Report on the research into life outcomes for people brought up in institutional care in Victoria. MONOGRAPH NUMBER 17 MONOGRAPH SERIES 2008 Report prepared by Sunitha Raman & Catherine Forbes #/.4%.43 Foreword .....................................................................1 Chapter 4: Implications for policy ........................... 32 Executive Summary .................................................... 2 Chapter 5: Reparation and redress schemes ........... 36 Chapter 1: Background .............................................. 1.1 The Forgotten Australians Report ............................ 1.2 The Victorian Sector Working Group ....................... 1.3 The Research Project ............................................... Chapter 6: Areas for priority investment ............... 40 4 5 5 6 Chapter 2: Historical Context .................................... 8 Chapter 3: Research Data .........................................11 3.1 Background information ........................................12 3.2 Overall characteristics of respondents ....................12 Chapter 7: Conclusion .............................................. 43 References ................................................................ 44 Appendices ............................................................... 45 Public apology to Forgotten Australians ..................... 45 Careleavers survey 2006 ............................................ 46 ACKNOWLEDGEMENTS Kevin Zibell, SWG Chair CEO, Child and Family Services Ballarat The Centre would like to gratefully acknowledge: Brendon Carroll Adoption and Family Records Service, DHS The Collie Trust for their financial support for this project. Bruce Cameron Anglicare Victoria The 77 careleavers who responded to the research survey. Caroline Carroll VANISH Staff members of community organisations who administered the survey and supported careleavers in this process. Charles Gibson Uniting Care Victoria and Tasmania Anglicare Victoria’s Research Ethics Committee. Dr Peter Stricker, Project Officer for the research project. Claire-Anne Willis Department of Human Services The following Victorian Sector Working Group (SWG) members who provided valuable guidance for this research project: Coleen Clare CEO, Centre for Excellence in Child and Family Welfare Published by Centre for Excellence in Child and Family Welfare Inc. ISBN 1 921110 20 1 For more information on this report contact: Coleen Clare, Chief Executive Officer Centre for Excellence in Child and Family Welfare 5/50 Market Street, Melbourne, Victoria 3000 Australia Telephone +61 3 9614 1577 Fax +61 3 9614 1774 Email [email protected] Dr Catherine Forbes Monash University Leslie McLeod Berry Street Victoria Felise Cremona CLAN Liz Irving Berry Street Victoria Fletcher Tame Adoption and Family Records Service, DHS Maureen Cleary Manager, VANISH Frank Golding CLAN Mimi Morizzi Orana Family Services Helen Brain Department of Human Services Sunitha Raman Centre for Excellence in Child and Family Welfare Jenny Glare Mackillop Family Services Susan Pitman Oz Child Judy Wookey CEO, Glastonbury Child and Family Services Tim Matheson Salvation Army Social Policy Research Unit Leonie Sheedy CLAN Willa Longmuir Melbourne City Mission 1 IT’S NOT TOO LATE TO CARE Quote from a careleaver who participated in our survey It gives us great pleasure to commend this report to you. With the collective effort of the dynamic Sector Working Group in Victoria (SWG), and the selfless participation of 77 wonderful people in our survey, we have been able to produce this report that can guide our efforts to support the many Victorians who suffered trauma and abuse in institutional care. With the apology in Parliament in August 2006, and the commitment of resources to enhance services provided by the careleaver support groups VANISH and CLAN, the Victorian Government has signalled its commitment towards supporting careleavers. Work has also commenced in setting up an appropriate memorial for careleavers and in compiling a services directory in Victoria. It takes enormous courage and strength of character to recount the past, and share one’s experiences through a survey. The 77 careleavers who participated in this process provided us with valuable information and insights into their experiences in care, and services that are needed in Victoria to support them and their colleagues overcome the trauma of these experiences. We are humbled by their willingness to provide us with the information we sought and thank them sincerely, for without them this research would not have been possible. However, much needs to be done before we can say that Victoria has a service system that meets the needs of all careleavers. We hope that this report stimulates dialogue between government, the community sector and careleaver support groups and leads on to a realistic investment in setting up support services for careleavers. Together we can show that it is still not too late to care. The SWG that has supported this project is a unique group that brings together representatives from the community sector, government and careleaver support groups in a partnership to move forward in implementing some of the recommendations in the Forgotten Australians report. We thank all of the members on this group for their valuable time and advice. Kevin Zibell An undertaking of this nature is not possible without the generous support of many organisations. We are grateful to the Collie Trust for their financial support and the Anglicare Research Ethics Committee for ensuring that our survey met strict ethical standards for human services research. We thank the many community organisations and the careleaver support groups, VANISH and CLAN, for administering the survey to their members and constituents. Coleen Clare We are also grateful to the authors, Ms Sunitha Raman from the Centre for Excellence and Dr Catherine Forbes from Monash University, for compiling this report. Dr Forbes offered her expertise to this project, and we have benefitted greatly from her expertise with numbers and her generosity. Chair, Sector Working Group Chief Executive Officer 2 IT’S NOT TOO LATE TO CARE In response to the recommendations in the Senate Community Affairs Reference Committee’s report Forgotten Australians, the Victorian community sector established a multi-stakeholder reference group called the Sector Working Group (SWG) in 2004 to scope the implementation of the recommendations in Victoria. This group commissioned a research project to quantify the life outcomes for careleavers who had been raised in Victorian institutions, and compare the outcomes against those in the general population belonging to the same age group. The main aim of this research was to generate data to identify specific program responses to support careleavers in Victoria. This report outlines the findings of this research and the recommendations for investment in programs and services for careleavers. The research was undertaken using a structured survey instrument administered through community organisations and careleaver support groups in Victoria. The survey also had some areas where qualitative feedback could be provided by careleavers to explain or strengthen their response. Ethics approval was provided by Anglicare Victoria’s Research Ethics Committee. 77 people who were brought up in Victoria’s institutions participated in this survey. The benchmarking data for the general population was obtained from the Australian Bureau of Statistics, from the 2001 census data. The significant findings of this research are: s The long term impacts of their early life in institutional care is evident in many critical domains of careleavers’ lives, such as health, education, income, employment and personal relationships. s On a comparative basis the experiences of careleavers in the above domains are significantly lower compared to the general population. s Even within the sample group of careleavers who participated in our survey, the outcomes achieved by careleavers in the 40–49 and 50–59 age groups appeared to be relatively lower in these domains, when compared with careleavers aged over 60 years. s Over half of all the respondents have been diagnosed with a disability. Nearly half of the respondents had also visited a specialist health service in the six months prior to our survey. The specialist health services accessed by careleavers relate to mental, dental and physical health needs. s 72 per cent of careleavers earn less than $200 per week from wages and salaries. A significant proportion of these respondents are aged between 40–59 years. Over one third of all respondents received a pension of between $200 and $400 from the Government. In comparison with the general population, a higher proportion of careleavers earn lower incomes and are in receipt of a Government pension. s An overwhelming number of careleavers have concerns about ageing and being in an aged care facility, due to their prior experiences in an institution. Nearly three quarters of respondents in the 50–59 age group and two thirds of respondents in the 40–49 age category expressed concerns. Only 5 per cent of respondents were in an aged care facility at the time of our survey. s A fifth of careleavers live alone, and around a third of respondents indicated that they either rely on themselves or turn to a counsellor or psychologist for support in times of need. Our research has also established that many careleavers have been successful in overcoming the impact of the adverse circumstances in which they were brought up. This is reflected in their achievements in education and careers, in their family relationships, upbringing of children, positions in various community and social groups, as documented by many in the qualitative responses to the survey. The data generated by this research provides us with some useful information to guide investment in support services and programs for careleavers. 3 IT’S NOT TOO LATE TO CARE RECOMMENDATIONS The principal recommendations to the Victorian Government contained in the report are: 1 The establishment of a Victorian health card that identifies careleavers as a special community group and allows them priority access to and fee concessions for physical, mental and dental health services. 2 Reviewing of Home and Community Care services guidelines to facilitate easy access to these services for careleavers. Trialling of innovative programs in partnership with careleavers and the Federal Government aimed at meeting the aged care needs of careleavers in alternative home-based settings. 3 Increased investment in support services for careleavers and their families such as counselling, literacy and numeracy, dental services, mental health services etc, through careleaver support groups and other community service organisations. 4 Assistance to community organisations to catalogue records, and set up supported record access services for careleavers seeking access to their personal records. The possibility of developing collaborative models of record access should also be explored. 5 Setting up a reparation and redress scheme in Victoria following the example set by other states in Australia. ONE "!#+'2/5.$ 5 IT’S NOT TOO LATE TO CARE BACKGROUND 1.1 The Forgotten Australians Report 1.2 The Victorian Sector Working Group In August 2004, the Community Affairs Reference Committee of the Australian Senate (the Committee) released its seminal report Forgotten Australians, outlining its findings from a national inquiry into the care provided to children in Government and non-Government institutions across the country, and the extent and impact of the long-term social and economic consequences of child abuse and neglect on individuals. During late 2004, following the release of the Forgotten Australians report by the Committee, the Centre convened a meeting of its member organisations who provided institutional care to children and young people in Victoria. This meeting considered the Committee’s recommendations and explored options to move forward with implementing some of the recommendations in Victorian community service organisations (CSOs). The Forgotten Australians report is the third part of a trilogy, outlining the plight of many thousands of mainly non-Indigenous Australian-born children who were placed As a result, a Sector Working Group (SWG) was formed comprising members from the Centre who provided institutional care in the past, Careleaver organisations – Quote from a careleaver who participated in our survey in institutional care. The other two reports outline the plight of child migrants into Australia (Lost Innocents) and Indigenous children (HREOC report, Bringing them home). After over a year of inquiry in which over 600 public submissions were received, and hearing evidence across Australia from 171 individuals, the Committee presented its report in two parts. The first part of the report focuses on children who were in institutional and out-of-home care mainly from the 1920s until the 1970s when a policy shift saw the de-institutionalisation of care provided to children and young people across Australia. 