Board, the Thomas Embling Hospital,<br />

the Acute Assessment Unit at Melbourne Assessment<br />

Prison, the Psycho Social Unit at Port Phillip Prison,<br />

mainstream mental health services, private psychiatrists<br />

and general practitioners.<br />

• Programs provided –<br />

• Community Forensic Mental Health<br />

• Problem Behaviour<br />

• Transitional Accommodation<br />

• Court Services<br />

• Community Integration<br />

KEY OUTCOMES<br />

COURT LIAISON PROGRAM<br />

A steering committee was established to progress the<br />

implementation of the recommendations relating to<br />

<strong>Forensicare</strong>’s Court Liaison Program that were included<br />

in the review of the statewide mental health court liaison<br />

services. A framework document was completed and<br />

following industrial negotiations the eligibility for court liaison<br />

positions has been broadened to include allied health staff.<br />

Revised program guidelines are now operational and regular<br />

staff development forums for court liaison staff have been<br />

established, with a supervision program led by the Assistant<br />

Clinical Director.<br />

TRANSITIONAL ACCOMMODATION<br />

PROGRAM<br />

A 12 month review of the Transitional Accommodation<br />

Program was undertaken. The review incorporated resident<br />

focus groups and interviews with relevant stakeholders. The<br />

review indicated that the program successfully met its aims<br />

of providing short term supported accommodation to allow<br />

patients of Thomas Embling Hospital to access overnight<br />

leave arrangements at an earlier stage than would otherwise<br />

have been granted.<br />

Implementation of the review recommendations has ceased,<br />

with the imminent closure of the Transitional Accommodation<br />

Program (due to the planned expansion of inpatient bed<br />

capacity at Thomas Embling Hospital). Development of an<br />

alternative intensive outreach service model is underway<br />

to ensure this client group continues to receive support to<br />

assist them to succeed in the transition into the community.<br />

MENTALLY ILL PRISONERS – RELEASE<br />

PLANNING<br />

Funding was received from the Department of Human<br />

Services to establish a post-release integration program to<br />

assist prisoners with serious mental illness transition from<br />

prison into the community. A steering committee was<br />

established to oversee the establishment of the program,<br />

known as the Community Integration Program, and<br />

a forum for stakeholders was held in September <strong>2005</strong>.<br />

The funding enabled the position of Community Integration<br />

Co-ordinator to be filled and the program commenced<br />

operating in January <strong>2006</strong>.<br />

Referrals to the Community Integration Program have been<br />

received from the Melbourne Assessment Prison and Port<br />

Phillip Prison, and in the first six months of operations<br />

linkages for 26 clients were made across a number of<br />

area mental health services, including Mildura.<br />

A six month review of the program confirmed that the<br />

program is now operating at capacity and has been a<br />

critical resource in establishing community linkages for<br />

mentally ill offenders. A 12-month review of the program<br />

will be conducted in early 2007.<br />

NON-CUSTODIAL SUPERVISION<br />

ORDERS<br />

The existing data on Non Custodial Supervision Orders was<br />

successfully transferred to the new reporting system and<br />

the new system is now fully operational. Guidelines and<br />

processes regarding the updating of the data have been<br />

implemented, together with quality assurance processes.<br />

Updated reports from the new data system have been<br />

produced and circulated to assist in the clinical and<br />

administrative management of these orders. Work on the<br />

development of a statewide policy has continued, and a<br />

dedicated sessional consultant psychiatrist recruited to<br />

oversee the management of Non-Custodial Supervision<br />

Order patients and refinement of procedures for liaison<br />

with area mental health services.<br />

VICTIMS OF CRIME<br />

A senior clinician has been appointed to develop the<br />

Victims Assessment Service. At the invitation of the Director<br />

of the Victim Support Agency (VSA), an outline of<br />

<strong>Forensicare</strong>’s proposed fee-for-service specialist Victim<br />

Assessment Service was published in the VSA newsletter<br />

and the co-ordinator attended a regional provider forum.<br />

This is an important strategic initiative for <strong>Forensicare</strong>, and<br />

ongoing high level liaison with VSA is expected to result in<br />

assistance and advice being provided on workforce training<br />

and specialist assessment.<br />

PROBLEM BEHAVIOUR PROGRAM<br />

Staff from the Problem Behaviour Program undertook<br />

training in the use of Structured Forensic Risk Assessment<br />

Tools. These tools provide an assessment of the level of risk<br />

and inform individual treatment plans for clients with sexual<br />

offending and violent behaviours. This structured forensic<br />

risk assessment is now being implemented within the<br />

program.<br />

During <strong>2005</strong>-<strong>2006</strong>, 242 people were referred to the<br />

Problem Behaviour Program from general mental health<br />

services, correctional agencies, courts, general practitioners<br />

and various human services agencies.<br />

25


HOW WE MEASURED OUR COMMUNITY PERFORMANCE IN <strong>2005</strong>-<strong>2006</strong><br />

Performance Measures Required by the Department of Human Services<br />

The Department of Human Services introduced a suite of new performance measures for the Community Forensic Mental<br />

Health Services in <strong>2005</strong>-<strong>2006</strong>. Comparative data is therefore unable to be shown.<br />

Performance Measures Performance Target Outcomes <strong>2005</strong>-<strong>2006</strong><br />

Number of community treatment episodes (at least one treatment episode during a 3 month period) Target not required 1,778<br />

Number of treatment days provided in three month period Target not required 7,767<br />

Number of secondary consultations provided Target not required 341<br />

Community treatment episodes (longer than two treatment days in three month period)<br />

with outcome assessments completed Target not required 150<br />

Supplementary Performance Measures<br />

Performance Measures Performance Outcomes Outcomes Outcomes Outcomes % Change<br />

Target <strong>2005</strong>-<strong>2006</strong> 2004-<strong>2005</strong> 2003-2004 2002-2003 2003-2004<br />

-<strong>2005</strong>-06<br />

Number of continuing clients 200 320 302 241 285 33%<br />

Percentage of Individual Service/Treatment Plans<br />

commenced within 6 weeks of registration 100% 100% 100% n/a n/a n/a<br />

Percentage of section 41(1) reports provided to the court<br />

within the specified time period 100% 100% n/a n/a n/a n/a<br />

Number of new registered clients 150 607 403 234* 166 159%<br />

Number of client separations 150 575 351 321* 162 79%<br />

Number of assessments performed for public<br />

mental health services 50 189 215 191+ 138 1%<br />

Number of assessments performed for other agencies 40 152 100 130 111 17%<br />

Number of psychiatric and psychological reports prepared<br />

for Victorian courts 240 303 328 355 372 15%<br />

Percentage of Non Custodial Supervision Orders<br />

supervised where treatment is not provided by <strong>Forensicare</strong> 100% 100% n/a n/a n/a n/a<br />

Number of category one incidents Target not required 0 1 0 0 n/a<br />

Transitional Accommodation Program<br />

Admissions -<br />

Number of clients on overnight leave Targets not required 8 10 n/a n/a n/a<br />

Number of clients on extended leave 2 2 n/a n/a n/a<br />

* The system for recording new clients was amended during the year, and a category of previously unregistered clients were registered.<br />

+ Community Forensic Mental Health Service assumed responsibility for providing assessments for public mental health services. This measure includes all assessments provided<br />

from the date of transfer of responsibility.<br />

26


PROFILE OF OUR COMMUNITY CLIENTS<br />

A census of all current clients of the Community Forensic Mental Health Service has been conducted on 30 June since<br />

2004. The information covered in the census has expanded since it was first conducted and has enabled us to compile a<br />

profile of our clients to assist our planning and continued development of community programs. Comparative data is shown<br />

for all available categories, although the percentage change is less meaningful for the smaller categories. A full breakdown<br />

of the census data from the Community Forensic Mental Health Service is available on request (tel: 9356 8500) or on our<br />

website, www.forensicare.vic.gov.au<br />

30 June <strong>2006</strong> 30 June <strong>2005</strong> 30 June 2004 % Change<br />

June 2004<br />

– June <strong>2006</strong><br />

Number of clients 154 195 182 17%<br />

CLIENT DIAGNOSIS<br />

Psychosis 43% 33% 28% 54%<br />

Personality disorder 19% 23% 12% 58%<br />

Paraphilias 23% 19% 27% 15%<br />

Affective disorders 12% 15% 12% n/c<br />

Anxiety disorder 1% 8% 2% 50%<br />

Intellectual disability 0% 0% 16%* n/a<br />

Other 2% 2% 3% 33%<br />

PRIMARY OFFENCE<br />

Sexual offence/s 22% 27% 36% 39%<br />

Assault 12% 22% 13% 8%<br />

Homicide 20% 20% 24% 17%<br />

Attempted murder 6% 0 0 n/a<br />

Stalking 7% 10% 6% 17%<br />

Theft 4% 9% 2% 100%<br />

Arson 3% 8% 3% n/c<br />

Threats 1% 3% 3% 67%<br />

Other 9% 1% 2% 350%<br />

Nil 16% 0 11% 45%<br />

* The program provided specifically for clients with an intellectual disability and a mental illness ceased to operate as an independent program in 2004.<br />

27


28<br />

Professional Education and Research


Professional Education<br />

Strategic objectives<br />

• Provide professional education and training to<br />

<strong>Forensicare</strong> staff to further enhance their specialist skills,<br />

expertise and knowledge.<br />

• Continue to develop a learning environment for<br />

<strong>Forensicare</strong> staff to promote critical thinking and<br />

innovation.<br />

• Enhance the responsiveness of teaching institutions,<br />

service providers and agencies to the needs of forensic<br />

mental health patients and clients.<br />

• Promote and develop the specialist skills and<br />

knowledge of practitioners and professionals<br />

in the forensic mental health area.<br />

Challenges<br />

• Make education and training opportunities for staff at<br />

<strong>Forensicare</strong> and area mental health services accessible<br />

and relevant.<br />

• Establish a learning culture that values education and<br />

training as a core element of professional practice and<br />

accountability.<br />

How we plan to succeed in <strong>2006</strong>-2007<br />

• Provide specialised training to area mental health<br />

services and other services, including participation<br />

in NEVIL training activities.<br />

• Ensure evidenced-based education on forensic mental<br />

health issues is provided for staff.<br />

• Provide enhanced support and encouragement for<br />

<strong>Forensicare</strong> clinical staff to undertake tertiary study<br />

in the Graduate Certificate and Graduate Diploma<br />

in Forensic Behavioural Science.<br />

PROFILE<br />

The Professional Education program –<br />

• Operates to identify and facilitate best practice within<br />

<strong>Forensicare</strong>, promote knowledge and expertise in<br />

forensic mental health and enhance responsiveness<br />

to the needs of mental health clients who are offenders<br />

and/or present with challenging behaviours.<br />

• Provides professional education and training on forensic<br />

mental health issues to <strong>Forensicare</strong> staff, area mental<br />

health services, other relevant practitioners and teaching<br />

institutions.<br />

• Incorporates activities appropriate to all disciplines<br />

within <strong>Forensicare</strong>.<br />

KEY OUTCOMES<br />

STAFF INSERVICE AND<br />

PROFESSIONAL EDUCATION<br />

<strong>Forensicare</strong> has a formal Professional Education Program<br />

that provides all staff with weekly inservice and continuing<br />

education opportunities throughout the year. Emphasis<br />

is placed on ensuring that staff have access to ongoing<br />

professional education in areas that are of direct relevance<br />

to forensic mental health.<br />

The program provides education sessions at Thomas<br />

Embling Hospital, the Community Forensic Mental Health<br />

Service and the Melbourne Assessment Prison. Topics<br />

presented cover both forensic-specific and general mental<br />

health issues, and includes internal and external presenters.<br />

Details of the Professional Education Program are available<br />

to all staff in printed form and via the <strong>Forensicare</strong> intra-net.<br />

During the year a total of 5,617 clinical staff training hours<br />

was provided in the Professional Education Program, or<br />

22.03 training hours per staff member (effective full-time<br />

staff member). This training consisted of –<br />

• Consolidating and Strengthening Clinical Programs<br />

(CSCP) – 1,295 training hours were provided to staff<br />

on offending issues and dual diagnosis as part of the<br />

CSCP project. This training will continue during the<br />

coming year. In 2004-<strong>2005</strong>, the year that CSCP was<br />

introduced, a total of 3,776.5 staff training hours was<br />

provided as a component of the initiative.<br />

• A total of 4,321 staff training hours (an increase from<br />

the total of 3,993.5 hours provided in 2004-<strong>2005</strong>) was<br />

provided through the inservice professional education<br />

program. These sessions presented included legal<br />

issues, Mental State Examination, Working with<br />

Families, Pharmacology Management of Aggression,<br />

Interview Skills and Clinical Supervision.<br />

29


ORIENTATION<br />

<strong>Forensicare</strong> has a comprehensive day and a half Orientation<br />

Program that provides all staff (including agency, bank and<br />

contracted staff) with the information necessary to work<br />

within our specialised environment. During <strong>2005</strong>-<strong>2006</strong>, five<br />

Orientation Programs were held which were followed by<br />

a comprehensive orientation to the unit in which the staff<br />

member was allocated.<br />

TRAINING FOR OTHER AGENCIES<br />

Area Mental Health Services<br />

<strong>Forensicare</strong> continues to work closely with area mental<br />

health services and provides a range of specialised training<br />

on forensic issues as requested. During <strong>2005</strong>-<strong>2006</strong>,<br />

24 training sessions were provided specifically for area<br />

mental health services clinicians. The training sessions<br />

were provided for both metropolitan and rural services,<br />

and included one-day seminars and workshops and 2 hour<br />

presentations.<br />

A one day conference specifically designed for mental<br />

health nurses working in area mental health services was<br />

developed and presented in March <strong>2006</strong> by <strong>Forensicare</strong><br />

nursing staff. The conference, ‘Nursing Patients with<br />

Offending Issues’, was attended by 57 area mental<br />

health staff, primarily from nursing, but also allied health<br />

disciplines. Other workshops provided included risk<br />

assessment and working with patients who offend.<br />

North East Victoria into Learning (NEVIL)<br />

Cluster Group<br />

Established by the Department of Human Services<br />

in <strong>2005</strong> as one of three statewide training groups,<br />

<strong>Forensicare</strong> is a member of the North East Victoria Into<br />

Learning (NEVIL) cluster, together with Austin Health,<br />

Eastern Health, Goulburn Valley Health, North East Hume<br />

and St Vincent’s. The statewide groups were established<br />

to bring together community, adult and aged agencies in<br />

specific regions to provide a range of learning initiatives for<br />

staff that utilised shared expertise. Involvement in the cluster<br />

group has provided <strong>Forensicare</strong> staff with access to a broad<br />

range of training opportunities, including a 2-day workshop<br />

on suicide prevention training, and seminars on borderline<br />

personality disorders and family sensitive practice.<br />

In <strong>2005</strong>-<strong>2006</strong> <strong>Forensicare</strong> provided the following for NEVIL<br />

cluster members –<br />

• a 1-day workshop on risk assessment and management<br />

• hosted a 1-day planning day<br />

• two x 1-day workshops (one metropolitan and one rural<br />

- Benalla) on working with complex clients with forensic<br />

issues<br />

• A half day workshop (rural - Wangaratta) on working<br />

with complex clients with forensic issues.<br />

No. of students<br />

Training and Support Provided to External<br />

Agencies<br />

<strong>Forensicare</strong> has an active education and training program<br />

that focuses on enhancing knowledge and skills of forensic<br />

mental health issues. During the past year we provided 23<br />

sessions to external agencies (in 2004-<strong>2005</strong>, 30 sessions<br />

were provided). These sessions included training for court<br />

staff on working with offenders with a mental illness and a<br />

presentation to staff from the Office of Health Commissioner<br />

on ‘threateners’. Staff delivered 97 formal presentations and<br />

papers to professional forums (109 papers were presented<br />

in 2004-<strong>2005</strong>). The decrease in formal presentations reflects<br />

the high number of staff presentations at the 5th <strong>Annual</strong><br />

International Association of Forensic Mental Health Conference,<br />

held in Melbourne in the previous reporting period.<br />

CLINICAL PLACEMENTS<br />

<strong>Forensicare</strong> has a strong commitment to providing clinical<br />

student placements across the organisation. In addition<br />

to being a major platform of our recruitment policy, it is<br />

an important component of our professional education<br />

program. Student placements in all disciplines within<br />

<strong>Forensicare</strong> continue to be highly sought, and we have<br />

established formal affiliations with the tertiary institutions<br />

providing clinical courses.<br />

To clarify responsibilities from an insurance and liability<br />

perspective we introduced formal contract agreements with<br />

tertiary institutions for student placements in <strong>2005</strong>-<strong>2006</strong>.<br />

This is consistent with the practice adopted by other public<br />

sector health agencies.<br />

During <strong>2005</strong>-<strong>2006</strong>, 218 student placements were provided<br />

across the organisation in all clinical disciplines – social<br />

work, occupational therapy, psychology, nursing and<br />

psychiatry.<br />

Clinical Student Placements<br />

240<br />

235<br />

230<br />

225<br />

220<br />

215<br />

210<br />

205<br />

200<br />

01/02 02/03 03/04 04/05 05/06<br />

The number of placements provided has decreased since 2002-2003, when the practice<br />

of having 5th year medical students on placement at <strong>Forensicare</strong> was discontinued due<br />

to new learning requirements introduced by the two teaching universities.<br />

30


GRADUATE AND POSTGRADUATE<br />

NURSE PROGRAM<br />

The Graduate Nurse Program was offered by <strong>Forensicare</strong><br />

in <strong>2005</strong>-<strong>2006</strong>.This is a one year program that incorporates<br />

4 academic subjects. If successfully completed, participants<br />

can undertake a second postgraduate year,where a further<br />

4 academic subjects lead to a Postgraduate Diploma in<br />

Mental Health Nursing and psychiatric endorsement with<br />

the Nurses Board of Victoria. Co-ordinated by the Clinical<br />

Nurse Educator, the program had 9 graduate nurse<br />

participants in <strong>2005</strong>-<strong>2006</strong>. A Postgraduate Nurse Program<br />

was also offered, and had 1 participant.<br />

OCCUPATIONAL THERAPY<br />

Dr Louise Farnworth (Head, Occupational Therapy, Monash<br />

University) was engaged on a part-time basis to provide<br />

specific professional development, support and guidance<br />

to the Occupational Therapy Service within <strong>Forensicare</strong> in<br />

<strong>2005</strong>-<strong>2006</strong>. Dr Farnworth focussed on providing direction<br />

to the occupational therapists on the application of current<br />

evidence-based practice, together with specialised input at<br />

their bi-monthly research meetings. This specific professional<br />

development for occupational therapists has resulted in the<br />

commencement of three broad ranging research studies,<br />

which will be completed during the coming year.<br />

EDUCATIONAL AFFILIATIONS<br />

<strong>Forensicare</strong> has formally established affiliations with Monash<br />

University and The University of Melbourne. Additional<br />

affiliations have also been developed through student<br />

placements with Deakin University, RMIT University, Victoria<br />

University of Technology, Australian Catholic University,<br />

University of South Australia and Charles Sturt University.<br />

MAJOR PRESENTATIONS IN <strong>2005</strong>-<strong>2006</strong><br />

Professor Paul Mullen<br />

Director of Clinical Services<br />

International<br />

21 22 July <strong>2005</strong>, Johor Mental Health Convention, Johor<br />

Bahru, Malaysia<br />

Presentation on ‘Assessing the Risk of Violent Behaviour<br />

in the Mentally Disordered’ and Plenary session on ‘Mental<br />

Disorder and Criminal Offending: The Myths and the<br />

Realities’<br />

5 September <strong>2005</strong>, St Georges Academic Meeting,<br />

London, UK<br />

Presentation on ‘Querulant and Vexatious Litigants’<br />

5 - 6 September <strong>2005</strong>, Institute of Psychiatry Conference -<br />

‘Phenomenology and Psychiatry’, London, UK<br />

Presentations on ‘The Phenomenology of the Querulous<br />

Complainant’ and ‘History of Phenomenology’<br />

12 - 13 September <strong>2005</strong>, North London Forensic Service,<br />

8th International Conference, London, UK<br />

Presentation on ‘Fear Psychiatry and the State’<br />

21-25 September <strong>2005</strong>, Irish Medical Society, Dublin<br />

Presentation on ‘Querulous Complainers’<br />

28 – 30 September <strong>2005</strong>, British Home Office Conference -<br />

Management and Treatment of Dangerous Offenders, York, UK<br />

Presentation on ‘The Australian Experience with Dangerous<br />

Offenders: Problem Behaviour Clinic’, and Closing Keynote<br />

Address on ‘Where we are, what we know and the<br />

challenges facing us in the future’<br />

15-19 October <strong>2005</strong>, Medico Legal Society, New Zealand<br />

Daily presentations to Medico Legal Society groups<br />

10 February <strong>2006</strong>, New Zealand Bioethics Conference,<br />

‘Making People Better’, Dunedin, New Zealand<br />

Presentation on ‘Hate in the Age of Terrorism’<br />

8 March <strong>2006</strong>, NZ Early Intervention in Psychosis Training<br />

Forum, Christchurch, New Zealand<br />

Keynote address on ‘Understanding and Preventing<br />

Violence in the Schizophrenias’<br />

National<br />

5 July <strong>2005</strong>, Clinical Presentation, Melbourne<br />

Presentation on ‘Stalkers and their Victims’<br />

7 July <strong>2005</strong>, Clinical Presentation, Bendigo, Victoria<br />

Presentation on ‘Disorders of Passion: Jealousy and<br />

Violence’<br />

12 July <strong>2005</strong>, Afternoon Presentation to Consultants<br />

and Registrars, Graylands Hospital, Perth<br />

Presentation on ‘Pathologies of Love’<br />

12 July <strong>2005</strong>, Presentation to Private Hospital Consultants,<br />

Graylands Hospital, Perth<br />

Presentation on ‘Stalkers and their Victims’<br />

16 July <strong>2005</strong>, Clinical Presentation, Melbourne<br />

Presentation on ‘Reducing the Risk of Violence in those<br />

with Schizophrenia’<br />

26 July <strong>2005</strong>, Sunshine Hospital – Mental Health Education<br />

Centre, Melbourne<br />

Presentation on ‘Developing Mental Health Services for<br />

Victoria’<br />

11-13 August <strong>2005</strong>, Royal Australian and New Zealand<br />

College of Psychiatrists, Section of Forensic Psychiatry<br />

Conference, Gold Coast, Queensland<br />

Plenary session on ‘From Enthusiasm to Hatred’<br />

16 August <strong>2005</strong>, Clinical Presentation, Melbourne<br />

Presentation on ‘Pathologies of Love’<br />

7 October <strong>2005</strong>, FICIS 3rd <strong>Annual</strong> Conference, Melbourne<br />

Presentation on ‘Why do people complain?’<br />

11 October <strong>2005</strong>, Northern CAT Team and Broadmeadows<br />

CAT Team, Melbourne<br />

Presentation on ‘Violence and Schizophrenia’<br />

13-14 October <strong>2005</strong>, Multidisciplinary Mental Health<br />

Conference, Justice Health, Sydney<br />

Presentation on ‘Substance abuse, mental disorder and<br />

offenders’<br />

26 October <strong>2005</strong>, Clinical Presentation, South Yarra<br />

Presentation on ‘Morbid Jealousy’<br />

2 November <strong>2005</strong>, Glenside Hospital – Grand Round,<br />

Adelaide<br />

Presentation on ‘Psychosis and Crime’<br />

31


32<br />

8 November <strong>2005</strong>, Clinical Presentation, Melbourne<br />

Presentation on ‘Stalking of Health Professionals’<br />

17 November <strong>2005</strong>, Educational Case Conference,<br />

Bendigo Health Care Psychiatric Services<br />

Presentation on ‘Disorders of Passion: Jealousy and<br />

Violence’<br />

8 November <strong>2005</strong>, Supreme Court Judges, Melbourne<br />

Presentation on ‘Vexatious Litigants’<br />

21-23 November <strong>2005</strong>, Psychiatrists meeting,<br />

Western Australia<br />

Presentation on ‘Pursued by Patients’<br />

1 December <strong>2005</strong>, Royal North Shore Hospital, Sydney<br />

Presentation on ‘Schizophrenia, Substance Abuse and<br />

Offending’<br />

23-24 February <strong>2006</strong>, TheMHS Conference, Sydney<br />

Presentations on ‘Anti-social and Violent Behaviours -<br />

Association with Mental Disorder’ and ‘Can We Prevent<br />

Violent Behaviour Emerging in Major Mental Disorders?’<br />

26 February <strong>2006</strong>, Pfizer Neuroscience Forum, Canberra<br />

Presentation on ‘The Dangerously Seriously Personality<br />

Disordered: do they exist and, if so, what can be done to<br />

reduce the risks they represent?’, and interactive session<br />

participation in discussion panel.<br />

28 February <strong>2006</strong>, Clinical Presentation, Melbourne<br />

Presentation on ‘Substance Abuse, Mental Disorder<br />

and Violent Offending’<br />

1 March <strong>2006</strong>, Clinical Presentation, Melbourne<br />

Presentation on ‘Stalkers of Health Professionals’<br />

4 March <strong>2006</strong>, Mental Health Review Tribunal <strong>Annual</strong><br />

Members’ Conference, Brisbane<br />

Presentation on ‘Strengths and Weaknesses of Risk<br />

Assessment’, and Panel Discussion – ‘Is the Patient<br />

Not an Unacceptable Risk?’<br />

16-18 March <strong>2006</strong>, Meeting Series, Brisbane<br />

Presentations on ‘Stalking of Health Professionals’,<br />

‘Schizophrenia and Violence: From Correlation to<br />

Prevention’, ‘The Querulant and Vexatious Litigant’,<br />

‘Assessment of Fitness for Trial’, ‘Risk Assessment<br />

and Risk Management in Mental Health Practice’,<br />

and ‘Being an Expert Witness’<br />

23-25 March <strong>2006</strong>, Post Graduate Educational Weekend,<br />

Sydney<br />

Presentations on ‘Schizophrenia and Violence: From<br />

Correlations to Prevention’ and ‘Threats of Violence -<br />

Assessing and Managing an Everyday Clinical Problem’<br />

29 March <strong>2006</strong>, Clinical Presentation, Melbourne<br />

Presentation on ‘Substance Abuse, Mental Disorder and<br />

Violent Offending’<br />

12 April <strong>2006</strong>, Grand Round, Glenside Hospital, Adelaide<br />

Presentations on ‘Mental Disorder and Offending<br />

Behaviours’ and ‘Stalking of Health Professionals’<br />

13 April <strong>2006</strong>, Joint Chiefs of Staff, Department of Defence,<br />

Canberra<br />

Presentation on ‘Complainants’<br />

2 May <strong>2006</strong>, ANZAPPL Dinner Meeting, Melbourne<br />

Presentation on ‘Hate in the Age of Terrorism’<br />

8 May <strong>2006</strong>, Fairness and Resolution Branch Seminar,<br />

Department of Defence, Canberra<br />

Workshops on ‘Managing Unusually Persistent and Difficult<br />

Complainants’, ‘Managing Threats in the Workplace’ and<br />

‘Managing Workplace Stalking’<br />

25 May <strong>2006</strong>, Dual Diagnosis/Mental Health Branch Forum,<br />

Melbourne<br />

Presentation on ‘Co-occurring Substance Abuse and Major<br />

Mental Illness’<br />

9 June <strong>2006</strong>, Eric Seal Seminar Series, University of<br />

Melbourne, St Vincent’s’ Hospital<br />

Presentation on ‘Stalking of Mental Health Professionals’<br />

Professor James Ogloff<br />

Director of Psychological Services<br />

International<br />

21-25 November <strong>2005</strong>, New Zealand Psychological<br />

Society, Christchurch and Auckland<br />

Training on ‘The Assessment of Risk for Violence Among<br />

Offenders and Psychiatric Patients: the HCR-20 and the<br />

START’.<br />

5-9 December <strong>2005</strong>, North London Forensic Service,<br />

London<br />

Training on ‘Enhancing Assessment and Treatment of<br />

Violence, Offending Issues and Dual Diagnosis in Mentally<br />

Disordered Offenders’.<br />

February <strong>2006</strong>, Visiting Expert Scheme, Ministry of Health,<br />

Singapore<br />

Five day training and service review<br />

14 June <strong>2006</strong>, 6th <strong>Annual</strong> International Association of<br />

Forensic Mental Health Services Conference, Amsterdam<br />

Presentation on ‘The Australian and New Zealand<br />

Experience with the Preventative Detention of Sexual<br />

Offenders – Clinical Perspectives and the Role of Risk<br />

Assessment’<br />

National<br />

11-13 August <strong>2005</strong>, RANZCP <strong>Annual</strong> Conference,<br />

Gold Coast, Queensland<br />

Workshop (with Paul Mullen) on ‘Courtroom Skills’.<br />

Presentation on ‘The Psychopathy/Antisocial Personality<br />

Disorder Conundrum’. Round Table on ‘Risk Assessment<br />

and Management’<br />

18 August <strong>2005</strong>, Caulfield Aged Psychiatry, Caulfield<br />

General Medical Centre<br />

Presentation on ‘Psychiatric Illness in Offending’<br />

1-2 September <strong>2005</strong>, Long Bay Correctional Complex,<br />

NSW<br />

Training workshop (with Michael Davis) on ‘Risk Assessment<br />

and Management’<br />

16 September <strong>2005</strong>, Victoria Police (senior management).<br />

Presentation on ‘Mental Illness and Offending: Implications<br />

for Policing’


14 October <strong>2005</strong>, Mental Health Conference of Justice<br />

Health and Australian and New Zealand College of Mental<br />

Health Nurses, NSW Branch, Sydney<br />

Presentation on ‘Structured Professional Judgement<br />

in Violence’<br />

18 October <strong>2005</strong>, International Institute of Forensic Studies<br />

and Australian Advocacy Institute’s Third <strong>Annual</strong><br />

Conference, Cable Beach, WA<br />

Workshop on ‘The Future of Self-Regulation of Experts<br />

in Psychiatry and Psychology’<br />

24 January <strong>2006</strong>, Supreme and Federal Courts Judges’<br />

Conference, Brisbane<br />

Presentation on ‘The Jury Project: Communicating with<br />

the Jury’, and panel discussion<br />

10 February <strong>2006</strong>, Sentencing Conference, Australian<br />

National University and National Judicial College of<br />

Australia, Canberra<br />

Presentation on ‘Sentencing: Principles, Perspectives<br />

and Possibilities’<br />

24 March <strong>2006</strong>, Grand Round, Alfred Hospital, Melbourne<br />

Presentation on ‘Spanning the Boundaries: Mental Health<br />

in the Criminal Justice System’<br />

10 May <strong>2006</strong>, Australian Conference of Parole Boards<br />

and Authorities, Sydney<br />

Presentation on ‘Assessing Risk for Violence in the Parole<br />

Context’<br />

29-30 May <strong>2006</strong>, Centre for Mental Health, Brisbane<br />

Two day training on HCR<br />

19-21 June <strong>2006</strong>, Bayview Conference Centre, Melbourne<br />

Three day training on PCL-R<br />

28 June 28 <strong>2006</strong>, Correctional Services Ministers’<br />

Conference, Adelaide<br />

Presentation on ‘Mental Illness and Corrections’.<br />

HOW WE MEASURED OUR PROFESSIONAL EDUCATION PERFORMANCE<br />

IN <strong>2005</strong>-<strong>2006</strong><br />

Our Performance Measures are established annually by the Department of Human Services.<br />

Performance Measures Performance Targets Outcomes Outcomes Outcomes Outcomes % Change<br />

<strong>2005</strong>-<strong>2006</strong> <strong>2005</strong>-<strong>2006</strong> 2004-<strong>2005</strong> 2003-2004 2002-2003 2003-04 – <strong>2005</strong>-06<br />

Number of education and training sessions<br />

provided to area mental health services 18 24 24 22* 17 9.1%<br />

Number of education and training sessions<br />

provided to other agencies 20 23 30 28* 50 17.9%<br />

Number of formal presentations and papers<br />

delivered to professional forums 30 97 109 94 94 3.2%<br />

Number of professional education<br />

placements provided 150 218 212 215 235 1.4%<br />

* The added focus placed on providing education and training sessions to area mental health services in 2003-2004 resulted in a decrease (from 2002-2003) in the amount<br />

of time able to be spent on providing education and training sessions to other agencies.<br />

