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2015/2016 Annual Report Umoona Tjutagku Health Service Aboriginal Corporation ICN 7460

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Our Mission

To provide a holistic health care service that achieves positive health outcomes through primary health care intervention as well as safer communities through prevention and education.

Umoona Tjutagku Health Service Aboriginal Corporation

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Innovative, responsive and culturally appropriate health services are accessible to Aboriginal people living in the Coober Pedy and surrounding region.

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Our Vision

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Contents Chairpersons Report.................................................................................... 1 Organisation Chart....................................................................................... 3 Chief Executive Officer Report................................................................. 5 Administration Report................................................................................ 7 Practice Manager Report........................................................................... 9

Clinic and Healthy for Life Report........................................................15

Drug and Alcohol Services Report.......................................................21 SEWB/BTH Report.......................................................................................25 Counselling Support Report...................................................................29

Dunjiba Substance Misuse Report.......................................................31 Umoona Health COBRA Bike Ride........................................................31

P.O. Box 166, Lot 8, Umoona Road Coober Pedy, South Australia 5723

Umoona Tjutagku Health Service Aboriginal Corporation

Phone: 08 8672 5255 Fax: 08 8672 3349 e-mail: umoona@uths.com.au web: www.uths.com.au

Chairpersons Report It is with great pleasure that I present you the Directors Report and Audited Financial Statements of Umoona Tjutagku Health Service Aboriginal Corporation (UTHS) for the 2015/2016 Financial Year. I am extremely happy with the way the organisation is governed and managed by our CEO Priscilla Larkins under the Strategic Guidance of the UTHSAC Board of Directors. The organisation, through its high standards of service levels and the achievement of its objectives on a continuous basis has been able to maintain its funding base in the past year and been one of the few Community Controlled Aboriginal Health Services who have not had to retrench staff over the past year due to funding issues. As the Chairperson of Umoona Health I am extremely happy to state that the CEO together with the staff have been able to minimise costs and run the organisation in a very efficient manner while not compromising on service delivery. I am also happy to state that the Management and staff of UTHS have been working tirelessly to get as many GP’s and Specialists to come up to Coober Pedy to ensure that the services provided to the Community are maximised. The extra number of Doctor visits which were carried out during the past year and the higher number of patients seen by them is evidence of this. A big Thank You to the CEO and the Clinic/Healthy for Life staff.

I am also pleased to inform you that the Drug and Alcohol Day Centre is running at maximum capacity with its current Men’s and Women’s Programs, Counselling Support, Social and Emotional Wellbeing Program as well as the

Umoona Tjutagku Health Service Aboriginal Corporation

regular Bush Trips all of which contribute towards achieving the objective of addressing Substance Misuse within the Community. The efficient operations at the Drug and Alcohol Day Centre and its contributions to the betterment of the Community have been recognised by our Funding Agencies, who have committed more funding to expand the services offered in the Substance -misuse and Mental Health areas. I am also pleased to inform you that the organisation has been found to be well managed in terms of Finance, Pay-roll and HR matters. The Annual Financial Audit was concluded by Lee Green and Co Pty Ltd who are the Independent Auditors of the organisation and as per their Report the organisation is following proper processes as required by Australian Accounting Standards. I also wish to inform you that the Board of Directors of UTHS have not received any monitory or non-monitory benefits in the capacity of being Board Members. Finally, I take this opportunity to thank the Board, CEO and all staff at UTHS for the commendable work they continue to do in order to improve the health and wellbeing of the Aboriginal People in Coober Pedy and surrounding Regions.

Board of Directors

Josephine Warrior Chairperson

JOSIE WARRIOR Chairperson

PATRICK LARKINS Director

DEAN WALKER Director

MICHAEL LIPTSEY Director

PRISCILLA LARKINS CEO

DILSHAN PERERA Secretary

RAMETH THOMAS Vice Chairperson

Annual Report 2015/2016

Organisation Chart

UTHSAC Board

Umoona Tjatagku Health Service Aboriginal Corporation ICN 7460

CEO

Community Liason Officer

Executive Assistant

Clinic Manager Registered Nurse Registered Nurse SNR Aboriginal Health Worker Aboriginal Health Worker (Female) Trainee Aboriginal Health Worker (Male)

Umoona Tjutagku Health Service Aboriginal Corporation

Counsellor

H4L Coordinator Medical Receptionist Assist Medical Receptionist Transport Officer

Aboriginal Health Worker/Transport Officer Trainee Aboriginal Health Worker (Female)

Business Services Manager

DAS Manager

Practice Manager

Dunjiba Substance Misuse Worker

Registered Nurse Enrolled Nurse

DAS Program Coordinator

Aboriginal Health Worker (Male) SNR Aboriginal Health Worker (Female)

Aboriginal Health Worker (Male)

Child and Maternal Health Support Worker

Trainee Aboriginal Health Worker (Male)

SEW/ Bring Them Home Cordinator

Substance Misuse Worker (Male)

Senior Accountant

NGOTP Registered Nurse

Accountant

Activities Coordinator

Finance Officer

Enrolled Nurse

Admin Support Officer

Hygiene Worker (Male)

Substance Misuse Worker Female

Drug & Alcohol Worker (Male)

Hygiene Worker (Female)

Health Promotions Officer

IT & Communicare Officer

Receptionist (Main Office)

Cleaner

Admin Support Officer (DAS)

Facilities Officer

Facilities Officer/ Program Coordinator

Annual Report 2015/2016

Chief Executive Officer Report Welcome to the 2014 /15 Annual General meeting

We also saw the Kangaroo Island bike ride which followed on from the successful Coober Pedy to Oodnadatta bike ride last year, better known as COBRA. This took place in the final week of September and was supported by staff from AHCSA and AFFS - Coober Pedy and had sponsors such as Oz Minerals, AFFS and number of other Agencies. A number of participants rode bikes across Kangaroo Island and during this bike ride. Social and Drug & Alcohol issues facing the Community were discussed during this bike ride and this also provided an opportunity to foster team building and positive role modelling. The Umoona Health STD program has succeeded in achieving the highest testing statistics overall in SA which was a result of great teamwork and determination to deliver excellent results.