39 recommendations were made in the Forgotten Australians report. The second part of the report covers findings relating to foster care, and has as its main focus contemporary foster care issues, and government and legal frameworks in which child welfare and protection systems operate in Australia. The report also discusses matters relating to children and young people with disabilities in care, and children and young people in juvenile justice and detention centres. This report is concerned with the work undertaken by the Centre for Excellence in Child and Family Welfare (the Centre) in relation to the first report, and the recommendations contained therein. VANISH and CLAN, and the Department of Human Services, to scope the work that was required to implement the recommendations of the Committee, and with assisting CSOs in that process. A number of initiatives have been undertaken or are currently underway as a result of the work done by the Centre and the Department of Human Services in conjunction with the SWG, and are detailed below: s s The Centre has drafted and made available to its member CSOs, a generic statement of apology to enable CSOs to issue their own apologies to careleavers. It is worth noting here that the Victorian Premier Hon. Steve Bracks issued an apology to Victorian careleavers from the floor of the Parliament on 7 August 2006 (Recommendation 1 in the Forgotten Australians Report). Two practice forums have been held during 2005 and 2006: – showcasing good practice examples from member organisations that have implemented, or are in the process of implementing the Senate’s recommendations, and – generating discussion about issues faced by Victorian CSOs in implementing the recommendations. 6 IT’S NOT TOO LATE TO CARE BACKGROUND s In conjunction with the Corporate Integrity and Information Resource Unit of the Department of Human Services, a forum was held for CSOs in Victoria, focussing specifically on issues and strategies related to providing careleavers with supported access to personal records (Recommendations 12–18 in the Forgotten Australians Report). At the time of writing this report, a research proposal has been presented to the Australian Research Council by the Alfred Felton Chair in Child and Family Welfare based at the University of Melbourne and a consortium of ten CSOs including the Centre, to undertake a project in looking at the importance of archives in good child protection practice. s The Department of Human Services is currently working with the SWG on finalising a Directory of Community Services that provided institutional care in Victoria to assist careleavers trace the institutions in which they had been placed (Recommendation 14 in the Forgotten Australians Report). s The Department of Human Services is currently consulting with careleavers through the SWG on the establishment of an appropriate memorial in Victoria commemorating careleavers (Recommendation 34 in the Forgotten Australians Report). s A research project was commissioned with funding support from the ANZ/Collie Trust to collect information about the life experiences of people formerly in institutional care as a way of informing future policy directions in providing appropriate support services to them. This research was commissioned because other than the information in the Forgotten Australians report, there is no documented data/information about the life experiences and outcomes achieved by careleavers. (Preliminary scoping to consider implementation of Recommendation 23 in the Forgotten Australians Report). The rest of this report is concerned with outlining the findings from this research and presenting policy and program options that are open to Government and CSOs for supporting careleavers. 1.3 The Research Project 1.3.1 Purpose This research project was undertaken to collect information about the life experiences of careleavers, the long term impact of their time in care, and their current service and support needs, with a view to informing the development of policies and programs to support careleavers. This research was made possible with the funding support provided by The Collie Trust, and was undertaken during 2006/07. 1.3.2 Methodology This research sought to collect data from at least 120 careleavers who were brought up in institutions in Victoria as the primary source of information. However, given the voluntary nature of participation, and despite our best efforts reaching out to many careleavers, only 77 responses were received. A semi-structured questionnaire exploring various outcome areas and some open questions to capture qualitative responses was designed for this purpose, and cleared for administration by Anglicare Victoria’s Research Ethics Committee. Respondents were accessed through Victorian CSOs who provided institutional care in the past and the careleaver support groups, VANISH and CLAN. Participation in the survey was open to careleavers who were in care in institutions in Victoria, but may currently be living within or outside Victoria. Given the sensitive nature of the survey, participation was entirely voluntary with the option to withdraw at any time during the process. The questionnaires were filled out by careleavers themselves, with organisations who supported us with administering the survey assisting careleavers with clarifications and support as required. Every attempt was made to ensure that the sample was randomly selected. However, given the voluntary nature of participation, it was not possible to make a truly random selection from the population group. Of the 77 respondents: s 41 (53 per cent) were male and 36 (47 per cent) were female. Factoring in the size of the sample, the proportion of male and female careleavers may be considered equal. s 3 respondents identified themselves as being of Aboriginal or Torres Straight Islander descent. s 61 per cent per cent of respondents (47) live in rural/regional areas of Victoria, 25 per cent (19) live in metropolitan areas of Melbourne, and 13 per cent (10) live outside Victoria. One respondent did not provide information regarding their current address. s 52 per cent (40) of respondents were aged over 60, 30 per cent (23) were aged 50–59, and 17 per cent (13) were aged 40–49 at the time of the survey. One respondent did not provide information regarding their current age. s Respondents had entered care over a 43 year time frame ranging from 1929 to 1972, and had left care between 1939 and 1986. With no official demographic data regarding people who were brought up in institutions when they were young, it is difficult to ascertain whether the sample we achieved in this research is representative of the population group. For example, given that respondents were accessed through Victorian CSOs and careleaver support groups, it is reasonable to assume that the study includes predominantly careleavers who are in a relatively better supported position than other careleavers who have had no contact with either a CSO or careleaver support group. Similarly, given the focus of services delivered by Centre member organisations, it is possible that the survey has not captured the views of carers accessing services such as mental health services, alcohol and drug services, disability services etc. The closest comparison of demographic data relating to careleavers is with the profile of respondents to a survey undertaken by the Careleavers of Australia Network (CLAN). This was a national survey with participants from across 7 IT’S NOT TOO LATE TO CARE BACKGROUND Australia, conducted in 2006. The brief overview of findings released by CLAN in March 20081 shows that of the 291 respondents who participated in their survey: s 45 per cent of respondents were male, and 55 per cent were female. s The majority of respondents (96 per cent) were aged 50 and over. s The sample was fairly evenly split between people who had entered care after 1950 (just over 46 per cent) and those who had entered care prior to that, most of them in the 1940s and continuing in care throughout the 1950s and often into the 1960s. The research also seeks to establish age-related data on outcomes achieved by people in the general population for comparative benchmarking. Data for this purpose was specially obtained from the Australian Bureau of Statistics from the 2001 census to match the age profile of the respondents to our survey. Data from the most recent 2006 census was still being compiled at the time of writing this report. In this report, the term ‘careleavers’ has been used to refer to people who were brought up in institutional care in Victoria and were placed in voluntary children’s homes (private) or subject to the care of the Government (State wards). RESPONDENT PROFILE MARGARET (not real name) Margaret is aged 63 and was in care for three years. She was admitted to care as an uncontrollable child and she is still not sure why. Margaret describes her care experience as good overall and had five placements in the three years she was in care. She says “I remember being locked up at Turana and initially at Winlaton and wondering why, as I could not understand what I had done wrong and why I was being punished?”. club and book club. Margaret also volunteers five hours of her time each week to a hospital. Margaret achieved less than year 10 at school and subsequently had training as a nurse aid. She is out of the workforce but does voluntary work for two days a week. She receives a pension of $500 per fortnight and an allocated pension of $500 per month. She has no debts and lives in her own accommodation, where she has lived for the past eight years. She lives in this property with a small dog for company. She describes herself as a “very independent and strong personality with a good sense of humour and attitude to life. I think orphanage life was competitive and survival of the fittest”. Margaret has been diagnosed with Crohn’s Disease and visited a GP and a specialist twice in the six months before our survey. She has a daughter aged 40 whom she sees every 6–8 weeks. Margaret considers that her time in care affected her relationship with her own child. She says, “Yes, I had my daughter as a single mum. Because of my shitful childhood, I had my daughter adopted to give her a chance of a normal mum-dad upbringing. I was not sure I could provide for her properly on my own. I found her through VANISH in 1999, and have been very lucky. We have a great relationship and I have been able to see my youngest grandchild Timothy (not real name) grow up from his birth”. Margaret turns to friends for support mostly for admittance and discharge from hospital once or twice a year. She is active in her community and is part of a golf and croquet club, jazz 1 Margaret would like to access more detailed records of her time in care, and transcripts of her court case. She says her mother died after not talking to her for thirty years and she is at a loss to understand why and wants to know the events in her childhood that brought her into care. Margaret does not consider that it will be difficult for her to contemplate spending her senior years in aged care. “Who knows what circumstances I shall incur in regards to aged care – maybe I will have dementia and won’t know what it is all about. I feel whatever happens, I will manage it all okay” she says. Reminiscing about her care experience, Margaret says “My time in care was good for me as it got me out of quite a violent alcohol affected home life. My mother’s de facto was a very cruel man taking to me with a stock whip and threatening to shoot me. I was often terrified most of the time. So orphanage life, even time spent at Turana and Winlaton was peaceful in comparison. No one was continually belting and threatening me”. “I made some awful mistakes when young, 16 to 26. But that is part of life’s learning journey. I have very few regrets if any. I doubt that I would have done much differently” says Margaret. CLAN, July 2007, Brief Overview of Some Findings From the CLAN Survey, www.clan.org.au TWO 9 IT’S NOT TOO LATE TO CARE HISTORICAL CONTEXT The Senate report documents the ambivalence that existed about the best form of care for children who were abandoned or neglected, and whether they were best cared for in institutional settings or in family based settings. ‘Fashions existed at various times both within and among the colonies about institutional care or boarding-out (out-of-home care or foster