One day workshop provided for Corrections<br />

Victoria staff on ‘Working with Prisoners with<br />

a Mental Illness’.<br />

33


Research<br />

34<br />

Strategic objectives<br />

• Undertake and publish high quality, relevant and timely<br />

research.<br />

• Improve delivery and advance knowledge of specialist<br />

forensic mental health services.<br />

Challenges<br />

• Ensure that research contributes to clinical practice.<br />

• Successfully access research grants and funding.<br />

How we plan to succeed in <strong>2006</strong>-2007<br />

Under the auspice of the Research Committee, undertake<br />

research on –<br />

• the effectiveness and impact of the Crimes (Mental<br />

Impairment and Unfitness to be Tried) Act 1997<br />

• risk management and risk management tools<br />

• stalkers and their victims<br />

• threats to kill<br />

• sex offending, including the use of child internet<br />

pornography<br />

• the role of nursing in improving mental health outcomes<br />

and evidence based psychiatric nursing practice<br />

• substance abuse and mental illness<br />

• inpatient aggression<br />

• cognitive behaviour therapy with forensic patients<br />

• prevalence of offenders with a mental illness re-entering<br />

prison in the context of a relapse of their mental illness<br />

• violence on the roads.<br />

Investigate and develop service options for the provision<br />

of specialist forensic services for –<br />

• sex offenders<br />

• aged/elderly patients and clients.<br />

Continue to investigate policing issues in respect to mentally<br />

ill people, in anticipation of a successful funding outcome<br />

from the Australian Research Council (outcome to be<br />

determined in November <strong>2006</strong>).<br />

Continue to pursue consultancy and grant application<br />

opportunities to assist in underwriting our professional<br />

education and research program.<br />

PROFILE<br />

<strong>Forensicare</strong> has a sound research base and a strong<br />

commitment to supporting research throughout the<br />

organisation. The research program ensures that high<br />

quality research is undertaken to better inform clinical<br />

practice in the provision of public mental health services.<br />

<strong>Forensicare</strong> is also committed to disseminating research<br />

findings to area mental health services and other<br />

stakeholders. Responsibility for the research program rests<br />

with the Clinical Director, and all research projects are<br />

approved by the Research Committee, a committee of the<br />

Council. All staff are encouraged to participate in the research<br />

program, and during <strong>2005</strong>-<strong>2006</strong> 10% of <strong>Forensicare</strong>’s clinical<br />

staff were actively involved in research projects.<br />

KEY OUTCOMES<br />

ANNUAL RESEARCH REPORT<br />

Full details of <strong>Forensicare</strong>’s research program in <strong>2005</strong>-<strong>2006</strong>,<br />

including featured published research, are provided in a<br />

separate publication, the <strong>Annual</strong> Research <strong>Report</strong> to<br />

Council. Copies of this report are available from the<br />

Chief Executive Officer (Locked Bag 10, Fairfield, 3078,<br />

or tel 03 9495 9143) or from our website –<br />

www.forensicare.vic.gov.au<br />

PUBLISHED RESEARCH <strong>2005</strong>-<strong>2006</strong><br />

Journal Articles<br />

Daffern M., Ogloff J R P., Ferguson M., Thomson L. <strong>2005</strong>.<br />

‘Assessing Risk for Aggression in a Forensic Psychiatric<br />

Hospital Using the Level of Service Inventory-Revised:<br />

Screening Version’. International Journal of Forensic Mental<br />

Health. 4 (2) 201-206<br />

Daffern M., Ogloff J.R.P., Lee J. <strong>2005</strong>. ‘Individual<br />

characteristics predisposing patients to aggression in a<br />

forensic psychiatric hospital’. Journal of Forensic Psychiatry<br />

and Psychology. 16 (4) 729-746.<br />

Daffern M., Mayer M.M., Martin T. <strong>2006</strong>. ‘Staff gender ratios<br />

and aggression in a forensic psychiatric hospital’.<br />

International Journal of Mental Health Nursing. 15, 93-99.<br />

Davidson, S. C., Moss, S. <strong>2006</strong>. ‘The Effect of Marital<br />

Adjustment on the Association between Police Officers'<br />

Traumatic Distress and Trauma Disclosure’. The Canadian<br />

Journal of Police and Security Services. 4(1): 35-45.<br />

Enticott P,G., Ogloff J.R.P. <strong>2006</strong>. ‘Elucidation of Impulsivity’.<br />

Australian Psychologist. 41 (1) 1-12.<br />

Enticott P,G., Ogloff J.R.P., Bradshaw J.L. <strong>2006</strong>.<br />

‘Associations between laboratory measures of executive<br />

inhibitory control and self reported impulsivity’. Personality<br />

and Individual Differences. 41 285-294.<br />

Hanlon C., Fekadu D., Sullivan D., Alem A., Prince M. <strong>2006</strong><br />

‘Teaching Psychiatry in Ethiopia’. International Psychiatry.<br />

3(2) 17-20.<br />

Happell B., Martin T. <strong>2005</strong>. ‘Changing the culture of mental<br />

health nursing: The contribution of nursing clinical<br />

development units.’ Issues in Mental Health Nursing.<br />

26, 921-933.


Leese M., Shaw J., Thomas S., Mohan R., Harty M.A.,<br />

Dolan M. <strong>2006</strong>. ‘Ethnic Differences Among Patients in High<br />

Secure Psychiatric Hospitals in England.’ British Journal of<br />

Psychiatry. 188, 380-385.<br />

Martin T., Daffern M. <strong>2006</strong>. ‘Clinical perceptions of personal<br />

safety and confidence to manage inpatient aggression in<br />

a forensic psychiatric setting’. Journal of Psychiatric and<br />

Mental Health Nursing. 13, 90-99.<br />

Mullen, P.E. <strong>2005</strong> ‘Facing up to our responsibilities:<br />

Commentary on… The Draft Mental Health Bill in England:<br />

without principles’. The Psychiatric Bulletin. 29 (7).<br />

Mullen P.E., Lester G. <strong>2005</strong>. ‘Vexatious Litigants and<br />

Unusually Persistant Complainants and Petitioners: From<br />

Querulous Paranoia to Querulous Behaviour’. Behavioural<br />

Sciences and the Law. 23: 1-17.<br />

Mullen P.E. <strong>2006</strong>. ‘Schizophrenia and Violence: from<br />

correlations to preventative strategies’. Advances in<br />

Psychiatric Treatment. 12: 239-248.<br />

Nicholls T.L., Ogloff J.R.P., Brink J., Spidel A. <strong>2005</strong>.<br />

‘Psychopathy in women: A review of its clinical utility for<br />

assessing risk for aggression and criminality’. Behavioural<br />

Sciences and the Law. 23 (6) 779-802.<br />

Ogloff J. R. P. <strong>2006</strong>. ‘Psychopathy/antisocial personality<br />

disorder conundrum’. Australian and New Zealand Journal<br />

of Psychiatry. 40 (6/7) 519-528.<br />

Purcell R., Pathé M., Mullen P.E. <strong>2005</strong>. ‘Association<br />

between stalking victimisation and psychiatric morbidity in<br />

a random community sample’. British Journal of Psychiatry.<br />

187, 416-420.<br />

Sullivan D.H., Mullen P.E., Pathe M.T. <strong>2005</strong>. ‘Legislation in<br />

Victoria on sexual offenders: issues for health professionals’.<br />

The Medical Journal of Australia. 183 (7).<br />

Sullivan D.H., Mullen P.E. <strong>2006</strong>. ‘Forensic Mental Health’.<br />

Australian and New Zealand Journal of Psychiatry. 40 (6/7)<br />

505-507.<br />

Tye C.S., Mullen P.E. <strong>2006</strong>. ‘Mental Disorders in Female<br />

Prisoners’. Australian and New Zealand Journal of<br />

Psychiatry. 40 (3) 266-271.<br />

Walterfang M., Fietz M., Fahey M., Sullivan D., Leane P.,<br />

Lubman D., Velakoulis D. <strong>2006</strong> ‘The Neuropsychiatry of<br />

Niemann-Pick Type C Disease in Adulthood’. Journal of<br />

Neuropsychiatry and Clinical Neurosciences. 18,158-170.<br />

Books<br />

Ogloff J.R.P., Clough J., Goodman-Delahunty J., Young W.<br />

<strong>2006</strong>. ‘The Jury Project: Stage 1-A survey of Australian and<br />

New Zealand Judges’. The Australian Institute of Judicial<br />

Administration Incorporated.<br />

Purcell R., Powell M.B., Mullen P.E. <strong>2005</strong>. ‘Clients Who<br />

Stalk Psychologists: Prevalence, Methods, and Motives’.<br />

Professional Psychology: Research and Practice. 36 (5)<br />

537-543.<br />

OUTCOMES OF SELECTED RESEARCH COMPLETED DURING <strong>2005</strong>-<strong>2006</strong><br />

RESEARCH PROJECT CLINICAL OUTCOME<br />

An investigation into serious violence associated<br />

with motor vehicle use: Is ‘road rage’ a valid<br />

or useful construct?<br />

Andrew Carroll, Anne Davidson and James Ogloff<br />

This study, supported by a Project Grant from the Criminology Research Council, examined data from convicted offenders<br />

in Victoria to determine whether the perpetrators of, and interpersonal triggers for, violence occurring on the roads differ<br />

between road and non-road contexts. Data was compared from 31 cases of road violence with 31 cases of violence<br />

against strangers which resulted in similar charges, but which occurred in non-road contexts. There were no significant<br />

differences between cases and controls on any demographic, criminological or psychiatric variables, except for ethnicity.<br />

In the road context, the triggering incident was most likely to be coded as an act of recklessness, which appeared to<br />

pose a threat to the safety of the other party. Off the roads, the most common trigger was an apparent threat to the<br />

other party’s status. In both contexts, the initial trigger was as likely to be perpetrated by the eventual victim as the<br />

offender. The study provides support for causal models of road violence that emphasise personological rather than<br />

environmental factors, and also has implications for preventative strategies.<br />

Factors involved in the administration of PRN<br />

psychotropic medications by registered nurses<br />

on an acute all-male forensic psychiatric unit<br />

Ros Young<br />

Inhibitory Control and Aggression Among<br />

Inpatients at a Secure Hospital<br />

James Ogloff, Michael Daffern, Peter Enticott<br />

Pro re nata (PRN) medications are administered to patients as the need arises, according to the patient’s circumstances<br />

or situations, and is one of the most autonomous skills of nurses. Registered nurse participants were interviewed to<br />

identify, explore and clarify the factors involved in the administration of PRN psychotropic medications on an all-male<br />

forensic psychiatric unit. The study found that many factors were considered when deciding to give out PRN medication,<br />

including mental state and risk assessments, medication choices, education, training and nursing experiences. This study<br />

adds to limited studies investigating this important topic.<br />

Violent offender inpatients at Thomas Embling hospital were administered various neuropsychological measures of<br />

inhibitory control and impulsivity, and performance was compared to that of a community comparison sample. Inpatients<br />

demonstrated impairment in several aspects of behavioural and cognitive inhibitory control, possibly reflecting<br />

neuropsychological deficits associated with prefrontal brain regions. Impaired performance on these inhibition tasks,<br />

however, was minimally associated with self-reported impulsivity, and did not prospectively predict inpatient aggression<br />

within Thomas Embling Hospital.<br />

35


RESEARCH IN PROGRESS AT 30 JUNE <strong>2006</strong><br />

Risk for Violence among Forensic Psychiatric Patients in Australia<br />

The epidemiology and phenomenology of uttering threats to harm others<br />

Efficacy of treatment of resistant command hallucinations<br />

Substance use and personality characteristics of forensic outpatients with a mental illness<br />

The Prediction of Community Outcomes of Forensic Patients<br />

Evaluating the operation of the Crimes (Mental Impairment and Unfitness to be Tried) Act 1997<br />

Perceptions of a transitional unit in a Forensic Mental Health Hospital<br />

Exploring forensic psychiatric nurses’ experiences with the use of Muirhead cells in a prison<br />

Offending and Violence among Mentally Ill Persons<br />

Medical Induced Obesity: The lived experience of people residing in a secure forensic psychiatric environment<br />

Ongoing Research into Vexatious Litigants<br />

A study investigating risk assessment in stalking related offences<br />

Ex prisoners experience of post release case management<br />

RESEARCHER/S<br />

Paul Mullen, James Ogloff, Michael Davis<br />

Lisa Warren<br />

David Copolov, Paul Mullen, Fran Shawyer<br />

James Ogloff, Jenny Redman, Joanne Griffiths<br />

Andrew Carroll, Shannon Reid, Michael Davis<br />

Janet Ruffles, James Ogloff<br />

Kylie Thomson<br />

Jo Bowers<br />

James Ogloff<br />

Danny Gamble<br />

Grant Lester<br />

Paul Mullen, James Ogloff, Troy McEwan<br />

Lisa Bumpstead<br />

HOW WE MEASURED OUR RESEARCH PERFORMANCE IN <strong>2005</strong>-<strong>2006</strong><br />

Our Performance Measures are established annually by the Department of Human Service and can vary each year.<br />

Comparative annual data is shown where the measures have remained unchanged and the % change is meaningful.<br />

Performance Measures Performance Targets Outcomes Outcomes Outcomes Outcomes % Change<br />

<strong>2005</strong>-<strong>2006</strong> <strong>2005</strong>-<strong>2006</strong> 2004-<strong>2005</strong> 2003-2004 2002-2003 2003-04 – <strong>2005</strong>-06<br />

Number of completed research projects Target not required 4 6 5 7 n/c<br />

Number of research projects approved<br />

by Research Committee for commencement Target not required 7 n/a n/a n/a n/a<br />

Number of developments in clinical practice<br />

introduced as a result of research Target not required 6 5 3 3 -<br />

Number of scholarly articles published Target not required 22* 19 35 25 40.0%<br />

in refereed journals and books 1 book, 1 book, 25 journal articles, 16 journal articles,<br />

21 journal articles 4 chapters in books, 2 books and 2 books,<br />

14 journal articles 8 chapters in books 7 chapters in books<br />

* At 30 June <strong>2006</strong>, 8 journal articles and 3 chapters in books remained in press.<br />

36


Centre for Forensic Behavioural Science<br />

Approval has been given to establish a Centre for Forensic<br />

Behavioural Science within the School of Psychology,<br />

Psychiatry and Psychological Medicine at Monash<br />

University. <strong>Forensicare</strong> is a key partner in the Centre, which<br />

further consolidates the relationship between <strong>Forensicare</strong><br />

and Monash University that began with the joint<br />

appointment of Professor Paul Mullen in 1992, and then<br />

Professor James Ogloff in 2001.<br />

The Centre for Forensic Behavioural Science will have a<br />

national focus on research, teaching, service and practice<br />

development. Bringing together researchers, students,<br />

academics and clinicians from a variety of disciplines, the<br />

Centre will further develop the areas of forensic mental<br />

health and forensic behavioural science. A core element of<br />

the Centre’s operating practice will be to work to transfer<br />

the academic and clinical excellence of the Centre into<br />

practice in the health, community services and criminal<br />

justice sectors.<br />

The Centre for Forensic Behavioural Science has a multidisciplinary<br />

profile, with representation from psychiatry,<br />

psychology, social work, law, nursing, occupational therapy<br />

and epidemiology. The Centre will seek to develop<br />

collaborations with relevant and interested health, justice<br />

and other industry partners.<br />

The Centre will make a vital contribution to the development<br />

of best practice models of care and treatment. Importantly,<br />

the Centre will have a central role in developing an<br />

appropriately skilled workforce to optimise the delivery of<br />

health, social and criminal justice services. The research,<br />

teaching and clinical outputs of the Centre will provide a<br />

framework for the development and revision of public policy<br />

regarding the need for public safety, and seek to reduce<br />

levels of victimisation of some of the most vulnerable people<br />

in our society.<br />

Dr Stuart Thomas<br />

Staff<br />

Dr Stuart Thomas, an epidemiologist specialising in forensic<br />

mental health, has been appointed Lecturer, Centre for<br />

Forensic Behavioural Science. A number of other clinical<br />

staff from <strong>Forensicare</strong> hold honorary or casual appointments<br />

in the School of Psychology, Psychiatry and Psychological<br />

Medicine and will be employed by the Centre. These<br />

include Dr Kylie Thomson, Dr Michele Pathé and Dr Michael<br />

Daffern.<br />

Dr Stuart Thomas<br />

Prior to his appointment to the Centre for Forensic<br />

Behavioural Science, Dr Thomas was a Lecturer in the<br />

Department of Forensic Mental Health Science at the<br />

Institute of Psychiatry, King’s College London. He has<br />

previously been the recipient of a highly regarded Research<br />

Training Fellowship with the Department of Health in the<br />

United Kingdom, and was awarded his Doctorate of<br />

Philosophy (PhD) in Health Services Research in August<br />

<strong>2005</strong>, for his study examining levels of unmet need among<br />

mentally ill prisoners and forensic mental health patients. He<br />

previously studied for his Masters of Science (MSc) Degree<br />

in Epidemiology at the internationally renowned London<br />

School of Hygiene and Tropical Medicine, and holds a<br />

Master of Laws (LLM) qualification in Criminal Justice,<br />

awarded with Distinction, from the University of Kent<br />

at Canterbury.<br />

Graduate Certificate and Graduate Diploma<br />

The Graduate Certificate and Graduate Diploma in Forensic<br />

Behavioural Science have been approved by the University<br />

to commence in the 2007 academic year. The Certificate in<br />

Forensic Behavioural Science (FBSci) commenced in March<br />

<strong>2006</strong>, with twenty six students from a range of agencies<br />

and professional backgrounds enrolled in the course.<br />

These courses in forensic behavioural science have been<br />

developed to enhance the knowledge and skills of<br />

professionals working with people displaying antisocial and<br />

criminal behaviour. They cover assessment, treatment and<br />

management issues and will assist professionals to<br />

incorporate ‘best practice’ principles into their own work<br />

practices. Modules of the courses include fundamentals<br />

of forensic behavioural science, the role of mental health<br />

in criminal offending, mental health and the correctional<br />

system, developmental aspects of forensic behavioural<br />

science, the assessment and management of problem<br />

behaviours, advanced risk assessment and risk<br />

management, forensic aspects of personality and its<br />

disorders, research methodologies and psychiatric nursing<br />

in the forensic context. The Graduate Certificate will be<br />

awarded upon the successful completion of 4 of these<br />

modules, and the Graduate Diploma upon successful<br />

completion of 8 modules.<br />

Contact<br />

For information about course participation and research,<br />

please contact Dr Stuart Thomas –<br />

Stuart.Thomas@med.monash.edu.au<br />

37


38<br />

Corporate Support and Development


Strategic objectives<br />

• Provide high quality, relevant and timely advice<br />

to Government.<br />

• Provide high quality, efficient and effective support<br />

services across the organisation.<br />

• Identify service development opportunities and submit<br />

appropriate proposals to Government.<br />

• Increase community awareness and understanding<br />

of forensic mental health issues.<br />

Challenges<br />

• Manage the increasing demand for services without<br />

compromising the quality of services and care.<br />

• Ensure that forensic mental health is sufficiently<br />

resourced to meet the continued and increasing<br />

demand for services from the criminal justice and<br />

general mental health systems.<br />

• Fully implement program changes to meet the full<br />

spectrum of offender need.<br />

How we plan to succeed in <strong>2006</strong>-2007<br />

Our plans include –<br />

Meeting service demand –<br />

• Review organisation-wide practices to optimise the<br />

organisation’s ability to respond to increasing service<br />

demand.<br />

• Subject to the requisite planning approvals, develop<br />

18 additional secure inpatient beds to increase capacity<br />

of Thomas Embling Hospital on an interim basis.<br />

• Work collaboratively with an identified public mental<br />

health service and the Department of Human Services<br />

as required, to contribute to the planning of a combined<br />

secure extended care facility to build on the<br />

commitment by Government to ‘increase bed capacity<br />

at Thomas Embling Hospital’.<br />

• Continue to pursue the development of a more rational<br />

and effective mental health service for men and women<br />

in the Victorian prison system.<br />

• Continue to advocate for the expansion of the<br />

Community Forensic Mental Health Service.<br />

Develop service sustainability –<br />

• With the approval of Monash University, establish a<br />

Centre for Forensic Behavioural Science, in the School<br />

of Psychology, Psychiatry and Psychological Medicine,<br />

in a partnership arrangement between <strong>Forensicare</strong> and<br />

Monash University.<br />

• Offer the Certificate in Forensic Behavioural Science and<br />

the Post Graduate Diploma in Forensic Behavioural<br />

Science on an ongoing basis, commencing in the 2007<br />

academic year.<br />

Quality improvement initiatives –<br />

• Continue to participate in the development and<br />

implementation of benchmarking initiatives with other<br />

Australian jurisdictions.<br />

• Commence preparations for the Australian Council<br />

on Healthcare Standards organisation-wide survey in<br />

August 2007, encompassing the introduction of EQuIP<br />

Version 4.<br />

• Consolidate and further develop organisational<br />

(including financial) risk assessment and management<br />

systems, including new organisational governance<br />

compliance requirements.<br />

Information Technology –<br />

• Under the auspice of the Information Management /<br />

Technology Council Committee, develop an Information<br />

Technology Strategic Plan.<br />

• Subject to funding, continue the redevelopment of<br />

information technology based management systems<br />

for operational, planning and research purposes.<br />

Consolidating and Strengthening Clinical Programs –<br />

• Complete the training of all clinical staff in offending<br />

issues and dual diagnosis.<br />

• Finalise the implementation of the patient/client<br />

assessment protocols.<br />

• Complete the implementation of identified program<br />

developments.<br />

39


40<br />

PROFILE<br />

Corporate Support and Development is the direct<br />

responsibility of the Chief Executive Officer and provides<br />

organisation-wide –<br />

• financial and administrative functions<br />

• advice and planning<br />

• service development<br />

• community education and promotion<br />

KEY OUTCOMES<br />

NEW SECURE INPATIENT FACILITY<br />

The Chairman, Chief Executive Officer and other senior staff<br />

met with the Ministers for Health and Corrections and the<br />

Attorney-General during the year to discuss the urgent<br />

requirement for additional secure forensic inpatient capacity.<br />

<strong>Forensicare</strong> subsequently worked closely with the<br />

Department of Human Services to prepare a funding<br />

submission for a new facility. The submission, which<br />

covered the need for additional secure inpatient beds<br />

and identified forensic beds, became a component of the<br />

overall Department’s budget submission. The proposal was<br />

successful, and funding was announced in the May <strong>2006</strong><br />

Budget to enable planning to proceed on a secure<br />

accommodation facility for people requiring longer-term<br />

care, which will build on the Government’s commitment<br />

to increase bed capacity at Thomas Embling Hospital.<br />

During <strong>2006</strong>-2007, we will continue to work collaboratively<br />

with the Department of Human Services and an identified<br />

mental health provider to ensure that the needs of forensic<br />

mental health are incorporated in the planning process.<br />

SERVICE ENHANCEMENT –<br />

COMMUNITY FORENSIC MENTAL<br />

HEALTH SERVICE<br />

A formal proposal for capacity enhancement of the<br />

Community Forensic Mental Health Service was prepared<br />

for the Department of Human Services. The proposal,<br />

included a profile of demand growth for services and<br />

recommended the implementation of a staged expansion<br />

of community forensic mental health services. While the<br />

Department has acknowledged the growth in demand and<br />

the important contribution of the Community Forensic<br />

Mental Health Service to the enhancement of community<br />

protection, a formal outcome of our proposal has not been<br />

received. Addressing the identified service demand issues<br />

will require additional resourcing.<br />

VICTORIAN INSTITUTE OF FORENSIC<br />

MEDICINE<br />

A Memorandum of Understanding between <strong>Forensicare</strong><br />

and the Victorian Institute of Forensic Medicine was formally<br />

signed on 9 November <strong>2005</strong>. The launch was attended by<br />

the Attorney-General and Minister for Health, together with<br />

senior staff from the Department of Human Services and<br />

criminal justice agencies. The Memorandum of<br />

Understanding will enable both organisations to pursue<br />

collaborative research and administrative initiatives to<br />

achieve improved outcomes for the criminal justice and<br />

mental health sectors.<br />

CERTIFICATE IN FORENSIC<br />

BEHAVIOURAL SCIENCE<br />

Curriculum development for the Certificate in Forensic<br />

Behavioural Science was completed in <strong>2005</strong>, and the first<br />

year of the Certificate in Forensic Behavioural Science<br />

commenced in the 1st semester <strong>2006</strong>. Twenty six students<br />

from varied backgrounds, including police, corrections,<br />

mental health and non-government organisations, were<br />

enrolled in the 1st semester course. The Certificate course<br />

will continue in 2nd semester <strong>2006</strong>, and the Graduate<br />

Certificate in Forensic Behavioural Science and the Post<br />

Graduate Diploma in Forensic Behavioural Science will be<br />

offered on an ongoing basis from 2007.<br />

Discussions were held with Justice Health, NSW, during<br />

the year regarding developing the Certificate program<br />

to suit their specific requirements. Although Justice Health<br />

ultimately determined to develop their own program, we<br />

have agreed that there is the potential to develop future<br />

collaborative initiatives.<br />

NATIONAL BENCHMARKING<br />

<strong>Forensicare</strong> was one of the four forensic mental health<br />

service agencies invited to participate in the federally<br />

funded National Benchmarking Project. Thirteen<br />

performance indicators for forensic mental health<br />

benchmarking purposes have been identified and three<br />

forums were conducted in <strong>2006</strong> for all participants.<br />

Technical specifications for the construction of each of the<br />

performance indicators are being developed to ensure<br />

consistency of data, and participants are currently collecting<br />

data for the thirteen identified forensic key performance<br />

indicators for the period July 2004-June <strong>2005</strong>. The project<br />

is scheduled to conclude in May 2007.<br />

ACCREDITATION – AUSTRALIAN<br />

COUNCIL ON HEALTHCARE<br />

STANDARDS<br />

Full accreditation was maintained at the Australian Council<br />

on Healthcare Standards, Periodic Review in August <strong>2005</strong>.<br />

The Moderate Achievement (MA) ratings that are required<br />

to pass accreditation were surpassed in four of the nineteen<br />

mandatory criteria. A total of nine recommendations were<br />

received, none of which were high priority. In keeping with<br />

the requirements of the Australian Council on Healthcare<br />

Standards Agreement, <strong>Forensicare</strong> is currently undergoing<br />

a self assessment of the nineteen mandatory criteria.<br />

QUALITY IMPROVEMENT<br />

Quality improvement initiatives implemented during <strong>2005</strong>-<br />

<strong>2006</strong> include –<br />

• A review was conducted of the Risk Registers<br />

maintained across the organisation. As a result of the<br />

review, a consolidated risk register is being developed<br />

for the organisation. Underpinned by the revised<br />

governance structure, this process will allow for<br />

tracking, mitigating and monitoring of all risks across<br />

all sectors of <strong>Forensicare</strong>.


• Patient weight gain and healthy eating initiative –<br />

a review has commenced by clinical staff across<br />

Thomas Embling Hospital of the hospital-wide situation<br />

in respect to the weight and eating habits of patients.<br />

The review was prompted by the potential side-effect<br />

of significant weight gain that can accompany one of<br />

the more frequently used drugs, Clozepine. Work is<br />

currently being undertaken to obtain base line data<br />

of various clinical target groups, which will enable<br />

qualitative and quantitative practice and organisation<br />

change to be implemented, if shown to be necessary.<br />

• Interactive clinical documentation project – this pilot<br />

project, being trialled in one of the Continuing Care units<br />

within Thomas Embling Hospital, is nearing completion.<br />

The project has involved patients directly documenting<br />

their care in their Individual Service Plan with their<br />

primary nurse. The pilot program is due to be<br />

completed in the latter half of <strong>2006</strong>. The results of the<br />

pilot will be reviewed and assessed for suitability for use<br />

within other units at Thomas Embling Hospital.<br />

Planned for <strong>2006</strong>-2007 –<br />

• <strong>Forensicare</strong> is to undergo a full accreditation<br />

(organisation wide) survey, including an in-depth Mental<br />

Health Review, in August 2007. In preparation for the<br />

introduction of Evaluation Quality Improvement Program<br />

(EQuIP) version 4 (the new EQuIP standard being<br />

introduced by the Australian Council on Healthcare<br />

Standards in January 2007), the EQuIP Steering<br />

Committee and EQuIP Function Working Groups will<br />

be aligned to adapt to the new standard, and training<br />

sessions provided for managers and staff.<br />

EMERGING PROGRAM NEEDS<br />

The need to provide clinical programs and support for the<br />

following target groups has been investigated –<br />

Sex offenders – Discussions, led by Professor James<br />

Ogloff, commenced with Corrections Victoria in relation<br />

to the enhancement and rationalisation of the treatment<br />

of sex offenders (currently provided through our Problem<br />

Behaviour Program).<br />

Aged offenders with a mental illness – discussions with<br />

aged care psychiatrists have led to a successful application<br />

for a University of Melbourne medical student to be<br />

seconded for one year to investigate the physical and<br />

mental health needs of elderly prisoners in Victoria. The<br />

student will commence in July 2007. This project will<br />

provide the background to innovations to improve the<br />

provision of targeted services to our growing population<br />

of elderly mentally disordered offenders.<br />

VICTORIA POLICE<br />

Discussions continued during the year in relation to<br />

establishing a forensic mental health specialist advisory and<br />

support service for police for mentally ill people detained in<br />

police custody. This initiative has now merged with the five<br />

year research project that has been developed by <strong>Forensicare</strong><br />

and Victoria Police regarding the interface between mentally<br />

disordered offenders and operational policing.<br />

Work with Victoria Police in relation to the management and<br />

care of mentally ill offenders/alleged offenders continued<br />

during the year. Ongoing support will include the provision<br />

of advice on police training content and joint research<br />

activity regarding policing and the mentally ill.<br />

EXTERNAL FUNDING<br />

<strong>Forensicare</strong> continued to pursue external funding through<br />

fee-for-service consultancies and grant applications to fund<br />

our professional education and research program. Specialist<br />

advice was provided to Western Australia, New South Wales<br />

and South Australia on the development of forensic mental<br />

health services, although none of this was on a fee-forservice<br />

basis. There is, however, potential for this to develop<br />

during the coming year.<br />

Professor James Ogloff was a member of two consortias<br />

that obtained grants from the Australian Research Council<br />

to undertake large research projects in <strong>2006</strong>-2009. These<br />

projects on ‘Confidentiality in Therapeutic Relationships:<br />

Developing Guidelines for Mental Health Professionals’<br />

and ‘Juries and interactive visual evidence: Impacts on<br />

deliberation processes and outcomes’ will make a vital<br />

contribution to future clinical practice and policy<br />

development. A large funding submission was also lodged<br />

with the Australian Research Council for a 5-year joint<br />

research project by <strong>Forensicare</strong> and Victoria Police<br />

investigating policing issues in respect to mentally ill people.<br />

The outcome of this submission will be advised later in <strong>2006</strong>.<br />