I am delighted to present to you the 2015/2016 Annual Report of Umoona Tjutagku Health Service Aboriginal Corporation. It has again been another successful year with great achievements in our programs and service delivery throughout the past 12 months. I am pleased to inform you all that we continue to strive to improve in services and was recently successful in gaining additional funding for the Drug and Alcohol service. We have also secured opportunities for services and staff for the purpose of improving Mental Health and the delivery of Drugs and Alcohol services in the Community. This will prove crucial in

I would like to thank the Board, Management and staff for all your assistance to bring this organisation to where it is today, and hope that we can continue to strive and set an example to other Agencies in the Community and State Health Service. I look forward to another successful year of achievements over the 2016 / 2017 financial period.

Priscilla Larkins Chief Executive Officer

RACGP and ISO accreditation was successfully passed for another 3 years providing an open door into new funding opportunities. Accreditation is a vital part of our service delivery and provides for a uniform standard which is recognised internationally. This achievement is not easy by any measure and took countless hours of work to gain this result. I would like to thank all staff for their commitment to this great outcome. Umoona Tjutagku Health service has continued to work with all Agencies in the Community to provide support in its programs and deliver a comprehensive service.

providing an improved admission and discharge service in the township.

Umoona Tjutagku Health Service Aboriginal Corporation

Annual Report 2015/2016

Administration Report based on the availability of additional funds. I am also pleased to inform you that we have been able to conduct Corporate Governance training to the Board, CEO and Secretary/Business Services Manager during the past Financial Year. This has enhanced the Board and Senior Management Team’s knowledge and capabilities with regard to proper governance processes and procedures. Senior Managers also were provided training on staff management processes which enhanced their Management capabilities. The organisation is still in the process of challenging the ORIC Notice using the channels made available to it through the CATSI Act. At the time of this Report being printed, the process has not gone through its full course of action, and it may be a few months before the organisation would be able to complete this process.

The past year has been a very challenging one for the Board, CEO, Management and staff of Umoona Health due to unexpected headwinds from ORIC which took up a lot of staff time and resources to manage. Even continuous unwarranted pressure from ORIC could not take the lime-light off the great achievements of the organisation. Firstly, the organisation successfully passed its Annual ISO Surveillance Audit October 2015’ and followed suit by passing the 2016’ ISO Surveillance Audit as well. Umoona Health also passed its three yearly RACGP/AGPAL Accreditation in August 2016’ and is now geared to cater to more clients

Umoona Tjutagku Health Service Aboriginal Corporation

We are pleased to inform all our stakeholders that the Federal and State Governments still have great confidence in the performance levels of the organisation, by committing additional funding for Drug and Alcohol and Suicide Prevention Programs. We are in the process of recruiting new staff to fill in the new positions which became available due to additional funding received by the organisation. Umoona Health was also successful in sourcing one-off additional funding for Service and Maintenance work in the Umoona Health Main Office, Healthy for Life Building and the Ward Street and Goldsworthy Street properties.

Health, by obtaining/achieving and maintaining various Accreditations has shown that despite the various stumbling blocks along the way, it is still in a strong position to achieve organisational objectives in an effective and efficient manner. I wish to thank the Board, CEO, Management and staff of the organisation for all your assistance to bring this organisation to where it is today, and hope that we could take this organisation to greater heights in the coming years. Yours Sincerely,

Admin Staff

PRISCILLA LARKINS CEO

DILSHAN PERERA Business Services Manager

SAUMYA SILVA Senior Accountant

AVANTHA FERNANDO Finance Officer

CHATHURANGA DIAS Accountant

LAURA LARKINS Admin Support Officer

DAMIEN RIESSEN Health Promotions Officer

YUSHARNI PERERA Admin Support Officer (H4L)

RAMAZAN HASSSNI Facilities Officer / Program Coordinator

DELESH PERERA Cleaner

JAMES TUMAPANG Facilities officer

SHAN RODRIGO IT & Communicare Support Officer

Dilshan Perera

Business Services Manager / Executive Assistant / Company Secretary

We do hope that the Audited Financial Statements prepared and presented by our Auditors Lee Green and Co. would give all our stake-holders confidence in the way the organisation is governed and managed. Umoona

Annual Report 2015/2016

Practice Manager Report Friendly and Caring Clinical Service UTHSAC clinical services are provided by Locum Doctors, Allied Health specialist, Registered Nurses, Midwife, Aboriginal Health Workers, Pharmacist, and visiting Dental team. These services are supported by Practice Manager, Clinical Manager, Medical Receptionist, Transport Officer and Aboriginal Liaison Officers who make it possible to achieve the quality of work each day. By providing services in an inter-professional team, the clients benefit from the expertise of each team member as well as from the collaboration of the team. In working to achieve better health care and active ageing for all aboriginal people living in Coober Pedy and surrounding regions, we developed the better health initiative, which focuses on promoting good health; reducing the burden of chronic disease; and improving care for people in the community at the start of the financial year. There are difficult times in meeting all objectives, but we achieved our aim through dedication, hard work and excellent leadership. We deliver primary health care services tailored to the needs of the community and ensure the effectiveness of the service delivery and its outcomes. In 2015/16 clinic and healthy for life generated superior results on early childhood and prevention, women and men’s health, well person screening, child immunization, early detection and management of chronic disease.