care). Such fluctuations continued until the 1960s when government became more involved in child welfare and moves began to close large institutions for children’2. The Victorian Department of Human Services’ submission to the Senate inquiry documents the increasing reliance on orphanages and children’s homes during the 1920s, due to the shortage of foster carers, and the increasing number of female children placed in institutions after the Children’s Welfare Act 1933 extended the definition of neglect to “being a female found soliciting men for prostitution…or found habitually wandering about…public places at night without lawful cause… ”.3 The Senate report also documents this drift of children back to institutions during the 1930s and 1940s because of the lack of foster families, and the fact that in Victoria by the early 1950s, around half of the children who were State wards were in institutional care, with the proportions rising to 85 per cent by the early 1960s. Through the later part of the 19th century to the first quarter of the 20th century, the child welfare system in Victoria appears to have been based on concerns about young offenders and the risks they posed to the community. The Neglected and Criminal Children’s Act of 1864 and the Department for Industrial and Reformatory Schools ensued as a result. The recognition that the needs of neglected children were different to those of young offenders saw the establishment of a Neglected Children’s Department two decades later. The child welfare system responded by establishing reformatories for young offenders, orphanages for abandoned children, and placing neglected children with foster families (or in orphanages when foster families could not be found). Churches played a critical role in the establishment and operation of these children’s homes. The passing of the Infant Life Protection Act in 1907 and Maintenance of Children Act 1919 reflect concerns about the quality of foster care provided to children and the desire to keep families intact by supporting mothers who had no income, but had accommodation. In 1928, the Child Welfare Act was passed consolidating all of the existing legislations relating to child welfare, and the Adoption of Children Act was also passed in the same year, legalising adoptions in Victoria. 2 3 4 Quote from a careleaver who participated in our survey The largely unregulated and unsupervised provision of care for children in Victoria until then changed with the introduction of the Children’s Welfare Act 1954, and the requirement for children’s institutions to be registered with the Child Welfare Department. Standards for care were developed and enforced through Departmental inspections of children’s homes, and the Government was given the powers to establish its own homes for children and young offenders. This heralded the gradual increase in the number of homes opened and operated by the Victorian Government over the next decade. A greater understanding and acknowledgement of the fact that large-scale institutions managed in a strictly regimented style had a damaging impact on many children, together with a growing body of knowledge4 about the importance of attachment and retaining contact with the family, saw child welfare practice in Victoria gradually shift from institutionalised care to smaller units or family group homes during the late 1950s and 1960s. There was renewed interest in foster care as we know it today, a system which emphasised a careful selection and supervision of foster carers. Senate Committee Report 2004, Forgotten Australians, p19. July 2003, Submission of the Government of Victoria to the Senate Inquiry into Children in Institutional Care, p5. Curtis report, 1946, Home Office, England. 10 IT’S NOT TOO LATE TO CARE HISTORICAL CONTEXT Financial pressure seems to have played a huge role in the standard of care provided in the children’s homes and orphanages. The deficiencies in the standard of care in children’s homes and orphanages as a result of this financial pressure is noted in the Senate report – ‘while the state was responsible for monitoring standards of care, the charitable institutions argued that the flat rate payments made for the care of individual wards were insufficient to provide increasingly demanding standards of care (and rates of pay for residential staff), and that it was increasingly hard to supplement the state payments with funds received as charitable donations. Children placed voluntarily were even harder to care for adequately. These pressures came to a head in the early 1970s when the charitable institutions ceased to take voluntary placements and became, in effect, part of the residential arm of the Social Welfare Department’5. The employment of largely untrained staff working under constant financial strain led to an atmosphere that was in many cases controlled and punitive rather than caring and loving. The 1970s saw a significant shift in Government policy with the introduction of the Social Welfare Act 1970, the setting up of the Social Welfare Department, and an increased focus on keeping children in care close to their families. The practice of families placing their children voluntarily in care ended around the time that the Commonwealth introduced parents’ pension in 1973. The broader process of de-institutionalisation across Australia and in Victoria continued during the 1970s and 1980s, with the last of the institutions in Victoria being closed during the early 1990s. The shift in the role of children’s homes and child welfare policy and practice through the last century is evident from our history. For many, the reforms perhaps came a bit too late. Child welfare practices that are not tolerated by the present society were unfortunately commonplace in the protracted period prior to regulation and supervision of children’s institutions. This report examines some of the consequences of these practices which in many cases continue to have an impact on people who were brought up in institutions in their later life. RESPONDENT PROFILE JENNY (not real name) Jenny is aged between 50 and 59 years. She spent around 12 years in care due to family breakdown. She considers her time in care bad overall, and went through 8 placements in that time. Jenny did not complete schooling while in care and had just completed a Certificate III in Aged Care prior to our survey. She is currently unemployed and has been looking for employment for over a year now. Her current income is around $200–300 per week from Government pension and she has problems with debts relating to her credit card, rental arrears, phone and other utilities and her vehicle. Jenny lives in private rental accommodation with her daughter and has been living in this accommodation for 12 months prior to our survey. She hasn’t been diagnosed with any long-term illnesses or disability and has been to the doctor less than 5 times in the six months before our survey. With 5 children aged between 14 and 28 years, Jenny is in regular contact with all of them. However she says “I have trouble showing them affection and because of this I feel I am not a good mother”. Jenny feels that her time in care has affected her ability to interact with her broader family in a positive way. She turns to herself for support, and says “with a little success, I try and solve my own problems”. 5 While she has had no involvement with the Police, Jenny’s daughter has been prosecuted for assault, cultivating cannabis and theft. Jenny considers that drug and alcohol services, stress management, housing and life skill support programs will help address the issues she faces from her time in care. She considers that her time in care gave her the “ability to survive in a lot of situations. They taught me to fight back, steal, to feed and clothe myself and family”. Given her experience in care, she finds it difficult to contemplate spending her senior years in aged care. Jenny notes a number of significant achievements in her life. She says “Well, I have reared 5 children successfully, I have just completed a 6 months course in aged care nursing and even got an award for commitment to study. And I’ve achieved to get this far”. Recounting her experiences in care, Jenny says “being in care as a child has made my journey in life so hard, I find it hard to show affection. I don’t trust anyone. I am frightened of the dark and hate being shut in any where. I am struggling with drugs and alcohol and have very few friends. (I am) struggling financially, have bad thoughts all the time, have anxiety and panic attacks and the list goes on”. Jaggs, D, 1986, Neglected and Criminal – Foundations of Child Welfare Legislation in Victoria, Phillip Institute of Technology Centre for Youth and Community Studies, Melbourne 1986, quoted in the Victorian Government submission to the Senate Inquiry. THREE 12 IT’S NOT TOO LATE TO CARE RESEARCH DATA 3.1 Background information Distribution of year left care This part of the report summarises the results from a survey undertaken by the Centre during 2006, which was returned by 77 careleavers who had been in institutional care in Victoria. Figure 2 shows the distribution of the year respondents left care, and indicates that the age of a person at the time of survey is also not a perfect indicator of when care ended. The sole observation at the far right of the top panel reflects the fact that one individual in the 60+ age group reported remaining in care for 25 years. Similarly, in the middle panel, the sole observation at the far left of the scale corresponds to one individual aged 50–59 years at the time of the survey who entered care at a very young age, but only remained in care for a short period of time. The data presented in this chapter summarises the overall characteristics of the respondents, including gender, age, number of years in care, etc, as well as the responses received regarding careleavers’ education, employment, health, housing, income, and relationships. Due to policy changes and changing societal forces in play over the relevant period between 1920s – 1970s discussed in the previous chapter, the responses to the range of questions from careleavers need to be understood within the relevant context. For this reason, although some overall statistics are reported, in most cases the data is presented in accordance with the age of the respondent at the time of participating in the survey. 3.2 Overall characteristics of respondents Age Forty respondents, or just over half of the sample, were aged 60+ years, with 23 respondents, about one-third, in the 50–59 year age group, and 13 respondents, or about one-in-six, were from the 40–49 year age group. One respondent did not provide information about their age. Gender As is shown in Table 1, overall the gender of the respondents was split fairly evenly. However, there were more male respondents than female respondents in the 60+ age group. TABLE 1 Reported gender of respondents, by age group. Age of respondent Male Female Total 40–49 years 6 7 13 50–59 years 11 12 23 60+ years 24 16 40 Total 41 35 76 Distribution of year entered care Our survey results demonstrate that the age of a respondent at the time of our survey is not a strong indicator of when their care experience began. This is evident from the fact that the distributions of the year of entering care for our three age groups overlap, as shown in Figure 1. The discrepancies are largely due to the fact that some people entered care when very young, whereas others entered care as teenagers. 6 Reasons for being placed in care Respondents were asked about the circumstances that led them to being initially placed in care. Figure 3 illustrates the reasons specified, broadly grouped under seven categories. This figure shows that parental separation was cited by around a third of the respondents, followed by parental hardship such as poverty, ill health etc, which was cited by around 24 per cent. Other reasons cited include alcohol use by one or both parents (10 per cent), death of one or both parents (5 per cent), neglect (5 per cent) and other responses including being an illegitimate child or not knowing the reason for being placed in care (18 per cent). Some of the qualitative responses provided by respondents give us an indication of the various circumstances under which children were placed in care. According to one respondent, “Our parents separated four years before. Mum worked full-time, so we were placed in care”. Another respondent states “Our mother left us with our father who was usually drunk and who found it hard to feed us and we were in a house that was too small for the number of children left for him to look after”. Other reasons provided by respondents include – “inability to fit in with new step-mother and family when my father re-married after WW II”; “my mother and father could not take care of me-us”; “my mother fell ill then died”; “I was born illegitimate”; ”I was admitted to the care of the then child welfare department as an uncontrollable child, still am not sure why”. The data in Figure 3 provides an interesting comparison with a 1960s study (Tierney 1963)6 which shows that the major factors associated with the admission of children into state wardship at the time of his study were: neglect (54 per cent), parental separation (16 per cent), disordered behaviour of the child (14 per cent) and hardship (affliction) of parents (8.3 per cent). For privately admitted children, the major factors associated with admission are parental separation (36.1 per cent), hardship (affliction) of parents (27.2 per cent), neglect (19 per cent), and admission associated with the child being born out of wedlock (11.4 per cent). Tierney, L.J (1963) Children who need help: A study of child welfare policy and administration in Victoria, Parkville: Melbourne University Press. 