COMMUNICATION STRATEGY<br />

<strong>Forensicare</strong> has a comprehensive Communications Strategy<br />

that details all aspects of communication, both internal and<br />

external, across the organisation. A review of the Strategy<br />

commenced in <strong>2005</strong>-<strong>2006</strong> and will be completed in the<br />

coming year to ensure that it continues to reflect<br />

contemporary media practices.<br />

HEALTH INFORMATION SERVICES<br />

Health Information Services activities during the year<br />

included –<br />

• Delivery of a reporting tool that enables senior staff<br />

to extract tailored reports from RAPID (the data base<br />

used by the Department of Human Services to capture<br />

mental health data across the state). Staff training was<br />

conducted in the use of the reporting tool and a User<br />

Manual compiled.<br />

• Formal audits were conducted to ensure that the<br />

Department of Human Services’ requirements on<br />

reporting of diagnoses for both inpatient and community<br />

clients are met by <strong>Forensicare</strong>. Audits on the medical<br />

record and quality of data in various databases<br />

continue.<br />

• Two Health Information Management students from<br />

LaTrobe University undertook placements with Health<br />

Information Service, <strong>Forensicare</strong>.<br />

• Destruction of records was undertaken in accordance<br />

with the Public Records Office Disposal & Retention<br />

Schedule. The Public Records Office has been notified<br />

of any records that have been destroyed.<br />

41


42<br />

• The Health Information Manager is among the senior<br />

<strong>Forensicare</strong> staff participating in the National<br />

Benchmarking Project and is involved in compiling<br />

data for this project.<br />

ADVICE TO GOVERNMENT<br />

In <strong>2005</strong>-<strong>2006</strong>, <strong>Forensicare</strong> provided the following formal<br />

advice to Government –<br />

• Department of Human Services –<br />

• Secure/extended care unit – initial proposal and<br />

collaborative input to funding submission<br />

• Interim additional Thomas Embling Hospital capacity<br />

– initial proposal<br />

• Corrections Victoria, Department of Justice –<br />

Enhancement of forensic mental health service delivery<br />

at Melbourne Assessment Prison - proposal<br />

• Human Rights Consultation Committee, Attorney-<br />

General’s Department –<br />

Discussion paper ‘Have your say about Human Rights<br />

in Victoria’ – response<br />

• Australian Law Reform Commission –<br />

Discussion paper 70 – ‘Sentencing of Federal<br />

Offenders’ – response<br />

• Senate Finance and Public Administration Committee<br />

Inquiry Into the Electoral and Referendum Amendment<br />

(Electoral Integrity and Other Measures) Bill <strong>2005</strong> –<br />

submission ‘The Role of Voting in Achieving a<br />

Successful Community Transition for Prisoners’.<br />

• Drugs and Crime Prevention Committee, Parliament<br />

of Victoria –<br />

Inquiry into the Misuse/Abuse of Benzodiazepines and<br />

Other Forms of Pharmaceutical Drugs in Victoria –<br />

requested submission on impact of misuse/abuse<br />

of benzodiazepines on forensic mental health clients<br />

and patients and prisoners.<br />

INTERNATIONAL AND INTERSTATE<br />

VISITORS<br />

During <strong>2005</strong>-<strong>2006</strong> we hosted visits from –<br />

• Eight clinicians and senior officers, Ministry of Health,<br />

National Psychiatric Hospital and Bach Mai General<br />

Hospital, Vietnam<br />

• Ms Gill Attrill, Principal Psychologist, Home Office, UK<br />

• Senior Managers (3), Rampton High Secure Hospital,<br />

UK<br />

• Senator Lyn Allison, Chair, and Senators Ian Holland,<br />

Michael Forshaw and Gary Humphries, Senate Select<br />

Committee on Mental Health<br />

• The Hon. Tony Abbott, Federal Minister for Health<br />

• The Hon. Bronwyn Pike, Minister for Health, Victoria<br />

• The Hon. Rob Hulls, Attorney-General, Victoria<br />

• The Hon. Tim Holding, Minister for Corrections, Victoria<br />

• The Hon. Justice Marilyn Warren, Chief Justice<br />

of Victoria<br />

• Attorney-General, WA, together with Director of Clinical<br />

Services, Forensic Mental Health Services, WA<br />

• Clinical leadership group, Glenside and James Nash<br />

House, SA<br />

• Design team, new forensic mental health facility, SA<br />

• Manager, Forensic Mental Health Service, WA<br />

• Construction consortia, Forensic Mental Health facility,<br />

NSW<br />

• Design team, Forensic Mental Health Facility, and senior<br />

officers, Department of Health, NSW.<br />

BUSINESS SUPPORT<br />

MANAGEMENT REPORTING<br />

A new reporting software package (VISION), that is<br />

consistent with commercial principles and practices, was<br />

implemented during the year. The financial reporting and<br />

accounting systems of <strong>Forensicare</strong> are now fully integrated.<br />

<strong>Report</strong>s available include full accrual budgets and<br />

expenditure, both at summary and detailed activity levels,<br />

together with management reports on information<br />

technology, payroll, human resources, maintenance and<br />

motor vehicles. A reporting timeframe has also been<br />

implemented, both internally and externally, to provide<br />

monthly reports within 10 working days of the end of the<br />

month.<br />

INTERNATIONAL FINANCIAL<br />

REPORTING STANDARDS (A-IFRS)<br />

The transition to International Financial <strong>Report</strong>ing Standards<br />

was completed during <strong>2005</strong>-<strong>2006</strong>. Professional education<br />

courses on the organisational requirements of the<br />

Standards were provided by Deloitte and the Department<br />

of Treasury and Finance for all finance staff. The Financial<br />

Statements in this <strong>Annual</strong> <strong>Report</strong> are prepared in<br />

accordance with all International Financial <strong>Report</strong>ing<br />

Standards. For full details of the effects of the Standards,<br />

see note 22, page 92.<br />

INFORMATION TECHNOLOGY<br />

Information Technology Management<br />

Following recommendations contained in the review<br />

of governance arrangements within <strong>Forensicare</strong>, an<br />

Information Technology Committee of Council has been<br />

established to assist the organisation focus strategic<br />

attention on this important area (see Corporate<br />

Governance, page 61).<br />

Information technology remains an area of greatest<br />

organisational exposure for <strong>Forensicare</strong>. Advice has been<br />

received from the Department of Human Services that it<br />

may take up to 5 years for <strong>Forensicare</strong> to be able to<br />

develop a compliant patient information management<br />

system through the HealthSmart initiative. As a result,<br />

<strong>Forensicare</strong> has commenced planning with the Department


of Human Services to develop an alternative system with<br />

a view to achieving implementation within a shorter<br />

timeframe.<br />

Information Technology Support Services<br />

The Information Technology (IT) function is responsible<br />

for providing end users support services for <strong>Forensicare</strong>’s<br />

information technology systems and infrastructure. The key<br />

delivery mechanism for this service is via the IT Help Desk.<br />

During the year, 958 general IT support requests were<br />

received, a decrease from the 1,149 support requests<br />

received in 2004-<strong>2005</strong>. This decrease reflects a stable<br />

IT infrastructure, made possible through the upgrade of<br />

personal computers and the Wide Area Network conducted<br />

during the year.<br />

Wide Area Network Infrastructure<br />

The first phase of a Wide Area Network upgrade<br />

commenced during the year. The upgrade is being<br />

conducted to increase the capacity and speed of our<br />

communication links to remote staff. The high speed link<br />

has been established with our community service, and<br />

multipoint links and broadband connections will be<br />

introduced in the coming year to lower capacity sites<br />

(courts serviced by the Court Liaison Program and Care<br />

Plan Assessments Victoria).<br />

Other initiatives<br />

• Internet upgrade - work commenced on the upgrade<br />

of <strong>Forensicare</strong>’s internet website. This is a major project,<br />

and it is anticipated that the new website will be<br />

launched late in <strong>2006</strong>.<br />

• Voice communications - as part of the whole of<br />

Government Communications Tender, <strong>Forensicare</strong><br />

transferred all voice communications to the new<br />

provider selected by Government.<br />

• Data communication – <strong>Forensicare</strong> is participating in the<br />

whole-of-Government tender process for the provision<br />

of data communications. It is anticipated that this<br />

process will be completed in <strong>2006</strong>-2007.<br />

PAYROLL SERVICES<br />

The smooth introduction of salary packaging within<br />

<strong>Forensicare</strong> was achieved during <strong>2005</strong>-<strong>2006</strong>. This was<br />

a major initiative that required extensive systems<br />

development, training and regular staff communication<br />

bulletins. Salary packaging was successfully introduced<br />

in November <strong>2005</strong>.<br />

FLEET MANAGEMENT<br />

A review of <strong>Forensicare</strong>’s vehicle fleet was conducted in<br />

<strong>2005</strong>-<strong>2006</strong> to evaluate the costing model for Executive<br />

vehicles. It was found that 100% of all costs relating to<br />

Executive vehicles was recouped. This is attributed to the<br />

change-over policy introduced in 2004-<strong>2005</strong>, which<br />

includes the negotiation of individual vehicle purchase<br />

and sales with retailers.<br />

In accordance with our Fleet Management Policy and<br />

Environmental Strategy, three hybrid (petrol/electric) vehicles<br />

were purchased for our vehicle fleet. The use and running<br />

cost of these vehicles is being closely monitored. Initial<br />

results show that the hybrid vehicles are cost-effective and<br />

have resulted in fuel savings.<br />

ASSET MANAGEMENT<br />

A full asset condition report of all operational and administrative<br />

sites, commenced in 2004-<strong>2005</strong>, was completed during the<br />

year. The report was subsequently audited by Deloitte, our<br />

internal auditors, and recommendations made for<br />

enhancements which will assist our strategic planning for<br />

asset replacement over the next 10 years. Implementation<br />

of the recommendations commenced, and will be completed<br />

by October <strong>2006</strong>.<br />

MAINTENANCE<br />

Together with our maintenance contractor, Adesse Pty Ltd,<br />

a review of all corrective and preventative maintenance<br />

works conducted over the last two years was held to<br />

identify future maintenance projects and staffing<br />

requirements. The review found that corrective maintenance<br />

increased considerably over the past 2 years and that<br />

employment of a multi-skilled maintenance staff member<br />

would reduce the future cost and use of external<br />

contractors. The review will be considered by Council early<br />

in <strong>2006</strong>-2007.<br />

LEGAL SERVICES<br />

<strong>Forensicare</strong> operates under a complex legislative<br />

environment that governs its relationships with Government<br />

and the services it supplies to patients and clients. The<br />

Mental Health Act 1986 and the Crimes (Mental Impairment<br />

and Unfitness to be Tried) Act 1997 set out the legal<br />

framework for treatment for patients and clients.<br />

CUSTODIAL SUPERVISION ORDERS<br />

Developments relating to patients treated under the Crimes<br />

(Mental Impairment and Unfitness to be Tried) Act 1997<br />

(CMIA) in <strong>2005</strong>-<strong>2006</strong> included –<br />

• Eight patients were admitted to Thomas Embling<br />

Hospital on Custodial Supervision Orders (CSO),<br />

compared to 7 in 2004-<strong>2005</strong>. These Orders are made<br />

following a finding at trial of ‘not guilty by reason of<br />

mental impairment’. Due to the limited bed capacity<br />

at Thomas Embling Hospital, a person in prison when<br />

the court makes a CSO is required to wait for admission<br />

until a bed becomes available at Thomas Embling<br />

Hospital. Of the 8 new Orders, 4 people remained<br />

in prison for periods between 3 and 78 days after the<br />

Order was made before being admitted to Thomas<br />

Embling Hospital - the average length of wait for<br />

admission was 34 days.<br />

43


44<br />

• Two patients moved from Thomas Embling Hospital<br />

to live full time in the community on extended leave<br />

(compared to 4 the previous year). Both these patients<br />

had utilised the Transitional Accommodation Program<br />

prior to applying for extended leave.<br />

• No patients on extended leave had their extended leave<br />

suspended due to a relapse of their illness.<br />

• There were 2 cases where patients on Custodial Orders<br />

came back for a review which had been initiated by the<br />

Court at the time the original Order was made. This is a<br />

new development which has not occurred in the past,<br />

and indicates the relevant judges’ concern that the<br />

individual patients have their case actively reviewed by<br />

the Court which made the Order. In both these cases<br />

the Custodial Order was confirmed and a further review<br />

date set.<br />

• Three people on extended leave had their Custodial<br />

Supervision Orders varied to Non-Custodial Supervision<br />

Orders.<br />

Custodial Supervision Orders –<br />

Thomas Embling Hospital Patients<br />

No. of patients<br />

80<br />

60 36 40 48 52 60<br />

40<br />

20<br />

0<br />

2002 2003 2004 <strong>2005</strong> <strong>2006</strong><br />

NON-CUSTODIAL SUPERVISION<br />

ORDERS<br />

• Six Non-Custodial Supervision Orders (NCSO) were<br />

made for new offenders (2 less than 2004-<strong>2005</strong>).<br />

• Three people on a NCSO were readmitted to their local<br />

mental health service hospital due to deterioration in<br />

their mental state. This reflects the growing trend for this<br />

group of patients to be supervised by <strong>Forensicare</strong>, but<br />

treated on a regular basis by their local service.<br />

• Of the 43 clients in the community on NCSO’s at<br />

30 June <strong>2006</strong>, 36 are supervised by <strong>Forensicare</strong>’s<br />

Community Forensic Mental Health Service, and<br />

7 supervised by area mental health services.<br />

• Six people on a NCSO had their Order revoked<br />

(compared to only 1 last year). They will continue to<br />

reside in the community without compulsory treatment<br />

under the CMIA. Only 2 of these people had previously<br />

been on a Custodial Order in hospital - the remaining<br />

4 had their NCSO’s made at a criminal trial.<br />

• Eleven people on NCSO’s were subject to review by the<br />

Courts, either due to the review being set by the Court,<br />

or being triggered by the major review provisions in s.35<br />

of the CMIA. At the reviews –<br />

• 5 people had their Order revoked (this number is<br />

included in the total of 6 above)<br />

• 3 people were unsuccessful in having their Order<br />

revoked and their Orders were confirmed<br />

• 2 people had their Orders confirmed<br />

• 1 case remains undecided.<br />

During the year there were 23 Court hearings for people<br />

on Supervision Orders under the CMIA that involved<br />

<strong>Forensicare</strong> staff (there were 17 court hearings in 2004-<strong>2005</strong>).<br />

As more Orders are made, this number will continue to<br />

increase, particularly as the Courts appear more likely to set<br />

review dates when an original Order is made following<br />

a trial. Each Court hearing involves considerable clinical staff<br />

input (forensic psychiatrists and case managers) and has a<br />

significant impact on the existing workload of all staff involved.<br />

30<br />

20<br />

10<br />

Non-Custodial Supervision Orders<br />

Supervised by <strong>Forensicare</strong><br />

No. of orders<br />

50<br />

19 23 33 40 43<br />

40<br />

0<br />

2002 2003 2004 <strong>2005</strong> <strong>2006</strong><br />

COURT REPORTS<br />

<strong>Forensicare</strong> has continued to see a strong demand for<br />

psychiatric and psychological reports requested by the<br />

courts.<br />

Requests from the Office of Public Prosecutions (OPP)<br />

for reports on issues of fitness to plead or the mental<br />

impairment defence under the Crimes (Mental Impairment<br />

and Unfitness to be Tried) Act 1997 (CMIA) continued to<br />

take considerable time and effort. A detailed analysis of<br />

OPP requests indicated that in the last three years the<br />

number of OPP reports completed has almost doubled. We<br />

subsequently established a system to monitor the requests<br />

for reports from the OPP, and prepared a draft protocol to<br />

manage the demand. In discussions with the OPP, we<br />

advised our intention to provide a ceiling number of reports<br />

(52) per year, and indicated that any additional reports will<br />

be invoiced at cost. In <strong>2005</strong>-<strong>2006</strong> however, there were<br />

fewer than this number of requests (43 requests were<br />

received).<br />

A number of requests received for reports from the OPP<br />

which were for accused people who did not have a<br />

psychiatric diagnosis - 11% of the requests (ie. 5) were for<br />

reports on people who had an intellectual disability. We<br />

subsequently commenced discussions with DisAbility<br />

Services, Department of Human Services, requesting that<br />

they accept responsibility for resourcing this area. A more<br />

detailed analysis of requests and outcomes will be<br />

undertaken in the coming year with a view to managing<br />

this service demand.


The impact on the organisation of preparing these reports<br />

is considerable. The preparation of a court report is time<br />

consuming, due to the volume of material which<br />

psychiatrists and psychologists must examine prior to<br />

preparing a report, and the time spent in court. Where the<br />

mental impairment or fitness of an accused person remains<br />

an issue at trial, psychiatrists and psychologists are often<br />

required to give evidence.<br />

LAW REFORM AND TRAINING<br />

Regular training on the criminal law and the Crimes (Mental<br />

Impairment and Unfitness to be Tried) Act 1997 (CMIA),<br />

confidentiality and privacy continued to be provided to<br />

<strong>Forensicare</strong> staff through our professional development<br />

program.<br />

During the year we made submissions to the State<br />

Government’s Human Rights Consultation Committee on<br />

the issue of a proposed Charter of Human Rights for<br />

Victoria. We also made further submissions to the Australian<br />

Law Reform Commission’s Inquiry into Federal Sentencing<br />

Legislation, and were involved in further consultation with<br />

the Commission about how the Commonwealth Crimes Act<br />

1914 provisions on mental impairment impact on Victorian<br />

offenders and patients. The Final <strong>Report</strong> ‘Same Crime,<br />

Same Time’ recommended that a comprehensive inquiry be<br />

initiated by the Federal Government into issues concerning<br />

people in the federal criminal justice system who have a<br />

mental illness, intellectual disability or cognitive impairment.<br />

This recommendation was supported by <strong>Forensicare</strong> in our<br />

submission. There is a clear need for a broad public review<br />

of the issue of mental disorder, criminal responsibility and<br />

sentencing, both in Victoria and nationally.<br />

JUDICIAL AND LEGAL LINKS<br />

<strong>Forensicare</strong> acknowledges the need to maintain strong<br />

links with the Courts and the Office of Public Prosecutions.<br />

We continued to provide formal tours of Thomas Embling<br />

Hospital (through the Judicial College of Victoria) to Judges<br />

and Magistrates. A program was also run for judicial<br />

participants by the Judicial College of Victoria which<br />

enabled Judges and Magistrates to observe hearings<br />

of the Forensic Leave Panel at Thomas Embling Hospital.<br />

HOW WE MEASURED OUR CORPORATE SUPPORT AND DEVELOPMENT<br />

PERFORMANCE IN <strong>2005</strong>-<strong>2006</strong><br />

Our Performance Measures are established annually by the Department of Human Services and can vary from year to year.<br />

New measures were introduced by the Department of Human Services in <strong>2005</strong>-<strong>2006</strong>. Performance targets established<br />

for this program area are small, and a % change in our annual performance is not included as the change shown would<br />

lack clarity.<br />

Performance Measures Performance Outcomes Outcomes Outcomes Outcomes<br />

Targets <strong>2005</strong>-<strong>2006</strong> 2004-<strong>2005</strong> 2003-2004 2002- 2003<br />

Organisation-wide compliance with National Service Standards<br />

to Level 1 standard Target not required Achieved Achieved Achieved Achieved<br />

Number of responses for specialist advice and information<br />

to Department of Human Services (DHS)<br />

and other government agencies Target not required 4 3 6 2<br />

Number of submissions which address gaps in service<br />

in forensic mental health, public mental health<br />

and justice environments Target not required 4 4 4 4<br />

Prepare report on Category One Incident and submit to DHS<br />

the business day following the incident 100% 100% n/a n/a n/a<br />

Submit recommendations arising from the Quarterly Security Audits<br />

to Department of Human Services after the Audit <strong>Report</strong><br />

and recommendations have been endorsed by the<br />

Quality Improvement Committee Target not required n/a 100% 100% 100%<br />

Submit Quarterly Incident <strong>Report</strong> to DHS following<br />

tabling at Quality Improvement Sub-Committee Target not required n/a n/a n/a n/a<br />

45


Sustainability Management<br />

Corporate Performance<br />

Our People<br />

Social Performance<br />

Our Environment<br />

46


CORPORATE PERFORMANCE<br />

OCCUPATIONAL HEALTH AND SAFETY<br />

The provision of a safe environment is an essential and<br />

particularly sensitive issue in forensic mental health.<br />

<strong>Forensicare</strong> has a strong commitment to the safety and<br />

health of staff and others involved in our activities, and has<br />

an active Occupational Health and Safety Program. This<br />

program is supported by the Occupational Health and<br />

Safety Committee, management and elected Health and<br />

Safety representatives.<br />

The Occupational Health and Safety Committee consists<br />

of representatives from all operational areas, and is<br />

responsible for overseeing health and safety issues and<br />

monitoring the organisation’s performance. During <strong>2005</strong>-<br />

<strong>2006</strong>, the Occupational Health and Safety Committee met<br />

bi-monthly, and wherever possible, the Committee gave<br />

priority to managing issues at a workplace level.<br />

Achievements in <strong>2005</strong>-<strong>2006</strong> –<br />

• the Designated Work Groups were reviewed and realigned<br />

to organisational needs<br />

• Occupational Health and Safety representatives were<br />

duly elected, in keeping with legislative requirements<br />

• terms of reference of the Committee were reviewed.<br />

Initiatives planned for <strong>2006</strong>-2007 –<br />

• review policies and processes<br />

• Occupational Health and Safety/Risk Management<br />

training to be provided for managers and Occupational<br />

Health and Safety representatives<br />

• improve Occupational Health and Safety reporting within<br />

the organisation to include performance indicators<br />

measuring the engagement of staff with Occupational<br />

Health and Safety improvement programs.<br />

There were no reportable incidents requiring notification<br />

to WorkSafe during the year.<br />

CRITICAL INCIDENT STRESS<br />

MANAGEMENT PROGRAM<br />

The Critical Incident Stress Management Program (CISM)<br />

provides debriefing, defusing, staff stocktakes and individual<br />

support to staff following incidents, including threats and<br />

assaults on staff. CISM continues to be accessed by staff<br />

across the service.<br />

The program was provided by 19 team members in <strong>2005</strong>-<br />

<strong>2006</strong>. Four refresher training courses were held during the<br />

year for all CISM team members, and promotion of the<br />

program is now established as a routine component of our<br />

staff orientation and aggression management training<br />

programs.<br />

250<br />

200<br />

150<br />

100<br />

50<br />

Utilisation of Critical Incident Stress<br />

Management Program<br />

0<br />

53 196 160 127<br />

9<br />

2002-<br />

2003<br />

2003-<br />

2004<br />

Note - In 2002-2003 the Critical Incident Stress Management program was supported<br />

by additional sessions provided by an external consultant which are not included in the<br />

recorded Critical Incident Stress Management data.<br />

EMPLOYEE ASSISTANCE PROGRAM<br />

<strong>Forensicare</strong> provides an Employee Assistance Program,<br />

which enables all staff and their immediate family access<br />

external, confidential counselling and support. During the<br />

past year, staff utilisation of the program was 4.6%, a<br />

decrease from 7.7% in 2004-<strong>2005</strong> (across all industries, the<br />

average utilisation rate of these services is 4%). The usage<br />

rate reflects a strong reputation for making a positive impact<br />

on staff. The Employee Assistance Program is available in<br />

addition to the services available through the Critical<br />

Incident Stress Management Program.<br />

CODE OF CONDUCT<br />

2004-<br />

<strong>2005</strong><br />

<strong>Forensicare</strong> acts in accordance with the Code of Conduct<br />

for the Victorian Public Sector, August 2003.<br />

PROTECTING OUR STAFF –<br />

INFECTION CONTROL<br />

30<br />

No. of staff support interventions<br />

18 15<br />

<strong>2006</strong>-<br />

2007<br />

No. of incidents<br />

<strong>Forensicare</strong> has a strong commitment to protecting our<br />

staff. An Infection Control Committee, which includes the<br />

Infection Control Manager and a microbiologist from Austin<br />

Hospital, is responsible for minimising the risk of infection<br />

within <strong>Forensicare</strong>. The Committee has developed<br />

organisation-wide infection control manuals and established<br />

a contractual arrangement with the Austin Hospital to<br />

provide relevant education and support to <strong>Forensicare</strong>.<br />

A 'Community Immunity' initiative operates to provide staff<br />

with free screening and immunisation. Free flue vaccinations<br />

are provided for staff, and there has been a significant<br />

increase in staff using this program (from 36 staff in 2003-<br />

2004 to 71 staff in <strong>2005</strong>-<strong>2006</strong>). Other immunisations<br />

available include Tetanus, Diptheria, Varicella, Measles,<br />

Mumps, Rubella, Hepatitis B and Polio.<br />

47


SECURITY<br />

<strong>Forensicare</strong> has an obligation to ensure the safety and<br />

security of patients, their visitors and all staff, and that of the<br />

general community. This obligation is given a high priority<br />

across the organisation.<br />

Security technology at Thomas Embling Hospital is<br />

complemented by aware and alert staff. All hospital staff<br />

receive ongoing security training and participate in regular<br />

security drills. Feedback on each drill is circulated to all staff<br />

to ensure that any issues arising from the drill are<br />

disseminated across the organisation.<br />

Visitors are advised in writing (this information is available in<br />

a range of community languages) of security requirements<br />

at Thomas Embling Hospital, including what items are<br />

allowed to be taken in to the hospital. All visitors are<br />

scanned to prevent contraband items from entering the<br />

hospital. In <strong>2005</strong>-<strong>2006</strong> there were 5,184 family visitors to<br />

the hospital, and 1,020 items of contraband detected at the<br />

hospital entrance (in 2004-<strong>2005</strong> there were 4,384 family<br />

visitors and 1,188 items detected). While the contraband<br />

items detected range from minor items such as cutlery and<br />

cameras through to scissors and knives, detection of items<br />

makes the environment more safe and secure for everyone.<br />

SECURITY REVIEW<br />

Security technology is evolving rapidly and while upgrades<br />

and enhancements are necessary on an ongoing basis,<br />

major upgrades are required every 6-7 years. To ensure<br />

compliance with our security obligations, it is critical that our<br />

security technology and equipment is well maintained and<br />

contemporary.<br />

Two external security reviews were undertaken during <strong>2005</strong>-<br />

<strong>2006</strong> on the quality and ongoing capacity of the present<br />

security technology system within Thomas Embling<br />

Hospital. The existing system has been operational for six<br />

years and is becoming increasingly challenging to support<br />

and maintain. The reviews confirmed that in terms of<br />

maintaining security at Thomas Embling Hospital, the most<br />

pressing requirement is the upgrade of the Security<br />

Management System. Funding for this major upgrade will<br />

be sought in the coming year to ensure that the system is<br />

contemporary and operating at optimal functionality (see<br />

Future Directions, below).<br />

Additional funding of $245,000 was received from the<br />

Department of Human Services during the year to upgrade<br />

a number of components of the security system. These<br />

upgrades will be installed in <strong>2006</strong>-2007<br />

These works will complement security enhancements<br />

undertaken in <strong>2005</strong>-<strong>2006</strong>, including improvements to car<br />

park security (following the theft of vehicles) and the staff<br />

and visitor ID card system.<br />

ONGOING SECURITY AUDITS<br />

Security at Thomas Embling Hospital is constantly<br />

monitored. Formal audits of the following critical areas<br />

were undertaken in <strong>2005</strong>-<strong>2006</strong> –<br />

• Emergency Management<br />

• Security Management<br />

• Static Security<br />

• Dynamic Security.<br />

SECURITY BREACHES<br />

While every effort is made to prevent security incidents and<br />

breaches occurring, they are anticipated and inevitable in a<br />

secure forensic inpatient facility. During the year incidents at<br />

Thomas Embling Hospital have ranged from patients<br />

breaching various security systems, thereby activating<br />

alarms, to involvement in drug-related activities. All incidents<br />

have been effectively managed. There were no major<br />

security breaches or escapes during the year.<br />

FUTURE DIRECTIONS<br />

Subject to funding, upgrade the Security Management<br />

System in line with recommendations of the security reviews<br />

conducted in <strong>2005</strong>-<strong>2006</strong>.<br />

Registering on the Iris Recognition System for entry to Thomas<br />

Embling Hospital<br />

Scanning of items being taken in to Thomas Embling Hospital<br />

48


OUR PEOPLE<br />

ATTRACTION AND RETENTION OF<br />

APPROPRIATELY SKILLED STAFF<br />

<strong>Forensicare</strong> maintained established nursing staffing levels<br />

during the year and was able to recruit to short term<br />

planned absences. This avoided costs associated with<br />

agency staff usage. The reorganisation of the psychology<br />

area, which commenced in 2004-<strong>2005</strong>, was further<br />

consolidated in the past year. Representatives from<br />

<strong>Forensicare</strong> attended the Junior Medical Employment Expo<br />

in June <strong>2006</strong> to promote opportunities available in forensic<br />

mental health training for hospital medical officers and<br />

medical registrars.<br />

Academic links are well established in the disciplines of<br />

nursing, medicine and psychology. During the year we<br />

continued to progress the establishment of academic links<br />

with educational institutions in the areas of occupational<br />

therapy and social work. In particular -<br />

• An academic association has been established with<br />

School of Occupational Therapy, Monash University,<br />

to provide professional development and support to our<br />

program<br />

• A chief social worker was successfully recruited to the<br />

organisation. The appointee is currently completing<br />

a doctorate at The University of Melbourne.<br />

STAFF CLIMATE SURVEY<br />

<strong>Forensicare</strong> agreed to participate in the State Services<br />

Authority ‘People Matter Survey’ in early <strong>2006</strong>. This is a<br />

state-wide public sector survey that monitors employee<br />

confidence in the application of the public sector values and<br />

employment principles. The survey also gathers information<br />

on a broad range of people management issues, including<br />

job satisfaction and the ways in which organisations,<br />

managers and work groups operate. <strong>Forensicare</strong> had a<br />

38% participation rate, which will enable us to benchmark<br />

our results with other health and public sector organisations<br />

(the threshold participation for benchmarking purposes was<br />

30%). The results of the survey are to be released in August<br />

<strong>2006</strong>.<br />

Workforce Profile<br />

30 June <strong>2006</strong> 30 June <strong>2005</strong> 30 June 2004 30 June 2003<br />

Class Staff Number Total EFT Staff Number Total EFT Staff Number Total EFT Staff Number Total EFT<br />

CLINICAL STAFF 258 230.2 238 223.0 239 219.2 222 210.0<br />

Nursing 180 167.9 166 159.1 171 161.5 154 149.5<br />

Clinical Support 14 11.2 14 12.1 17 12.8 17 14.1<br />

Allied Health<br />

Psychologist 17 13.10 14 11.74 8 8.0 11 10.6<br />

Social Worker 8 7.60 9 8.64 10 8.6 8 7.8<br />

Occupational Therapist 7 5.60 6 6.0 5 5.0 6 6.0<br />

Consumer Consultant 2 0.89 2 0.89 2 0.9 2 0.8<br />

Family Advocate 1 0.53 1 0.53<br />

Welfare Worker 1 1.0 1 1.0 1 1.0 1 1.0<br />

Allied Health Total 36 28.7 33 28.8 26 23.5 28 26.3<br />

Medical<br />

Consultants/Medical 21 15.4 18 16.0 18 14.4 16 13.1<br />

Registrars 7 7.0 7 7.0 7 7.0 7 7.0<br />

Medical Total 28 22.4 25 23.0 25 21.4 23 20.1<br />

CORPORATE/ADMINISTRATION<br />

Administration 16 14.4 16 14.8 15 13.8 16 13.3<br />

Corporate Support 12 10.3 14 11.7 13 10.5 13 10.6<br />

TOTAL STAFF 286 254.9 268 249.5 267 243.5 251 233.9<br />

49


WorkCover<br />

Number of new injuries Days lost due to new injuries WorkCover Claims Cost<br />

2004-<strong>2005</strong> 67 299 $1,438,837<br />

<strong>2005</strong>-<strong>2006</strong> 87 409 $1,274,171<br />

50<br />

The number of new injuries and associated days lost<br />

increased in <strong>2006</strong>. It is important to note however, that 50%<br />

of the days lost related to one claim. Despite an increase in<br />

new injuries, the total Workcover claims costs for the year<br />

reduced 11.4% from 2004-<strong>2005</strong>. The WorkCover claims<br />

costs incorporate costs for claims lodged in the past three<br />

financial years. A reduction in claims costs indicates a<br />

reduction in costs of longer term claims pertaining to 2003-<br />

2004 and 2004-<strong>2005</strong>. In keeping with the recent WorkSafe<br />

initiative designed to reduce the burden of WorkCover costs<br />

to employers, it is anticipated that the WorkCover Premium<br />

for <strong>2005</strong>-<strong>2006</strong> (due to be finalised in September <strong>2006</strong>) will<br />

increase slightly from 2004-<strong>2005</strong>.<br />

MERIT AND EQUITY<br />

The principles of Equal Employment Opportunity (EEO) are<br />

supported and maintained by <strong>Forensicare</strong>. During the past<br />

year the recruitment policy was reviewed and amended to<br />

ensure that the appointment of staff is based on merit, and<br />

that the recently updated guidelines of the State Services<br />

Authority have been adopted. The recruitment process<br />

ensures that fair and reasonable treatment has been<br />

accorded to all applicants.<br />

EQUAL EMPLOYMENT OPPORTUNITY<br />

<strong>Forensicare</strong> has established processes to ensure that the<br />

Public Sector Principles of Employment are promoted.<br />

These principles are –<br />

• employment decisions are based on merit<br />

• employees are treated fairly and reasonably<br />

• equal employment opportunity is provided<br />

• employees have a reasonable avenue of redress<br />

against unfair or unreasonable treatment<br />

• the development of a career in the public service<br />

is fostered.<br />

Training in the prevention of discrimination, bullying and<br />

harassment has been provided to the nominated Contact<br />

Officers across the organisation. These Officers provide<br />

information and support to <strong>Forensicare</strong> staff in relation to<br />

discrimination, harassment or bullying claims. In <strong>2006</strong> -2007<br />

a project will be undertaken to raise staff awareness of the<br />

role of the Contact Officer.<br />

EMPLOYEE REMUNERATION AND<br />

BENEFITS<br />

During the past year, the Australian Taxation Office<br />

endorsed <strong>Forensicare</strong> as a deductible gift recipient<br />

and the option of staff salary packaging was introduced<br />

in November <strong>2005</strong>. A salary packaging provider was<br />

appointed to assist with the smooth implementation<br />

and ongoing provision of services, and all full and part-time<br />

<strong>Forensicare</strong> employees are now able to access salary<br />

packaging.<br />

<strong>Forensicare</strong> have adopted the <strong>2005</strong> policy set by<br />

Government Sector Executive Remuneration Panel that is<br />

also endorsed by the Department of Human Services for<br />

executive remuneration.<br />

EMPLOYEE RELATIONS<br />

The Workplace Consultative Committee continued to meet<br />

on a monthly basis in <strong>2005</strong>-<strong>2006</strong>. The Committee provides<br />

a formal mechanism for consultation between employees<br />

and management representatives on matters relating to the<br />

employee and employer relationship (including<br />

organisational change).<br />

Training and coaching support was provided to managers<br />

to support the effective implementation of <strong>Forensicare</strong>’s<br />

disciplinary policy and processes.<br />

Negotiations for the next Victorian Institute of Forensic<br />

Mental Health Enterprise Bargaining Agreement will<br />

commence towards the end of the <strong>2006</strong> financial year.<br />

The current Agreement expires in September 2007.<br />

BUILDING ON OUR KNOWLEDGE –<br />

WE CONGRATULATE OUR STAFF<br />

• Richard Paul, Courtney Dunn, Courtney Neil, Eniola<br />

Akintola, Dianne Welton, Kye Mitchell, Janice Cheslin,<br />

Denise Moate, Cara Wilkins, Dorota Markiewicz, Chris<br />

Jermyn and Faith Valentine completed a postgraduate<br />

qualification in psychiatric nursing.<br />

• Ros Young, a nurse at Thomas Embling Hospital,<br />

completed a Bachelor Nursing (Hons). Her major work<br />

was on ‘Factors involved in the administration of PRN<br />

psychotropic medications by registered nurses on an<br />

acute all-male forensic psychiatric ward’.<br />

• Grant Burkitt, a Social Worker at Thomas Embling<br />

Hospital, completed his Bachelor of Social Work with<br />

First Class Honours. His thesis was on ‘Self-efficacy and<br />

Belonging in Recovery from a Mental Health Problem’.<br />

• Jennifer McGrail was awarded a Doctor of Psychology<br />

(Forensic) from the University of Melbourne. Her thesis<br />

was ‘An Investigation into the Treatment of<br />

Posttraumatic Stress Disorder with Comorbidity’,<br />

supervised by Associate Professor Grant Devilly.<br />

• Ann Davidson completed a Doctor of Psychology<br />

(Clinical) from Monash University. Her thesis was<br />

‘The Adjustment of Police Officers and Their Partners:<br />

The Role and Determinants of Trauma Disclosure’,<br />

supervised by Associate Professor Ellen Berah and<br />

Dr Simon Moss.