Umoona Tjutagku Health Service Aboriginal Corporation

The organization continuously provides a comprehensive range of primary health care service; along with substantial number of GP and Allied health visits we are able to serve significant number of local and transient clients. Total service contacts from clinical and Healthy for life activities are outlined in Figure 1. We delivered 2,123 average client contact per month and served 581 average client per month in 2015/16.

General Practitioners The GP team includes people with a diversity of skills including those attached to teams in antenatal, child and family health, mental health, chronic care and substance misuse. Many of the GPs work in the general medical stream, provide opportunities for Patients to have both walk-in consultations as well as consults by appointments. SA Health funding for GP hours and Medicare claims supported us to have eighteen GP visits this year in our Health Service. These visits have mostly been filled by our monthly visiting locum Dr. Helen Sage who is experts in community, mental and women’s health. The rest of the visits are covered by Dr. Jodie Whillas, Dr. Judy McDonald and Dr.John Guy. This enables us to optimizing a better GP mix during year 2015/16. MSOAP-ICD (Medical Specialist Outreach Assistance Program-Indigenous Chronic Disease) continued to increase access to medical specialists for UTHSAC through GP visits; to specifically target Chronic Disease Prevention and Management. Our two long-term experienced female GPs, Dr Jodi Whillas and Dr Judy McDonald, provides eight visits, with each consisting of

four days a week to assist our clients with their Aboriginal Health Checks and Chronic Disease Care Plans

Roving Registrar Mentor and Supervisor Program Roving Registrar position aims to increase opportunities for GP to train in the area of Aboriginal health and to support the health needs of the Aboriginal Community. Dr. Patrick Sprau, Dr. Emilie Jakstas and Dr. Jonathan Newchurch contributed seven visits under this program. With all these support sources, UTHSAC has achieved thirty three GP visits 75% of GP availability per month at the end of the financial year.

Medical Specialists and Allied Health Services With the principal support from the Indigenous Chronic Disease Outreach programme the health service has worked with various specialists targeting chronic disease clients. This reduced the need of people traveling away from home for consultations and treatments. Given below are few specialised services. • Endocrinologist visit to provide review & support to our clients in the community with Diabetes • Asthma /Respiratory Physician visit to provide review and support for Asthma Clients on each quarter

Annual Report 2015/2016

Practice Manager Report •

Occupational Therapy- assisting community members in developing strategies to help them manage activities of daily living safely

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Ear, Nose and Throat Specialist and audiology visit and follow-up appointments including arranging ear operation for our clients in the community (adults & children) with Chronic Ear Disease

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Additional Allied Heath visits including Audiologist, speech therapy ,physiotherapy, dietician and podiatry

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Ophthalmologist and Optometrist visit bi-annually

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Liver Specialist (viral Hepatitis) Clinic bi-annually

Comprehensive Care UTHS has evaluated the previous nKPI report; gaps have been identified and prioritise the health needs accordingly. As a result UTHSAC has been able to exhibit remarkable health outcomes. This shows meaningfulness of the funding activities. Sustainable gains in Aboriginal and Torres Strait Islander health remain a priority for the Clinic and Healthy for Life team. The health service staffs were engaged in all areas which encourage doctors to carry out regular comprehensive health checks of clients for their wellbeing. Child health checks are important ways to detect any early health concerns such as dental, ear and skin conditions. UTHSAC is becoming more systematic in terms of how these checks are being offered through our Healthy Kids Clinic. Figure 02 illustrated the percentage of Indigenous children aged

Umoona Tjutagku Health Service Aboriginal Corporation

0–4 for whom a MBS health assessment was completed in 2015/16 with the comparison of previous years. In the same way, Adult Health Checks are also performed to detect health problems. Current data demonstrates that UTHSAC has seen a significant increase in the number of Aboriginal and Torres Strait Islander Health Assessments (MBS Item 715) completed for the 2015/16 when compared to the corresponding period in 2014/15. The HbA1c level reflects the mean glycaemia over the last 2–3 months. Best practice clinical guidelines recommend that clients with type 2 diabetes have an HbA1c test every six months. Percentage of Indigenous regular clients

with type 2 diabetes who had HbA1c recorded within the specified periods, by June 2015 is illustrated in the figure 03. Influenza and its complications, including pneumonia, have historically been a major cause of Indigenous morbidity and mortality. Immunisation against influenza is recommended for all Indigenous people 15 years and over. Figure 04 is illustrates percentage of clients with type 2 diabetes and over 50 and over clients immunized against influenza.

improving rates of testing, monitoring and control of patients in line with industry average. I wish to state that the clinical and healthy for staffs have been working diligently for the further improvement of the community’s health outcomes and their wellbeing.

The above charts provide an update about how our service with regards to

Annual Report 2015/2016

Practice Manager Report Dental and Pharmacy

Challenges

Throughout the year, the Clinic continued to raise awareness of the need to maintain a better standard of dental health through the culturally appropriate dental health, treatment follow-up, education/promotion, and referrals to SA dental. Dental teams visits on monthly basis and provide excellent services to the local community and surrounding regions.

Decreases of the subsidiaries for GP visit are continuing in year 2015/16 as well. However, New ICD Outreach programme extend their wigs to UTHSAC for additional medical specialist services. The continuous dedication of ICD Outreach to provide this specialist clinic to UTHSAC is very much appreciated and clearly demonstrates their commitment in improving the health and wellbeing of our Aboriginal Community in Coober Pedy.

We continue to provide our S100 pharmacy. Patient Assistance Transport Scheme (PATS) is provided for our clients who need to attend the specialised health professional, test or surgery outside the community.

