Annual Report 2005-2006 - Forensicare
Annual Report 2005-2006 - Forensicare
Annual Report 2005-2006 - Forensicare
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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 />
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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 />
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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 />
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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