SOCIAL PERFORMANCE<br />

PROVISION OF INFORMATION<br />

<strong>Forensicare</strong> is committed to providing consumers, service<br />

users and Government with comprehensive and timely<br />

access to information about its services. With a focus on<br />

providing information and rights, a range of strategies have<br />

been adopted to ensure patients and clients are aware of<br />

their rights and legal status. These strategies include the<br />

provision of written information to patients and clients and<br />

the employment of consumer consultants, a family<br />

advocate and consumer advisers.<br />

The written information made available to all patients and<br />

clients is also made available to service users, family<br />

members and key stakeholders in printed and electronic<br />

form.<br />

FAMILY SENSITIVE PRACTICE<br />

COMMITTEE<br />

The Family Sensitive Practice Committee is an organisationwide<br />

committee that meets monthly to promote family<br />

sensitive practice across <strong>Forensicare</strong>. The Committee<br />

organises twice yearly professional education sessions for<br />

staff, and in <strong>2005</strong>-<strong>2006</strong> a 1-day workshop was held on<br />

‘Engaging Families: Is It Worth the Effort?’ (facilitated by<br />

Bouverie Centre). The workshop was attended by 18 staff.<br />

A data base was established on the <strong>Forensicare</strong> intra-net<br />

in <strong>2005</strong>-<strong>2006</strong>, which enables all to staff to access relevant<br />

information on community services and supports for families<br />

and carers. In addition, the Family Sensitive Practice<br />

Committee organises special one-off functions throughout<br />

the year for family and friends. A family barbeque is<br />

organised at Christmas, to which all families are invited.<br />

In <strong>2005</strong>, 45 family members, together with children and<br />

patients attended the barbeque.<br />

FAMILY AND FRIENDS<br />

<strong>Forensicare</strong> acknowledges the important role that family,<br />

friends and carers have in supporting a person with a<br />

mental illness. Guided by the Family Sensitive Practice<br />

Committee, a Family Advocate operates across the<br />

organisation to identify the needs of families and carers, and<br />

to inform and enhance our service provision. The Advocate<br />

provides vital support, linkages and advocacy to family<br />

members and carers of our patients and clients. Specific<br />

initiatives provided in <strong>2005</strong>-<strong>2006</strong> include –<br />

Newsletter<br />

A Family and Friends Newsletter was introduced in <strong>2005</strong>-<br />

<strong>2006</strong>. Published quarterly, copies are made available to all<br />

visitors to Thomas Embling Hospital. The Newsletter<br />

contains information on developments within the hospital<br />

and the community, together with notice of forthcoming<br />

events, both within <strong>Forensicare</strong> and the community.<br />

COMMUNITY NETWORKS<br />

<strong>Forensicare</strong>’s involvement with community agencies and<br />

activities a vital component of our community education<br />

platform. In addition to enhancing community<br />

understanding of forensic mental health, our work within<br />

the community facilitates improved community transition<br />

options for patients and clients. In <strong>2005</strong>-<strong>2006</strong>, we<br />

participated in the two street festivals organised by the<br />

communities in which Thomas Embling Hospital and the<br />

Community Forensic Mental Health Service are located<br />

(Station Street Fiesta, Fairfield, and the Sydney Road<br />

Festival, Brunswick). Participation in these festivals gives<br />

<strong>Forensicare</strong> wide community exposure and provides<br />

information on our services and forensic mental health<br />

to members of the local community.<br />

Staff at the <strong>Forensicare</strong> stall, Station Street Fiesta, Fairfield<br />

Forums<br />

Family and Friends Forums are held bi-monthly, providing<br />

information and support sessions to the families and friends<br />

of patients at Thomas Embling Hospital. For the<br />

convenience of those attending, the forums are held<br />

between 12 noon and 1pm on a Saturday, and guest<br />

speakers cover a range of topics. Over the past year<br />

sessions have been provided on ‘Dual Diagnosis – Mental<br />

Illness and Substance Abuse’, ‘Managing Difficult<br />

Behaviour’, ‘The Legal System and People with a Mental<br />

Illness’ and ‘Living with a Mental Illness’.<br />

51


52<br />

OUR ENVIRONMENT<br />

<strong>Forensicare</strong> is committed to responsible environmental<br />

management and operating in a manner that protects the<br />

environment and is consistent with state and national<br />

standards. To achieve this, we will –<br />

• adopt measures to improve energy efficiency<br />

• implement efficient waste reduction and resource use<br />

initiatives<br />

• improve the emission performance of our vehicle fleet<br />

• increase the use of reclaimed and storm water.<br />

ENVIRONMENTAL SUSTAINABILITY<br />

STRATEGY<br />

The Environmental Sustainability Strategy <strong>2005</strong>-2007<br />

continued to provide the blueprint for environmental<br />

initiatives undertaken by <strong>Forensicare</strong> during the year.<br />

Initiatives planned for <strong>2006</strong>-2007 include –<br />

• review the Environmental Sustainability Strategy to<br />

ensure continuity and further enhancement in coming<br />

years<br />

• audit the Environmental Sustainability Processes<br />

in February 2007<br />

• publish sustainability policies and procedures for key<br />

stakeholders and the public on <strong>Forensicare</strong>’s website.<br />

These initiatives will be led by the Corporate Governance,<br />

Remuneration, Social Responsibility and Planning<br />

Committee.<br />

Objective –<br />

ADOPT MEASURES TO IMPROVE<br />

ENERGY EFFICIENCY<br />

ENERGY REDUCTION INITIATIVES<br />

Council approved the acceptance of a loan from the<br />

Department of Human Services, repayable over 5 years,<br />

to implement a range of energy reduction initiatives<br />

proposed by <strong>Forensicare</strong>. Implementation of the initiatives<br />

commenced during the year, and will be completed in the<br />

latter half of <strong>2006</strong>. The energy reduction initiatives covered<br />

by the loan include the installation of ceiling insulation,<br />

a pool thermal blanket, a lighting power control system,<br />

daylight sensing system and occupancy sensors in selected<br />

areas and water regulators in showers and hand basins.<br />

<strong>2005</strong>-<strong>2006</strong>* 2004-<strong>2005</strong> 2003-2004 Percentage<br />

Movement<br />

Electricity Usage - kWh 1,770,281 1,692,383 1,400,257 26.43%<br />

Gas Usage - MJ 8,109,674 7,789,998 7,447,656 8.89%<br />

* The Transitional Accommodation Program was established in 2004-<strong>2005</strong>, providing<br />

accommodation for patients preparing for community transition. <strong>2005</strong>-<strong>2006</strong> was the<br />

first full year of operation of this program. In addition, the external night lighting of<br />

buildings adjacent to Thomas Embling Hospital and the staff carpark was enhanced<br />

during the year in keeping with security requirements.<br />

Objective –<br />

IMPLEMENT EFFICIENT WASTE<br />

REDUCTION AND RESOURCE<br />

USE INITIATIVES<br />

RECYCLING BINS<br />

The Environmental Strategy Committee approved funding<br />

for the purchase of separate recycling bins for plastic<br />

bottles within Thomas Embling Hospital. These bins will<br />

be installed in the hospital grounds and the Administration<br />

Building during <strong>2006</strong>-2007.<br />

COMPOSTING OF ORGANIC WASTE<br />

The composting of organic waste generated by kitchens<br />

in Thomas Embling Hospital will commence in <strong>2006</strong>-2007.<br />

This initiative has been generated by hospital staff and<br />

patients participating in the horticulture program. Compost<br />

generated will be used on hospital garden beds.<br />

CLINICAL WASTE<br />

Clinical waste across <strong>Forensicare</strong> is disposed of safely and<br />

securely in accordance with guidelines established by the<br />

National Health and Medical Research Council.<br />

PAPER RECYCLING<br />

The recycling of high grade paper continues across<br />

<strong>Forensicare</strong>. A percentage of this paper is now being<br />

diverted to the composting program in Thomas Embling<br />

Hospital. Measures to record the amount of paper being<br />

composted have not yet been developed, but will be<br />

established in <strong>2006</strong>-2007.<br />

Planned for <strong>2006</strong>-2007 –<br />

• <strong>Forensicare</strong> is undertaking a printer replacement<br />

program, which will replace existing printers with those<br />

capable of double-sided printing<br />

• Enhanced paper usage and recycling initiatives will be<br />

incorporated in an overall staff awareness program that<br />

will be included in the Environmental Sustainability<br />

Strategy.<br />

<strong>2005</strong>-<strong>2006</strong> 2004-<strong>2005</strong> 2003-2004 Percentage<br />

Movement<br />

Reams of paper used 2,511 2,438 2,502 0.36%<br />

Reams of paper used<br />

per fte* 9.85 9.77 10.28 4.18%<br />

Paper recycled per kg 4,180 3,860 3,450 21.16%<br />

* fte – full time equivalent staff<br />

COMPUTER RECYCLING<br />

The Computer Recycling Program continued during <strong>2005</strong>-<br />

<strong>2006</strong>, and was enhanced by the introduction of recycling<br />

of computer cabling and disks.


Objective –<br />

INCREASE THE USE OF<br />

RECLAIMED AND STORM WATER<br />

FEASIBILITY STUDY –<br />

SEWER TREATMENT PLANT<br />

<strong>Forensicare</strong> participated in a feasibility study conducted<br />

by Parks Victoria for the installation of a sewer treatment<br />

plant to provide water for Yarra Bend Park. If the proposal<br />

proceeds, we will provide the treatment plant with sewerage<br />

discharge from Thomas Embling Hospital. In turn, <strong>Forensicare</strong><br />

will have access to water supplied from the treatment plant for<br />

appropriate use as reclaimed water. The feasibility study has<br />

been completed and submitted to Parks Victoria for<br />

consideration, and we await advice of the outcome.<br />

WATER RESTRICTION COMPLIANCE<br />

<strong>Forensicare</strong> complied with the water restrictions introduced<br />

by the Victorian Government in <strong>2005</strong>-<strong>2006</strong>. Water<br />

regulators will be installed in showers and hand basins.<br />

These will be installed across the organisation in <strong>2006</strong>-<br />

2007.<br />

Planned for <strong>2006</strong>-2007<br />

• Use of a ‘Water from Air’ drinking fountain will be trialled<br />

in the Thomas Embling Hospital reception area. ‘Water<br />

from Air’ drinking fountains extract water from the air,<br />

then cool, purify and dispense. If successful, the existing<br />

water fed fountains throughout the organisation will be<br />

replaced.<br />

Units of water consumed<br />

<strong>2005</strong>-<strong>2006</strong> 2004-<strong>2005</strong> 2003-2004 Percentage<br />

Movement<br />

Water Consumed -<br />

kLitres 10,564 11,415 13,394 21.13%<br />

Units of water consumed<br />

per consumer* 24.12 27.24 32.11 24.88%<br />

* consumer – includes staff, patients and onsite contractors<br />

Objective –<br />

IMPROVE THE EMISSION<br />

PERFORMANCE OF OUR<br />

VEHICLE FLEET<br />

Initiatives implemented in <strong>2005</strong>-<strong>2006</strong> –<br />

• The use of vehicles and fuel consumption continued<br />

to be closely monitored during the year. Monthly<br />

management reporting on vehicle usage was introduced<br />

for distribution to line managers to enhance monitoring<br />

across the organisation.<br />

• Three hybrid (electric-petrol) vehicles were purchased<br />

and introduced to the vehicle fleet late in <strong>2005</strong>-<strong>2006</strong>.<br />

We anticipate that the use of these vehicles will have a<br />

positive impact on the performance of our vehicle fleet.<br />

<strong>2005</strong>-<strong>2006</strong> 2004-<strong>2005</strong> 2003-2004 Percentage<br />

Movement<br />

Fuel Consumption 64,195 54,003 44,431 44.48%<br />

Kilometres travelled 469,150 407,968 320,751 46.27%<br />

Energy consumption<br />

per vehicle* 161.94 136.76 111.93 44.68%<br />

*This data is calculated using the Environment Protection Authority, Victoria, Greenhouse<br />

Emissions Calculator. The increase in fuel consumption, kilometres travelled and energy<br />

consumption per vehicle reflects the introduction of the statewide service, Care Plan<br />

Assessments Victoria, in 2004-<strong>2005</strong>.<br />

Thomas Embling Hospital<br />

53


Corporate Governance<br />

54<br />

FORENSICARE’S CORPORATE<br />

GOVERNANCE PRINCIPLES<br />

• Have a Council of effective composition, size and<br />

commitment to adequately discharge its responsibilities<br />

and duties.<br />

• Recognise and publish the respective roles and<br />

responsibilities of Council and management.<br />

• Actively promote ethical and responsible decisionmaking.<br />

• Have a structure to independently verify and safeguard<br />

the integrity of the Institute’s financial reporting.<br />

• Promote timely and balanced disclosure of all material<br />

matters concerning the Institute.<br />

• Respect the rights of consumers, service users and<br />

Government and facilitate the effective exercise of those<br />

rights.<br />

• Establish a sound system of risk oversight and<br />

management and internal control.<br />

• Fairly review and actively encourage enhanced Council<br />

and management effectiveness.<br />

• Ensure that the Institute functions in a manner which<br />

is consistent with public sector values, employment<br />

practices and policies.<br />

• Recognise legal and other obligations to all legitimate<br />

stakeholders.


Corporate Governance Principles and Disclosure Requirements<br />

Page<br />

Principle 1: Have a Council of effective composition, size and commitment to adequately<br />

discharge its responsibilities and duties.<br />

1.1 Incorporation of Council 56<br />

1.2 Composition of Council 56<br />

1.3 Membership and Expertise of the Council 57-58<br />

1.4 Committees of Council 59-62<br />

1.5 Independent Advice 63<br />

Principle 2: Recognise and publish the respective roles and responsibilities<br />

of Council and management<br />

2.1 Role of the Council 56<br />

2.2 Delegation of Authority 56<br />

2.3 Governance Structure 65<br />

2.4 Management Team 66<br />

2.5 <strong>Forensicare</strong> Executive 66<br />

Principle 3: Actively promote ethical and responsible decision-making<br />

3.1 Code of Conduct 59<br />

3.2 Council Rules 59<br />

3.3 Ethics 59<br />

Principle 4: Have a structure to independently verify and safeguard the integrity<br />

of the Institute’s financial reporting.<br />

4.1 Financial Governance 63<br />

4.2 Declaration by Chief Executive Officer and Chief Finance and Accounting Officer 63<br />

4.3 Structure of Audit Committee so it contains:<br />

• Only non executive directors<br />

• An independent chairperson, one who is not chairperson if the Council<br />

• At least three members 59<br />

4.4 Audit Committee Charter 60<br />

4.5 Audit program 63<br />

4.6 Audit scope 63<br />

4.7 Audit planning 63<br />

4.8 Audit program <strong>2005</strong>-<strong>2006</strong> 63<br />

Principle 5: Promote timely and balanced disclosure of all material matters concerning the Institute.<br />

5.1 <strong>Report</strong>ing Compliance 64<br />

Principle 6: Respect the rights of consumers, service users and Government<br />

and facilitate the effective exercise of those rights.<br />

6.1 Design and disclose a Communication Strategy 41<br />

6.2 Request that the External Auditor attends Council or Committee Meetings 64<br />

6.3 Consumers and service users requirements 51<br />

Principle 7: Establish a sound system of risk oversight and management and internal control.<br />

7.1 Approach to risk management 64<br />

7.2 Roles and responsibilities 59<br />

7.3 Assurance, review and risk evaluation 64<br />

7.4 Compliance framework 64<br />

Principle 8: Fairly review and actively encourage enhanced Council and management effectiveness.<br />

8.1 Performance evaluation of Council, Committees and Key Executives 59<br />

8.2 Responsible Committee 60<br />

Principle 9: Ensure that the Institute functions in a manner which is consistent with<br />

public sector values, employment practices and policies.<br />

9.1 Institute’s Remuneration Policy 64<br />

9.2 Employment practices and policies 64<br />

9.3 Responsible Committee 60<br />

Principle 10: Recognise legal and other obligations to all legitimate stakeholders.<br />

10.1 Legislative compliance policies 64<br />

10.2 Disclosure requirements: 67<br />

• Building and maintenance<br />

• Maintenance<br />

• Conformity<br />

• National competition policy<br />

• Disclosure index<br />

• Consultants<br />

• Freedom of Information<br />

• Whistleblower’s Act<br />

• Availability of other information<br />

10.3 Responsible Committee 60 55


CORPORATE GOVERNANCE<br />

FRAMEWORK<br />

The Institute of Forensic Mental Health has adopted a<br />

corporate governance framework that incorporates a set<br />

of principles and behaviours that underpin our everyday<br />

operations to ensure transparency, fair dealing and<br />

protection for consumers, service users, Government<br />

and stakeholders.<br />

A wide ranging review of corporate governance structures<br />

was undertaken by Council during <strong>2005</strong>-<strong>2006</strong> to ensure<br />

that the Institute’s activities incorporate best practice<br />

governance standards. The recommendations of the review<br />

are consistent with the Standing Directions for the Minister<br />

for Finance, the Department of Human Services<br />

expectations of public hospital governance arrangements<br />

and contemporary initiatives in private sector governance.<br />

On the basis of the review recommendations, Council<br />

implemented a new governance framework which included –<br />

• the adoption of 10 principles (Governance Statement)<br />

• implementation of a new governance structure,<br />

including Council Committees, Charter, Rules and<br />

Guidelines.<br />

VICTORIAN INSTITUTE OF FORENSIC<br />

MENTAL HEALTH COUNCIL<br />

The Victorian Institute of Forensic Mental Health was<br />

established in December 1997 by a detailed amendment<br />

to the Mental Health Act 1986. The amendment also<br />

established the Victorian Institute of Forensic Mental Health<br />

Council as the governing body of the Institute and details<br />

the functions of the Council. The ten member Council is<br />

appointed by the Minister for Health and reports quarterly<br />

on the operation and performance of the Institute.<br />

COMPOSITION OF COUNCIL<br />

The composition of the Council is detailed in the Mental<br />

Health Act 1986 (s.117F), and consists of the Clinical<br />

Director and Chief Executive Officer of the Institute, together<br />

with nominees of the Attorney-General and the Minister for<br />

Corrections. At least one Council member is required to be<br />

a fellow of the Royal Australian and New Zealand College<br />

of Psychiatrists, and one person is to have accountancy<br />

or financial management experience.<br />

ROLE OF THE COUNCIL<br />

The role and functions of the Victorian Institute of Forensic<br />

Mental Health Council are established by legislation<br />

(s.117C, s.117E, Mental Health Act 1986). The Council<br />

is responsible for the overall corporate governance of the<br />

Institute, including the strategic direction and monitoring<br />

of performance.<br />

DELEGATION OF AUTHORITY<br />

The Council delegates authority, other than its power of<br />

delegation, to the Chief Executive Officer or to Committees<br />

and never neglects its responsibility for the outcome. Dayto-day<br />

responsibility for the service and its success is<br />

delegated to the Chief Executive Officer.<br />

56


COUNCIL MEMBERS<br />

The Hon. Jim Kennan, SC<br />

• Chair<br />

• LLM<br />

• Appointed as Chair to Council in May 2001 for a three year period as<br />

Non-Executive Director. Reappointed in April 2004 for a further 3 years.<br />

• Chair of the Finance Committee and member of Corporate Governance,<br />

Remuneration, Social Responsibility and Planning Committee.<br />

• Senior Counsel practising at the Victorian Bar and an Adjunct Professor<br />

of Law at Deakin University.<br />

• Director, Stolen Generations Victoria Ltd, member of the Council of the<br />

Australian Community Support Organisation.<br />

The Hon. Justice Bernard Teague<br />

• Deputy Chair<br />

• BA, LLB(Hons)<br />

• Initially appointed to Council in April 1998 as Non-Executive Director.<br />

Reappointed for a 3 year term in May 2001, and in July 2004 for a further<br />

3 years.<br />

• Chair of the Research Committee.<br />

• Attorney General’s nominee on the Council.<br />

• Principal Judge of the Criminal Division of the Supreme Court of Victoria<br />

and Deputy Chairman, Adult Parole Board.<br />

Michael Burt<br />

• BA, BSW(Dist)<br />

• Appointed to Council in April 1998 as Executive Director.<br />

• Chair of the Quality Improvement and Clinical Ethics Committee and member<br />

of the Finance Committee, Audit and Risk Management Committee and<br />

Corporate Governance, Remuneration, Social Responsibility and Planning<br />

Committee.<br />

• Chief Executive Officer, Victorian Institute of Forensic Mental Health.<br />

Professor Paul Mullen<br />

• MB BS, DSc., FRANZCP, FRC Psych<br />

• Appointed to Council in April 1998 as Executive Director.<br />

• Member of the Quality Improvement and Clinical Ethics Committee<br />

and Research Committee.<br />

• Clinical Director, Victorian Institute of Forensic Mental Health and Professor<br />

of Forensic Psychiatry at Monash University.<br />

• Formerly Professor of Psychological Medicine at the University of Otago<br />

(1982–1992), and Consultant Psychiatrist to the Royal Bethlem and Maudsley<br />

Hospitals and Senior Lecturer at the Institute of Psychiatry, London.<br />

Dr Joan Clarke, OAM<br />

• BEd, BA Hons 1st class, PhD.<br />

• Appointed to Council on 23 May <strong>2006</strong> for a 3 year period as Non-Executive<br />

Director.<br />

• Member of Corporate Governance, Remuneration, Social Responsibility<br />

and Planning Committee.<br />

• Member of the Ministerial Advisory Committee Mental Health (Vic)<br />

and formerly Executive Director, Prahran Mission (1989-<strong>2005</strong>).<br />

• Appointed to Council to represent the interests of patients.<br />

57


Associate Professor Peter Doherty, PSM<br />

• MB BS, FRANZCP<br />

• Appointed to Council on 23 May <strong>2006</strong> for a 3 year period as Non-Executive<br />

Director.<br />

• Member of Quality Improvement and Clinical Ethics Committee.<br />

• Honorary Clinical Associate Professor, Monash University and Medical<br />

Director, The Victoria Clinic.<br />

• Formerly Director of Psychiatry, The Alfred.<br />

• Appointed to Council as a fellow of the Royal Australian and New Zealand<br />

College of Psychiatrists.<br />

Tony Goad<br />

• BBus(Accountancy)<br />

• Appointed to Council for a 3 year period in May 2001 as Non-Executive<br />

Director, and reappointed in April 2004 for a further 3 years.<br />

• Chair of the Information Management/Technology Committee and member<br />

of the Audit and Risk Committee and Finance Committee.<br />

• Associate Director of a healthcare consultancy company and formerly Chief<br />

Finance Officer and Chief Information Officer of the Southern Health Care<br />

Network, Victoria.<br />

Una Gold<br />

• BA, BEd, MBA<br />

• Appointed to Council for a 3 year period in May 2001 as Non-Executive<br />

Director, and reappointed in April 2004 for a further 3 years.<br />

• Member of the Audit and Risk Management Committee and Finance<br />

Committee.<br />

• Deputy Chair of the Victorian Casino & Gaming Authority and Chair<br />

of the Authority’s Internal Audit Committee.<br />

• Formerly a senior officer in the Department of Treasury and Finance<br />

and a consultant and a financial analyst in private industry.<br />

Terry Laidler<br />

• BA(Hons), LLB, Registered Psychologist<br />

• Initially appointed to Council in April 1998 as Non-Executive Director.<br />

Reappointed for 2 years in April 2001, a further 3 year period in May 2003<br />

and in May <strong>2006</strong> was reappointed for another 3 years.<br />

• Chair of the Corporate Governance, Remuneration, Social Responsibility<br />

and Planning Committee, and member of the Audit and Risk Management<br />

Committee and Information Management/Technology Committee.<br />

• A psychologist and communications consultant, he is an honorary research<br />

fellow in the School of Business and Economics, Monash University, and was<br />

formerly Associate Professor of Communications at RMIT and a radio<br />

broadcaster.<br />

• Member of the Victorian Civil & Administrative Tribunal and the Adult Parole<br />

Board, and chair of the Independent Assessment Committee of the<br />

Smartwater Fund and the Port of Melbourne Channel Deepening Project<br />

Stakeholder Advisory Committee.<br />

58


RETIREMENTS AND NEW<br />

APPOINTMENTS<br />

The following occurred in <strong>2005</strong>-<strong>2006</strong> –<br />

Retirements – Dr Robert Adler, appointed to Council on<br />

23 May 2003 retired on 22 May <strong>2006</strong>, and Judith Player,<br />

appointed to Council as a foundation member on 1 April<br />

1998 to represent the interests of patients, retired on<br />

22 May <strong>2006</strong>.<br />

Resignation – David Ware, appointed to Council on<br />

10 July 2004 as the nominee of the Minister for Corrections,<br />

resigned from Council on 7 April <strong>2006</strong>. At 30 June <strong>2006</strong> the<br />

Minister for Corrections had not announced a replacement<br />

member.<br />

New Appointments – Dr Joan Clarke was appointed<br />

to Council on 23 May <strong>2006</strong> to represent the interests of<br />

patients; Associate Professor Peter Doherty was appointed<br />

to Council on 23 May <strong>2006</strong> as a fellow of the Royal<br />

Australian and New Zealand College of Psychiatrists.<br />

COUNCIL MEETINGS<br />

Council meetings are held monthly, with the exception of<br />

December and January. Formal minutes of all meetings<br />

recording the decisions of Council are maintained.<br />

Additional meetings are convened when circumstances<br />

warrant, but no additional meetings were held in <strong>2005</strong>-<br />

<strong>2006</strong>.<br />

CODE OF CONDUCT<br />

The Victorian Institute of Forensic Mental Health Council<br />

has adopted the Australian Institute of Company Director’s<br />

Code of Conduct to guide Council Members. Senior<br />

management is guided by the Code of Conduct established<br />

by the State Services Authority. <strong>Forensicare</strong> has developed<br />

and implemented a Financial Code of Conduct to assist<br />

Council and staff on matters related to the probity of the<br />

Institute’s financial management.<br />

COUNCIL RULES<br />

The Council is committed to the highest standard of<br />

corporate governance practice and has adopted a set of<br />

Council Rules outlining the ethical responsibilities, practice<br />

and conduct of Council.<br />

ETHICS<br />

Members of Council are required to act with integrity at all<br />

times and in all dealings. They are required to declare any<br />

pecuniary interest or conflict of interest during Council<br />

meetings and must withdraw from proceedings where<br />

necessary. There was one instance that required declaration<br />

during the year.<br />

REPORTING<br />

The Victorian Institute of Forensic Mental Health is<br />

committed to providing and maintaining a level of disclosure<br />

that meets high standards and ensures that all stakeholders<br />

have access to information.<br />

The Council is required to prepare an annual Corporate Plan<br />

for the Minister to guide the operation of the Institute over the<br />

financial year (Mental Health Act 1986, s.117O). The<br />

Corporate Plan must include a Statement of Corporate Intent,<br />

a Business Plan and financial statements for the organisation.<br />

The Statement of Corporate Intent is required to be included<br />

in the <strong>Annual</strong> <strong>Report</strong> (s.117U) (see page 96-97).<br />

A Quarterly <strong>Report</strong> is prepared for the Minister for Health<br />

each quarter ending September, December, March and<br />

June. The Quarterly <strong>Report</strong> details progress against agreed<br />

initiatives and reports performance against agreed<br />

measures.<br />

The Institute has adopted policies to ensure that<br />

compliance reporting under the Standing Directions<br />

of the Minister for Finance is met.<br />

PERFORMANCE EVALUATION OF<br />

COUNCIL, COMMITTEES AND KEY<br />

EXECUTIVES<br />

In accordance with Australian Council on Healthcare<br />

Standards, EQuIP accreditation requirements, Council and<br />

Committees undertake an annual self evaluation exercise.<br />

A detailed questionnaire is completed by Councillors and<br />

committee members covering procedures, effectiveness<br />

of meetings and workload. Councillors and committee<br />

members are also required to evaluate their own<br />

performance. Performance evaluations are conducted<br />

annually by members of the Institute’s Executive.<br />

COUNCIL COMMITTEES<br />

The Victorian Institute of Forensic Mental Health Council has<br />

established 6 Committees to provide specialist advice and<br />

support to Council. The Committees and their charters were<br />

restructured by Council in <strong>2005</strong>-<strong>2006</strong> to ensure that corporate<br />

governance appropriately reflects Government policy and<br />

organisation priorities, and is supported by strengthened<br />

structures within the organisation. All Committees are<br />

established in accordance with Council Rules.<br />

AUDIT AND RISK MANAGEMENT<br />

COMMITTEE<br />

MEMBERSHIP<br />

Michael Wright, BEcon (Hons), MSc Econ (IR) (Dist) Chair,<br />

Tony Goad, BBus(Accountancy), Una Gold, BA, BEd, MBA,<br />

Terry Laidler, BA (Hons), LLB, Registered Psychologist.<br />

Michael Burt, BA. BSW(Dist), together with 1 senior staff<br />

officer (John Daly) are standing invitation attendees. At 30<br />

June <strong>2006</strong>, two additional members are to be nominated<br />

from Council to replace members who have resigned or<br />

retired.<br />

INDEPENDENCE<br />

All members of the Audit and Risk Management Committee<br />

are independent in accordance with the requirements of the<br />

Standing Directions of the Minister for Finance under the<br />

Financial Management Act 1994 (as part of the Financial<br />

59


Management Package), Direction 2.2(f), Guideline 3. In<br />

accordance with the Standing Directions, the Chair of the<br />

Audit and Risk Management Committee is not the Chair of<br />

the Victorian Institute of Forensic Mental Health Council.<br />

To further enhance the independence of the Audit and Risk<br />

Management Committee, Council appointed Michael Wright,<br />

BEcon (Hons), MSc Econs (IR) (Dist) as Chair of the<br />

Committee in <strong>2005</strong>-<strong>2006</strong>. Mr Wright is independent of both<br />