Quality Improvement and Accreditation

Michael Fernando, Practice Manager

It is with great pleasure to announce that we have successfully achieved RACGP accreditation for next three years. The clinic achieved its best results ever and showed remarkable leadership. We have implemented state of art quality management system throughout the year including clinical governance and risk frameworks in order to ensure the quality of clinical service to the community. ISO re accreditation is one of significant achievement we made during the period.

Umoona Tjutagku Health Service Aboriginal Corporation

Annual Report 2015/2016

Clinic and Healthy for Life Report Overview of the Clinic’s Performance UTHS has been working in collaboration with the people in the Coober Pedy community to improve the health of the community and its surrounding regions. We have structured systems in place to improve the health of Indigenous people in the community. Our current regular number of clients is between 700 and 800. However, we have over 2000 transient clients and most of them are very active at the clinic. Our focus on client’s centred care through client’s feedback has been the key to our success. We acknowledge clients’ feedback and work collaboratively with them to ensure their satisfaction of our services. We prepare patients’ – centred care plans that aim at improving patients’ care to achieve positive health changes. We also ensure continuity of care through recalls and care plans to achieve best possible outcomes for our clients. Our services have greatly improved within the year with improvements in all aspects of clients’ care and this is evident in our national KPIs and the statistics of our clients’ records. For instance Most of our diabetes clients have their HbA1cs reducing consistently through diabetes education and daily follow ups. Though not all of them have achieved the 7% target we had 36 people who achieved the target as at August and we will keep improving it. We should have some of them reached the target by next month to prevent diabetes complications. However, according to current research studies,

Umoona Tjutagku Health Service Aboriginal Corporation

people who have had diabetes for over 5 years may not be able to reach the target. We still have most of the clients consistently improving with their HbA1cs and ACRs. 57% (50 out of 88 clients who attended the clinic 3 times or more) had their GPMPs done to ensure consistency and continuity of care. The pride of seeing our clients get better with smiles on their faces drives us to devote our time and energy to clients’ centred care. With diabetes and its related complications being a major problem in the community, the clinic focussed on achieving better care outcomes for diabetes within the year and we achieved it. We achieved a significant improvement in diabetes management as the improvements in our client’s HbA1cs and ACRs prove it. We also improved in other areas such as liver health, immunisations, asthma care, child health, men’s and women’s health care. The clinic works in conjunction with the Healthy for life team and the environmental health worker to ensure complete clients’ care.

Healthy for Life Umoona health believes that to deliver the best practice, the client must be actively involved in the service delivery. Hence, our health care services are informed by the perspective of our clients as they are the recipients of the services. The healthy for life team visits clients in the community and talk to them to determine what works for them and how they are going with their health. Our outreach and community visiting has increased the availability of services and has promoted trust and ongoing relationships with the community. The H4L team continues to monitor the health outcomes of our clients using appropriate follow ups to enable us achieve positive health outcomes for our clients. Below are some of the H4L programs:

Women’s Health

Our health service has 3 female visiting Doctors who are dedicated to comprehensive and management for a range of women’s health issues including contraception, Pap smear, antenatal checks, osteoporosis, anxiety and depression, hypertension, diabetes, maintaining good health and wellbeing. We had 54% cervical screening for 85 women out of 168 women who attended the clinic 3 times or more within the year. Further, the H4L team do community outreach to help our women in the community with their health and we ensure our female clients are cared for by female staff depending on their preferences.

Men’s Health We take the health of our men seriously. We ensure our men are cared for by men staff if they prefer to be. We do community outreach care for our men. We also do men’s health checks to determine how to properly care for our men clients.

Chronic Disease Prevention • We have achieved great positive outcomes regarding our clients’ health and we did this through client centred care, constant education and deep listening to our clients concerns. We listen to our clients and get feed -back from them to determine how they want their care done through their feedback. • Our average birth weight has been maintained at over 3kg since 2013. • Most of our clients who have high blood pressure, now have their blood pressures close to normal as possible • 100% of our children clients are fully immunised • Both Adult and child health checks have increased greatly this year • There was no low birth weight in this quarter as compared to 1 in the last quarter

Annual Report 2015/2016

Clinic and Healthy for Life Report •

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Our diabetes clients who have chronic disease assessment completed have increased Team care arrangements have increased and care plans have increased as compared to the last quarter. We would like to ensure all our clients have care plans done in the next quarter because that is how we can determine if any of our clients is at risk of having chronic disease complications. With early detection and early intervention we can avoid a lot of complications

Umoona Tjutagku Health Service Aboriginal Corporation

Our diabetes clients who have HbA1cs done have increased as compared to the 2nd quarter. This is a very good achievement and we need to keep it up. Our clients now understand their chronic conditions well and know how they can improve HbA1cs to improve their health outcomes. They understand that improvement in their HbA1cs will help with the prevention of diabetes related complications such as heart diseases, kidney diseases, eye problems and many other diseases that are related to poor blood flow

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At the moment, 37% of our diabetes clients have their HbA1c reduced to 7% or lower and we hope to have the rest reduced too. This is a very good achievement and can get even better because our clients are getting better understanding of diabetes and are eager to reduce their BSLs

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We give our clients education regarding chronic disease prevention, we follow them up in the community; we do check- ups and education regarding better understanding of conditions such as asthma; diabetes; high blood pressure; and how to prevent complications. We do explanation of test results to ensure our clients understand their results. We work collaboratively with our clients to ensure positive outcomes. We listen to them; we get feedback from them to determine how feel and how they want their care done so we can meet their needs.

Asthma Clinic We do asthma clinics. During the asthma clinics, we do spirometry test on our clients to determine their lung functions so that the respiratory physician can use the results for intervention. Further we give asthma education for medication management and the prevention of attacks on our clients.