13 IT’S NOT TOO LATE TO CARE RESEARCH DATA FIGURE 1 Distribution of year entered care, by age group. FIGURE 2 Distribution of year left care, by age group. 10 10 6 9 5 3 1 0 1 1 0 1 3 4 4 5 5 Age group: 60+ years 8 8 Number of respondents 9 Age group: 60+ years 9 Number of respondents Age group: 50–59 years 5 5 1 1 0 Age group: 40–49 years 6 5 0 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 –39 –44 –49 –54 –59 –64 –69 –74 –79 –84 1920 1925 1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 –24 –29 –34 –39 –44 –49 –54 –59 –64 –69 –74 –79 25 0 7 CLAN, July 2007, Brief Overview of Some Findings From the CLAN Survey, www.clan.org.au Other 13 23 17 Neglect 5 5 Behaviour of child Death of parents 10 4 15 Parental hardship 20 Parental separation Number of respondents Alcohol use A further comparison of our survey data can be made with the results of the survey conducted by CLAN in 20067. The preliminary findings released by CLAN from this research shows that 17 per cent of the respondents in their sample of 291 careleavers were placed in care due to parental separation, 16 per cent due to the death of one or both parents,19.6 per cent due to alcohol use by parent (father), 10.6 per cent due to parental hardship. Nearly 48 per cent of the respondents in this study had been state wards, and 42.6 per cent had been voluntary placements. FIGURE 3 Reported reasons for child being placed in care. 7 It can be seen from this comparison that the reasons for being placed in care cited by the respondents to our survey closely resemble those of privately admitted children in Tierney’s study. 2 0 1 4 5 5 6 Age group: 40–49 years 4 0 1 2 5 5 2 6 7 9 Age group: 50–59 years 14 IT’S NOT TOO LATE TO CARE RESEARCH DATA FIGURE 4 Timeline showing number of years in care for each respondent (each line represents a respondent in this research). 1920 1925 1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1920 1925 1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 Number of years in care Each respondent’s period of care is mapped onto a timeline in Figure 4. In this graph, respondents were ordered according to the year they entered care, and a line segment was drawn to correspond to the period of care for each respondent. The left end point of a line segment corresponds to the year the respondent entered care, and the right end point corresponds to the year that same individual left care. The length of each line segment, therefore, corresponds to the total length of time that a person spent in care. It is apparent from Figure 4 that respondents in our sample had care periods that cover the full time period of interest. Further, from visual inspection it does not appear that there are systematic differences in the duration of care through time, and that the spread of the year entering care is fairly uniform throughout the relevant period of time when institutionalisation occurred, i.e., from the late 1920s to the late 1970s. Figure 5 displays frequency histograms for the number of years in care for each of the three age groups. In general, the distributions relating to the number of years in care for each group are similar, except that unlike careleavers in the older age group, none of the youngest respondents (40–49 years) were in care before the age of 5 years, nor were they in care past 18 years of age. For the middle age group (50–59 years) only one person reported staying in care past the age of 18 years. Despite the few cases of long periods in care, the median number of years in care for each of the 60+ and the 50–59 year age groups was 9 years. The median number of years in care for the 40–49 year age group was 11 years. Figure 6 shows the distribution of the number of years in care by the number of placements while in care. Given the limited size of the survey, it is difficult to be precise; however it does not appear that the number of placements is associated with the average number of years in care. As shown in Figure 7, the proportion of respondents within each age group having more than one care placement was highest in the youngest age group, and lowest in the oldest age group. Overall, about 46 per cent of respondents had only one placement while in care and around 47 per cent experienced between 2 to 5 placements in the time they were in care. 15 IT’S NOT TOO LATE TO CARE RESEARCH DATA FIGURE 5 Distribution of number of years in care, based on age at time of survey. 10 Number of respondents One care placement 7 7 8 Age group: 60+ years 11 10 12 Number of respondents FIGURE 6 Distribution of number of years in care, according to number of placements while in care. 5 3 1 3 2 2 2 1 1 1 3 4 6 0 0 Two to five care placements 6 6 7 8 Age group: 50–59 years 0 1 2 2 1 2 1 3 3 4 5 5 5 0 Age group: 40–49 years 6 Six to nine care placements 1 0 1 2 1 3 3 3 4 5 5–7 years 8–10 years 0 1 year 2–4 years 5–7 years 8–10 years 11–13 14–16 years years 17–19 years 20–22 years 23–25 years 1 year 2–4 years 11–13 14–16 years years 17–19 years 20–22 years 23–25 years Classification of care experience FIGURE 7 Number of care placements by age group (percentages relative to age group). Six to nine care placements One care placement Two to five care placements Unreported Age group: 40–49 years Age group: 50–59 years 69.2 47.8 TABLE 2 Classification of care experience. Number Per cent ‘Good overall’ 27 35.1 ‘Bad overall’ 35 45.5 ‘Difficult to say’ 13 16.9 2 2.6 77 100.0 No response Total 4.3 15.4 15.4 47.8 Age group: 60+ years 37.5 52.5 5.0 5.0 Respondents were asked to classify their care experience by selecting 1 of 3 categories – “Bad overall, “Good overall” or “Difficult to make general assessment”. 75 respondents provided a classification of their experience while in care. Table 2 shows that the majority of respondents chose not to characterise their care experience as positive. Nearly half of the respondents described their experience as bad, and 17 per cent were ambivalent about their feelings. Over a third of careleavers described their experience as being “good overall”. 16 IT’S NOT TOO LATE TO CARE RESEARCH DATA FIGURE 8 Classification of care experience by age group. Good Difficult to say Bad Unreported FIGURE 9 Highest level of schooling completed whilst in care, according to age group. The only available responses to this question were – “Bad overall, “Good overall” or “Difficult to make general assessment” 20 Number of respondents Less than year 10 Year 11 Year 10 Year 12 Unreported 20 16 13 15 15 15 22 18 25 Number of respondents 10 9 8 10 0 6 1 2 1 3 2 3 2 1 1 2 3 5 4 5 6 5 5 5 0 Age group: 40–49 years Age group: 50–59 years Age group: 60+ years Caution is advised in the interpretation of these responses because of the highly subjective nature of the classification descriptions, and their relativity to the experience of individual respondents. However, in addition to the classification, respondents were also provided with the opportunity to describe, in their own words, how they felt about their care experience. Reading these comments, along with the number of respondents who were ambivalent about their experience, one takes away the impression that a majority of careleavers’ experience in institutional care has been less than ideal, a situation that rings true for them after many years of leaving care. Further, many respondents who described their experience as ‘good’ also indicated that it was not always good, and that there were some ‘bad times’ as well. These qualitative responses from careleavers portray a life which for many bordered on “brutal, violent, awful, traumatic, cruel, insensitive”. Careleavers recount being “Repeatedly beaten with cane and strap, belted across the head by hand and sexual abuse” and of carers who should not have been allowed to provide care – “My foster mother shouldn’t have been allowed to foster. She was a very cruel woman”. Yet others talk about suffering social isolation, regular beatings and sexual abuse while in care. One careleaver talks about being treated “as things, not human beings”, and another recollects her care time as “awful – I still have nightmares. Can see the nun’s face and feel the terror”. For others, the experience has been mixed, depending on the institution/orphanage they were placed in. One careleaver who had moved several times, described the care experience as ‘very good’ at one facility, ‘reasonable’ at another and ‘bad’ at the third. Age group: 40–49 years Age group: 50–59 years Age group: 60+ years “We had good and bad times. Hard to comment” says another careleaver. Careleavers who indicated they had a positive experience in care suggest that “If ‘they’ hadn’t been there, where would I have been now! No regrets whatever”. (We understand the ‘they’ to be the institutions/orphanages where respondents were placed). Yet another careleaver has said, “My time in care was good for me as it got me out of quite a violent alcohol affected home life. My mother’s de-facto was a very cruel man, taking to me with a stock whip and threatening to shoot me etc. I was often terrified most of the time so orphanage life, even time spent at Turana and Winlaton was peaceful in comparison. No one was continually belting or threatening me”. When comparing the experiences by the age group of the respondent (Figure 8), it appears that while an equal number of 40–49 year olds, and a greater proportion (40 per cent) of respondents aged over 60 years described their experiences as being ‘good’, a large proportion (70 per cent) of 50–59 year old respondents described their experiences as bad. Education Respondents were asked what the highest level of schooling they attained was while in care and the highest level of schooling completed, irrespective of whether they were in care or not when they completed. Figure 9 shows that educational attainments are relative to the age of the respondent, with a greater proportion (23 per cent) of respondents under 50 years of age having completed year 11 or above while still in care compared to respondents aged more than 60 years (8 per cent). Interestingly, none of the respondents aged between 50–59 years pursued schooling after year 10, at least whilst they were in care. 17 IT’S NOT TOO LATE TO CARE RESEARCH DATA Figure 10 represents data on the final highest level of school completed by the respondents, whether completed in care or after care. Comparing this to Figure 9 shows that some respondents in each age group were able to continue with their education after leaving care. FIGURE 10 Highest level of schooling completed, by age group, whether completed in or after care. Less than year 10 Year 11 Year 10 Year 12 Unreported Figure 11 shows retention rates at school while the respondents were still in care. The curves represent the proportion of respondents in each age group who completed their indicated school year level while in care. It appears that the retention rates may have improved over time, with more of the younger respondents (40–49 age group) having stayed in school longer whilst in care than respondents aged 60 and over. However, among the older respondents, more respondents in the 60+ age group completed year 10 and above, compared to respondents in the 50–59 age group. 