Council and management.<br />

COMMITTEE MEETINGS<br />

Meetings of the Audit and Risk Management Committee<br />

are held bi-monthly. Attendance at these meetings in <strong>2005</strong>-<br />

<strong>2006</strong> is detailed under Meeting Attendances.<br />

CHARTER<br />

The Audit and Risk Management Committee of <strong>Forensicare</strong><br />

operates under a Charter which details the purpose,<br />

objectives and authority of the Committee, together with<br />

areas of responsibility. The Committee is responsible for –<br />

• financial performance, the financial reporting process<br />

and preparation of the annual financial statements<br />

(in conjunction with the Finance Committee)<br />

• the scope of work, performance and independence<br />

of internal and external auditors<br />

• recommending the engagement and dismissal of any<br />

internal audit organisation or executive<br />

• the operation and implementation of the risk<br />

management framework<br />

• matters of accountability and internal control affecting<br />

the operations of the Institute<br />

• the effectiveness of management information systems<br />

and other systems of internal control<br />

• the acceptability of and correct accounting treatment for<br />

and disclosure of significant transactions which are not<br />

part of the Institute’s normal course of business<br />

• the sign off of accounting policies<br />

• the process for monitoring compliance with laws and<br />

regulations and Code of Conduct and Code of Financial<br />

Practice<br />

• all matters listed under this section are to be reported<br />

to the Council via the reporting process listed in this<br />

Charter.<br />

The full scope of <strong>Forensicare</strong>’s audit program is detailed<br />

on page 63.<br />

FINANCE COMMITTEE<br />

MEMBERSHIP<br />

The Hon. Jim Kennan SC, LLM, Chair, Tony Goad,<br />

BBus(Accountancy), Una Gold BA, BEd, MBA, Michael<br />

Burt, BA, BSW(Dist), together with 1 senior staff member<br />

(John Daly) who is a standing invitation attendee.<br />

INDEPENDENCE<br />

Members of the Finance Committee are both Non Executive<br />

and Executive Directors.<br />

COMMITTEE MEETINGS<br />

Meetings of the Finance Committee are held monthly.<br />

Attendance at these meetings is detailed under Meeting<br />

Attendances.<br />

CHARTER<br />

The Finance Committee of <strong>Forensicare</strong> operates under a<br />

Charter which details the purpose, objectives and authority<br />

of the Committee, together with the following areas of<br />

responsibility –<br />

• assist Council fulfil its financial and budgetary<br />

governance responsibilities and Financial Management<br />

Compliance obligations under the Standing Directions<br />

of the Minister of Finance<br />

• endorse the annual budget for Council approval prior<br />

to submission to the Department of Human Services<br />

• monitor (monthly) the financial stability of the Institute<br />

• monitor compliance under the Financial Management<br />

Compliance Framework<br />

• report to Council on all matters listed under this section<br />

via the reporting process listed in this Charter.<br />

CORPORATE GOVERNANCE,<br />

REMUNERATION, SOCIAL<br />

RESPONSIBILITY AND<br />

PLANNING COMMITTEE<br />

MEMBERSHIP<br />

Terry Laidler, BA(Hons), LLB, Registered Psychologist Chair,<br />

The Hon. Jim Kennan SC, LLM, Dr Joan Clarke OAM, BEd,<br />

BA Hons 1st class, PhD, Michael Burt, BA, BSW(Dist) (not a<br />

member in matters relating to Remuneration component of<br />

this committee), Michael Wright, BEcon(Hons), MSc Econs<br />

(IR) (Dist) (member only when Remuneration is a component<br />

of this meeting).<br />

INDEPENDENCE<br />

Members of the Corporate Governance, Remuneration,<br />

Social Responsibility and Planning Committee are both<br />

Non Executive and Executive Directors.<br />

COMMITTEE MEETINGS<br />

Meetings of the Corporate Governance, Remuneration,<br />

Social Responsibility and Planning Committee are held<br />

quarterly or as required. Attendance at these meetings<br />

is detailed under Meeting Attendances.<br />

CHARTER<br />

The Corporate Governance, Remuneration, Social<br />

Responsibility and Planning Committee of <strong>Forensicare</strong><br />

60


operates under a Charter which details the purpose,<br />

objectives and authority of the Committee, together with<br />

areas of responsibility. The Committee is required to –<br />

• provide recommendations to Council concerning –<br />

• the appropriate size, function, needs and<br />

composition of the Committees,<br />

• a remuneration strategy that is consistent with the<br />

objectives and human resource needs of the<br />

Institute and which complies with all applicable laws,<br />

government policy; and best practice<br />

• provide advice to the Council and Chair on –<br />

• corporate governance matters, including developing<br />

and recommending to the Council the Institute’s<br />

corporate governance principles<br />

• the self-evaluation process for the Council and its<br />

committees<br />

• required skills and expertise of Council members<br />

to enable Council to operate effectively<br />

• developments, trends and opportunities that may<br />

influence the Institute’s ability to effectively serve<br />

stakeholders<br />

• provide input regarding Government policy and<br />

service planning to address the needs of the<br />

Institute’s clients and stakeholders<br />

• assist Council fulfil its responsibilities relating to the<br />

executive remuneration, performance and<br />

employment policies and practices<br />

• monitor progress and oversee development of the<br />

strategic plan and Corporate Plan (under s.117O<br />

of the Mental Health Act 1986).<br />

QUALITY IMPROVEMENT AND<br />

CLINICAL ETHICS COMMITTEE<br />

MEMBERSHIP<br />

Michael Burt, BA, BSW(Dist) Chair, Professor Paul Mullen,<br />

MB BS, DSc, FRANZCP, FRC Psych, Dr Peter Doherty PSM,<br />

MB BS, FRANZCP, together with 2 senior staff officers<br />

(Karlyn Chettleburgh, Jo Chaplin).<br />

INDEPENDENCE<br />

Members of the Quality Improvement and Clinical Ethics<br />

Committee are both Non Executive and Executive Directors.<br />

COMMITTEE MEETINGS<br />

Meetings of the Quality Improvement and Clinical Ethics<br />

Committee are held quarterly. Attendance at these meetings<br />

is detailed under Meeting Attendances.<br />

CHARTER<br />

The Quality Improvement and Clinical Ethics Committee<br />

of <strong>Forensicare</strong> operates under a Charter which details the<br />

purpose, objectives and authority of the Committee,<br />

together with the areas of responsibility. The Committee<br />

is required to –<br />

• ensure that the Institute provides a high quality and<br />

effective service, which meets the community’s<br />

expectations for a high standard of care and security<br />

provision; and that mechanisms are effectively and<br />

ethically utilised to appraise structures, processes and<br />

outcomes of services, with the aim of continually<br />

improving the quality of the Institute’s activities<br />

• oversee the development of policies and guidelines<br />

on clinical ethical issues and monitor compliance with<br />

these policies<br />

• promote a culture of continuous service improvement.<br />

RESEARCH COMMITTEE<br />

MEMBERSHIP<br />

The Hon. Justice Bernard Teague, BA, LLB(Hons) Chair,<br />

Professor Paul Mullen, MB BS, DSc, FRANZCP, FRC Psych,<br />

together with 4 senior staff officers (Dr Danny Sullivan, Ms<br />

Karlyn Chettleburgh, Dr Patricia Martin, Professor James<br />

Ogloff) and 1 external member (Dr Andrew Carroll).<br />

INDEPENDENCE<br />

Members of the Research Committee are both Non<br />

Executive and Executive Directors as well as independent<br />

from both Council and Management.<br />

COMMITTEE MEETINGS<br />

Meetings of the Research Committee are held as required.<br />

Attendance at these meetings is detailed under Meeting<br />

Attendances.<br />

CHARTER<br />

The Research Committee of <strong>Forensicare</strong> has operated<br />

under a Charter which detailed the purpose, objectives and<br />

authority of the Committee. At 30 June <strong>2006</strong>, the Charter<br />

for the Research Committee is under review and not<br />

finalised.<br />

INFORMATION MANAGEMENT<br />

AND TECHNOLOGY COMMITTEE<br />

MEMBERSHIP<br />

Tony Goad, BBus(Accountancy) Chair, Terry Laidler,<br />

BA(Hons), LLB, Registered Psychologist, together with<br />

2 members of staff (John Daly, Glenda Cunningham) and<br />

1 external member who has yet to be appointed.<br />

INDEPENDENCE<br />

Members of the Information Management and Technology<br />

Committee are Non Executive and Executive Directors as<br />

well as one independent member of both Council and<br />

Management.<br />

61


COMMITTEE MEETINGS<br />

The Information Management and Technology Committee<br />

was established during the year and held one meeting.<br />

Future meetings of the Information Management and<br />

Technology Committee will be quarterly or as required.<br />

Attendance at the meetings is detailed under Meeting<br />

Attendances.<br />

CHARTER<br />

The Information Management and Technology Committee<br />

of <strong>Forensicare</strong> operates under a Charter which details the<br />

purpose, objectives and authority of the Committee,<br />

together with areas of responsibility. The Committee<br />

is required to –<br />

• provide guidance on the effective and efficient use of<br />

existing and new technology<br />

• monitor implementation of the findings of the<br />

Information Technology Security Audits and compliance<br />

with the Institute’s guidelines and procedures for<br />

effective and efficient use of technology<br />

• recommend information technology policy direction<br />

to the Council for consideration and approval<br />

• develop and maintain a technology plan that is<br />

consistent with the needs and goals of the Institute,<br />

and anticipates the future role and use of technology<br />

in health.<br />

MEETING ATTENDANCES<br />

Council Finance Audit and Research Information Quality Corporate<br />

Committee Risk Committee Management Improvement Governance,<br />

Management + see note below and and Clinical Remuneration<br />

Committee Technology Ethics Social<br />

Committee Committee Responsibility<br />

(formerly QI and Planning<br />

Committee) Committee<br />

++ see note below (formerly<br />

Remuneration<br />

Committee)<br />

Jim Kennan 6 of 8 7 of 9 2 of 2<br />

Justice Teague 7 of 8 1 of 5* +<br />

Michael Burt 8 of 8 8 of 9 4 of 5** ++<br />

Paul Mullen 8 of 8 + ++<br />

Robert Adler 3 of 6<br />

Joan Clarke 1 of 2<br />

Peter Doherty 2 of 2 ++<br />

Tony Goad 5 of 8 8 of 9 5 of 5 1 of 1<br />

Una Gold 7 of 8 9 of 9 1 of 1<br />

Terry Laidler 8 of 8 1 of 1 2 of 2<br />

Judith Player 6 of 6 3 of 5 1 of 1<br />

David Ware* 5 of 5 2 of 5<br />

* Justice Teague resigned from the Audit and Risk Management Committee in December <strong>2005</strong><br />

** Michael Burt is a standing invitation attendee at the Audit and Risk Management Committee<br />

+ No formal Research Committee meetings were held during this period. Business was conducted and research proposals were circulated<br />

electronically on 7 occasions during the year.<br />

++ No Quality Improvement meetings were held during this period. The Quality Improvement Committee was restructured during the year,<br />

and during this time the quality improvement function was managed by Council.<br />

62


INDEPENDENT ADVICE<br />

In pursuit of their duties, Council members, executive<br />

officers, senior officers and senior clinicians may seek<br />

independent professional advice as required at the expense<br />

of the Institute.<br />

FINANCIAL GOVERNANCE<br />

In accordance with ‘Standing Directions of the Minister<br />

for Finance under the Financial Management Act 1994’<br />

(June 2003), <strong>Forensicare</strong> has a robust and transparent<br />

model to oversee financial management of the organisation.<br />

It is incorporated as a fundamental component of the<br />

governance framework for the organisation. Within <strong>2005</strong>-<br />

<strong>2006</strong> the Audit and Risk Management and Finance<br />

Committees focussed on enhancing the systems of financial<br />

reporting, risk management, internal control and the<br />

adequacy of management reporting.<br />

DECLARATION BY CHIEF EXECUTIVE<br />

OFFICER AND CHIEF FINANCE AND<br />

ACCOUNTING OFFICER<br />

The Chief Executive Officer and Chief Finance and<br />

Accounting Officer made a formal statement declaring that<br />

the Institute’s financial report represents a true and fair view<br />

in all material respects, in accordance with the ‘Standing<br />

Directions of the Minister for Finance (Financial Management<br />

Compliance Framework)’.<br />

AUDIT PROGRAM<br />

Within <strong>Forensicare</strong>, the Audit Program is an essential<br />

element of monitoring risk, corporate governance,<br />

compliance, clinical practices and financial performance.<br />

The Audit Program encompasses -<br />

External Audit<br />

The Auditor General of Victoria provides an independent<br />

review of the performance and accountability of the<br />

Victorian Institute of Forensic Mental Health to Parliament<br />

and the community of Victoria. The Audit Act 1994 is the<br />

main legislation governing the powers and functions of the<br />

Auditor-General.<br />

Internal Audit<br />

The international accounting firm, Deloittes, is responsible<br />

for <strong>Forensicare</strong>’s internal audit function, which is an<br />

invaluable resource in ensuring compliance and improving<br />

the operations of <strong>Forensicare</strong>.<br />

AUDIT SCOPE<br />

The internal audit program provides for the evaluation<br />

of the adequacy and effectiveness of <strong>Forensicare</strong>’s internal<br />

controls and performance quality in carrying out its<br />

responsibilities. The internal audit function includes all<br />

<strong>Forensicare</strong> programs.<br />

AUDIT PLANNING<br />

An Audit Plan 2004-2009 has been developed by the<br />

internal auditors, in conjunction with the Audit & Risk<br />

Management Committee. The Audit Plan was developed<br />

using a risk based approach, incorporating risks identified<br />

in the Risk Management Audit conducted in 2004-<strong>2005</strong>,<br />

and is in full compliance with all standards.<br />

AUDIT PROGRAM <strong>2005</strong>-<strong>2006</strong><br />

The following Internal Audits were undertaken in <strong>2005</strong>-<strong>2006</strong> –<br />

• Financial Management Compliance Framework<br />

• Taxation Compliance – Fringe Benefit Tax (FBT), Goods<br />

and Services Tax (GST) and Pay as you Go Tax (PAYG)<br />

• Purchasing Card Compliance<br />

• A-IFRS (The Australian Equivalents to International<br />

Financial <strong>Report</strong>ing Standards)<br />

• Recruitment and Termination and Human Resources<br />

• Asset Management<br />

• Management <strong>Report</strong>ing<br />

• Follow Up.<br />

AUDIT PROGRAM <strong>2006</strong>-2007<br />

External<br />

• Audit of Financial Statements – Auditor-General Victoria<br />

Internal<br />

• Compliance assessment of the Financial Management<br />

Compliance Framework, Taxation Compliance<br />

Framework and Credit Cards. This is an annual<br />

compliance requirement.<br />

• Specialist operational projects including –<br />

Occupational Health and Safety – This project will<br />

assess <strong>Forensicare</strong>’s Safety Management System<br />

for compliance with internal policy and legislative<br />

requirements.<br />

Information Technology Strategic Planning and<br />

Infrastructure – This project will assess the process<br />

used to develop an Information Technology Strategic<br />

Plan, including appropriate supporting information<br />

technology infrastructure.<br />

• Process projects including –<br />

Corporate Governance processes – This project will<br />

assess the improvements recently made to<br />

<strong>Forensicare</strong>’s Corporate Governance processes.<br />

Environmental Sustainability – This initiative will assess<br />

the extent to which <strong>Forensicare</strong> has delivered on its<br />

initiatives in line with the Environmental Sustainability<br />

Strategy.<br />

63


EXTERNAL AUDITOR (AUDITOR<br />

GENERAL’S OFFICE) ATTENDANCE AT<br />

COUNCIL OR COMMITTEE MEETINGS<br />

The Institute’s External Auditors (the Victorian Auditor<br />

General’s office) is invited to attend the Audit and Risk<br />

Management Committee and/or the Council meeting on<br />

completion of the <strong>Annual</strong> Compliance Audit. The Auditor-<br />

General’s office is requested to provide information on –<br />

• conduct of the audit<br />

• preparation and content of the audit report<br />

• accounting policies adopted by the Institute in relation<br />

to the preparation of the financial statement.<br />

RISK MANAGEMENT<br />

The Institute approaches risk management by identifying,<br />

assessing and managing risks that affect its business in<br />

accordance with a set of core risk management values.<br />

ASSURANCE, REVIEW AND RISK<br />

EVALUATION<br />

The Executive of the Institute provides assurance, review<br />

and risk evaluation to the Council through the Audit and<br />

Risk Management Committee, Quality Improvement and<br />

Clinical Ethics Committee, Internal and External Audit<br />

on the adequacy and effectiveness of management controls<br />

for risk.<br />

COMPLIANCE FRAMEWORK<br />

The Institute’s compliance framework is driven by a series<br />

of principles and practices -<br />

• compliance is the responsibility of every staff member<br />

• complying with both the letter and spirit of regulatory<br />

standards<br />

• embedding compliance in how the Institute conducts<br />

its business<br />

• accountability of senior management to ensure strong<br />

compliance culture.<br />

The primary responsibility for managing compliance risk<br />

resides with business line management, who are required<br />

to demonstrate that they have effective processes in place.<br />

REMUNERATION POLICY<br />

Council<br />

Council members eligible for payment are remunerated in<br />

accordance with the Guidelines for the Appointment and<br />

Remuneration of Part-Time Non Executive Directors of State<br />

Government Boards and Members of Statutory Bodies and<br />

Advisory Committees (Department of Treasury and Finance).<br />

Members of Council who are employed in a government<br />

capacity are not eligible for payment.<br />

Executive<br />

Contracts (which incorporate performance requirements)<br />

and salary ranges of executive staff of <strong>Forensicare</strong> comply<br />

with the Government Sector Executive Remuneration Panel<br />

Guidelines, which is also endorsed by the Department of<br />

Human Services for executive remuneration.<br />

EMPLOYMENT PRACTICES<br />

AND POLICIES<br />

Policies established by the State Services Authority on<br />

Code of Conduct, Values and Public Sector Principles<br />

of Employment have been adopted by <strong>Forensicare</strong> (see<br />

pages ifc, 50, 64).<br />

POLICIES AND PROCEDURES<br />

The Institute has a comprehensive range of Policies and<br />

Procedures to ensure that all legal obligations are met.<br />

The Institute utilises the same legislative compliance tool<br />

employed by other major public health sector providers<br />

in Victoria.<br />

VICTORIAN INDUSTRY PARTICIPATION<br />

POLICY ACT<br />

Contracts commenced in <strong>2005</strong>-<strong>2006</strong> to which the Victorian<br />

Industry Participation Policy Act 2003 (VIPP) applied -<br />

• <strong>Forensicare</strong> commenced one (1) contract totalling<br />

$5.16m in value to which VIPP applied.<br />

• The contract was a metropolitan based contract.<br />

• The commitments by the contractor under VIPP<br />

included -<br />

• an overall level of local content of over 99% of the<br />

total value of the contract<br />

• a total of 24 full-time equivalent jobs.<br />

64


ORGANISATION CHART<br />

VIFMH Council<br />

Chair – The Hon Jim Kennan, SC<br />

Committees<br />

Audit and Risk Management<br />

Finance<br />

Quality Improvement<br />

and Clinical Ethics<br />

Corporate Governance,<br />

Remuneration,<br />

Social Responsibility<br />

and Planning<br />

Research<br />

Information<br />

Management/Technology<br />

Chief Executive Officer<br />

Michael Burt<br />

Legal Support<br />

Tom Dalton/Carol Toop<br />

Director of Nursing Practice<br />

Dr Trish Martin<br />

Security Management<br />

Grant Johnson<br />

Human Resources<br />

Loretta Sheales<br />

Business Services<br />

John Daly<br />

Financial Management<br />

Procurement and Logistics<br />

Information Technology<br />

Payroll<br />

Health Information<br />

Glenda Cunningham<br />

Policy, Planning, and<br />

Executive Support<br />

Sue Briggs, Mitali Gupta<br />

Lisa McGowan<br />

Clinical Director<br />

Professor Paul Mullen<br />

Director of Psychological<br />

Services<br />

Professor James Ogloff<br />

Inpatient Services<br />

General Manager<br />

Karlyn Chettleburgh<br />

Thomas Embling Hospital<br />

Acute<br />

Sub-acute<br />

Rehabilitation<br />

Contracted Management<br />

Quality Improvement<br />

Consumer and Carer<br />

Participation<br />

Security Management<br />

Prison Mental Health Service -<br />

Melbourne Assessment Prison<br />

Other regional prisons<br />

Community Forensic Mental<br />

Health Services<br />

General Manager<br />

Jo Chaplin<br />

Court Liaison Program<br />

Problem Behaviour Program<br />

Forensic Mental Health Program<br />

Transitional Accommodation<br />

Program<br />

Community Integration Program<br />

Forensic Mental Health Training<br />

Consumer and Carer<br />

Participation<br />

Quality Improvement<br />

Monash University<br />

65


MANAGEMENT TEAM<br />

Michael Burt, BA, BSW(Dist.)<br />

Chief Executive Officer<br />

• Appointed April 1998<br />

• Responsible for the overall<br />

operation and development<br />

of <strong>Forensicare</strong>.<br />

• A social worker, with almost 30<br />

years experience in the criminal<br />

justice system.<br />

• Worked clinically with prisoners<br />

and parolees, both in Australia<br />

and the United Kingdom, before<br />

moving to management positions<br />

within corrections and forensic<br />

health area.<br />

• Instrumental in establishing<br />

<strong>Forensicare</strong> as a statutory<br />

authority.<br />

Karlyn Chettleburgh, Registered<br />

Psychiatric Nurse, Post Graduate<br />

Diploma in Advanced Clinical Nursing<br />

(Mental Health)<br />

General Manager, Inpatient<br />

Operations<br />

• Appointed December 2001<br />

• Responsible for the operation of<br />

the Thomas Embling Hospital and<br />

the prison mental health program.<br />

• Extensive experience in the public<br />

mental health system in Victoria,<br />

working in both direct care and<br />

management positions in a range<br />

of mental health settings, including<br />

mainstream inpatient services,<br />

community mental health (including<br />

Crisis Assessment Teams), rural<br />

psychiatry and most recently,<br />

forensic mental health.<br />

Jo Chaplin, BBSc(Hons), MPsych,<br />

Grad. Cert. Public Policy & Management,<br />

MAPS.<br />

General Manager, Community<br />

Operations<br />

• Appointed February 2004<br />

• Responsible for the Community<br />

Forensic Mental Health Service,<br />

which incorporates a<br />

comprehensive outpatient clinic,<br />

court advice service and<br />

transitional accommodation<br />

program.<br />

• A Clinical Psychologist, with clinical<br />

and management experience in<br />

government and non government<br />

organisations that specialise in<br />

forensic mental health and welfare,<br />

which has included the<br />

implementation of services aimed<br />

at diverting drug users from the<br />

criminal justice system and<br />

transitional programs for offenders<br />

with mental health and substance<br />

use issues.<br />

FORENSICARE EXECUTIVE<br />

The Executive, a senior management advisory group within<br />

<strong>Forensicare</strong>, meets monthly, with the exception of January.<br />

Where relevant, the Chief Executive Officer provides reports<br />

of these meetings to the Council. The Executive comprises –<br />

• Michael Burt, Chief Executive Officer (chair)<br />

• Professor Paul Mullen, Clinical Director<br />

• Professor James Ogloff, Director of Psychological<br />

Services<br />

• Dr Douglas Bell, Assistant Clinical Director, (Inpatient)<br />

• Sue Briggs, Senior Policy Adviser<br />

• Jo Chaplin, General Manager of Community Operations<br />

• Karlyn Chettleburgh, General Manager of Inpatient<br />

Operations<br />

• Tom Dalton, Corporate Lawyer<br />

• John Daly, Manager of Business Support<br />

• Loretta Sheales, Manager of Human Resources<br />

• Dr Danny Sullivan, Assistant Clinical Director<br />

(Community).<br />

66


LEGISLATIVE COMPLIANCE<br />

BUILDING AND MAINTENANCE<br />

<strong>Forensicare</strong> complies with the Building Act 1993 under the<br />

guidelines for publicly owned buildings issued by the Minister<br />

for Finance 1994 in all redevelopment and maintenance issues.<br />

MAINTENANCE<br />

There are no maintenance orders.<br />

CONFORMITY<br />

All renovations to existing buildings conform to the Building Act<br />

1993. All existing buildings comply with regulations in force at<br />

the time of construction. There are no orders to cease<br />

occupancy or to undertake urgent works. All sites are subject<br />

to a Fire Safety Audit and Risk Assessment according to<br />

revised standards as directed by the Department of Human<br />

Services.<br />

NATIONAL COMPETITION POLICY<br />

<strong>Forensicare</strong> complies with Model 2 competitive neutral pricing<br />

principles outlined in the documents ‘Competitive Neutrality –<br />

A Statement of Victorian Government Policy’, ‘Victorian<br />

Government Timetable for the Review of Legislative<br />

Restrictions on Competition’ and ‘A Guide to Implementing<br />

Pricing Principles’.<br />

DISCLOSURE INDEX<br />

The index identifying <strong>Forensicare</strong>’s compliance with statutory<br />

disclosure requirements is provided on page 99.<br />

CONSULTANTS<br />

Consultants in excess of $100,000 -<br />

Eclipse Computing (Australia) Ltd – provision of financial,<br />

human resources, payroll and trust information systems<br />

Total expenditure for <strong>2005</strong>-<strong>2006</strong> $139,456<br />

Consultants costing less than of $100,000 –<br />

Number of consultants engaged 11<br />

Total cost engagements $45,388<br />

FREEDOM OF INFORMATION<br />

<strong>Forensicare</strong> complies with the Freedom of Information Act<br />

1982 (‘the Act’). 99% of Freedom of Information requests<br />

received in <strong>2005</strong>-<strong>2006</strong> were processed within the required<br />

timeline. No fees were charged for accessing information<br />

during the reporting period. During the year the following<br />

requests were processed –<br />

• A total of 19 Freedom of Information requests were<br />

received<br />

• One request was referred to the Prison Health Unit,<br />

Department of Human Services, for action<br />

• In 4 cases the information requested was released in full<br />

• 14 requests for information had documents exempted<br />

under s.31, s. 33(1), s.33(2A), s.33(4), s.33(9) and s.35(1)<br />

of the Act<br />

• 1 request was unable to be completed within the required<br />

timeframe.<br />

The practice within <strong>Forensicare</strong> is to personally hand<br />

documentation released under Freedom of Information to the<br />

person lodging the request, or to send the information by<br />

registered mail. If a Freedom of Information request is pending<br />

when a patient is discharged, a letter is sent to the last known<br />

address of the patient requesting confirmation of residence.<br />

During <strong>2005</strong>-<strong>2006</strong>, one Freedom of Information letter<br />

requesting residence confirmation was sent to a home<br />

address. The requestor did not respond confirming the<br />

address however and the information was therefore not<br />

forwarded.<br />

People wishing to access information should make a written<br />

request to the Freedom of Information Officer, Victorian Institute<br />

of Forensic Mental Health, Locked Bag 10, Fairfield, 3078.<br />

WHISTLEBLOWER’S ACT<br />

The Whistleblowers Protection Act 2001 came into effect<br />

on 1 January 2002. <strong>Forensicare</strong> has adopted the model<br />

procedures circulated by the Ombudsman for handling<br />

disclosures, with some minor amendments.<br />

<strong>Forensicare</strong> is committed to the aims and objectives of the<br />

Whistleblowers Protection Act 2001. It does not tolerate<br />

improper conduct by its employees or officers, nor the taking<br />

of reprisals against those who come forward to disclose such<br />

conduct. Disclosures of improper conduct can be made by<br />

<strong>Forensicare</strong> staff or members of the public. We have had no<br />

disclosures in the reporting year.<br />

The Protected Disclosure Manager for <strong>Forensicare</strong><br />

is Tom Dalton, Corporate Lawyer.<br />

Disclosures of improper conduct by <strong>Forensicare</strong> or its<br />

employees may be made to –<br />

The Protected Disclosure Manager<br />

<strong>Forensicare</strong><br />

Locked Bag 10<br />

Fairfield 3078<br />

Tel: 03 9495 9149<br />

Email: tom.dalton@forensicare.vic.gov.au OR<br />

The Ombudsman Victoria<br />

Level 22<br />

459 Collins Street<br />

Melbourne 3000<br />

Tel: 03 9613 6222<br />

Email: ombudvic@ombudsman.vic.gov.au<br />

AVAILABILITY OF OTHER INFORMATION<br />

Under section 9.1.3(iv) of Financial Management Act 1994,<br />

the following details are retained by the Chief Executive Officer<br />

and are available on request –<br />

• declarations of pecuniary interests by relevant officers<br />

• shares held by senior officers in a statutory authority<br />

or subsidiary<br />

• <strong>Forensicare</strong> publications<br />

• major external reviews conducted on <strong>Forensicare</strong><br />

• research and development activities undertaken<br />

• overseas visits taken<br />

• promotional, public relations and marketing activities<br />

conducted<br />

• occupational health and safety policies and measures<br />

undertaken<br />

• industrial relations<br />

• profile of Executives.<br />

67


68<br />

Financial Performance


Financial Overview<br />

FINANCIAL MANAGEMENT<br />

The Victorian Institute of Forensic Mental Health Council<br />

and the Department of Human Services approved a $1.309<br />

million deficit budget for <strong>Forensicare</strong> for <strong>2005</strong>-<strong>2006</strong>. To<br />

deliver the $1.205 million deficit (outlined below and detailed<br />

in the <strong>2005</strong>-<strong>2006</strong> Financial Statements, pages 78-95) was<br />

therefore a significant achievement. The budget result<br />

included depreciation of $1.235 million which is provided for<br />

separately by Government via capital payments in response<br />

to submissions by <strong>Forensicare</strong>. No Capital Funds were<br />

provided to <strong>Forensicare</strong> by the Department of Human<br />

Services for the <strong>2005</strong>-<strong>2006</strong> financial year.<br />

To support sound financial management and accountability<br />

practices, <strong>Forensicare</strong> has continued to review the<br />

organisation’s Financial Management Framework under the<br />

Corporate Risk Assessment Review.<br />

The Framework restates the various elements of our<br />

financial management policies, practices and procedures.<br />

It clarifies the way in which our organisation manages its<br />

financial activities, and documents the clearer lines of<br />

accountability and reporting.<br />

Our financial framework is based on the following principles –<br />

• support for the increased autonomy and accountability<br />

of operational areas of the organisation<br />

• integration of systems to enhance information available<br />

to meet the diverse and growing needs of management<br />

• transparency through standardisation of business<br />

reporting templates<br />

• quality financial management information that is sourced<br />

and reproduced consistently from a common platform<br />

• flexible capacity to adapt to meet changing information<br />

needs in our environment.<br />

The framework encourages strong governance, continuous<br />

improvement and compliance with standards to support our<br />

organisation strategic directions.<br />

During the current and previous reporting periods,<br />

<strong>Forensicare</strong> has undertaken a number of internal financial<br />

reviews/assessments to assist the Council and Executive<br />

manage the financial performance of the organisation over<br />

the year. The reviews have consisted of –<br />

• Expenditure comparisons by major component<br />

• Expenditure patterns<br />

• Deficit Management Strategies<br />

• Long-Term Financial Budget Management Plan.<br />

During the financial year <strong>Forensicare</strong> absorbed two<br />

significant unbudgeted costs totalling $0.398 million.<br />

To achieve the actual result of $30,000 surplus (excluding<br />

depreciation) after a difficult year with both cost pressures<br />

(high levels of patient acuity resulted in approximately 116<br />

additional staffing shifts during the months of January to<br />

March <strong>2006</strong>) and the unbudgeted costs, demonstrates that<br />

the financial strategy of <strong>Forensicare</strong> is sound and sufficiently<br />

flexible to counteract unforeseen cost pressures.<br />

FINANCIAL SUSTAINABILITY<br />

The financial situation of the Institute highlights the need for<br />

strong, long term planning and the targeted allocation of<br />

resources. A disciplined approach to financial decision<br />

making which relies on clear evidence, data analysis,<br />

accurate costing and risk management is critical to the<br />

financial stability of the Institute. This is achieved through<br />

the preparation of the Corporate Plan, and the ongoing<br />

development of a Long Term Financial Strategy and 5 year<br />

Capital Works Program. The development of a Long Term<br />

Budget Financial Model has been completed and will be<br />

presented to the Victorian Institute of Forensic Mental<br />

Health Council early in the coming financial year.<br />

OVERALL FINANCIAL POSITION<br />

<strong>Forensicare</strong> continues to be in a good financial position. The<br />