Child Health We had 59% child health checks for (109 out of 181) children who attended the clinic more than 3 times within the year. This helps with the prevention and protection of the children in this community from having chronic diseases. Hence we do child health checks for early detection and early intervention. We encourage parents to come in with their children for their health checks to be done. It may take about forty minutes of your time but it is very rewarding. Those forty minutes could be the key to your child’s chance of avoiding a chronic disease that may be in the family. It may be true that your family has a history of chronic illness which puts the whole family at risk of having that illness. However, the healthy for life team at Umoona Tjutagku Health Service is telling you that, you or your children do not have to have that chronic illness even if it is in the family. Having it should not be a must because it can be prevented. If you already have the chronic disease, we can work with you to prevent it from getting complicated.

Ear Health We do ear health checks for both adults and children for early detection of ear infections and prevention of complications, to improve hearing and better child’s health, education and social life. With Glenys Dodd and Robert Hele as leading ear health practitioners, our healthy for life team has done a great job with ear health in the last quarter. We are passionate about the ears of our clients because ears are so vital to language, families, stories; learning and it help people to be safe and strong. We give the credit to NACCHO for imparting such great knowledge to us to better the health of people in this community. With this knowledge we are able to improve the ear health of our people through otoscopy, audiometry and tympanometry. Finally we would like to keep working with you, using client’s centred culturally appropriate care. Hence, we need your feedback to achieve this aim. Thank you all.

Annual Report 2015/2016

Clinic and Healthy for Life Report Healthy 4 Life Staff

Clinic Staff

MICHAEL FERNANDO Practice Manager

TANIA ZAMAN Registered Nurse

KWA GYAN Clinic Manager

INGRID LOPEZ Registered Nurse

DONNA BAILES ELAINE Oâ€™TOOLE Senior Aboriginal Health Aboriginal Health Worker/ Worker Transport Officer

JOSIE WARRIOR H4L Coordinator

JANINE LEBOIS Enrolled Nurse

GLENYS DODD Senior Aboriginal Health Worker

TRISH TURNER Registered Nurse

Clinic Manager

PHILLIS LINDSAY

Kwakyewaa Gyan

PAULINE CROMBIE Aboriginal Health Worker

COREY CULLEN Transport Officer

Umoona Tjutagku Health Service Aboriginal Corporation

MARIENA RODRIGO Medical Receptionist

RACHEL NIKOLAU Assist Medical Receptionist

MISHO MILLER SOPHIE BAILES Trainee Aboriginal Health Trainee Aboriginal Health Worker Worker

PHILLIS LINDSAY Child and Maternal Health Support Worker

ROBERT HELE Aboriginal Health Woker

ERNEST WARRIOR Aboriginal Health Worker

ALLAN DODD Trainee Aboriginal Health Woker

Annual Report 2015/2016

Drug and Alcohol Services Report The programmes continue to include Hygiene and Breakfast programmes, Harm Minimisation, Music Therapy, Leatherwork and Art Groups, as well as Bush trips, Women’s and Men’s camps. These are augmented by Women’s Art and Cooking groups; Youth Basketball and Special Events. These events included STI screening, Men’s Pitstop programme, ATSI Health Checks, Stolen Generation meetings and education of school children on Apology Day, NAIDOC and Stolen Generation events, Combined Men’s Health expo a, Community Event and Men’s camp at Mabel Creek Station and Blue Light Discos. UTHSAC continued to have a strong involvement with the Coober Pedy Alcohol Management Plan, Liquor Licencing Accord, including the Clinical Guidelines Work Group, and Clinical Guidance to Footsteps Road to Recovery Residential Rehabilitation Service in Port Augusta. Our staff included Peter Boafo, Drug and Alcohol Counsellor; Jose Kuriakose, Mental health Nurse; Suhara Perera, Social Emotional Well Being Coordinator; Richard Naylon, Sophie

Umoona Tjutagku Health Service Aboriginal Corporation

1) COBRA Bike ride across Kangaroo Island where 10 young men, 7 Aboriginal Drug and Alcohol clients supported and attended to by 8 staff workers road bikes across the Island, whilst also engaging in Nicotine, Drug and Alcohol messages after tea and around the campfire. In this environment the young men were more open to harm minimisation, early intervention and drug and alcohol information. This was a great time where meaningful interactions were conducted whether the participants were site seeing, riding, fishing, and assisting with chores or travelling the 1,000km from Coober Pedy to Kangaroo Island and return. A truly collaborative effort which involved Oz Minerals, UCWPP, AFSS, SAPOL, AHCSA, and UTHSAC. Thanks again to our funders Department of Health and Department of Prime Minister and cabinet in this venture. 2) DAS Counsellor, Peter Boafo achieved Cert1V in AOD, Michael Liptsey achieved Cert 1V in Primary Health, Suhara Perera, Selected as the top Rural and Remote Social Worker in SA by AASW. Bailes and Yusharni Perera, Receptionists; Michael Liptsey, Activities Coordinator; Garry Crombie, Activities coordinator; Matthew Crombie, Aboriginal Health Worker; Lillian Fatt, Enrolled Nurse; Johnny Naylon, Michael Brown and Annette Gilbey, Hygiene Workers; and George Laslett UTHSAC Drug and alcohol Manager. UTHSAC, Statistically has had a productive and purposeful year with 14, 329 contacts, 1197 DAS Counselling Sessions; 51 psychiatrist sessions; 2,582 Breakfasts served, 505 groups; 680 youth basketball;

3) During the year we had well attended men’s pit-stops and Health Checks as a way of engaging with GP’s and visiting specialists. 4) UTHSAC staff initiated and began afresh the Service Providers Network meeting monthly ion Fridays to communicate and collaborate in ongoing events and processes. 5) DAS Youth Programmes have weekly and often twice weekly engaged young people around sport but also mentoring possibilities and information as an early intervention Drug and Alcohol approach.