22 25 Number of respondents 20 7 7 10 7 11 15 1 3 1 Age group: 50–59 years 1 3 Age group: 40–49 years 3 2 4 5 5 0 Age group: 60+ years FIGURE 11 Percentage school year completed whilst in care. Age group: 40–49 years The curves in Figure 12 represent the proportion of respondents in each age group who completed indicated school year level, irrespective of whether or not it was completed whilst in care. It is important to note that while some careleavers have pursued their education after care, the numbers are relatively few – indicating potentially a lack of support for further education. FIGURE 12 Highest level of schooling completed, whether in or out of care. Age group: 40–49 years Age group: 60+ years Age group: 60+ years Age group: 50–59 years Age group: 50–59 years 100 Per cent (%) 100 Per cent (%) 75 75 50 50 25 25 0 0 Less than Year 10 Year 10 Year 11 Year 12 Less than Year 10 Year 10 Year 11 100 54.5 27.3 9.1 100 61.5 38.5 23.1 100 31.8 4.5 4.5 100 50.0 18.2 13.6 100 29.0 9.7 6.5 100 38.9 19.4 16.7 Year 12 18 IT’S NOT TOO LATE TO CARE RESEARCH DATA In addition, 24 of the 73 respondents who also provided information about schooling, approximately one-third, indicated that they also completed either vocational, graduate or postgraduate qualifications. This figure compares with the findings in CLAN’s 2006 research8 which shows that around 29 per cent of respondents had completed vocational, graduate, post graduate or doctoral qualifications. Figure 13 shows that respondents in the older age groups were more likely to have completed vocational qualifications, while respondents in the 40–49 age group are more likely to have completed graduate or post graduate qualifications as part of their higher education. Benchmarking with educational attainments of people in the general population Figure 14 compares the educational levels attained by careleavers with that of people from the same age group in the general population. In this section and other sections where comparative data is provided, the data collected from the 77 respondents to our survey about their life experiences have been compared with experiences of people from the general population in the same age categories. Data that has been used to enable this comparison was obtained from the Australian Bureau of Statistics and is based on Figure 14 shows that: s¬ ¬In general, across all age groups, the education completion level of careleavers is lower than that of people in the general population. s¬ ¬The gap in educational attainment between the general population and the careleaver population appears to have worsened over time, as the percentage of careleavers who completed Year 10 was 7 percentage points lower in the 60+ age group, 20 percentage points lower in the 50–59 year age group, and 23 percentage points lower in the 40–49 year age group. s¬ ¬The percentage of careleavers who completed more than Year 10 was 8.5 percentage points lower in the 60+ age group, 29 percentage points lower in the 50–59 year age group, and 25 percentage points lower in the 40–49 year age group. The lack of opportunities for higher education for careleavers becomes evident in this comparison. Without completing year 12, higher education is simply outside of one’s reach. FIGURE 14 School completion levels for careleavers and general population. FIGURE 13 Further education and training. Vocational qualification the census data for 20019. The data from the survey and ABS is compared in areas of education, employment, housing, income, and health. Postgraduate qualification Age group: 40–49 years Graduate qualification 10 84.2 100 Per cent (%) 12 Number of respondents 75 30.0 38.4 47.3 47.6 61.5 40.5 4 4 1 1 0 0 Age group: 40–49 years Age group: 50–59 years 21.6 18.2 3 25 2 1 2 50.0 50 63.6 69.8 8 8 9 Age group: 60+ years Age group: 50–59 years Age group: 60+ years Careleaver General Completed Year 10 Careleaver General Completed > Year 10 CLAN, July 2007, Brief Overview of Some Findings From the CLAN Survey, www.clan.org.au At the time this research was undertaken the 2006 census was underway and data from this census was in the process of being collated. 19 IT’S NOT TOO LATE TO CARE RESEARCH DATA In total, 18 per cent of respondents to the survey (15 out of 72) indicated an interest in receiving support to pursue a range of personal development, study/educational opportunities which include the following: s¬ assistance/training with building social networks management s¬ integration with community s¬ parenting skills s¬ motivation and self confidence s¬ public speaking s¬ trade skills s¬ building personal relationships s¬ financial youngest age group (38 per cent) reported being in full time employment, with 3 in part-time employment. 6 respondents indicated they have been searching for a job for more than a year. Comparison of experience between careleavers and the general population Figure 16 shows the percentage of careleaver respondents who held some form of employment (full or part-time) at the time of our survey in comparison with the employment levels of people in the general population, and of the same age group. Figure 15 shows that more than half (12 out of 19, or 63 per cent) of careleavers in the 50–59 age group are either currently unemployed or out of the workforce. It seems that employment status for careleavers in the survey group may have a relationship with the fact people in this age group have also been diagnosed with a disability (please see Figure 17). None of the respondents in the oldest age group were in full time work, with only 5 of the 40 in part-time work, and the majority (34 our of 40) considering themselves out of the workforce. Only 5 of the 13 respondents in the This figure shows that there is very little difference between people aged over 60 years both in the general population and in the careleavers group in terms of employment. However, the rate of unemployment amongst careleavers in the 40–49 and 50–59 age groups are 28 and 67 per cent higher respectively than that of people in the general population. It is also significant to note that in response to our survey, a quarter of the careleavers aged 40–49, and 30 per cent of careleavers aged 50–59 have stated that they were out of the workforce, indicating they were not actively seeking employment (please refer to Figure 15 for further details). Comparative data for people in the general population out of the workforce was not available. FIGURE 15 Current employment status at time of survey, according to age group. FIGURE 16 Percentage employed (full-time and part-time) in careleaver sample and general population. Employment status Currently employed Out of the workforce Age group: 40–49 years Currently unemployed Unreported Age group: 50–59 years Age group: 50–59 years 61.5 34.8 26.1 100 Per cent (%) 78.7 Age group: 40–49 years 13.0 61.5 50 40.0 26.1 66.7 75 23.1 15.4 Age group: 60+ years Age group: 60+ years 25 15.1 2.5 12.5 12.5 0 Careleaver 85.0 General 20 IT’S NOT TOO LATE TO CARE RESEARCH DATA Number of GP visits Around a quarter of careleavers aged 50–59 and over a third of those aged over 60 had frequent visits to a GP in the 6 months prior to our survey, as shown in Figure 18 below. Careleavers were requested to provide further information on the nature of the specialist visits, i.e., whether it was a dental specialist, mental health specialist they visited. This level of detail was not provided by a majority of careleavers, which makes it difficult to understand the specific problems for which careleavers are accessing support. Taking the conservative view that those who did not respond did not have contact with any of the specialists, then the sample proportions indicated are likely to underestimate the true proportion of careleavers who visited health specialists. Even so, nearly half of the respondents indicated that a physical health condition was the reason for a specialist visit. In addition, a mental health condition was a reason for a fifth of the respondents’ specialist visit, while dental health was a reason for visiting a specialist for 16 per cent of the respondents. Number of Specialist visits About half of the careleavers in the 40–49 and 60+ age group and approximately two-thirds of careleavers in the 50–59 age group indicated that they had visited a specialist medical service in the 6 months prior to our survey, as shown in Figure 19 below. Further exploration of these responses, as shown in Figure 20, shows that mental health specialist visits are far more prevalent in the youngest age group, with 46 per cent of respondents in that age group reporting visiting a mental health specialist. In this group, about 38 per cent indicated that they had visited more than one type of health specialist. The middle age group Health/Disability Long-term illness or disability Overall, regardless of age, 54.5 per cent of respondents have been diagnosed with a disability (please see Figure 17). While the incidence is highest in careleavers from the 60+ age group, a significant proportion of careleavers from the 40–49 years age group (46 per cent), and in the 50–59 years age group (57 per cent) also reported a diagnosis of disability. Four respondents did not complete this question. Details about the specific nature of disability were not sought. FIGURE 17 Incidence of long-term illness or disability by age-group. Age group: 40–49 years Age group: 50–59 years Age group: 60+ years 53.8 39.1 37.5 Yes, have been diagnosed with illness or disability Unreported FIGURE 18 Number of GP visits in past 6 months (percentages relative to age group). 5.0 8.7 No, have not been diagnosed with illness or disability 46.2 52.2 57.5 Age group: 40–49 years Age group: 50–59 years Age group: 60+ years 84.6 69.6 55.0 None 1–5 visits 6–10 visits 4.3 15.4 More than 10 visits FIGURE 19 Number of specialist visits in past six months (percentages relative to age group). 8.7 22.5 7.5 17.4 15.0 Age group: 40–49 years Age group: 50–59 years Age group: 60+ years 38.5 52.2 30.0 12.5 5.0 7.5 None 6–10 visits 1–5 visits > 10 visits Unreported 4.3 8.7 7.7 53.8 34.8 45.0 21 IT’S NOT TOO LATE TO CARE RESEARCH DATA of 50–59 years had the highest proportion of respondents visiting a physical health specialist. The higher incidence of disability, GP visits, and specialist health visits by careleavers aged 50–59 is clearly highlighted in the all of the relevant figures. FIGURE 21 Comparison of illness or disability for careleavers and general population. Careleaver General Comparative analysis of health/disability status of careleavers and general population Figure 21 provides comparative information on the health status of careleavers and people of the same age group in the general population. Nearly 50 per cent of respondents to our survey aged between 40 and 49, and 60 per cent in the 50–59 age groups indicated that they have been diagnosed with a long-term illness and/or a disability. The comparative figures in the general population are 39.5 per cent in the 40–49 age group and 56.2 per cent in the 50–59 age group. However, our data indicates that a far lower proportion of careleavers aged 60 and over (58.3 per cent) indicated a long-term illness or disability compared to the general population (83.9 per cent). We are not sure why the health outcomes for careleavers in the oldest age group are better than that of the general population. This could be due to the possible bias in the sample discussed earlier in this report, i.e, that people included in the sample are the ones who are in a relatively better supported position than other careleavers who have had no contact with either a CSO or careleaver support group. 100 83.9 Per cent (%) 56.2 52.2 39.5 46.2 50 57.5 75 25 0 Age group: 40–49 years Age group: 50–59 years Age group: 60+ years Accessing drug or alcohol service Respondents were asked if they had ever attended a drug or alcohol service. 7 respondents reported having attended such a service, with 4 of the 7 coming from the 40–49 age groups, and only one from the 60+ age group. Of these respondents, 2 from the 40–49 age group and one each from the other 2 age groups, had attended a drug or alcohol service within the 12 months prior to the survey. FIGURE 20 Types of health specialist visits (percentages relative to age group). Dental health specialist Physical health specialist Any health specialist Mental health specialist Other health specialist More than one health specialist 100 Per cent (%) 62.5 0 Age group: 40–49 years Age group: 50–59 years Age group: 60+ years 20.0 7.5 45.0 20.0 12.5 21.7 17.4 17.4 8.7 38.5 15.4 30.8 25 46.2 38.5 50 60.9 61.5 69.6 75 22 IT’S NOT TOO LATE TO CARE RESEARCH DATA Aged Care Concerns Housing Careleavers were asked whether being in institutional care when young made it difficult for them to contemplate aged care in an aged care service. Figure 23 shows that two-thirds of respondents felt concerned about aged care services. A relatively higher proportion of 40–49 and 50–59 year olds held such concerns compared with careleavers aged over 60. Type of accommodation Figure 22 shows that one in five careleavers aged 40–49 and one in four careleavers aged 50–59 had difficulties with stable housing. In comparison, around 98 per cent of careleavers aged over 60 years live in secure accommodation, a majority of which is owned by them or rented through the private rental market. 