Balance Sheet indicates that <strong>Forensicare</strong> has a satisfactory<br />

level of Cash Assets. The Institute’s ratios have declined<br />

compared to previous years (see graphs, page 70). The<br />

Working Capital Ratio assesses the ability of <strong>Forensicare</strong> to<br />

meet current commitments and is calculated by measuring<br />

the Institute’s Current Assets against Current Liabilities. The<br />

Institute’s ratio of 0.83:1 has declined from previous years<br />

and is a direct result of the new accounting treatment of<br />

calculating employee entitlements. (See note 1(l)). This<br />

means that <strong>Forensicare</strong> has Cash and Current Assets of<br />

$0.83 for every $1.00 of Current Liabilities.<br />

CASH FLOW<br />

<strong>Forensicare</strong> has a net overall cash inflow for the year of<br />

$0.242m. The most significant variation related to the<br />

Operating Activities with an inflow of $0.639m. The increase<br />

in Government Grants, Other Revenue and the vigilance in<br />

expenditure on Operating Costs (payments and supplies)<br />

had a considerable impact on the cash position of<br />

<strong>Forensicare</strong>. Investing Activities of <strong>Forensicare</strong> (Capital<br />

Works and Asset Acquisition / Replacement Program) had<br />

an outflow of $0.397million, related primarily to the<br />

purchase of <strong>Forensicare</strong> vehicles and the upgrading of<br />

information technology equipment.<br />

05/06 04/05 03/04 02/03 01/02<br />

$’000 $’000 $’000 $’000 $’000<br />

Cash Held $4,131 $3,889 $3,337 $5,148 $3,205<br />

*Cash Held represents unrestricted cash held at the end of the reporting periods.<br />

$6,000,000<br />

$5,000,000<br />

$4,000,000<br />

$3,000,000<br />

$2,000,000<br />

$1,000,000<br />

$0<br />

05/06 04/05 03/04 02/03 01/02<br />

69


70<br />

3.0<br />

2.5<br />

2.0<br />

1.5<br />

1.0<br />

0.5<br />

0.0<br />

0.94<br />

0.92<br />

0.90<br />

0.88<br />

0.86<br />

0.84<br />

0.82<br />

RATIOS<br />

Current Ratio – Liquidity<br />

The graph below indicates <strong>Forensicare</strong>’s ability to meet its<br />

financial commitments in the short term (next twelve<br />

months). A ratio of 1 or greater indicates a strong financial<br />

capability to meet commitments.<br />

05/06 04/05 03/04 02/03 01/02 00/01<br />

Equity/Assets – Stability<br />

This graph indicates the Institute’s long-term stability. The<br />

stability over the past twelve month period clearly shows<br />

the Institute is slowly decreasing in its viability position.<br />

05/06 04/05 03/04 02/03 01/02 00/01<br />

INTERNATIONAL FINANCIAL<br />

REPORTING STANDARDS<br />

The Australian Equivalents to International Financial<br />

<strong>Report</strong>ing Standards (A-IFRS) was introduced from 1 July<br />

<strong>2005</strong>. The Institute has completed all the requirements<br />

issued by the Department of Treasury and Finance (DTF)<br />

for the introduction of the standards and the necessary<br />

changes to our systems and procedures. In addition to the<br />

requirements of DTF, the Institute engaged Deloitte (the<br />

Institute’s internal auditors) to verify that the Institute has<br />

applied all necessary Standards and Financial <strong>Report</strong>ing<br />

Directions of the Minister of Finance. As a result of a well<br />

planned implementation strategy there has been minimal<br />

impact on our day-to-day business. For details of the<br />

impact on the Institute of A-IFRS refer to note 22 of the<br />

Financial Statements page 92.<br />

LONG TERM FINANCIAL STRATEGY –<br />

LOOKING AHEAD<br />

<strong>Forensicare</strong> is currently unable to fund the replacement<br />

of significant assets as they come to the end of their<br />

economic life. This situation will need to be addressed over<br />

the coming years as a number of large assets are ending<br />

their economic and operational life. The continuing<br />

monitoring and reporting on the 5 year Capital Replacement<br />

Program to the Department of Human Services will need to<br />

be increased. <strong>Forensicare</strong> is currently developing a<br />

submission to the Department of Human Services<br />

identifying a major asset that has come to the end of its<br />

economic and operational life. Both <strong>Forensicare</strong> and the<br />

Department of Human Services will need to work closely<br />

over the coming financial year to address this issue.<br />

As mentioned in Financial Management (previous page),<br />

<strong>Forensicare</strong> has implemented a number of financial<br />

management strategies for the long term financial position<br />

of the organisation. The Council and management are<br />

united in their commitment to achieving the long term<br />

financial strategy and will continue to monitor and review<br />

these strategies. Other mechanisms to assist in the financial<br />

stability of <strong>Forensicare</strong>, including service reviews, asset<br />

management and the six-monthly revision of the Long Term<br />

Financial Strategies, will also assist <strong>Forensicare</strong> in seeking<br />

a balanced position.<br />

VICTORIAN PUBLIC SECTOR –<br />

COMPLIANCE (FINANCIAL)<br />

Tax Compliance Audit<br />

The Tax Compliance Framework is a framework adopted<br />

by the Department of Treasury and Finance to address tax<br />

compliance risks that arise for the Victorian Public Sector<br />

(VPS) as a result of the application of various Federal tax<br />

laws to the VPS. Accounting firm Deloitte has undertaken<br />

an annual review of taxation compliance and found that the<br />

Victorian Institute of Forensic Mental Health has complied<br />

with its obligations under the Department of Treasury and<br />

Finance’s Tax Compliance Framework.<br />

General Government Purchasing Card<br />

Under the Directions of the Minister for Finance and the<br />

Rules, the Victorian Institute of Forensic Mental Health is<br />

required for the <strong>2005</strong>-<strong>2006</strong> assurance process to complete<br />

their assurance of the General Government Purchasing<br />

Card or other purchasing/credit card facility and submit a<br />

Letter of Assurance to the Minister for Finance. Accounting<br />

firm Deloitte was engaged by <strong>Forensicare</strong> to assist in the<br />

compliance review. They found that there were no<br />

breaches, and that <strong>Forensicare</strong> had complied with the<br />

Directions.<br />

Financial Management Compliance<br />

Framework<br />

The Financial Management Compliance Framework has<br />

been developed by the Department of Treasury and Finance<br />

to assist the Victorian Public Sector meet its obligations and<br />

effectively monitor and review its overall performance in<br />

financial management. The Framework, which now consists<br />

of the Tax Compliance Framework and Credit Card<br />

Compliance, has been designed to promote responsible<br />

financial management. The Financial Management<br />

Compliance Framework was introduced into <strong>Forensicare</strong><br />

on 1 July 2003.<br />

<strong>Forensicare</strong> is required to report on its compliance with the<br />

Framework through an assurance mechanism of annual<br />

certification. This year, certification is due by 30 September<br />

<strong>2006</strong>. The accounting firm Deloitte will assist <strong>Forensicare</strong><br />

prepare the annual certification, and the ongoing


development of responsible financial management (in<br />

accordance with the organisational goals) whilst meeting the<br />

requirements of the Financial Management Act 1994.<br />

The Institute participated in a voluntary audit co-ordinated<br />

by the Department of Treasury and Finance (conducted by<br />

Price Waterhouse Coopers) into the organisation’s<br />

compliance. The audit found that the Institute was compliant<br />

with all requirements. Since the introduction of the Financial<br />

Management Compliance, this is the first time that<br />

<strong>Forensicare</strong> is anticipating it will report 100% compliance<br />

with all requirements, subject to audit by Deloitte.<br />

Institute financial performance against budget (Consolidated Output Groups)<br />

Actual Budget Variance **Variance Ref<br />

<strong>2005</strong> – 06 <strong>2005</strong> – 06<br />

$’000 $’000 $’000 %<br />

Income<br />

Government Grants (Department of Human Services) 29,066 29,341 (275) 0.94%<br />

*Other Government Revenue (Corrections Victoria Service Agreement) 2,528 2,435 93 3.83% 1<br />

Other Income 1,689 1,440 248 17.21% 2<br />

Total Income 33,283 33,216 67 0.20%<br />

***Less Expenses<br />

Employee Benefits 21,417 20,267 1,150 5.67% 3<br />

Contracted Staff Costs 3,631 4,752 (1,121) 23.58% 4<br />

Medicines, Drugs & Diagnostics 1,085 1,046 38 3.67% 5<br />

Property Maintenance & Contracts 4,818 4,571 248 5.42% 6<br />

Other Expenses 2,302 2,669 (367) 13.75% 7<br />

Total Expenses 33,253 33,305 (52) 0.16%<br />

Net Result For Year Before Depreciation and Amortisation 30 (89) 119 133.71%<br />

* This amount only incl Revenue. ** Items that have a -+ 3% or more variance will have commentary *** This performance indicator excludes depreciation<br />

Ref. Commentary on the major variance components<br />

1 The increase in revenue relates to the increase in the contract price for the provision of mental health services<br />

at the Melbourne Assessment Prison is offset by the increase in costs.<br />

2 The increase relates to the non-cash debtor raised against Department of Human Services for the net<br />

movement in Long Service Leave. See note 1(r) - Indirect Contributions of the Financial Statements at page 84<br />

and the additional contracted services provided under the Corrections Victoria Service Agreement.<br />

3 & 4 The movement between Contracted Staff (decrease of $1.121 million) and Employee Benefits (increase of<br />

$1.150 million) relates to the employment relationships of <strong>Forensicare</strong> medical staff. Previously all medical staff<br />

were employed through a contracting agreement with another health service provider. As at January <strong>2006</strong><br />

medical staff were directly employed by <strong>Forensicare</strong>.<br />

5 This increase relates to the change in contractor for the provision of pharmaceuticals. On the transfer of<br />

contractor, <strong>Forensicare</strong> was required to purchase all drug stocks held throughout the Thomas Embling Hospital.<br />

6 The increases in Property Maintenance & Contracts are related to the increase in corrective maintenance<br />

required to maintain a safe and secure environment at the Thomas Embling Hospital. See details of Maintenance<br />

Works at page 43.<br />

7 The decrease in actual expenditure against budget has been achievable through the ongoing savings of the<br />

Deficit Management Strategies introduced in previous years. The estimated reduction in recurrent expenditure<br />

has been greater than anticipated.<br />

Institute Output Groups Financial Performance<br />

Department of Human Services Self Corrections Care Plan TOTAL<br />

Funding Victoria Assessments BUDGET<br />

Budget<br />

Budgeted Revenue 30,144 220 2,665 187 33,216<br />

Budgeted Expenditure 30,474 9 2,632 190 33,305<br />

Variance (330) 211 33 (3) (89)<br />

Actual<br />

Actual Revenue 30,146 42 2,873 222 33,283<br />

Actual Expenditure 30,203 19 2,851 180 33,253<br />

Variance (57) 23 22 42 30<br />

71


72<br />

UNDERSTANDING OUR FINANCIALS<br />

What do financial statements show?<br />

Our financial statements provide an insight into the<br />

Institute’s financial health. Our financial statements show –<br />

• how the Institute performed during the year<br />

• the value of assets held by the Institute<br />

• the ability of the Institute to pay its debts.<br />

What is in the financial statements?<br />

The Financial Statements of the Institute consist of four<br />

financial reports, explanatory notes supporting the financial<br />

statements and the endorsement statement by the Institute<br />

and the Victorian Auditor-General.<br />

The four financial reports are –<br />

• Operating Statement<br />

• Balance Sheet<br />

• Statement of Recognised Income and Expenses<br />

• Statement of Cash Flows.<br />

Operating Statement<br />

The Operating Statements (previously known as the<br />

Statement of Financial Performance and sometimes called<br />

the Profit and Loss Statement) show how well the Institute<br />

has performed financially during the financial year.<br />

The Statement lists the main sources of revenue under<br />

Revenue (eg, Department of Human Services) and<br />

expenses included in the Operating Statement only include<br />

our day-to-day running costs. Costs associated with the<br />

purchase of assets (eg. Buildings, Plant and Equipment)<br />

are not included in the Operating Statement. Depreciation<br />

is included.<br />

Depreciation is the value of any assets that is used up<br />

during the year.<br />

This Statement is prepared on an accrual basis - all revenue<br />

and costs for the year are recognised, even though the<br />

income may not yet be received or expenses not yet paid.<br />

The key figure to look at in the Operating Statement is the<br />

‘Net Result for Year Before Depreciation and Amortisation’.<br />

This is the figure that the Institute is measured against for<br />

financial performance. A surplus means that our revenue<br />

was greater than our expenses. Being in surplus for the<br />

year is equivalent to being in profit.<br />

Balance Sheet<br />

The Balance Sheet (previously known as the Statement of<br />

Financial Position) discloses the Institute’s net accumulated<br />

financial worth at the end of the financial year. It shows the<br />

value of assets that we hold, as well as liabilities or claims<br />

against these assets.<br />

The assets and liabilities are expressed as current or noncurrent.<br />

Current means that these are assets or liabilities<br />

that will be expected to be paid or converted into cash<br />

within the next 12 months.<br />

Our most significant asset consists of property, plant and<br />

equipment. This asset category includes all infrastructure<br />

assets such as buildings and land as detailed in note 9(a)<br />

of the Financial Statements (page 86)<br />

Statement of Recognised Income<br />

and Expenses<br />

This Statement summarises the change in the net worth<br />

of <strong>Forensicare</strong>.<br />

Our net worth can only change as a result of -<br />

• a ‘profit’ or ‘loss’ as recorded in the Operating<br />

Statement<br />

• an increase in the value of non-current assets resulting<br />

from a revaluation of those assets. This amount is<br />

transferred to an Asset Revaluation Reserve until the<br />

asset is sold or a real profit is realised, as opposed to<br />

being book entry only. The value of all non-current<br />

assets must be reviewed each year to ensure that they<br />

reflect their true value in the Balance Sheet.<br />

Any movements in other reserves within this Statement are<br />

adjusted through accumulated surplus.<br />

Statement of Cash Flows<br />

The Statement of Cash Flows summarises our cash<br />

receipts and payments for the financial year and shows the<br />

net increase or decrease in cash held by the Institute.<br />

The Statement of Cash Flows represents cash ‘in hand’,<br />

whereas the Statement of Financial Performance is<br />

prepared on an accrual basis (including money not yet paid<br />

or spent). This means the values in both statements may<br />

differ.<br />

The Institute’s cash arises from, and is used in, two main<br />

areas - the ‘Cash flows from operating activities’ section<br />

summarises all income and expenses relating to the<br />

Institute’s delivery of services.<br />

The ‘Cash flows from investing activities’ refers to the<br />

Institute’s capital expenditure or other long term revenue<br />

producing assets, as well as money received from the sale<br />

of assets.<br />

See the Cash Flow Statement at page 80 of the Institute’s<br />

Financial Statements.<br />

Notes to the Statements<br />

The Notes to the accounts provide further information in<br />

relation to the rules and assumptions used to prepare the<br />

Financial Statements, as well as additional information and<br />

details about specific items within the Statements.<br />

The Notes also advise if there have been any changes to<br />

accounting standards, policy or legislation that may change<br />

the way the Statements are prepared. Within the four<br />

Financial Statements, there is a column that indicates to<br />

which note the reader can refer for additional information.<br />

Information in the notes is particularly useful where there<br />

has been a significant change from the previous year’s<br />

comparative figure.


Accountable Officer’s, Chief Finance<br />

& Accounting Officer’s and Member<br />

of Responsible Body’s Declaration<br />

The Declaration, made by the persons responsible for the<br />

financial management of the Institute, states that in his (or<br />

her) opinion, the Financial Statements have met all the<br />

statutory and professional reporting requirements and that,<br />

in their opinion, the Financial Statements are fair and not<br />

misleading.<br />

<strong>Report</strong> of Auditor-General Victoria<br />

This document provides a written undertaking of the<br />

accuracy, fairness and completeness of the accounts.<br />

The audit report from the Auditor-General provides an<br />

independent view of the Statements and advises the reader<br />

if there are any issues of concern.<br />

73


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Index to the Financial <strong>Report</strong>s<br />

Note Contents Page<br />

Statement of Certification 75<br />

Auditors-General <strong>Report</strong> 76-77<br />

Operating Statement 78<br />

Balance Sheet 79<br />

Statement of Recognised Income and Expenses 80<br />

Cash Flow Statement 80<br />

1 Statement of Accounting Policies 81<br />

2 Statement of Understanding and Service Agreement 84<br />

3 Income 84<br />

4 Expenses 85<br />

5 Net Gain / (Loss) on Disposal of Non-Current Assets 85<br />

6 Depreciation 85<br />

7 Cash and Cash Equivalents 85<br />

8 Receivables 86<br />

9 Property, Plant & Equipment 86<br />

10 Payables 87<br />

11 Provisions / Employee Benefits and Entitlements 87<br />

12 Other Liabilities 87<br />

13 Equity & Reserves 88<br />

14 Reconciliation of Net Result for the Year to Net Cash Flows from/(used in) Operating Activities 88<br />

15 Financial Instruments 88<br />

16 Financial Instruments 89<br />

17 Commitments 90<br />

18 Superannuation 90<br />

19 Responsible Persons Related Disclosures 91<br />

20 Remuneration of Auditors 92<br />

21 Contingent Liabilities 92<br />

22 Impacts of adopting AASB equivalents to IASB standards 92<br />

74


76<br />

Financial Statements for the year ended<br />

30 June <strong>2006</strong>


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Victorian Institute of Forensic Mental Health<br />

Operating Statement<br />

For the Year Ended 30 June <strong>2006</strong><br />

Note <strong>2006</strong> <strong>2005</strong><br />

$’000 $’000<br />

Income 3<br />

Government Grants (Department of Human Services) 29,066 28,580<br />

Other Government Revenue (Corrections Victoria Service Agreement) 2,528 2,435<br />

Other Income 1,689 1,614<br />

33,283 32,629<br />

Less Expenses 4<br />

Employee Benefits 21,417 19,696<br />

Contracted Staff Costs 3,631 4,529<br />

Medicines, Drugs & Diagnostics 1,085 1,026<br />

Property Maintenance & Contracts 4,818 4,488<br />

Other Expenses 2,302 2,543<br />

33,253 32,282<br />

Net Result For Year Before Depreciation and Amortisation 30 347<br />

Less Depreciation & Amortisation 6 1,235 1,232<br />

Net Result For The Year (1,205) (885)<br />

This Statement should be read in conjunction with the accompanying notes<br />

78


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Victorian Institute of Forensic Mental Health<br />

Balance Sheet<br />

As at 30 June <strong>2006</strong><br />

Note <strong>2006</strong> <strong>2005</strong><br />

$’000 $’000<br />

ASSETS<br />

Current Assets<br />

Cash Assets 7, 15, 16 4,186 3,889<br />

Receivables 8, 15, 16 1,008 942<br />

Prepayments 8, 15, 16 - 7<br />

Total Current Assets 5,194 4,838<br />

Non Current Assets<br />

Receivables 2, 8, 15, 16 1,323 1,283<br />

Property, Plant & Equipment 9(a) 40,500 41,287<br />

Total Non Current Assets 41,823 42,570<br />

TOTAL ASSETS 47,017 47,408<br />

LIABILITIES<br />

Current Liabilities<br />

Payables 10, 15, 16 2,499 2,650<br />

Provisions 11(a) 3,260 2,779<br />

Prepaid Revenue 12 473 -<br />

Total Current Liabilities 6,232 5,429<br />

Non Current Liabilities<br />

Provisions 11(a) 481 470<br />

Total Non Current Liabilities 481 470<br />

TOTAL LIABILITIES 6,713 5,899<br />

NET ASSETS 40,304 41,509<br />

EQUITY<br />

Contributed Capital 13(b) 33,781 33,781<br />

Asset Revaluation Reserve 13(a) 1,636 1,636<br />

Accumulated Surpluses 13(c) 4,887 6,092<br />

TOTAL EQUITY 13(d) 40,304 41,509<br />

This Statement should be read in conjunction with the accompanying notes<br />

79


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Victorian Institute of Forensic Mental Health<br />

Statement of Recognised Income and Expenses<br />

As at 30 June <strong>2006</strong><br />

Note <strong>2006</strong> <strong>2005</strong><br />

$’000 $’000<br />

Gain/(Loss) on Asset Revaluation 13(a), 1(g) - 1,636<br />

Net Income Recognised Directly In Equity 1,636<br />

Net Result for the Year (1,205) (885)<br />

Total Recognised Income and Expenses For The Year (1,205) 751<br />

Victorian Institute of Forensic Mental Health<br />

Cash Flow Statement<br />

For the Year Ended 30 June <strong>2006</strong><br />

Cash Flows From Operating Activities<br />

Note <strong>2006</strong> <strong>2005</strong><br />

$’000 $’000<br />

Receipts<br />

Governments Grants* 32,501 31,412<br />

Corrections Victoria (Melb. Assess. Prison Service Agreement)* 3,135 3,057<br />

Professional Service Fees* 112 131<br />

Interest 292 233<br />

Other* 1,016 853<br />

Payments<br />

Employee Benefits (21,108) (22,718)<br />

Payments and Supplies* (15,310) (12,059)<br />

Net Cash Inflow/(Outflow) From Operating Activities 14 639 909<br />

Cash Flows From Investing Activities<br />

Purchase of Properties, Plant & Equipment* 9 (b) (838) (571)<br />

Proceeds from Sale of Properties, Plant & Equipment* 5 441 214<br />

Net Cash Inflow/(Outflow) From Investing Activities (397) (357)<br />

Net Increase / (Decrease) In Cash Held 242 552<br />

Cash and Cash Equivalents at Beginning of Period 7 3,889 3.337<br />

Cash and Cash Equivalents at End of Period 7 4,131 3.889<br />

* Amounts are inclusive of GST<br />

This Statement should be read in conjunction with the accompanying notes<br />

80


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Notes To and Forming Part of the Financial Statements for the year Ended 30 June <strong>2006</strong><br />

Victorian Institute of Forensic Mental Health<br />

Notes To and Forming Part of the Financial Statements<br />

for the Year Ended 30 June <strong>2006</strong><br />

Victorian Institute of Forensic Mental Health<br />

The Victorian Institute of Forensic Mental Health (‘The Institute’) came into being on 1 January 1998. The Institute<br />

commenced operations with effect from 1 July 1998 and has registered and operates under the trading name<br />

<strong>Forensicare</strong>. The enabling legislation is the Mental Health Act 1986 (‘the Act’) which establishes the Institute<br />

as an approved mental health service. The Institute is a body corporate managed by a Council of ten members<br />

appointed in accordance with s117F of the principal Act.<br />

Note 1<br />

Statement of Accounting Policies<br />

This general-purpose financial report has been prepared on an accrual basis in accordance with the Financial<br />

Management Act 1994, Accounting Standards issued by the Australian Accounting Standards Board and Urgent<br />

Issues Group (UIG) Interpretations. Accounting Standards include Australian equivalents to International Financial<br />

<strong>Report</strong>ing Standards (A-IFRS).<br />

The Financial Statements were authorised for issue by The Hon. Jim Kennan, SC, Chair, Victorian Institute<br />

of Forensic Mental Health Council on 12 September <strong>2006</strong>.<br />

Basis of preparation<br />

The financial report is prepared in accordance with the historical cost convention, except for the revaluation<br />

of certain non-current assets and financial instruments, as noted. Cost is based on the fair values of the<br />

consideration given in exchange for assets.<br />

In the application of A-IFRS, management is required to make judgments, estimates and assumptions about<br />

carrying values of assets and liabilities that are not readily apparent from other sources. The estimates and<br />

associated assumptions are based on historical experience and various other factors that are believed to be<br />

reasonable under the circumstance, the results of which form the basis of making the judgments. Actual results<br />

may differ from these estimates. The estimates and underlying assumptions are reviewed on an ongoing basis.<br />

Revisions to accounting estimates are recognised in the period in which the estimate is revised, if the revision<br />

affects only that period, or in the period of the revision and future periods if the revision affects both current and<br />

future periods.<br />

Accounting policies are selected and applied in a manner which ensures that the resulting financial information<br />

satisfies the concepts of relevance and reliability, thereby ensuring that the substance of the underlying<br />

transactions or other events is reported.<br />

The Institute changed its accounting policies on 1 July 2004 to comply with A-IFRS. The transition to A-IFRS is<br />

accounted for in accordance with Accounting Standard AASB 1 First-time Adoption of Australian Equivalents to<br />

International Financial <strong>Report</strong>ing Standards, with 1 July 2004 as the date of transition. An explanation of how the<br />

transition from superseded policies to A-IFRS has affected Victorian Institute of Forensic Mental Health financial<br />

position, financial performance and cash flows is discussed in note 22.<br />

The accounting policies set out below have been applied in preparing the Financial Statements for the year ended<br />

30 June <strong>2006</strong>, the comparative information presented in these Financial Statements for the year ended 30 June<br />

<strong>2005</strong>, and in the preparation of the opening A-IFRS balance sheet at 1 July 2004, the Institute date of transition,<br />

except for the accounting policies in respect of financial instruments. The Institute has not restated comparative<br />

information for financial instruments, including derivatives, as permitted under the first-time adoption transitional<br />

provisions. The accounting policies for financial instruments applicable to the comparative information and the<br />

impact of the changes in these accounting policies is discussed further in note 1(r).<br />

(a)<br />

(b)<br />

(c)<br />

(d)<br />

<strong>Report</strong>ing Entity<br />

The Financial Statements include all the activities of the Institute. The Institute is a not-for profit entity and therefore<br />

applies the additional Aus paragraphs applicable to “not-for-profit” entities under the Australian equivalents to<br />

IFRS.<br />

Rounding Off<br />

All amounts shown in the Financial Statements are expressed to the nearest $1,000.<br />

Cash and Cash Equivalents<br />

Cash and cash equivalents comprise cash on hand and in banks.<br />

Receivables<br />

Trade debtors are carried at nominal amounts due and are due for settlement within 30 days from the date of<br />

recognition. Collectability of debts is reviewed on an ongoing basis, and debts which are known to be uncollectible<br />

are written off. A provision for doubtful debts is raised where doubt as to collection exists.<br />

81


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Notes To and Forming Part of the Financial Statements for the year Ended 30 June <strong>2006</strong><br />

82<br />

(e)<br />

(f)<br />

(g)<br />

(h)<br />

(i)<br />

(j)<br />

(k)<br />

Other Financial Assets<br />

Other financial assets are recognised and derecognised on trade date where purchase or sale of an investment is<br />

under a contract whose terms require delivery of the investment within the timeframe established by the market<br />

concerned, and are initially measured at fair value, net of transaction costs. Other financial assets are classified<br />

between current and non current assets based on the Institute intention at balance date with respect to the timing<br />

of disposal of each asset.<br />

Investments can be classified in the following categories: financial assets at fair value through profit or loss, loans<br />

and receivables, held-to-maturity investments, and available-for-sale financial assets. The classification depends<br />

on the purpose for which the investments were acquired. Management determines the classification of its<br />

investments at initial recognition. No investments are held by the Institute at balance date.<br />

Non Current Physical Assets<br />

Land and buildings are measured at the amounts for which assets could be exchanged between knowledgeable<br />

willing parties in an arm’s length transaction. Plant, equipment and vehicles are measured at cost.<br />

Revaluations of Non-Current Assets<br />

Assets other than those that are carried at cost are revalued with sufficient regularity to ensure that the carrying<br />

amount of each asset does not differ materially from its fair value.<br />

This revaluation process normally occurs every five years for assets with long useful life. Revaluation increments<br />

or decrements arise from differences between an asset’s depreciated cost or deemed cost and fair value.<br />

Revaluation increments are credited directly to the asset revaluation reserve, except that, to the extent that an<br />

increment reverses a revaluation decrement in respect of that class of asset previously recognised at an expense<br />

in net result, the increment is recognised as revenue in the net result.<br />

Revaluation decrements are recognised immediately as expenses in the net result, except that, to the extent that<br />

a credit balance exists in the asset revaluation reserve in respect of the same class of assets, they are debited<br />

directly to the asset revaluation reserve.<br />

Revaluation increases and revaluation decreases relating to individual assets within a class of property, plant and<br />

equipment are offset against one another within that class but are not offset in respect of assets in different<br />

classes. Revaluation reserves are not transferred to accumulated funds on derecognition of the relevant asset.<br />

Depreciation<br />

Assets with a cost in excess of $1000 are capitalised and depreciation has been provided on depreciable assets<br />

so as to allocate their cost—or valuation—over their estimated useful lives using the straight-line method.<br />

Estimates of the remaining useful lives and depreciation method for all assets are reviewed at least annually. This<br />

depreciation charge is not funded by the Department of Human Services.<br />

The following table indicates the expected useful lives of non-current assets on which the depreciation charges<br />

are based.<br />

<strong>2006</strong> <strong>2005</strong><br />

Buildings 50 years 50 years<br />

Communication Equipment 6 years 6 years<br />

Computer Equipment, Furniture 5 years 5 years<br />

Equipment and Other Assets From 2 – 17 years From 10 – 17 years<br />

Impairment of Assets<br />

If there is an indication of impairment of assets held by the Institute then the assets concerned are tested as to<br />

whether their carrying value exceeds their recoverable amount. Where an asset’s carrying value exceeds its<br />

recoverable amount, the difference is written-off by a charge to the Operating Statement, except to the extent that<br />

the write-down can be debited to an asset revaluation reserve amount applicable to that class of asset.<br />

The recoverable amount for most assets is measured at the higher of depreciated replacement cost and fair value<br />

less costs to sell. Recoverable amount for assets held primarily to generate net cash inflows is measured at the<br />

higher of the present value of future cash flows expected to be obtained from the asset and fair value less costs to<br />

sell. It is deemed that, in the event of the loss of an asset, the future economic benefits arising from the use of the<br />

asset will be replaced unless a specific decision to the contrary has been made.<br />

Payables<br />

These amounts represent liabilities for goods and services provided prior to the end of the financial year and which<br />

are unpaid. The normal credit terms are net 30 days.<br />

Goods and Services Tax<br />

Revenues, expenses and assets are recognised net of GST, except for receivables and payables which are stated<br />

with the amount of GST included, and except where the amount of GST incurred is not recoverable, in which case<br />

GST is recognised as part of the cost of acquisition of an asset or part of an item of expense or revenue. GST<br />

receivable from and payable to the Australian Taxation Office (ATO) is included in the Balance Sheet. The GST<br />

component of a receipt or payment is recognised on a gross basis in the Cash Flow Statement in accordance<br />

with AASB 107 Cash flow statements.