These young men attended the COBRA Bike ride which now paves the way for ongoing weekly Bike rides around Coober Pedy and engagement. Prior to this Soccer and Cricket at the Coober Pedy oval as well as Indoor Basketball at Coober Pedy High School had been popular. 6) W omen’s Art, Craft, Cooking and engagement held on Tuesdays and Thursdays have provided the venue for excellent Drug and Alcohol engagement 7) U THSAC DAS passed ISO 9001:2008 and RACGP regular audits.

Highlights of the year included:

Annual Report 2015/2016

Drug and Alcohol Services Report UTHSAC DAS continues to engage with Complete Personnel and during the year 18 males and 10 females have been involved with the Robin Walker Drug and Alcohol Activities Centre as a way of becoming ‘work ready’; 8 attendees have been successful in finding fulltime employment. Here at the Activities centre clients are involved in harm minimisation groups and music therapy as a way of understanding the dangers of the misuse of alcohol; prescription dependence, non-prescription drugs (Methamphetamine, ICE, Marijuana) and nicotine. Diversion programmes are used to engage clients and direct them to DAS Counselling or residential rehabilitation directions. Training for the staff this year ranged from formal studies such as AHCSA Cert3 or Cert 1V in Primary health, Cert 1v in AOD , but also work place training in Quits kills and motivational interviewing; Food handling, First Aid, CPR; Infection Control, and I.T. Training. The community continues to benefit from the Liquor Licencing changes of September 2013 which has enable UTHSAC DAS to work more closely with its clients. The opening of Footsteps road to recovery has added additional resources for Aboriginal clients to deal with alcohol abuse and dependence. The new leatherwork, gardening, and additional gym and youth resources will assist UTHSAC DAS in early intervention and progressive engagement strategies. UTHSAC Drug and alcohol counsellor further developed his skills through Flinders University Graduate Certificate in Co Morbidity.

Youth workers, SA Education Department, Umoona Community Council (especially MAPS and Sobering Up Unit), Coober Pedy Hospital and Umoona Aged Care.

Drug and Alcohol Service Staff

Referrals are made to Footsteps Road to Recovery and following discharge planning clients are better equipped to live an alcohol and drug free life. UTHSAC uses creative, flexible and innovative ways to engage with clients, highlighted by Men’s and Women’s Bush Trips where clients and staff camp around billabongs, and whilst engaged in eating and discussion develop effective strategies to reduce the harm of drugs and alcohol, whilst giving the body a rest in tranquil surroundings and finding ways to live purposefully without the dominance of alcohol and drugs. This has been a great year and thanks must go to the staff of UTHSAC Drug and Alcohol for their hard work and commitment to Aboriginal clients. Thank you also to our funders, our CEO and Board for giving staff of the Robin Walker Centre the opportunity to make a difference in people’s lives.

GEORGE LASLETT DAS Manager

LILLIAN FATT Enrolled Nurse

JOSE KURIAKOSE Registered Nurse

GARY CROMBIE Program Coordinator

ANNETTE GILBEY Female Hygiene Worker

MATTHEW CROMBIE Substance Misuse Worker

MICHAEL LIPTSEY Activities Coordinator

SUHARA PERERA SEWB/BTH Program Coordinator

CHRISTINE LENNON Substance Misuse Worker - Oodnadatta

PETER BOAFO Counsellor

MICHAEL BROWN Male Hygiene Worker

George Laslett DAS Manager

Working closely with UTHSAC Clinic, UTHSAC Healthy for Life, the Drug and alcohol Centre has a collaborative approach in regard to programmes and has worked closely with Red Cross, Uniting Care Wesley Port Pirie, AFSS, SAOPOL, Housing SA, GP’s, Psychiatrists, Health SA, Coober Pedy Council

Umoona Tjutagku Health Service Aboriginal Corporation

Annual Report 2015/2016

SEWB/BTH Report Social and Emotional Wellbeing and Bringing Them Home (SEWB/BTH) The Social & Emotional Wellbeing and Bringing Them Home program delivers comprehensive clinical and non-clinical services to Aboriginal Clients in Coober Pedy. The program aims to identify the needs for culturally specific services that take into consideration their holistic concept of health, their spiritual and cultural belief and the contexts of their lives.

Under the leadership and management support provided by the SEWB/ BTH coordinator, SEWB have an experienced and proud team that works well between, DAS Counsellor, Substance Misuse Workers, Aboriginal Health Workers and Clinicians to care, support, treat and assist in the recovery of clients. Services provided by the SEWB/BTH program includes, • Provide counselling support including: Narrative therapy, Grief and loss counselling, Motivational interviewing, Person Centred Therapy, Bringing Them Home counselling, Anger management counselling and brief intervention. During the period 1st July 2015 to 30th June 2016, 1800 counselling services were provided.

• Assist and refer clients to UTHSAC Drug and Alcohol services and other local service providers in Coober Pedy. This year 49 internal and external referral have been made. • Liaise with mental health clinicians: Coordinate 3 monthly Psychiatrist clinics visits and organise face to face appointments or by Tele psychiatry. • Facilitate women’s programs. • Organize cultural activities, Yarning circles and programs. • Support and Resilience • Work closely with other agencies in regarding clients’ case management and coordination support. • Advocating on behalf of individuals, families or groups.

Psychiatrist Service The psychiatry service provides mental health care within a culturally safe environment. We provided mental health consultations sessions to our clients through visiting Psychiatrists Dr Adriana Lattanzio and Dr Nigel CordUdy throughout the year. 48 clients have been consulted by Psychiatrists.

Episode of care and Client contacts During this period there was significant and increasing demand on client needs in Mental Health and the complexities of issues presented. -During the year under review, number of individual patients increasing whilst the episode slightly increased.