5 per cent of those aged over 60 years lived in a retirement home. The reasons underlying this observation are not clear from the responses to the survey. However, it is clear from our survey that careleavers in the 60+ age-group demonstrate a relatively higher level of stability across a range of areas such as number of placements, experience of care, housing arrangements, income levels, and access to someone for support. Most of our respondents in this group were in a stable housing situation at the time of the survey. Perhaps these factors contribute to the reported feelings of relative equanimity regarding aged care in this group. Comparison of housing arrangements between careleavers and general population Figure 26 shows a comparison of current housing arrangements between careleavers and the general population. Home ownership rates are significantly lower for careleavers compared to the general population. The figure also shows that careleavers in the 60+ age group are more likely to own their own homes compared with careleavers aged 40–59. Some of the qualitative responses to our survey indicate the level of concern held by careleavers. A female careleaver aged 50–59 states, “I don’t wish to be neglected or ever abused again. I’d rather die”. Another careleaver who says it is difficult to contemplate spending senior years in aged care voices the same concerns: “any form of institutional care horrifies me”. Yet another careleaver states, “I have already told my children if they put me in a home, I will disown them”. Some careleavers “hope to avoid it”, or “wouldn’t even consider it”. Others consider it their “worst nightmare, from a home to a home”. The category ‘other arrangements’ for careleavers includes sleeping rough, boarding with friends, refuges etc. It is significant to note that one in five careleavers has indicated this category in relation to their current housing arrangements. Details regarding what are included in ‘other arrangements’ for the general population were not available. Length of time at current address A good proportion of careleavers appear to be living in stable accommodation. As shown in Figure 24, many had been residing at their current address for a year or more, with 64 per cent overall indicating that they had been at their current address for 5 years or more. The stability in residential accommodation is also evident in the fact that around 90 per cent of careleavers had not changed residence in the 12 months prior to the survey, as shown in Figure 25. FIGURE 22 Proportion current housing type, according to age group. Own house Retirement home Sleeping rough Private rental Public housing Other 100 Per cent (%) 65.2 61.5 50 75.0 75 0 Age group: 40–49 years Age group: 50–59 years Age group: 60+ years 2.5 5.0 17.5 8.7 17.4 8.7 15.4 7.7 15.4 25 23 IT’S NOT TOO LATE TO CARE RESEARCH DATA Age group: 40–49 years FIGURE 23 Proportion of respondents reported being concerned about aged care, by age group (percentages relative to age group). Age group: 50–59 years 30.8 Age group: 60+ years 42.5 21.7 7.7 Yes 17.4 No Unreported FIGURE 24 Length of time at current address (percentages relative to age group). 17.5 61.5 60.9 40.0 Age group: 40–49 years Age group: 50–59 years Age group: 60+ years 46.1 17.4 22.5 6–12 months > 1 year 17.4 30.8 > 5 years Unreported FIGURE 25 Number of housing moves in the past 12 months (percentages relative to age group). 2.5 2.5 23.1 65.2 72.5 Age group: 40–49 years Age group: 50–59 years Age group: 60+ years 76.9 78.3 90.0 2.5 None 7.5 1–5 times 8.7 13.0 23.1 Unreported FIGURE 26 Housing arrangements of careleavers and general population. Age group: 40–49 years Age group: 50–59 years Age group: 60+ years 87.9 86.9 62.5 0 Careleaver General Fully owned Careleaver General Other arrangements 2.2 1.4 1.8 2.5 23.1 Careleaver General Rental or public housing 9.9 11.6 16.0 17.5 15.4 26.1 25 8.7 61.5 50 75.0 75 82.2 100 Per cent (%) 24 IT’S NOT TOO LATE TO CARE RESEARCH DATA Relationships Current living situation Around three-quarters of careleavers who participated in the survey indicated they live with someone, with a quarter indicating they live alone. The incidence of living alone is highest in the 40–49 age groups, where 38 per cent of respondents reported living alone, and smallest in the 50–59 year old age group, where only about 14 per cent live alone (please refer to Figure 27). Relationships with siblings Approximately 87 per cent of all careleavers reported having at least one sibling. Figure 28 shows the proportion of respondents who have siblings in each age group. Not all siblings of respondents were in care, as shown in Figure 29, however the vast majority of respondents did in fact report that their siblings were also in care. However, even if both a respondent and his or her sibling(s) were in care, they need not have always lived in the same care placement. FIGURE 27 Living arrangements of careleavers (percentages relative to age group). Unreported FIGURE 28 Siblings of careleavers (percentages relative to age group). Figure 31 shows that about a third of careleavers currently live alone. However, when cross tabulated with data from Figure 30, it becomes evident that there is an association. The majority of careleavers currently living alone were in fact separated from their siblings while in care. This is highlighted in Figure 32. Figure 33 shows that where siblings had been separated while in care, there is a higher likelihood of loss of contact with siblings. This is more evident in respondents in the 50–59 and 60+ age groups. Age group: 40–49 years Age group: 50–59 years Age group: 60+ years 61.5 82.6 70.0 Live alone Live with someone Overall across all age groups, 75 per cent of careleavers reported that they were separated from their siblings while in care. As shown in Figure 30, although the proportions are very high in each age group, the youngest age group appears to have experienced the highest incidence of being separated from siblings. 92.3 per cent of respondents in the 40–49 age group who had siblings were separated from each other while in care. 60.9 per cent of 50–59 year old respondents and 55 per cent of respondents aged over 60 years were also separated from their siblings while in care10. 13.0 38.5 27.5 4.3 2.5 Age group: 40–49 years Age group: 50–59 years Age group: 60+ years 100.0 91.3 80.0 8.7 7.5 12.5 At least one sibling No siblings Unreported 10 These percentages only relate to the 62 out of 77 respondents who reported having siblings. 25 IT’S NOT TOO LATE TO CARE RESEARCH DATA FIGURE 29 Proportion of respondents with siblings who were also in care (percentages relative to age group). Age group: 40–49 years Age group: 50–59 years Age group: 60+ years 92.3 78.3 73.0 Sibling in care 8.1 7.7 Sibling not in care 8.7 Unreported FIGURE 30 Proportion of respondents separated from siblings while in care (percentages relative to age group). 13.0 18.9 Age group: 40–49 years Age group: 50–59 years Age group: 60+ years 92.3 60.9 55.0 7.7 17.4 25.0 Age group: 40–49 years Age group: 50–59 years Age group: 60+ years 61.5 82.6 70.0 Separated from sibling(s) in care 20.0 21.7 Not separated from siblings Unreported FIGURE 31 Proportion of respondents living alone, or with someone, according to age group. Live alone 2.5 4.3 Live with someone 13.1 38.5 Unreported FIGURE 32 Proportion of respondents currently living alone, according to whether separated from siblings whilst in care. Age group: 60+ years FIGURE 33 Proportion of respondents who are in contact with siblings, whether separated from siblings whilst in care (percentages relative to age group). Age group: 40–49 years Age group: 50–59 years Age group: 60+ years Age group: 50–59 years 87.5 90.9 100.0 100 Per cent (%) 45.5 50 Per cent (%) 100.0 Age group: 40–49 years 27.5 28.6 50 21.4 25 68.2 69.2 75 7.1 25 0 0 Siblings separated in care Siblings not separated in care Siblings separated in care Siblings not separated in care 26 IT’S NOT TOO LATE TO CARE RESEARCH DATA Contact with children 69 respondents reported being the parent of 1 or more children and 6 respondents reported not having any children. Figure 34 shows the responses to a question on whether their experiences in care impacted on the relationship careleavers had with their own children. Two-thirds of careleavers said that their time in care impacted negatively on their relationship with their own children. While the impact is high across all age-groups, it is highest for careleavers in the 50–59 age group. The qualitative responses provide some insights into the difficulties experienced by careleavers showing love and affection to their children, as a result of their own experiences as children. According to one careleaver, she had “trouble showing them affection, and because of this I feel I have not been a good mother”. For another careleaver, “not growing up with my own parents has been hard because I don’t know how to relate to my own kids…relationships have always been rocky”. Careleavers report being “always depressed not knowing how to handle situations and being afraid of doing the wrong thing”, and having a tendency to “be unapproachable” to their family. The lack of a role model to draw upon and lack of guidance to raise their children were also cited as reasons for the negative impact care had on careleavers’ children. For many of the careleavers, it can be argued that it is still not too late to develop a relationship with their children, particularly if given support with developing and maintaining such relationships. The survey also sought to establish the extent to which careleavers felt they were able to rely on a significant person in their lives for support, of whatever form. Figure 37 shows that, across all three age groups, around 82 per cent of all careleavers who responded to this question have indicated that they are able to rely on someone for support. However, a third of the careleavers in the 40–49 age group have indicated they have no one to support them. People careleavers turn to for support Figure 38 shows that in many instances, a spouse or partner is the person that careleavers turn to for support. Other people mentioned as providers of support include children, friends, siblings and family. However, it should be noted that over 18 per cent of respondents mentioned they rely on themselves for support, and around 10 per cent turn to their counsellor or psychologist because they have no one within their family or friends to turn to. Taken together, this Age group: 40–49 years Age group: 60+ years Age group: 60+ years Age group: 50–59 years Age group: 50–59 years 63.6 74.4 68.4 78.9 75 81.8 100 Per cent (%) 100 Per cent (%) 75 Support available FIGURE 35 Proportion of respondents with children who are currently in contact with their children, according to age group. FIGURE 34 Impact of care on relationship with own children (percentages relative to age group with children). Age group: 40–49 years Figure 35 shows that nearly three quarters of the respondents, across all age groups, who indicated they have children, are currently in contact with them. However, a further analysis of this figure shows that where respondents had indicated that their time in care had impacted negatively on their relationship with their children, they were less likely to be currently in contact with them. Figure 36 shows that nearly 30 per cent of careleavers who reported that their time in care impacted negatively on their relationships with their children, have no contact or have contact only with some of their children. 50 7.7 5.3 26.3 Unreported 18.2 Care did not impact negatively 7.7 10.5 25 10.5 25 17.9 36.4 43.6 48.7 50 0 0 Care impacted negatively In contact with all children Not in contact with all children Unreported 27 IT’S NOT TOO LATE TO CARE RESEARCH DATA indicates that over a quarter of careleavers rely on themselves or a service provider in times of need. If the 12.5 per cent of the 60+ group who did not respond also have no one to turn to for support, this figure is likely to be more like a third of all careleavers who rely only on themselves and service providers when they need support. FIGURE 36 Contact with children (percentages relative to age group with children and whether care impacted on relationship with children). Age group: 40–49 years FIGURE 37 Reported availability of support from a significant relationship. Age group: 40–49 years Age group: 60+ years Age group: 60+ years Age group: 50–59 years Age group: 50–59 years 100 Per cent (%) 87.0 88.2 100.0 100.0 100 Per cent (%) 75 72.5 69.2 70.6 64.3 71.4 75 50 0 12.5 11.8 13.0 25 15.0 30.8 29.4 28.6 25 35.7 50 0 In contact with all children Not in contact with all children In contact with all children Feels care had negative impact on relationship with children Have support from someone Not in contact with all children Do not have support Unreported Do not feel care had negative impact on relationship with children FIGURE 38 Source of main support (percentages relative to age groups). 