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Notes To and Forming Part of the Financial Statements for the year Ended 30 June <strong>2006</strong><br />

(l)<br />

Employee Benefits<br />

Provision is made for benefits accruing to employees in respect of wages and salaries, annual leave, long service<br />

leave, and sick leave when it is probable that settlement will be required and they are capable of being measured<br />

reliably.<br />

Measurement of Short-term and Long-term Employee Benefits<br />

Short-term employee benefits are those benefits that are expected to be settled within 12 months, and are<br />

measured at their nominal values using the remuneration rate expected to apply at the time of settlement. They<br />

include wages and salaries, sick leave, annual leave, long service leave and accrued days off that are expected<br />

to be settled within 12 months.<br />

Long-term employee benefits are those benefits that are not expected to be settled within 12 months, and are<br />

measured at the present value of the estimated future cash outflows to be made by the Institute in respect of<br />

services provided by employees up to reporting date. They include long service leave and annual leave not<br />

expected to be settled within 12 months.<br />

The present value of long-term employee benefits is calculated in accordance with AASB 119 Employee Benefits.<br />

Long-term employee benefits are measured as the present value of expected future payments to be made in<br />

respect of services provided by employees up to the reporting date. Consideration is given to expected future<br />

wage and salary levels, experience of employee departures and periods of service. Expected future payments are<br />

discounted using interest rates on national Government guaranteed securities with terms to maturity that match,<br />

as closely as possible, the estimated future cash outflows.<br />

Classification of Employee Benefits as Current and Non-current Liabilities<br />

In accordance with policy direction from the Department of Treasury and Finance, employee benefit provisions are<br />

reported as current liabilities where the Institute does not have an unconditional right to defer settlement for at<br />

least 12 months. Consequently, the current portion of the employee benefit provision can include both short-term<br />

benefits that are measured at nominal values and long-term benefits that are measured at present values.<br />

Employee benefit provisions that are reported as non-current liabilities also include long-term benefits such as non<br />

vested long service leave (i.e. where the employee does not have a present entitlement to the benefit) that do not<br />

qualify for recognition as a current liability, and are measured at present values.<br />

Superannuation<br />

Defined Contribution Plans<br />

Contributions to defined contribution superannuation plans are expensed when incurred.<br />

Defined Benefit Plans<br />

The amount charged to the Operating Statement in respect of defined benefit plan superannuation represents the<br />

contributions made by the Institute to the superannuation plan in respect to the current services of current Institute<br />

staff. Superannuation contributions are made to the plans based on the relevant rules of each plan.<br />

The Institute does not recognise any defined benefit liability in respect of the superannuation plan because the<br />

Institute has no legal or constructive obligation to pay future benefits relating to its employees; its only obligation<br />

is to pay superannuation contributions as they fall due. The Department of Treasury and Finance has assumed<br />

responsibility for the defined benefit liability of the Institute, and administers and discloses the State’s defined<br />

benefit liabilities in its Financial <strong>Report</strong>.<br />

On-Costs<br />

Employee benefit on-costs are recognised and included in employee benefit liabilities and costs when the<br />

employee benefits to which they relate are recognised as liabilities.<br />

(m)<br />

(n)<br />

Leased Property and Equipment<br />

A distinction is made between finance leases which effectively transfer from the lessor to the lessee substantially all<br />

the risks and benefits incidental to ownership of leased non-current assets, and operating leases under which the<br />

lessor effectively retains all such risks and benefits.<br />

Operating lease payments are representative of the pattern of benefits derived from the leased assets and<br />

accordingly are expensed in the periods in which they are incurred.<br />

Revenue Recognition<br />

Revenue is recognised in accordance with AASB 118 Revenue. Income is recognised as revenue to the extent<br />

it is earned. Unearned income at reporting date is reported as income received in advance.<br />

Amounts disclosed as revenue are, where applicable, net of returns, allowances and duties and taxes.<br />

Government Grants<br />

Grants are recognised as revenue when the Institute gains control of the underlying assets. Where grants are<br />

reciprocal, revenue is recognised as performance occurs under the grant. Non-reciprocal grants are recognised<br />

as revenue when the grant is received or receivable. Conditional grants may be reciprocal or non-reciprocal<br />

depending on the terms of the grant.<br />

Indirect Contributions<br />

• Insurance receipts are recognised as revenue following advice from the Department of Human Services.<br />

• Long Service Leave (LSL) – Revenue is recognised upon finalisation of movements in LSL liability in line with<br />

the arrangements set out in the Acute Health Division Hospital Circular 16/2004.<br />

83


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Notes To and Forming Part of the Financial Statements for the year Ended 30 June <strong>2006</strong><br />

Donations and Other Bequests<br />

Donations and bequests are recognised as revenue when received. If donations are for a special purpose,<br />

they may be appropriated to a reserve, such as specific restricted purpose reserve.<br />

(o)<br />

(p)<br />

(q)<br />

Comparative Information<br />

The Institute has only made minimal adjustment to previous year’s figures to facilitate comparisons.<br />

Contributed Capital<br />

Consistent with UIG Interpretation 1038 Contributions by Owners Made to Wholly-Owned Public Sector Entities<br />

and FRD 2 Contributed Capital, appropriations for additions to the net asset base have been designated as<br />

contributed capital. Other transfers that are in the nature of contributions or distributions have also been<br />

designated as contributed capital.<br />

Net Result For Year Before Depreciation and Amortisation<br />

A-IFRS allows the inclusion of additional subtotals on the face of the operating statement when such presentation<br />

is relevant to an understanding of an entity’s financial performance. This financial report includes an additional<br />

subtotal, Net Result For Year Before Depreciation and Amortisation.<br />

The Institute has separately disclosed –<br />

• Depreciation and amorisation, as described in Note 1 (h) and 6.<br />

There are no other capital and specific items.<br />

(r) Financial Instruments - Adoption of AASB 132 and AASB 139<br />

The Institute has elected not to restate comparative information for financial instruments within the scope of AASB<br />

132 Financial Instruments: Presentation and Disclosure and AASB 139 Financial Instruments: Recognition and<br />

Measurement, as permitted on the first-time adoption of A-IFRS.<br />

The accounting policies applied to accounting for financial instruments in the current financial year are detailed in<br />

notes 1(c), 1(e) and 1(k).<br />

Note 2<br />

Statement of Understanding and Service Agreement<br />

A Statement of Understanding (1 July 1998 to 30 June 1999) between the Department of Human Services and<br />

the Institute specifically provides for the following –<br />

The Department of Human Services acknowledge their liability for the accrued long service leave entitlements for<br />

all employees with service up to 1 July 1998 transferred from the Department to the Institute under the provisions<br />

of section 97 of the Mental Health Act 1986.<br />

Note <strong>2006</strong> <strong>2005</strong><br />

$’000 $’000<br />

Note 3<br />

Income<br />

Government Grants<br />

1(n)<br />

Service Agreement – (Department of Human Services) 28,844 28,233<br />

Other Government Revenue 222 348<br />

Corrections Victoria –<br />

(Melbourne Assessment Prison Service Agreement) 2,528 2,435<br />

Other Revenues<br />

Interest 292 233<br />

Professional Fees 389 373<br />

Court <strong>Report</strong>s 109 119<br />

WorkCover Recoveries 283 243<br />

Gain on Disposal of Assets 5 52 36<br />

Other Income 564 610<br />

33,283 32,629<br />

84


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Notes To and Forming Part of the Financial Statements for the year Ended 30 June <strong>2006</strong><br />

Note <strong>2006</strong> <strong>2005</strong><br />

$’000 $’000<br />

Note 4<br />

Expenses<br />

Employee Benefits<br />

1(l)<br />

Salaries & Wages 17,163 15,911<br />

Employee Entitlements 1,759 1,515<br />

Superannuation 18 1,502 1.409<br />

WorkCover 506 288<br />

Long Service Leave 487 573<br />

Non Salary Labour Costs<br />

Agency Staff 1,135 1,011<br />

Medical Salaries 2,496 3,518<br />

Medicines, Drugs & Diagnostics<br />

Medicines, Drugs 927 873<br />

Diagnostics 158 153<br />

Property Maintenance & Contracts<br />

Property Expenses 396 350<br />

Maintenance Expenses 746 663<br />

Contracts 2,075 1,931<br />

Security 1,601 1,544<br />

Other Expenses<br />

Information Technology 388 308<br />

Supplies & Consumables 1,302 1,521<br />

Patient Stores & Provisions 168 354<br />

Financial Expenses 17 24<br />

Internal Audit Fees 95 139<br />

Other 332 197<br />

33,253 32,283<br />

Note 5<br />

Net Gain / (Loss) on Disposal of Non-current Assets<br />

Proceeds from Disposal of Non-current Assets<br />

Plant & Equipment 441 214<br />

Total Proceeds from Disposal of Non-current Assets 441 214<br />

Less: Written Down Value of Non-current Assets Sold<br />

Plant & Equipment (389) (178)<br />

Total Written Down Value of Non-current Assets Sold (389) (178)<br />

Net Gain on Disposal of Non-current Assets 52 36<br />

Note 6<br />

Depreciation<br />

Buildings 807 684<br />

Plant & Equipment 428 548<br />

Total Depreciation 1,235 1,232<br />

Note 7<br />

Cash and Cash Equivalents<br />

Cash on Hand 1 1<br />

Cash at Bank 4,185 3,888<br />

4,186 3,889<br />

Represented by -<br />

Cash for Institute Operations (as per Cash Flow Statement) 4,131 3,889<br />

Cash for Monies Held in Trust<br />

Cash at Bank 55 -<br />

TOTAL 4,186 3,889<br />

85


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Notes To and Forming Part of the Financial Statements for the year Ended 30 June <strong>2006</strong><br />

Note <strong>2006</strong> <strong>2005</strong><br />

$’000 $’000<br />

Note 8<br />

Receivables<br />

Current<br />

Trade Debtors 1,008 918<br />

Prepaid Expenses - 7<br />

Accrued Revenue - 24<br />

Total Current Receivables 1,008 949<br />

Non Current<br />

Department of Human Services – Long Service Leave 793 753<br />

Department of Human Services – Employee Entitlements<br />

(s97, Mental Health Act 1986) 2 530 530<br />

Total Non Current Receivables 1,323 1,283<br />

Total Receivables 2,331 2,232<br />

Note 9 (a)<br />

Property, Plant & Equipment<br />

Land<br />

Land at Valuation at June <strong>2005</strong> 3,350 3,350<br />

Total Land 3,350 3,350<br />

Buildings<br />

Buildings at Valuation at June <strong>2005</strong> 36,226 36,226<br />

Additions at Cost 72<br />

- Less Accumulated Depreciation Costs (809) (2)<br />

Total Buildings 35,489 36,224<br />

Plant and Equipment<br />

Plant & Equipment at Cost 3,784 3,721<br />

- Less Accumulated Depreciation Costs (2,123) (2,009)<br />

Total Plant & Equipment 1,661 1,713<br />

Total Property, Plant & Equipment 40,500 41,287<br />

An independent valuation of the Institute’s land and buildings was made by G.M. Brien & Associates Pty Ltd<br />

under the auspice of the Victorian Valuer-General’s Office. The valuation was adopted as at 30th June <strong>2005</strong><br />

with a revaluation increase of $168,000 (Land) and $1,467,975 (Buildings) totalling $1,635,975. A valuation<br />

was undertaken as at 30th June <strong>2006</strong>, however the revaluation increases of $167,000 (Land) and $113,000<br />

(Buildings) totalling $280,000 has not been recognised.<br />

Note 9 (b) Land Buildings Plant & Total<br />

Equipment<br />

$’000 $’000 $’000 $’000<br />

Balance at 1 July 2004 3,182 35,440 1,868 40,490<br />

Additions - - 571 571<br />

Disposals - - (178) (178)<br />

Revaluation Increments 168 1,468 - 1,636<br />

Depreciation (Note 1(h), 6) - (684) (548) (1,232)<br />

Balance at 1 July <strong>2005</strong> 3,350 36,224 1,713 41,287<br />

Additions - 72 766 838<br />

Disposals - - (389) (389)<br />

Depreciation (Note 1(h), 6) - (807) (428) (1,235)<br />

Balance at 30 June <strong>2006</strong> 3,350 35,489 1.661 40,500<br />

86


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Notes To and Forming Part of the Financial Statements for the year Ended 30 June <strong>2006</strong><br />

Note <strong>2006</strong> <strong>2005</strong><br />

$’000 $’000<br />

Note 10<br />

Payables<br />

Current<br />

Trade Creditors 1,458 1,636<br />

GST Payable 207 196<br />

Accrued Expenses 834 818<br />

Total Payables 2,499 2,650<br />

Note 11(a)<br />

Provisions / Employee Benefits<br />

Current<br />

Long Service Leave (LSL)<br />

11 (b)<br />

- Short-term benefits at nominal value 196 167<br />

- Long-term benefits at present value 1,561 1,301<br />

<strong>Annual</strong> Leave<br />

11 (b)<br />

- Short-term benefits at nominal value 869 742<br />

- Long-term benefits at present value 561 505<br />

Sick Leave 73 64<br />

Total Current 3,260 2,779<br />

Non Current<br />

Long Service Leave 11 (b) 481 470<br />

Total Non-current 481 470<br />

Total Provisions 3,741 3,249<br />

Movement in Long Service Leave<br />

Balance at start of year 1,938 1,588<br />

Provision made during the year 470 571<br />

Settlement made during the year (170) (221)<br />

Balance at End of Year 2,238 1,938<br />

Note 11(b)<br />

Employee Entitlements<br />

Current<br />

All annual leave and LSL entitlements representing 7+ years<br />

of continuous service:<br />

• Short-term employee benefits that fall due<br />

within 12 months after the end of the period<br />

measured at nominal value. 1,065 909<br />

• Other long-term employee benefits that do not<br />

fall due within 12 months after the end of the<br />

period measured at present value. 2,122 1,806<br />

3,187 2,715<br />

Non-current<br />

LSL represented less than 7 years of continuous services<br />

measured at present value. 481 470<br />

Note 12<br />

Other Liabilities<br />

Prepaid Revenue 473 -<br />

Total Other Revenue 473 -<br />

87


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Notes To and Forming Part of the Financial Statements for the year Ended 30 June <strong>2006</strong><br />

Note <strong>2006</strong> <strong>2005</strong><br />

$’000 $’000<br />

Note 13<br />

(a)<br />

(b)<br />

Equity & Reserves<br />

Reserves<br />

Asset Revaluation Reserve<br />

Balance at the beginning of the reporting period 1,636 -<br />

Revaluation Increment/(Decrements)<br />

- Land - 168<br />

- Buildings - 1,468<br />

Balance at the End of the <strong>Report</strong>ing Period 1,636 1,636<br />

Contributed Capital<br />

Balance at the beginning of the reporting period 33,781 33,781<br />

Balance at the end of the reporting period 33,781 33,781<br />

(c)<br />

Accumulated Surpluses/(Deficits)<br />

Balance at the beginning of the reporting period 6,092 6,977<br />

Net result for the year transfers to and from reserve (1,205) (885)<br />

Balance at the End of the <strong>Report</strong>ing Period 4,887 6,092<br />

(d)<br />

Equity<br />

Total equity at the beginning of the reporting period 41,509 40,758<br />

Total changes in equity recognised in the Operating Statement (1,205) 751<br />

Total Equity at the <strong>Report</strong>ing Date 40,304 41,509<br />

Note 14<br />

Reconciliation of Net Result for the Year to Net Cash Flows<br />

from/(used in) Operating Activities<br />

Net Result for the Year (1,205) (885)<br />

Depreciation & Amortisation 1,235 1,232<br />

Net (Gain)/Loss from Sale of Plant & Equipment (52) (36)<br />

Change in Operating Assets & Liabilities, Net of Effect from Restructuring<br />

Increase/(Decrease) in Payables 267 423<br />

Increase/(Decrease) in Employee Benefits 493 417<br />

(Increase)/Decrease in Other Current Assets (10) 30<br />

(Increase)/Decrease in Receivables (89) (272)<br />

Net Cash Flows From/(Used In) Operating Activities 639 909<br />

Note 15<br />

(a)<br />

Financial Instruments<br />

Risk Management Policies<br />

The Institute’s instruments consist mainly of deposits with banks and accounts receivable and payable.<br />

The Finance and the Audit & Risk Management Sub Committees of the Institute’s Council, consisting of Executives<br />

and non- executives, meets regularly, to analyse the Financial Risk Management Strategies, which include -<br />

• Investment Objectives and Policies<br />

• Accounts Payable & Receivable Turnover rates<br />

• Fraud Management Policy and Mitigation Strategies<br />

(b)<br />

(c)<br />

Significant Accounting Policies<br />

Details of the significant accounting policies and methods adopted, including the criteria for recognition, the basis<br />

of measurement and the basis on which income and expenses are recognised, in respect of each class of financial<br />

asset, financial liability and equity instrument are disclosed in note 1 to the Financial Statements.<br />

Interest Rate Risk Exposure<br />

The Institute exposure to interest rate risk and effective weighted average interest rate by maturity periods is set<br />

out in the following table. For interest rates applicable to each class of asset or liability refer to individual notes to<br />

the Financial Statements. Exposures arise predominantly from assets and liabilities bearing variable interest rates.<br />

88


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Notes To and Forming Part of the Financial Statements for the year Ended 30 June <strong>2006</strong><br />

Interest Rate Exposure as at 30/06/<strong>2006</strong><br />

Floating 1 year 1 to 5 Over 5 Non Total Weighted<br />

Interest Rate or less years years Interest Average<br />

Bearing <strong>2005</strong> Interest<br />

Rates**<br />

$’000 $’000 $’000 $’000 $’000 $’000 (%)<br />

Financial Assets<br />

Cash at Bank 4,186 - - - - 4,186 5.66%<br />

Trade Debtors - - - - 1,008 1,008 N/A<br />

Other Receivables - - - - 1,323 1,323 N/A<br />

Total Financial Assets 4,186 - - - 2,331 6,517<br />

Financial Liabilities<br />

Trade Creditors and Accruals - - - - 2,499 2,499 N/A<br />

Total Financial Liabilities - - - 2,499 2,499 N/A<br />

Total Financial Asset/Liabilities 4,185 - - - (168) 4,018 N/A<br />

Interest rate exposure as at 30/06/<strong>2005</strong><br />

Financial Assets<br />

Cash at Bank 3,889 - - - - 3,889 4.99%<br />

Trade Debtors - - - - 918 918 N/A<br />

Other Receivables - - - - 1,314 1,314 N/A<br />

Total Financial Assets 3,889 - - - 2,232 6,121 4.99%<br />

Financial Liabilities<br />

Trade Creditors and Accruals - - - - 2,650 2,650 N/A<br />

Total Financial Liabilities - - - - 2,650 2,650 N/A<br />

Total Financial Asset/Liabilities 3,889 - - - (418) 3,471 N/A<br />

**Weighted average or effective interest rates for each class of assets<br />

(d)<br />

Credit Risk Exposure<br />

Credit risk represents the loss that would be recognised if counterparties fail to meet their obligations under the<br />

respective contracts at maturity. The credit risk on financial assets of the entity have been recognised on the<br />

Balance Sheet, as the carrying amount, net any provisions for doubtful debts. The Institute is not materially<br />

exposed to any individual debtor.<br />

(e)<br />

Fair Value of Financial Assets and Liabilities<br />

The carrying amount of financial assets and liabilities contained within these Financial Statements is representative<br />

of the fair value of each financial asset or liability.<br />

Note 16<br />

Financial Instruments<br />

Net Fair Value<br />

<strong>2006</strong> <strong>2005</strong><br />

Book Value Fair Value ** Book Value Fair Value**<br />

$’000 $’000 $’000 $’000<br />

Financial Assets<br />

Cash at Bank 4,186 4,186 3,889 3,889<br />

Trade Debtors 1,008 1,008 918 918<br />

Other Receivables 1,323 1,323 1,314 1,314<br />

Total Financial Assets 6,516 6,516 6,121 6,121<br />

Financial Liabilities<br />

Trade Creditors and Accruals 2,499 2,499 2,650 2,650<br />

Total Financial Liabilities 2,499 2,499 2,650 2,650<br />

**Net fair values are capital amounts<br />

Net fair values of financial instruments are determined on the following bases –<br />

i. Cash, deposit investments, cash equivalents and non-interest bearing financial assets and liabilities (trade<br />

debtors, other receivables, trade creditors and advances) are valued at cost which approximates to fair value<br />

ii. Interest bearing liability amounts are based on the present value of expected future cash flows, discounted at<br />

current market interest rates, quoted for trade (Treasury Corporation of Victoria.)<br />

89


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Notes To and Forming Part of the Financial Statements for the year Ended 30 June <strong>2006</strong><br />

Note <strong>2006</strong> <strong>2005</strong><br />

$’000 $’000<br />

Note 17<br />

Commitments<br />

(i) Operating Leases<br />

Commitments for photocopiers are as follows -<br />

Less than one year 25 12<br />

Greater than one year but less than five years 38 -<br />

63 12<br />

(ii) Other Commitments<br />

At 30 June <strong>2006</strong>, future contractual commitments for supply<br />

of goods and services entered into and not provided for in the<br />

Operating Statement amount to $7,744,953<br />

(2004-<strong>2005</strong> $11,944,000)<br />

Contracted Services Agreements (Commitments)<br />

Security 2,650 4,339<br />

Provision of Meals and Labour 2,221 3,454<br />

Recreational Services 694 154<br />

Cleaning Services 1,271 1,889<br />

Waste Removal 28 28<br />

Facility Maintenance 258 268<br />

Pharmacy Services 278 1,277<br />

Pathology Services 197 273<br />

Audit Services 126 212<br />

Other 22 50<br />

7,745 11,944<br />

These expenditures are payable -<br />

Not later than one year 4,216 4,253<br />

Later than one year but not later than five years 3,529 7,691<br />

7,745 11,944<br />

Note 18<br />

Superannuation<br />

Superannuation contributions for the reporting period are included as part of employee benefits and on-costs in<br />

the Operating Statement of the Institute.<br />

The name and details of the major employee superannuation funds and contributions made by the Institute are as<br />

follows -<br />

Health Employee Superannuation Trust Australia Fund 824 851<br />

State Superannuation Fund 223 214<br />

Health Super Scheme 426 315<br />

Other Funds 29 29<br />

Total Superannuation 1,502 1,409<br />

(a)<br />

Superannuation<br />

Employees transferring to the Institute under s97 of the Mental Health Act 1986 have retained their status in state<br />

superannuation schemes. New employees join the Health Employee’s Superannuation Trust of Australia (HESTA)<br />

or a scheme of choice.<br />

90<br />

(b)<br />

Basis of Calculating Contributions<br />

The bases for contributions are determined by the various schemes.<br />

The unfunded superannuation liability in respect to members of State Superannuation Schemes and Health Super<br />

Scheme is not recognised in the Balance Sheet. The Institute’s total unfunded superannuation liability in relation to<br />

these funds has been assumed by and is reflected in the Financial Statements of the Department of Treasury and<br />

Finance.<br />

The above amounts were measured as at 30 June of each year, or in the case of employer contributions, they<br />

relate to the years ended 30 June.<br />

All employees of the Institute are entitled to benefits on retirement, disability or death from the Government<br />

Employees Super Fund. The defined benefit fund provides defined lump sum benefits based on years of service<br />

and annual average salary.


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Notes To and Forming Part of the Financial Statements for the year Ended 30 June <strong>2006</strong><br />

Note 19<br />

(a)<br />

Responsible Persons Related Disclosures<br />

Responsible Persons<br />

The relevant Minister and Councillors of the Victorian Institute of Forensic Mental Health are deemed to be the<br />

responsible persons by Ministerial Direction pursuant to the provision of the Financial Management Act 1994.<br />

Period<br />

Responsible Minister<br />

The responsible person (Minister) of the Victorian Institute of Forensic Mental Health<br />

during the reporting period was –<br />

The Hon. Bronwyn Pike, MLA - Minister for Health 01/07/<strong>2005</strong> to 30/06/<strong>2006</strong><br />

Governing Councillors<br />

The responsible persons (Councillors) of the Institute at any time<br />

during the reporting period were-<br />

The Hon. Mr Jim Kennan, SC, Chair 01/07/<strong>2005</strong> to 30/06/<strong>2006</strong><br />

The Hon. Justice Bernard Teague, Deputy Chair,<br />

Nominee of the Attorney-General 01/07/<strong>2005</strong> to 30/06/<strong>2006</strong><br />

Robert Adler 01/07/<strong>2005</strong> to 22/05/<strong>2006</strong><br />

Anthony Goad 01/07/<strong>2005</strong> to 30/06/<strong>2006</strong><br />

Una Gold 01/07/<strong>2005</strong> to 30/06/<strong>2006</strong><br />

Terry Laidler 01/07/<strong>2005</strong> to 30/06/<strong>2006</strong><br />

Professor Paul Mullen, Clinical Director,<br />

Victorian Institute of Forensic Mental Health 01/07/<strong>2005</strong> to 30/06/<strong>2006</strong><br />

Judith Player 01/07/<strong>2005</strong> to 22/05/<strong>2006</strong><br />

David Ware, Nominee of the Minister for Corrections 01/07/<strong>2005</strong> to 07/04/<strong>2006</strong><br />

Joan Clarke, OAM 23/05/<strong>2006</strong> to 30/06/<strong>2006</strong><br />

Associate Professor Peter Doherty, PSM 23/05/<strong>2006</strong> to 30/06/<strong>2006</strong><br />

Michael Burt, Chief Executive Officer,<br />

Victorian Institute of Forensic Mental Health (Accountable Officer) 01/07/<strong>2005</strong> to 30/06/<strong>2006</strong><br />

(b)<br />

Remuneration of Responsible Persons<br />

The number of Responsible Persons are shown in their relevant income bands;<br />

<strong>2006</strong> <strong>2005</strong><br />

No.<br />

No.<br />

Income Band<br />

$0 - $9,999 9 9<br />

$10,000 - $19,999 1 -<br />

$60,000 - $69,999 1 -<br />

$190,000 - $199,999 1 -<br />

$200,000 - $209,999 - 1<br />

Total Numbers 12 10<br />

<strong>2006</strong> <strong>2005</strong><br />

$’000 $’000<br />

Total Remuneration Received or Due and Receivable by<br />

Responsible Persons from the <strong>Report</strong>ing Entity Amounted to - 300 231<br />

91


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Notes To and Forming Part of the Financial Statements for the year Ended 30 June <strong>2006</strong><br />

(c)<br />

Executive Officers Remuneration<br />

The number of Executive Officers other than Ministers and Accountable Officers, whose total remuneration<br />

(including bonuses, LSL payments, redundancy payments and retirement benefits) for the year falls within each<br />

successive $10,000 band, commencing at $100,000.<br />

Total Remuneration Base Remuneration<br />

<strong>2006</strong> <strong>2005</strong> <strong>2006</strong> <strong>2005</strong><br />

No. No. No. No.<br />

Income Band<br />

$100,000 - $109,999 - - - -<br />

$110,000 - $119,999 1 - 1 1<br />

$120,000 - $129,999 - - - 2<br />

$130,000 - $139,999 - 1 - -<br />

$140,000 - $149,999 1 1 2 -<br />

$150,000 - $159,999 1 1 1 -<br />

$160,000 - $169,999 1 - - -<br />

Total Numbers 4 3 4 3<br />

Total Remuneration Received or Due and<br />

Receivable by Responsible Persons from<br />

the <strong>Report</strong>ing Entity amounted to 579 427 565 370<br />

(d)<br />

Clinical Director<br />

The Minister for Health appoints the Clinical Director of the Institute pursuant to s.117H of the Mental Health Act<br />

1986. The Clinical Director is Chair in Forensic Psychiatry at Monash University. His service is partly provided<br />

through an arrangement with Monash University.<br />

(e)<br />

Loans to Councillors<br />

No loans were made to or are payable by Councillors.<br />

(f)<br />

Other Transactions<br />

There are no other transactions between the members of the Council and the Institute.<br />

Note 20<br />

Remuneration of Auditors<br />

Audit fees paid or payable to the Victorian Auditor-General's<br />

Office for audit of the Institute’s current Financial <strong>Report</strong><br />

<strong>2006</strong> <strong>2005</strong><br />

$’000 $’000<br />

Paid as at 30 June <strong>2005</strong> - -<br />

Payable as at 30 June <strong>2006</strong> 13 13<br />

Total Paid and Payable 13 13<br />

Note 21<br />

Contingent Liabilities<br />

There are no Contingent Liabilities at 30 June <strong>2006</strong> (Nil 30 June <strong>2005</strong>)<br />

Note 22<br />

Impacts of adopting AASB equivalents to IASB standards<br />

Following the adoption of Australian equivalents to International Financial <strong>Report</strong>ing Standards (A-IFRS), the<br />

Institute has reported for the first time in compliance with A-IFRS for the financial year ended 30 June <strong>2006</strong>.<br />

Under A-IFRS, there are requirements that apply specifically to not-for-profit entities that are not consistent with<br />

IFRS requirements. The Institute is established to achieve the objectives of Government in providing services free<br />

of charge or at prices significantly below their cost of production for the collective consumption by the community,<br />

which is incompatible with generating profit as a principal objective. Consequently, where appropriate, the Institute<br />

applies those paragraphs in Accounting Standards applicable to not-for-profit entities.<br />

The Institute changed its accounting policies, other than its accounting policies for financial instruments, on 1 July<br />

2004 to comply with A-IFRS. The Institute changed its accounting policies for financial instruments on 1 July <strong>2005</strong><br />

(refer note 1(r)). The transition to A-IFRS is accounted for in accordance with Accounting Standard AASB 1 Firsttime<br />

Adoption of Australian Equivalents to International Financial <strong>Report</strong>ing Standards, with 1 July 2004 as the<br />

date of transition. An explanation of how the transition from superseded policies to A-IFRS has affected the<br />

Institute’s financial position, financial performance and cash flows is set out in the following tables and the notes<br />

that accompany the tables.<br />

92


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Notes To and Forming Part of the Financial Statements for the year Ended 30 June <strong>2006</strong><br />

Effect of A-IFRS on the Balance Sheet as at 1 July 2004<br />

Note Superseded Effect of transition<br />

Policies to A-IFRS A-IFRS<br />

(000’s)* (000’s) (000’s)<br />

ASSETS<br />

Current Assets<br />

Cash Assets 3,337 - 3,337<br />

Receivables 1,423 - 1,423<br />

Prepayments 37 - 37<br />

Total Current Assets 4,797 - 4,797<br />

Non-Current Assets<br />

Receivables 530 - 530<br />

Property, Plant & Equipment 22.2 35,906 4,584 40,490<br />

Total Non-Current Assets 36,436 4,584 41,020<br />

TOTAL ASSETS 41,233 4,584 45,817<br />

LIABILTITES<br />

Current Liabilities<br />

Payables 2,227 - 2,227<br />

Provisions 22.3 1,434 1,006 2,440<br />

Total Current Liabilities 3,661 1,006 4,667<br />

Non-Current Liabilities<br />

Provisions 22.3 1,428 1,036 392<br />

Total Non-Current Liabilities 1,428 1,036 392<br />

TOTAL LIABILTITIES 5,089 (30) 5,059<br />

NET ASSETS 36,144 4,614 40,758<br />

EQUITY<br />

Contributed Capital 33,781 - 33,781<br />

Asset Revaluation Reserve 22.2 2,956 (2,956) -<br />

Accumulated Surpluses/(Deficit) (593) 7,570 6,977<br />

TOTAL EQUITY 36,144 4,614 40,758<br />

* reported financial position for the financial year ended 30 June 2004<br />

93


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Notes To and Forming Part of the Financial Statements for the year Ended 30 June <strong>2006</strong><br />

Effect of A-IFRS on the Balance Sheet as at 30 June <strong>2005</strong><br />

Note Superseded Effect of transition<br />

Policies to A-IFRS A-IFRS<br />

(000’s)* (000’s) (000’s)<br />

ASSETS<br />

Current Assets<br />

Cash Assets 3,889 - 3,889<br />

Receivables 942 - 942<br />

Prepayments 7 - 7<br />

Total Current Assets 4,838 - 4,838<br />

Non Current Assets<br />

Receivables 1,283 - 1,283<br />

Property, Plant & Equipment 41,287 - 41,287<br />

Total Non Current Assets 42,570 - 42,570<br />

TOTAL ASSETS 47,408 - 47,408<br />

LIABILTITES<br />

Current Liabilities<br />

Payables 2,650 - 2,650<br />

Provisions 22.3 2,829 50 2,779<br />

Total Current Liabilities 5,479 50 5,429<br />

Non Current Liabilities<br />

Provisions 470 470<br />

Total Non Current Liabilities 470 470<br />

TOTAL LIABILTITIES 5,949 5,899<br />

NET ASSETS 41,459 50 41,509<br />

EQUITY<br />

Contributed Capital 33,781 - 33,781<br />

Asset Revaluation Reserve 22.2 9,176 7,540 1,636<br />

Accumulated Surpluses/(Deficit) (1,498) (7,540) 6,091<br />

TOTAL EQUITY 41,459 50 41,509<br />

* reported financial position for the year ended 30 June <strong>2005</strong><br />

Effect of A-IFRS on the Operating Statement for the Financial Year Ended 30 June <strong>2005</strong><br />

Note Superseded Effect of transition<br />

Policies to A-IFRS A-IFRS<br />

(000’s)* (000’s) (000’s)<br />

Revenue From Ordinary Activities<br />

Government Grants<br />

(Department of Human Services) 28,580 - 28,580<br />

Other Government Revenue<br />

(Corrections Victoria Service Agreement) 2,435 - 2,435<br />

Other Revenue From Ordinary Activities 1,578 - 1,578<br />

32,593 - 32,593<br />

94<br />

Expenses From Ordinary Activities<br />

Employee Benefits 19,716 (20) 19,696<br />

Contracted Staff Costs 4,529 - 4,529<br />

Medicines, Drugs & Diagnostics 1,026 - 1,026<br />

Property Maintenance & Contracts 4,488 - 4,488<br />

Other Expenses 2,507 - 2,507<br />

32,266 (20) 32,246


Financial Statements for the year ended 30 June <strong>2006</strong><br />

Notes To and Forming Part of the Financial Statements for the year Ended 30 June <strong>2006</strong><br />