Bringing Them Home program • Assist and organise Bringing Them Home link up projects • Incorporated with Link-up SA team we have completed 2 family reunions during the period of 1st July 2015 to 30th June 2016.

Umoona Tjutagku Health Service Aboriginal Corporation

Annual Report 2015/2016

Healing Foundation Project This year we celebrated the National Apology Day on 22nd March 2016 as part of Stolen Generation Project. The event was able to provide clients an opportunity to heal the impacts of intergenerational trauma. Stolen Generation members are participating in monthly focus gatherings. Through focus gatherings exceptional outcomes were provided to members including: overcome social isolation and building social cohesiveness through yarning sessions, a good foundation and strengthen the relationship between stolen generation members and their lost culture and demonstrate a viable way of living and dealing with trauma, sharing stories.

As reported in previous AGM reports the demand for Social and Emotional Wellbeing/ Brining Them Home program/ Healing Foundation program are greater than what we are able to offer.

Suhara Perera

SEWB/BTH Program Coordinator

It is vital to highlight upcoming healing camp and we intend to complete the camp before the end of financial year. NAIDOC week 2016 project was celebrated from 4th to 8th of July 2016. Umoona Tjutagku Health Service hosted a NAIDOC Art competition. This project was associated with many other events including Arts exhibition, traditional bush medicine session, basket weaving session, Kids DISCO, yarning session by Mr. George Cooley and a final celebration comprising an entertainment and award ceremony.

Umoona Tjutagku Health Service Aboriginal Corporation

Annual Report 2015/2016

Counselling Support Report Kupa Piti Mamaku Health Group 2014-2015

Many transient clients have come for counselling also and using a motivational interviewing and brief intervention approach they have left with a new approach to alcohol and drug abuse. Many clients have self-referred and have reduced their alcohol consumption. Often the engagement with client occurs through our Hygiene and Breakfast program, and people then attend more intense Harm Minimisation programmes and interventions.

The UTHSAC Drug and Alcohol Services provide Drug and Alcohol Counselling that assists Aboriginal People to find solutions to drug and alcohol dependency and binge drinking. It assists people to develop harm minimisation strategies in regard to alcohol and drugs to help them stop drinking through assessments, brief interventions, diversionary programs and bush trips. At times we use short and long assessments as well as providing advice and education in various outlets. At UTHSAC DAS I assist people to admission into hospital, General Practitioners and withdrawal centres for detoxification and residential rehabilitation.

Umoona Tjutagku Health Service Aboriginal Corporation

Many referrals have been received from Department of Correctional Services, General Practitioners, family members, Courts, and Complete Personnel. The referrals in many cases are because clients are not work ready due to

During the period 1st July 2015 to 30th June 2016 1352 individual counselling interviews were held at UTHSAC Drug and Alcohol Services and at other places including home visits, music programs, bush trips, and harm minimisation programs. The number is similar to last year and evaluations reveal the high level of engagement with clients. The primary purpose of the Drug and Alcohol Counsellor is to engage with people and advise them of the harmful effects of excessive abuse of drugs and alcohol consumption. As a result of the counselling clients have been referred to Footsteps Road to Recovery Residential rehabilitation Centre in port Augusta with good effect. All these clients heave stayed the full 3 months at the rehabilitation centre and would recommend its effects and the stay to others.

drug and alcohol issues or have emotional issues again preventing work involvement. Following counselling some have found work but many feel more confident to seek employment and assistance is given with referrals to Housing SA and writing Resumes. The clients from Complete Personnel are required by Centrelink to attend programmes. Here Aboriginal Health Workers and UTHSAC Drug and Alcohol counsellor engage with clients to deal with drug and alcohol issues. During Counselling sessions clients with fitness and health issues are referred to UTHSAC Healthy for Life programme and UTHSAC Clinic. UTHSAC is determined to empower clients to take control of their lives and gain greater confidence and self-determination. The chief role I have is to encourage, strengthen and assist Aboriginal clients in the coming months ahead to overcome dependence on drugs and alcohol.

Peter Boafo

Drug and Alcohol Counsellor

Annual Report 2015/2016

Dunjiba Oodnadatta Substance Misuse Service Report This year has seen many highlights including: Development of the old TAFE office on Dunjiba Community Council land which has been a benefit to clients as it is closer to the main road and services. Development and running of alcohol, free days in Oodnadatta where the hotel is closed and a family day is held. Also Special Nights and barbecues and cultural events for NAIDOC week included kangaroo tails and movies. Regular Bush Outings, fishing trips to Hookey’s Hole, Macumba Station, and cultural activities which include bush tucker where Drug and Alcohol harm minimisation strategies are discussed in a culturally appropriate way were appreciated by the clients.

Oodnadatta Substance Misuse program has been working closely with other community organisations to tackle the Alcohol and Drug problems in Oodnadatta. 35 men and 44 women were seen by myself during this year. Services provided this year included: Support Group, individual counselling and crisis intervention were included. Other aspects included linking to develop a Mobile Assistance Program at the Races, Bronco Branding and regular Alcohol Free days where the Hotel closed down for family days. Referrals were also received from Housing SA, Corrections, Courts, SAPOL, Oodnadatta Clinic, AA, Centrelink and Dunjiba Community Council.

Umoona Tjutagku Health Service Aboriginal Corporation

Collaboration with UTHSAC Men’s and Women’s groups in Coober Pedy especially the Kupa Piti Mamaku Health Group and Women’s Activities. Visits also included Stolen Generation and NAIDOC meetings and gatherings, which also included Link Up with Nunkawarrin Yunti and SEWB at Umoona Health. Support was given to the COBRA trip to Kangaroo Island by office support and assistance as well as Counselling/Brief interventions to assist clients to reduce the effects of alcohol and drugs. During the year I attended Child Safe Environment, Manual Handling, CPR, First Aid, Infection Control, IT and Computer training including LogicQC and Communicare, as well as Hospitality and 4 Wheel Drive Training. Other training included Fire Safety and Cultural Awareness training.