4.3 5.7 4.3 7.7 11.4 7.7 2.9 4.3 15.4 11.4 2.9 4.3 7.7 17.4 30.8 17.1 17.4 30.8 25 47.8 50 Per cent (%) Age group: 60+ years 48.6 Age group: 50–59 years Age group: 40–49 years 0 No one / self Partner Sibling Children Friend Doctor / Counsellor Family Religion 28 IT’S NOT TOO LATE TO CARE RESEARCH DATA 45 45 Per cent (%) Per cent (%) 0 Financial help / housing 5.2 32.5 Education / training 5.2 Help with family info Aged Care 5.2 7.8 Don’t need or want 5.2 3.9 Housing 15 3.9 Dental / medical 30 38.2 Emotional 16.4 General Other 9.1 14.5 Counselling 7.3 5.5 Medical 15 9.1 All types 30 Counselling / VANISH FIGURE 40 Range of services that would assist careleavers. Companionship / friendship FIGURE 39 Types of support sought by careleavers. 42.9 Respondents were asked to indicate the type of support they accessed from friends, family and others. 54 out of 77 respondents answered this question. Figure 39 shows that over one-third of respondents who answered this question sought companionship and/or friendship. Emotional support, counselling support and general support (covering a range of help including household help) were also mentioned by careleavers. No response “I go to the pub and talk to strangers for general communication, shoulder to lean on” states one careleaver. For another careleaver, the type of support they seek is “a helping ear to listen to me and doesn’t mind if I cry which is quite often”. While many have not responded to this question, it is also evident that some who need support do not seek it, which is demonstrated by one respondent’s comment, “I need support but do not seek it – prefer to be a loner”. Types of support accessed 0 FIGURE 41 Estimated weekly income from wages/salary. Age group: 40–49 years FIGURE 42 Estimated weekly income from government benefit/pension. Age group: 40–49 years Age group: 60+ years Age group: 50–59 years 100 Per cent (%) Per cent (%) 82.5 100 0 > $800 None reported < $200 10.0 4.3 23.1 2.5 8.7 7.7 2.5 15.4 13.0 0.5 $400 – $799 27.5 38.5 $200 – $399 17.4 < $200 2.5 7.7 10.0 None reported 25 26.1 25 0 60.0 60.9 50 38.5 50 69.6 75 69.2 75 Age group: 60+ years Age group: 50–59 years $200 – $399 $400 – $799 29 IT’S NOT TOO LATE TO CARE RESEARCH DATA When asked about the types of services that would assist them now, careleavers mentioned a range of services. Figure 40 shows that predominant among them were access to counselling services (35 per cent of those who responded to this question), support with education, access to general health, dental health and mental health services, housing support, access to records and assistance with tracing family. Income The survey sought to establish the income levels of careleavers derived from various sources such as salary, wage, pension/benefit or superannuation. The responses received from careleavers indicate that some respondents were in receipt of an income from more than one source. The data for the different categories of income is presented in Figures 41, 42 and 43. Gross weekly income from wages/salary Across all age groups, approximately 72 per cent of careleavers indicated that they earned less than $200 per week from wages/salaries. However, there are large differences between age groups, with over 60 per cent of respondents in the 50–59 age group and 39 per cent of respondents in the 40–49 age group being represented in this low-income category. The low levels of earnings from wages/salary correspond with the low rate of employment (Figure 15) and high rates of diagnosed disabilities (Figure 17) discussed earlier in this report. FIGURE 43 Estimated weekly income from superannuation. Age group: 40–49 years Gross weekly income from govt benefit/pension Over half of the 57 respondents who provided a response to this question indicated that they receive a pension of between $200–400 per week from Government. A third of careleavers in the 40–49 age group and the 50–59 age group were amongst careleavers receiving this benefit/pension. Notably, as shown in Figure 42, relatively more respondents from the 60+ age group responded to this question, potentially indicating that there are differences in income levels amongst the other age groups and the older age group. Weekly income from superannuation and other sources Figures 43 and 44 show the proportion of careleavers earning income from superannuation and other sources. Perhaps not surprisingly, most respondents did not report income from either superannuation entitlements, with only about a quarter of all respondents receiving some benefits. Even fewer respondents (10 per cent overall) reported having any other source of income, and even when there was other income it was typically less than $200 per week. FIGURE 44 Estimated weekly income from other sources. Age group: 40–49 years Age group: 60+ years Age group: 50–59 years Age group: 60+ years Age group: 50–59 years 100 100 90.0 75 0 None reported < $200 $200 – $399 $400 – $799 0 > $800 None reported < $200 $200 – $399 $400 – $799 4.3 2.5 2.5 2.5 8.7 7.7 4.3 2.5 5.0 4.3 10.0 15.4 10.0 25 7.7 25 17.4 50 7.5 50 2.5 73.9 75 76.9 92.3 Per cent (%) 87.0 Per cent (%) > $800 30 IT’S NOT TOO LATE TO CARE RESEARCH DATA Total weekly income s The various categories of income types were combined11 to obtain an estimated gross weekly income for each individual. These estimated income values are summarised by age and disability status and shown in Figure 45 and demonstrate that even for careleavers who have not been diagnosed with an illness or disability, weekly incomes tend to be relatively low. Figure 45 presents some interesting observations: Where careleavers have been diagnosed with a disability, the estimated overall income tends to be lower in comparison than that of careleavers who have not been diagnosed with a disability. s Careleavers in the 50–59 age group seem to be represented more at the lower income level than the other two age groups. This is true whether or not the individual reported having been diagnosed with a disability or illness. FIGURE 45 Estimated weekly income by illness or disability status. Age group: 50–59 years Age group: 40–49 years 0 $200 pw $600 pw Has disability or illness 15.4 14.3 15.0 5.0 18.2 27.3 25 28.6 40.0 50 60.0 54.5 75 57.1 80.0 84.6 100.0 100 Per cent (%) Age group: 60+ years $1000 pw $200 pw $600 pw No disability or illness $1000 pw FIGURE 46 Estimated total weekly income from different sources for careleavers and others in general population. $200 – $399 per week < $200 per week $499 – $799 per week > $800 per week Careleaver General Wages / salary Careleaver General Government benefit / pension 3.9 Careleaver General Other sources 11 The middle value of each reported income category range reported was totalled to form the estimated gross weekly income. 2.7 5.2 22.2 11.1 11.1 21.7 Careleaver General Superannuation 6.0 43.7 28.6 11.1 11.1 1.4 7.5 13.2 7.9 27.8 35.7 7.4 12.3 19.0 9.5 14.3 25 0 37.5 44.6 50 50.0 57.1 75 55.6 78.9 88.2 100 Per cent (%) 31 IT’S NOT TOO LATE TO CARE RESEARCH DATA s The income level of careleavers aged over 60 is approximately the same whether there is a diagnosis of disability or not. s The level of income careleavers are relying on, i.e., between $250–600 per week, raises concern for their quality of life. Comparison of weekly income from different sources for careleavers and the general population Figure 46 provides a comparison of weekly income from different sources for careleavers and people from the general population. This shows a higher concentration of careleavers in jobs with lower incomes, and in receipt of government pension when compared with others in the general population. Income from superannuation in the $200–400 range seems comparable for both population groups, but interestingly, a higher proportion of careleavers receive a superannuation income of more than $800 per week. A similar pattern is evident in income from other sources with a significantly higher proportion of careleavers receiving higher amounts of income from ‘other sources’ such as investments. Crime 72 respondents answered the question on being a victim of crime. There is no clear information about the nature of the crimes committed against careleavers. Figure 47 shows that a higher proportion of careleavers in the 50–59 age group have indicated that they have been victims of crime. 31 respondents answered the question in relation to having ever committed a crime. No information was provided regarding the nature of the offence committed. It appears that overall a third of the respondents who answered this question had committed a criminal offence, and careleavers in the 40–49 age group are more likely to have committed a crime compared with careleavers in the older age cohorts. The 2006 CLAN survey12 also shows that one third of all respondents to their survey (59 men and 40 women) had been in trouble with the law for offences other than parking infringements. Nearly a fifth of the respondents had been in gaol. General feedback from careleavers In addition to questions relating to specific life outcomes, careleavers were also given an opportunity to share general comments about their care and their thoughts. The inner strength, resilience, and tenacity of careleavers is brought out in many of the responses in this section. Despite the adverse circumstances in which many respondents lived, their ability to turn their adversity into a strength, to sustain them for their life in care and beyond, is clearly articulated. Talking about their strengths, careleavers have stated, “my strength as a person is to see that none of my children end up in a home and do have the love of parents that I never had...my strength came from being in care”. Others speak of “being able to stand on my own two feet...don’t let anyone push me around”, and being able to cope in their elder years, due to their experience being alone and coping with trauma alone as a child. Learning to be self-reliant, acquiring good listening skills, and learning to accept things that cannot be changed, strength of character, mateship and simply surviving are other strengths that carers have identified in the survey. The pride in their various achievements – education, careers, service in the armed forces, strong family relationships, raising their children well, positions in various social and community groups – is also clear in the qualitative comments in the survey responses. FIGURE 47 Involvement in crime as victim and as perpetrator. Age group: 40–49 years Age group: 60+ years Age group: 50–59 years 30.4 30.8 40 Per cent (%) 10.0 17.4 15.0 15.4 20 0 Victim of crime Committed a crime 12 CLAN, July 2007, Brief Overview of Some Findings From the CLAN Survey, www.clan.org.au FOUR 33 IT’S NOT TOO LATE TO CARE IMPLICATIONS FOR POLICY The Forgotten Australians report recorded details of the long-term impact of the abuse and neglect suffered by many people who grew up in orphanages and institutions around Australia from the late 19th to the mid 20th centuries. The long-term impact of their early life in institutional care on careleavers is brought out clearly in our research across many critical domains of life. On a comparative basis, careleavers’ education, employment, income, health and housing outcomes are significantly lower compared with the general population. Even among the different age-groups of the respondents to our research, the outcomes achieved by careleavers aged 40–59 appeared to be relatively lower than those achieved by careleavers aged over 60 years. The range of mental health problems experienced by careleavers is brought out in the recent 2006 survey of 291 careleavers across Australia by CLAN14. Depression, panic attacks, sleep disorders, low self-esteem, nightmares about care experience, fear of being locked in, obsessive compulsive behaviour, severe social anxiety, post traumatic stress disorder, problems with drug and alcohol use, etc have been identified by careleavers who participated in their survey. This study also points out the high incidence of physical pain or distress suffered by careleavers from the injuries received in care as a child, and the very high proportion of careleavers who have had suicidal thoughts, have attempted suicide, or know of other careleavers who have attempted or committed suicide. However, some outcome areas stand out compared with others, providing us with some pointers for the development of policy and programs to support careleavers. These are discussed below: It is important to note that income levels indicated by careleavers in our survey show that a large proportion of careleavers receive