Effect of A-IFRS on the Operating Statement for the Financial Year Ended 30 June <strong>2005</strong> - continued<br />

Note Superseded Effect of transition<br />

Policies to A-IFRS A-IFRS<br />

(000’s)* (000’s) (000’s)<br />

Net Result From Ordinary Activities<br />

Before Capital & Specific Items 327 (20) 347<br />

Depreciation and Amortisation (1,232) - (1,232)<br />

Net Result For The Year (905) (20) (885)<br />

Effect of A-IFRS on the statement of cash flows for the financial year ended 30 June <strong>2005</strong><br />

There are no material differences between the Cash Flow Statement presented under A-IFRS and the Cash Flow<br />

Statement presented under the superseded policies.<br />

1. Impairment of Assets.<br />

AASB 136 Impairment of Assets requires assets to be assessed for indicators of impairment each year. This<br />

Standard applies to all assets, other than inventories, financial assets and assets arising from construction<br />

contracts, regardless of whether they are measured on a cost or fair value basis. If indicators of impairment<br />

exist, the carrying value of an asset will need to be tested to ensure that the carrying value does not exceed<br />

its recoverable amount, which is the higher of its value-in-use and fair value less costs to sell. For not-for-profit<br />

entities, value-in-use of an asset is generally its depreciated replacement cost. An impairment test was<br />

conducted as at the transition date, 1 July 2004, which indicated that no indicators of impairment existed.<br />

2. Property, Plant & Equipment.<br />

When an asset is initially recognised, AASB 116 Property, Plant and Equipment requires the capitalisation of<br />

costs of dismantling and removing an asset and restoring the site on which the asset was created, together<br />

with the recognition of a provision at present value in accordance with AASB 137 Provisions, Contingent<br />

Liabilities and Contingent Assets. These costs (and the related provisions) are not recognised under Australian<br />

GAAP. The Institute has no current legal or constructive obligation for the dismantling of its property plant and<br />

equipment at 30 June <strong>2005</strong>, hence there is no required adjustment due to this change in accounting policy.<br />

For its land and buildings the Institute has taken the deemed cost option available under AASB 1 First-time<br />

adoption of A-IFRS. The revaluation of the land and buildings at 30 June 2004 has been taken as the<br />

deemed cost and has the impact of transferring the asset revaluation reserve prior to 30 June 2004 of<br />

$2,955,577 and accumulated depreciation of buildings up to 30 June 2004 of $1,351,980 and the revaluation<br />

of land and buildings of $2,730,264 to accumulated surpluses/(deficits) on transition to A-IFRS at 1 July 2004.<br />

3. Employee Benefits.<br />

Under previous Australian Accounting Standards, employee benefits such as wages and salaries, annual leave<br />

and sick leave are required to be measured at their nominal amount regardless of whether they are expected<br />

to be settled within 12 months of the reporting date.<br />

On adoption of A-IFRS, a distinction is made between short-term and long-term employee benefits and AASB<br />

119 Employee Benefits requires liabilities for short-term employee benefits to be measured at nominal<br />

amounts and liabilities for long-term employee benefits to be measured at present value. AASB 119 defines<br />

short-term employee benefits as employee benefits that fall due wholly within twelve months after the end of<br />

the period in which the employees render the related service. Therefore, liabilities for employee benefits such<br />

as wages and salaries, annual leave and sick leave are required to be measured at present value where they<br />

are not expected to be settled within 12 months of the reporting date.<br />

The effect of the above requirement on the Institute’s Balance Sheet as at 30 June <strong>2005</strong> was a decrease<br />

in employee benefits liability of $50,000. For the year ended 30 June <strong>2005</strong>, employee benefits expense<br />

decreased by $20,000 as the present value discount on the liabilities for long-term employee benefits<br />

unwound.<br />

4. Accumulated Surplus<br />

The effect of the above adjustments on accumulated surplus is as follows:<br />

Note 1 July 2004 30 June <strong>2005</strong><br />

$’000 $’000<br />

Transfer from Asset Revaluation Reserve 22.2 2,956<br />

Fair Value as Deemed Cost<br />

Additional Depreciation Expenses<br />

Impairment Expense<br />

Employee Benefits 22.3 30 (20)<br />

Borrowing Costs<br />

Revaluation of Property, Plant & Equipment 22.2 4,584<br />

Other (describe)<br />

Total Adjustments to Accumulated Surplus 7,570 (20)<br />

95


Statement of Corporate Intent - <strong>2005</strong>-06 – 2007-08<br />

96<br />

<strong>Forensicare</strong> is required by legislation (Mental Health Act<br />

1986, s.117O) to prepare a Corporate Plan each year for the<br />

Minister for Health. The Act requires that the Corporate Plan<br />

includes a Statement of Corporate Intent, a planning<br />

document covering the current year and two subsequent<br />

years (s.117U), and that this statement be included in the<br />

<strong>Annual</strong> <strong>Report</strong>. Accordingly, the Statement of Corporate<br />

Intent <strong>2005</strong>-<strong>2006</strong> – 2007-2008 is reproduced below.<br />

Statement of Corporate Intent <strong>2005</strong>-<strong>2006</strong> –<br />

2007-2008<br />

Business Objectives<br />

• Provide a high quality, expanded inpatient service that<br />

delivers efficient and effective care and treatment in a<br />

secure environment that integrates physical, procedural<br />

and relational security<br />

• Provide a high quality, expanded community service that<br />

delivers efficient and effective care and treatment for<br />

mentally disordered offenders<br />

• Promote and develop knowledge and expertise in<br />

forensic mental health<br />

• Strengthen the capacity and expertise of <strong>Forensicare</strong>,<br />

ensuring optimal and efficient and effective functioning.<br />

Accounting Policies<br />

The Victorian Institute of Forensic Mental Health prepares<br />

general purpose financial reports in accordance with<br />

Australian Accounting Standard AAS29 ‘Financial <strong>Report</strong>ing<br />

by Government Departments’. AAS29 requires the accrual<br />

basis of accounting to be adopted. It also acknowledges that<br />

government departments are primarily service-oriented<br />

entities that require reporting consistent with departments’<br />

service delivery objectives.<br />

The published annual financial report contains a statement of<br />

financial performance, a statement of financial position and a<br />

statement of cash flows and is audited by the Auditor-General’s<br />

Office Victoria. The Victorian Institute of Forensic Mental Health<br />

reports each twelve-month period ending 30 June.<br />

CLINICAL SERVICES<br />

Main Undertakings<br />

The Clinical Services program is responsible for treating<br />

people with serious mental disorders in the criminal justice<br />

system and those patients at high risk of behaving violently.<br />

Clinical Services provides the following inpatient and<br />

community services –<br />

• Expert assessment and advice to courts, corrections,<br />

releasing authorities and general mental health services in<br />

relation to the early detection, assessment, treatment and<br />

risk management of mentally disordered offenders and<br />

potential offenders<br />

• Specialist assessment and treatment in secure inpatient<br />

facilities that provide high quality clinical services that<br />

meet regulations and legislative and security requirements<br />

• Community follow-up, either directly or indirectly, for<br />

clients discharged from specialist forensic inpatient<br />

facilities or from prison<br />

• Community care and treatment to target group clients<br />

referred by area mental health services, courts, Adult<br />

Parole Board or Community Correctional Services<br />

• Liaison and consultative services to public mental health<br />

services and other agencies in relation to treatment of<br />

mentally disordered clients with significant forensic issues<br />

• Facilities and services that achieve high standards of care<br />

and security and contribute to community safety.<br />

Nature and Scope of Activities<br />

Inpatient<br />

Maintaining 100 specialist forensic inpatient beds at the<br />

Thomas Embling Hospital<br />

Maintaining a comprehensive security system at Thomas<br />

Embling Hospital through ongoing monitoring and upgrading<br />

as required<br />

Maintaining full ongoing accreditation from Australian Council<br />

on Healthcare Standards for Inpatient Operations<br />

Strengthening clinical programming by targeting risk<br />

assessment, co-occurring disorders and offending/violence<br />

reduction<br />

Enhancing mental health programs for mentally ill prisoners<br />

and those remanded in custody (subject to requirements of<br />

correctional management and health providers)<br />

Implementing consumer outcome measures to monitor<br />

performance of clinical programs, consistent with the<br />

Department of Human Services policy<br />

Strengthening and enhancing mechanisms for consumer and<br />

carer participation in service development<br />

Completing at least one comprehensive and independent<br />

clinical audit of inpatient services<br />

Reviewing all emergency contingency planning in<br />

collaboration with fire brigade, police and corrections<br />

Identifying, developing and implementing forensic-specific<br />

key performance indicators and measures.<br />

Community<br />

Maintaining an effective working relationship with public<br />

mental health services in relation to interface arrangements<br />

with the community program<br />

Providing a supported accommodation service in the Jardine<br />

flats (located adjacent to Thomas Embling Hospital)<br />

Strengthening clinical programming by targeting risk<br />

assessment, co-occurring disorders and offending/violence<br />

reduction<br />

Maintaining full ongoing accreditation from Australian Council<br />

on Healthcare Standards for Community Operations<br />

Enhancing community mental health services and programs<br />

for mentally ill people released from prison<br />

Completing at lease one comprehensive and independent<br />

clinical audit of community programs<br />

Implementing consumer outcome measures to monitor<br />

performance of clinical programs, consistent with<br />

Department of Human Services policy<br />

Strengthening and enhancing mechanisms for consumer and<br />

carer participation in service development.<br />

Performance Measures<br />

Inpatient<br />

Thomas Embling Hospital –<br />

28 day readmission rate<br />

Number of inpatient episodes<br />

Average length of acute inpatient stay for s.16(3)(b) patients<br />

(ie. patients transferred from prison)<br />

Inpatient episodes with outcome assessments completed.


Community<br />

Number of community treatment episodes (at least one<br />

treatment episode during the 3 month period)<br />

Number of treatment days provided in three month period<br />

Number of secondary consultations provided (note –<br />

secondary consultations do not require <strong>Forensicare</strong> to<br />

complete an outcome assessment)<br />

Community treatment episodes (longer than two treatment<br />

days in three month period with outcome assessments<br />

completed<br />

PROFESSIONAL EDUCATION<br />

AND RESEARCH<br />

Main Undertakings<br />

The Professional Education and Research program—<br />

• provides professional education and training on forensic<br />

mental health issues to <strong>Forensicare</strong>, public mental health<br />

services and other key stakeholders.<br />

• promotes and develops knowledge and expertise in<br />

forensic mental health<br />

• produces and facilitates high quality research to better<br />

inform clinical practice in the provision of public mental<br />

health services.<br />

Nature and Scope of Activities<br />

Facilitating the development of skills and expertise in forensic<br />

mental health through an active professional education<br />

program<br />

Supporting and promoting a specialist research program to<br />

inform clinical service delivery<br />

Disseminating forensic mental health clinical and research<br />

knowledge to public mental health services through<br />

workshops and newsletters.<br />

Performance Measures<br />

Professional Education<br />

Number of education and training sessions provided to area<br />

mental health services<br />

Number of education and training sessions provided to other<br />

agencies<br />

Number of formal presentations and papers delivered to<br />

professional forums<br />

Number of professional education placements provided<br />

Research<br />

Number of completed research projects<br />

Number of research projects approved by <strong>Forensicare</strong><br />

Research Sub-Committee for commencement<br />

Number of developments in clinical practice<br />

introduced as a result of research findings<br />

Number of scholarly articles published in refereed<br />

journals and books<br />

• Provides information to the general community on<br />

forensic mental health issues to promote and develop<br />

knowledge and expertise in forensic mental health<br />

• Promotes the activities and services of the Victorian<br />

Institute of Forensic Mental Health to enhance and<br />

improve public and key stakeholder confidence<br />

• Develops and/or expands services as approved by the<br />

Minister for Health.<br />

Nature and Scope of Activities<br />

Developing a comprehensive 5 year planning framework for<br />

the organisation that incorporates strategic directions across<br />

health and justice to guide development of the Institute from<br />

2004-2008<br />

Maintaining a comprehensive Quality Improvement Program<br />

(which may include targeted benchmarking against like<br />

services) to promote productivity efficiency and high quality<br />

service provision<br />

Maintaining interstate and international forensic networks to<br />

strengthen capacity and expertise, enhance service delivery<br />

and inform public mental health services<br />

Pursuing service development opportunities that will<br />

strengthen the capabilities of <strong>Forensicare</strong><br />

Providing high-level advice on forensic health and forensic<br />

mental health issues<br />

Continuing to develop independent information technology<br />

capabilities to enhance organisational efficiency, research and<br />

professional education<br />

Contributing to the development of a combined secure<br />

extended care-medium secure forensic facility<br />

Developing and implementing an expansion of Community<br />

Forensic Mental Health Service to meet increased demand<br />

for specialist services<br />

Maintaining full ongoing organisation-wide accreditation from<br />

Australian Council on Healthcare Standards<br />

Maintaining strong level of credibility with Government for<br />

capable and efficient financial and security management<br />

Demonstrating effective professional management of<br />

industrial relations issues within the workplace<br />

Maintaining the confidence of Government (including police,<br />

corrections and courts) and the community for services<br />

provided<br />

Developing an organisational culture that harnesses and<br />

values the expertise of staff in delivering excellent forensic<br />

mental health services.<br />

CORPORATE SUPPORT AND DEVELOPMENT<br />

Main Undertakings<br />

The Corporate Support and Development program within the<br />

Victorian Institute of Forensic Mental Health –<br />

• Provides advice to the Department of Human Services<br />

and other key stakeholders on forensic mental health<br />

issues<br />

97


Glossary<br />

98<br />

Acute Assessment Unit /AAU<br />

Australian Council on<br />

Healthcare Standards/ACHS<br />

Axis I psychiatric diagnosis<br />

Carers<br />

Category 1 Incident<br />

Client<br />

Community Program, or Community<br />

Forensic Mental Health Service<br />

Community Treatment Episodes<br />

Corporate Governance<br />

Corporate Plan<br />

Corrections Victoria<br />

Council<br />

Custodial Supervision Order<br />

Department of Human Services<br />

Department of Justice<br />

EEO<br />

EFT<br />

EQuIP<br />

Extended Leave<br />

FBT<br />

Forensic patient<br />

Inpatient<br />

Inpatient episodes<br />

Melbourne Assessment Prison/MAP<br />

Medical Record<br />

Multidisciplinary<br />

Non-Custodial Supervision Order<br />

Occupied Bed Days<br />

Outcome<br />

Outcome Assessments<br />

RAPID<br />

Separation/Discharge<br />

Statutory Requirements<br />

Thomas Embling Hospital<br />

A 16-bed unit providing statewide assessment of male prisoners thought to be mentally<br />

disordered in the prison system. The forensic mental health service in the Acute Assessment<br />

Unit is provided by <strong>Forensicare</strong> under a contractual arrangement with Department of Justice.<br />

The agency which inspects and evaluates health care facilities to obtain accreditation.<br />

The primary diagnosis of a mental disorder that is the focus of clinical concern.<br />

People who care for patients/consumers who are not members of the mental health care<br />

team.<br />

A serious incident within <strong>Forensicare</strong> that requires notification to external agencies<br />

(eg. Victoria Police or Department of Human Services).<br />

A person receiving care and/or treatment from <strong>Forensicare</strong>’s Community Forensic Mental<br />

Health Service.<br />

The service arm of <strong>Forensicare</strong> responsible for the delivery of community programs.<br />

An episode of community treatment that started and finished within a specific period.<br />

Effective, fair, transparent and accountable management of the relationship with the<br />

community with integrity to produce an enhanced and efficient service.<br />

The annual planning document that <strong>Forensicare</strong> is required by legislation to prepare for the<br />

Minister for Health.<br />

The Victorian Government agency responsible for the 11 state managed prisons and<br />

community based corrections.<br />

The Council of the Victorian Institute of Forensic Mental Health<br />

An order made by the court committing a person to Thomas Embling Hospital for an<br />

indefinite term, with a review date as specified by the court.<br />

The Victorian Government Department responsible for the provision of mental health, and<br />

through which <strong>Forensicare</strong> reports to the Minister for Health.<br />

The Victorian Government Department responsible for the criminal justice system (including<br />

prisons and community corrections).<br />

Equal Employment Opportunity<br />

Equivalent full time staffing position<br />

Evaluation and Quality Improvement Program – the program by which health care facilities<br />

voluntarily undertake continuous improvement to gain accreditation.<br />

A period of leave (up to 12 months) granted by the court for a forensic patient where the<br />

patient resides outside the Hospital. Each grant of leave requires a separate court hearing<br />

and is subject to specific conditions set by the court.<br />

Fringe Benefits Tax<br />

A person detained under Victoria’s mental impairment legislation – Crimes (Mental<br />

Impairment and Unfitness to be Tried) Act 1997<br />

A person who is admitted to Thomas Embling Hospital for care and treatment.<br />

An episode of inpatient care that started and finished within a specific period.<br />

The reception prison for men, managed by Corrections Victoria, located in Spencer Street,<br />

Melbourne. <strong>Forensicare</strong> provides forensic mental health services at the Melbourne<br />

Assessment Prison under a contractual arrangement with Department of Justice.<br />

The file containing facts of a patient/client’s mental health and life history.<br />

Care or a service provided with input from more than one discipline/profession.<br />

An order made by the court allowing a forensic patient to live in the community with<br />

specified conditions. It can be made at initial trial following a finding of not guilty by reason<br />

of mental impairment, or later, following successful periods of extended leave. Like a<br />

Custodial Supervision Order, a Non-custodial Supervision Order is for an indefinite term.<br />

Total number of patients in Thomas Embling Hospital in a given period.<br />

Results that may or may not have been intended that occur as a result of a service or<br />

intervention.<br />

A measure of a patient/client’s wellbeing at set given points during an episode of inpatient or<br />

community care and treatment.<br />

The data base used by the Department of Human Services to capture all mental health data<br />

across the state.<br />

The completion of an episode of care and the patient/client leaves the organisation.<br />

Any requirement laid down by an Act of Parliament.<br />

<strong>Forensicare</strong>’s 100-bed secure inpatient facility.<br />

Transitional Accommodation Program A supported living program for patients moving back to the community from Thomas<br />

Embling Hospital.


Disclosure Index<br />

The <strong>Annual</strong> <strong>Report</strong> of the Victorian Institute of Forensic Mental Health is prepared in accordance with all relevant Victorian legislations. This<br />

index has been prepared to facilitate identification of the Victorian Institute of Forensic Mental Health compliance with statutory disclosure<br />

requirements.<br />

Legislation Requirement Page reference<br />

Ministerial Directions<br />

<strong>Report</strong> of Operations<br />

Charter and purpose<br />

FRD 22 Manner of establishment and the relevant Ministers ifc, 56, 81, 91<br />

FRD 22 Objectives, functions, powers and duties ifc, 1, 96, 97<br />

FRD 22 Nature and range of services provided ifc<br />

Management and structure<br />

FRD 22 Organisational structure 65<br />

Financial and other information<br />

FRD 22 Statement of workforce data and merit and equity 49, 50<br />

FRD 22 Summary of the financial results for the year 3, 4<br />

FRD 22 Significant changes in financial position during the year 3, 71<br />

FRD 22 Operational and budgetary objectives and performance against objectives 96, 97<br />

FRD 22 Major changes or factors affecting performance 6-9<br />

FRD 22 Subsequent events n/a<br />

FRD 22 Application and operation of Freedom of Information Act 1982 67<br />

FRD 22 Compliance with building and maintenance provisions of Building Act 1993 67<br />

FRD 22 Statement on National Competition Policy 67<br />

FRD 22 Application and operation of the Whistleblowers Protection Act 2001 67<br />

FRD 22 Details of consultancies over $100,000 67<br />

FRD 22 Details of consultancies under $100,000 67<br />

FRD 12 Disclosure of major contracts 90<br />

FRD 22 Statement of availability of other information 67<br />

FRD 22 Occupational health and safety 47<br />

FRD 15 Executive officer disclosures 91-92<br />

FRD 10 Disclosure index 99<br />

FRD 24 <strong>Report</strong>ing of office-based environmental impacts 52-53<br />

FRD 25 Victorian Industry Participation Policy disclosures 64<br />

FRD 8 Budget portfolio outcomes n/a<br />

Financial Statements<br />

Financial statements required under Part 7 of the Financial Management Act 1994<br />

SD 4.2(a) Compliance with Australian accounting standards and other authoritative pronouncements 81<br />

SD 4.2(a) Compliance with Ministerial Directions 81<br />

SD 4.2(d) Rounding of amounts 81<br />

SD 4.2(c) Accountable Officer’s declaration 75<br />

SD 4.2(f) Model Financial <strong>Report</strong> 81<br />

SD 4.2(b) Operating Statement 78<br />

SD 4.2(b) Balance Sheet 79<br />

SD 4.2(b) Statement of Recognised Income and Expenses 80<br />

SD 4.2(b) Statement of cash flows during the year 80<br />

SD 4.2(b) Notes to the financial statements 81-95<br />

SD 4.2(e) Financial statements reviewed and recommended 60<br />

Other disclosures in notes to the financial statements<br />

FRD 9 Departmental disclosure of administered assets and liabilities n/a<br />

FRD 11 Disclosure of ex-gratia payments n/a<br />

FRD 13 Disclosure of parliamentary appropriations n/a<br />

FRD 21 Responsible person and executive officer disclosures 91, 92<br />

FRD 23 Superannuation liabilities and disclosures 90<br />

Legislation<br />

Freedom of Information Act 1982 67<br />

Building Act 1983 67<br />

Whistleblowers Protection Act 2001 67<br />

Victorian Industry Participation Policy Act 2003 67 99


Index<br />

100<br />

A<br />

Accountable Officer’s (and Others)<br />

Declaration 75<br />

Accreditation 40<br />

Advice to Government 42<br />

Aged Offenders 41<br />

Asset Management 43<br />

Assurance, Review and Risk Evaluation 64<br />

Audit and Risk Management Committee 59<br />

Audit Program 63<br />

Audit Planning 63<br />

Audit Scope 63<br />

Auditor-General’s <strong>Report</strong> 76-77<br />

B<br />

Benchmarking 40<br />

Building and Maintenance 67<br />

Business Support 42-43<br />

C<br />

Campus Program Co-ordination 20<br />

Care Plan Assessments Victoria 13<br />

Cash Flow 69<br />

Centre for Forensic Behavioural Science 37<br />

Chairman’s <strong>Report</strong> 10<br />

Chief Executive Officer’s <strong>Report</strong> 11<br />

Clinical Director’s <strong>Report</strong> 15<br />

Clinical Operations<br />

ifc<br />

Clinical (Student) Placements 30<br />

Clinical Services 14-27<br />

Clinical Waste 52<br />

Code of Conduct, Staff 47<br />

Communication Strategy 41<br />

Community Forensic Mental Health Service<br />

24-27<br />

Community Forensic Mental Health Service,<br />

Client Profile 27<br />

Community Forensic Mental Health Service,<br />

Performance Data 26<br />

Community Forensic Mental Health Services,<br />

Service Enhancement 40<br />

Community Integration Program 25<br />

Community Networks 51<br />

Compliance Framework 64<br />

Composition of Revenue 3<br />

Composting, Organic Waste 52<br />

Computer Recycling 52<br />

Conformity 67<br />

Consolidating and Strengthening Clinical<br />

Programs (CSCP) 18, 29<br />

Consultants 67<br />

Contracts 19<br />

Corporate Governance 54-67<br />

Corporate Governance Framework 56<br />

Corporate Governance Principles<br />

and Disclosure 54-55<br />

Corporate Governance, Remuneration,<br />

Social Responsibility and Planning<br />

Committee 60<br />

Corporate Performance 47-48<br />

Corporate Support and Development 38-45<br />

Corporate Support and Development,<br />

Performance Data 45<br />

Council, Victorian Institute of Forensic Mental<br />

Health 56<br />

Council, Code of Conduct 59<br />

Council, Committees 59-62<br />

Council, Composition 56<br />

Council, Delegation of Authority 56<br />

Council, Ethics 59<br />

Council, Independent Advice 63<br />

Council, Members 57-58<br />

Council, Members Retirement/New<br />

Appointment 59<br />

Council, Meetings/Meeting Attendances<br />

59, 62, 64<br />

Council, Performance Evaluation 59<br />

Council, <strong>Report</strong>ing 59<br />

Council, Role 56<br />

Council, Rules 59<br />

Court Liaison Program 25<br />

Court <strong>Report</strong>s 44<br />

Critical Incident Stress Management<br />

Program 47<br />

Custodial Supervision Orders 43<br />

D<br />

Debtors by Category, Five Year Comparison 4<br />

Director of Psychological Services’ <strong>Report</strong> 16<br />

Disclosure Index 99<br />

E<br />

Educational Affiliations 31<br />

Employee Assistance Program 47<br />

Employee Relations 50<br />

Employee Remuneration and Benefits 50<br />

Employment Practices and Policies 64<br />

Energy Reduction Initiatives 52<br />

Environmental Management 52-53<br />

Environmental Sustainability Strategy 52<br />

Equal Employment Opportunity 50<br />

Executive, <strong>Forensicare</strong> 66<br />

Expenditure 3<br />

F<br />

Family and Friends 51<br />

Family Sensitive Practice Committee 51<br />

Finance Committee 60<br />

Financial Analysis 4<br />

Financial Compliance,<br />

Victorian Public Sector 70<br />

Financial Governance 63<br />

Financial Management 69<br />

Financial Overview 69<br />

Financial Performance 3, 68-95<br />

Financial Performance Against Budget 3, 71<br />

Financial Position 69<br />

Financial Position, Significant Changes 71<br />

Financial Strategy, Long-term 70<br />

Financial Sustainability 69<br />

Five Year Comparison of Debtors 4<br />

Fleet Management 43<br />

Forensic Behavioural Science, Certificate 40<br />

Freedom of Information 67<br />

Funding Sources 3, 41<br />

G<br />

Glossary 98<br />

Graduate Certificate/Diploma in Forensic<br />

Behavioural Science 37<br />

Graduate and Postgraduate<br />

Nurse Program 31<br />

H<br />

Health Information Services 41<br />

Highs and Lows of <strong>2005</strong>-<strong>2006</strong> 2<br />

I<br />

Index, Financial <strong>Report</strong>s 74<br />

Infection Control 47<br />

Information Technology 42<br />

Information Management / Technology<br />

Committee 61<br />

Inpatient Services 18-23<br />

Inpatient Services, Performance Data 21<br />

International Financial <strong>Report</strong>ing Standards<br />

42, 70<br />

J<br />

Judicial and Legal Links 45<br />

Juvenile Justice 19<br />

L<br />

Law Reform and Training 45<br />

Legal Services 43<br />

Legislation<br />

ifc<br />

Legislative Compliance 64, 67<br />

M<br />

Major Presentations – Professors Mullen<br />

and Ogloff 31-33<br />

Maintenance 43, 67<br />

Management <strong>Report</strong>ing 42<br />

Management Team 66<br />

Martin, Dr Trish, <strong>Report</strong> 17<br />

Merit and Equity 50<br />

Melbourne Assessment Prison 20<br />

Melbourne Assessment Prison,<br />

Performance Data 20<br />

Mission Statement 1<br />

Mullen, Professor Paul, <strong>Report</strong> 15<br />

Mullen, Professor Paul, Major Presentations 31<br />

N<br />

National Benchmarking 40<br />

National Competition Policy 67<br />

NEVIL Cluster 30<br />

Non-Custodial Supervision Orders 25, 44<br />

Nursing Practice Director, <strong>Report</strong> 17<br />

O<br />

Objectives 1<br />

Occupational Health and Safety 47<br />

Occupational Therapy 31<br />

Ogloff, Professor James, <strong>Report</strong> 16<br />

Ogloff, Professor James,<br />

Major Presentations 32<br />

Organisational Chart 65<br />

Organisational Profile<br />

ifc<br />

Orientation Program 30<br />

Other Information, Availability of 67<br />

Our Environment 52<br />

Our People 49<br />

P<br />

Paper Recycling 52<br />

Payroll Services 43<br />

Patient Profile – Thomas Embling Hospital 22<br />

Policies and Procedures 64<br />

Prison Mental Health Services 20<br />

Prison Mental Health,<br />

Service Enhancement Proposal 20


This annual report was designed and produced by Stavros Design Group (03) 9428 4586<br />

Problem Behaviour Program 25<br />

Professional Education 29-33<br />

Professional Education, Performance Data 33<br />

Professional Education and Research 28-36<br />

Q<br />

Quality Improvement and Clinical Ethics<br />

Committee 61<br />

Quality Improvement 40<br />

R<br />

Ratios 70<br />

Recycling 52<br />

Remuneration Policy 64<br />

<strong>Report</strong>ing Against Objectives 6-9<br />

Research 34-36<br />

Research, Performance Data 36<br />

Research Committee 61<br />

Research Outcomes 35<br />

Research in Progress 36<br />

Research Published 34<br />

Research <strong>Report</strong> 34<br />

Revenue Composition 3<br />

Risk Management 64<br />

S<br />

Secure Inpatient Facility, New 40<br />

Security, Thomas Embling Hospital 48<br />

Service Performance at a Glance 5<br />

Sewer Treatment Plan, Feasibility Study 53<br />

Sex Offenders 41<br />

Social Performance 51<br />

Staff Achievements 50<br />

Staff Climate Survey 49<br />

Staff Inservice and Professional Education 29<br />

Staff Recruitment and Retention 49<br />

Statement of Corporate Intent 96-97<br />

Student Placements 30<br />

Sustainability Management 46-53<br />

T<br />

Thomas Embling Hospital,<br />

Capacity Increase 18<br />

Thomas Embling Hospital, Profile 22<br />

Thomas, Dr Stuart 37<br />

Training for Area Mental Health Services 30<br />

Training and Support, External Agencies 30<br />

Transitional Accommodation Program 25<br />

U<br />

Understanding our Financials 72-73<br />

V<br />

Values<br />

ifc<br />

Vehicle Fleet, Emission Performance 53<br />

Victims of Crime 25<br />

Victoria Police 41<br />

Victorian Industry Participation Policy 64<br />

Victorian Institute of Forensic Medicine 40<br />

Victorian Public Sector Compliance,<br />

Financial 70<br />

Vision Statement 1<br />

Visitors – International and Interstate 42<br />

Vocational Rehabilitation Program 19<br />

W<br />

Water Consumption 53<br />

Water Restriction Compliance 53<br />

Whistleblower’s Act 67<br />

WorkCover 50<br />

Workforce Profile 49<br />

Y<br />

Year in Review 3-9


Victorian Institute<br />

of Forensic Mental Health<br />

Yarra Bend Road<br />

Fairfield Vic 3078<br />

Australia<br />

Tel 61 3 9495 9100<br />

Fax 61 3 9495 9199<br />

Email<br />

info@forensicare.vic.gov.au<br />

www.forensicare.vic.gov.au<br />

Thomas Embling Hospital<br />

Yarra Bend Road<br />

Fairfield Vic 3078<br />

Australia<br />

Tel 61 3 9495 9100<br />

Fax 61 3 9495 9199<br />

Email<br />

info@forensicare.vic.gov.au<br />

www.forensicare.vic.gov.au<br />

Community Forensic<br />

Mental Health Service<br />

200 Sydney Road<br />

Brunswick Vic 3056<br />

Tel 61 3 9356 8500<br />

Fax 61 3 9356 8599<br />

Email<br />

info@forensicare.vic.gov.au<br />

www.forensicare.vic.gov.au<br />

<strong>Forensicare</strong> Prison<br />

Mental Health Service<br />

Melbourne Assessment Prison<br />

317 Spencer Street<br />

West Melbourne Vic 3003<br />

Tel 61 3 9321 4250<br />

Fax 61 3 9329 4830<br />

Email<br />

info@forensicare.vic.gov.au<br />

www.forensicare.vic.gov.au<br />

Community Forensic<br />

Mental Health<br />

Service<br />

Melbourne<br />

Assessment<br />

Prison<br />

Thomas<br />

Embling<br />

Hospital<br />

PORT PHILLIP BAY<br />

North

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!