I helped run Learner Driver Courses with the Volunteer and the Oodnadatta Aboriginal School. At the School I have developed sessions on Foetal Alcohol Syndrome and the effect of Alcohol on the brain. At the Women’s shed we have begun a Market Garden and this is developing as a way of engaging with clients around Drugs and Alcohol whilst producing products to share in the community, healthy eating and gardening knowledge and skills. This includes propagating and collecting seeds. Meetings I have attended include ones with SAPOL, Oodnadatta Aboriginal School, Dunjiba Community Council, UTHSAC, Oodnadatta clinic, Allied health (including the Psychiatrists), Housing SA, Uniting Care Wesley, Red Cross, AFSS, and Oodnadatta Aged Care. Collaboration with the Oodnadatta Outback areas program and assisting 2 youth workers in their activities was very useful and well regarded. Other courses included Horticulture for clients and mentoring in Nail Hair and Beauty Courses. I develop Hospitality groups at the Women’s shed with Women learning skills in safe food handling and Drug and alcohol aspects. There has been a lot of deaths in Oodnadatta and surrounding areas and so I have given assistance to the Individuals and families and helped with a number of debriefings for the town.

The needs are ongoing but especially needed is a replacement car; updating of the Oodnadatta Substance Misuse office; ongoing study at Cert 1V level in Primary Health and Certificate 3 in Community Service Studies.

Christine Lennon

Oodnadatta Substance Misuse worker

Annual Report 2015/2016

Kangaroo Island COBRA Bike Ride Kangaroo Island 2016

After arriving at Brown’s Beach, Kangaroo Island, we set up camp and enjoyed the company and instruction from Paul Ryan, Trent Wingard and Trevor Wingard, AHCSA, as they led the discussion on Tackling Smoking.

annual leave to assist), Matthew Crombie, Ramii Hasani, Alan Dodd, James Tiampang, George Laslett, Laura Larkins, Richard Laslett ( photographer) and Ish Gunesakara (AFSS) Paul Ryan and .

On the Tuesday (27th September), the team travelled to Flinders Chase National Park where they looked around the Admiralty Arch, Remarkable Rocks, and began the ride in formation. Here the COBRA shirts were presented by C.E.O,. Prisiclla Larkins, our nurse. Thus the ride began from Flinders Chase and out along the West Cape Road for 25 kilometres. Then the winds began and the storm, and later a mini-hurricane set in and it was impossible to ride, let alone camp out. We stayed the rest of the time at Flinders Chase Farm and during the ensuing times, educational sessions were held, focussing on Binge Drinking, the effects of alcohol on the mind and body and Quit Smoking.

Excitement all around as 10 young Aboriginal boys, 8 clients and 8 staff left Coober Pedy on Saturday 25th September 2016 for the annual bike ride. The goal this time was to ride the length of Kangaroo Island from the Flinders Chase National Park to Brown’s Beach. All packed and heading to Adelaide Shores Caravan Park, West Beach, for the first night before embarking on the ferry to Cape Jervois, SA, for the trip. The journey across was very choppy but an incredible adventure of “rock and rollin’” for the participants.

Umoona Tjutagku Health Service Aboriginal Corporation

Great conversations were had all around the outside fire and lounge “potbelly” and the young men were impressed and informed by the open stories of alcohol and drugs, told by Umoona Health Drug and Alcohol workers along with strategies to reduce or abstain from alcohol.

The young men returned home on 30th September 2016, exhausted after a wind swept and eventful Kangaroo Island adventure with the view to developing a regular weekly Bike Club and exercise group.

The camp was different from the original expectations, but the outcomes were similar. While sight seeing at Stokes Bay Caves, fishing at Kingscote, viewing the seals at Seal Bay or experiencing idyllic scenery, the young men developed helpful relationships with positive role models, learnt team work skills, enjoyed energetic exercise and physical pursuits as well as acquiring problem solving skills. Communication skills, discussion of Drug and alcohol information and nutritious diet were other outcomes. Those participating on the ride were: Tommy Williams, Brad Crombie, Sebastian Giles, Rameth Thomas Jun, Jonte Larkins, Ramii Hasani, Rekalem Hayes, Peter Gilbert Brown, David Gilbey; Richard Williams, Frank Wonga, Keith O’Toole, Dylan Roesch, Allan O’Toole, Jacob O’Toole, Trent WINGARD, Anthony Crombie and Tony Kapetanakis.

Thanks to our funders: Department of Premier and Cabinet, Department of Health, Health SA (Closing the Gap), Office of the Chief Psychiatrist, Uniting Care Wesley Port Pirie, Oz Minerals, AFSS, AHCSA, ADAC, Department of Transport, and Umoona Tjutagku Health Service. Wild and woolly weather, but a great opportunity taken to engage with young Aboriginal men and clients about harm minimisation in regard to drugs and alcohol, in an informal but conducive setting. The guys all enjoyed themselves! Thank You to Paul and Trent WINGARD for all there support and AHCSA team.

They were assisted by Gary Crombie, Patrick Larkins (who took a week’s

Annual Report 2015/2016

Kangaroo Island COBRA Bike Ride

Umoona Tjutagku Health Service Aboriginal Corporation

Annual Report 2015/2016

P.O. Box 166, Lot 8, Umoona Road Coober Pedy, South Australia 5723

Umoona Tjutagku Health Service Aboriginal Corporation

Phone: 08 8672 5255 Fax: 08 8672 3349 e-mail: umoona@uths.com.au web: www.uths.com.au