Government benefits of up to $400 per week or income from salary, pension or other sources of less than $200 per week. With such low income levels, access to health and disability services becomes one of the key priority areas of focus for policy and program development. The incidence of reliance on specialist health services found in the careleaver cohort would suggest that careleavers need to be considered as a specific sub-group in any health, dental and mental health strategy and associated programs delivered by the State Government. Health and disability The Forgotten Australians report documented evidence from careleavers that their basic health needs were neglected while in care and many of their current health problems were directly related to this past neglect of their health needs. The Committee also heard evidence about the multiple disadvantages experienced by careleavers often compounded by their financial situation13. The Committee’s report also noted studies which show that the long term impacts of child abuse and maltreatment include an increased risk of depression, anxiety disorders, peer conflicts, social isolation etc. Our research shows us that a significant proportion of careleavers across all age groups in our study have been diagnosed with a disability – 46 per cent in the age group 40–49, 52 per cent in the age group 50–59, and 58 per cent in the 60+ category. A quarter of careleavers aged 50–59, and more than a third of those aged over 60 years visited a GP more than 5 times in the 6 months prior to the survey. Nearly half of the respondents across all age groups also visited a specialist health service in the 6 months prior to the survey. Though it is difficult to draw an accurate picture of the exact nature of the specialist services accessed by careleavers from the data in our survey, they broadly relate to the mental, dental and physical health problems experienced by them. The introduction of a special health card that identifies a person who has been in institutional care, and allows them priority access and fee concessions for access to health, dental and mental health services is an option worth further exploration by the State Government. Aged Care An overwhelming number of respondents to our research expressed concern about ageing and being in an aged care facility, or another ‘institution-like’ environment. Careleavers in the two youngest groups (40–49 years and 50–59 years) expressed higher levels of concern than the oldest group of respondents. Only 5 per cent of respondents were in retirement homes at the time of our survey. Concerns expressed by careleavers centred around their perceptions of living in an ‘institution-like’ setting in their old age, when many had not yet come to terms with their experiences in institutions as children. Older careleavers expressed a preference not to spend their later years in an aged care facility, a finding also reflected in the Forgotten Australians report. 13 Senate Committee Report 2004, Forgotten Australians, p313. 14 CLAN, July 2007, Brief Overview of Some Findings From the CLAN Survey, www.clan.org.au 34 IT’S NOT TOO LATE TO CARE IMPLICATIONS FOR POLICY The appropriateness of current models of aged care support for careleavers, and the level of knowledge and awareness that aged care support staff have about the particular experiences of careleavers in institutional care as children, and consequently the adequateness of their training to support careleavers, are two of the predominant concerns that are raised in this regard. These concerns were documented in the Senate inquiry report and further raised at a Forgotten Australians forum organised by the Federal Department of Families, Communities and Indigenous Affairs (FACSIA) in Sydney in July 2006. Ms Karen Haycox, an academic specialising in research into aged care, who provided a written submission to the Senate inquiry, also documents her concerns about the specific issues that careleavers will face as they age, and the lack of awareness amongst current service providers about their specific concerns and needs. The Home and Community Care (HACC) Program in Victoria is funded jointly by the State and Federal Governments based on a 40/60 ratio, and delivered mainly through local councils. Funding for this program was around $440 million during 2006/07. This program comprises a range of support services including domestic assistance, personal care, allied health services, food services, activity groups, property maintenance, respite services etc for the elderly. While this program is designed to support people whose capacity for independent living is at risk and preventing inappropriate admission to long-term residential care, access to this program is not immediately available due to demand for these services. The Senate report noted the Department of Health and Ageing’s trials focusing on innovative residential care models of aged care services to specific target groups, and recommended that one of these trials could be aimed at meeting the specific needs of careleavers. The pilots that have been trialled and evaluated to date have been aimed at addressing the interface between aged care and hospital care, aged care and disability services, supporting people suffering from dementia in alternative settings, etc. However, there have been no trial programs as yet aimed at addressing the specific needs of careleavers in alternative settings, and this stands out as another key area of policy focus, to be addressed by both the Federal and State Governments given their joint responsibility for the provision of aged care services in the States and Territories. There is also a critical need to address the gap in knowledge and training of the aged care services sector workforce about the experiences of careleavers in institutions, and the impact of their experiences as children on their lives as adults. Relationships and Supports Our research sought to establish the impact of institutional care on careleavers’ relationships with partners, siblings and their own children and the support they received from friends or family at present. The results of our survey show that: s¬ ¬currently around 39 per cent of careleavers aged 40–49, 13 per cent aged 50–59 and around 28 per cent aged over 60 live alone. s A vast majority of careleavers were separated from their siblings, with around 92 per cent of those aged 40–49, around 61 per cent of those aged 50–59, and around 55 per cent of those aged over 60 reporting they were separated from their siblings while in care. While this correlates to what we now know about the policy and practice around placement of children under the institutional care framework, the longer term impact of this separation, particularly on careleavers’ current relationships is evident in our research. Our research shows that 46 per cent of careleavers aged 40–49, 21 per cent of careleavers aged 50–59, and 28 per cent of careleavers aged over 60 who were separated from their siblings currently live alone. Their time in care has also had significant impacts on careleavers’ relationships with their own children with over two-thirds of careleavers reporting that it affected their relationships with their children negatively. Careleavers in the 50–59 age group (around 80 per cent) are more likely to have experienced this negative relationship with their children than any other age group. Figure 38 in this report shows that where careleavers do have someone to support them, in a vast majority of instances, a spouse or partner is the person that they turn to for support. Other people mentioned as providers of support include children, friends, siblings and family. However, it should be noted that 18 per cent of respondents mentioned they rely on themselves for support, and around 12 per cent turn to their counsellor or psychologist because they have no one within their family or friends to turn to. Taken together, this indicates that nearly a third of careleavers rely on themselves or a service provider in times of need. Figure 39 in this report shows that around 38 per cent of respondents who answered this question in the survey indicated that the support they accessed from family and friends related to seeking companionship and a person with whom they could share their thoughts and issues. Emotional support, counselling support and general support (covering a range of help) were also mentioned by careleavers. When asked about the types of services that would assist them now, careleavers mentioned a range of services. Predominant among them were access to counselling services (33 per cent of those who responded to this question), support with education, access to general health, dental health and mental health services, housing support, access to records and assistance with tracing family. These findings highlight the urgency for a service response to meet the support needs of carers. The Senate report noted the need for counselling and other therapeutic services for careleavers, particularly specialist counselling to deal with the trauma of the past and in addressing the difficulties experienced by careleavers in forming and maintaining relationships. Counselling services also play a critical role in supporting careleavers who access their personal records. 35 IT’S NOT TOO LATE TO CARE IMPLICATIONS FOR POLICY While many community organisations and the State Government fund the provision of counselling services, the ad hoc nature of these services and the inability to meet increasing demand are of concern. Evidence presented at the Senate inquiry shows that VANISH, the Victorian based careleaver support group, experienced a 650 per cent increase in demand for counselling services during 2003/0415. In his media statement following the 2006 formal apology to Victorian careleavers, the former Premier Steve Bracks indicated that the State was providing an additional $1.4 million over three years to careleaver support groups CLAN and VANISH, for the provision of more counselling and other support services. However, with an estimated 90,000 people in care between 1928 and 1990, the unprecedented increase in demand for counselling services in the past few years, and the high proportion of careleavers requiring support services as evidenced in our research, the resource commitment towards counselling services provided through careleaver support groups needs to increase substantially. To enable this work to progress, it is recommended that further work be undertaken to identify the demand for counselling and other support services, and to cost the provision of these services. The Senate Committee noted in its report that it should not be left up to the State to provide services that churches and agencies could fund from their own resources, and noted many instances where this was available. However, we believe it is critical for some form of Government assistance to be available for community organisations that do not have access to their own sources of funding, to establish services where they are not currently available, or to strengthen them where there is some form of service provided, to ensure that careleavers are able to access services from CSOs when they require support. RESPONDENT PROFILE JOHN (not real name) John is a 48 year old male who was taken away by welfare when he was very young and separated from his siblings. He describes his care experience as bad overall and as “fighting, confused, angry and frustrated”. He found it very hard to mix with other children, because he knew they weren’t his immediate family. He felt he was different, and “cannot fathom how (he) felt, except angry”. John completed year 10 while in care, and did not pursue further education. He is currently unemployed and receives a disability services pension of $200–$400 per week. John’s housing situation is transient. He currently stays with his mate in a private house but finds it difficult to settle down and/or “get into any real rhythm or reason”. He has changed more than 5 residences in the 12 months before our survey. John suffers from alcoholism, drug addiction, depression and disillusionment and has been diagnosed with a severe personality disorder. He has attended a drug and alcohol service in the past. He has been diagnosed with mental health issues and has attempted suicide twice. John has four children aged between 11 and 26 years. He has contact with some but not all of his children. He considers that his time in care has affected his relationship with his children and says “not growing up with my own parents has been hard because I don’t know how to relate to my own kids. Relationships have always been rocky”. 15 Senate Committee Report 2004, Forgotten Australians, p303. John has siblings who were also placed in care, but were separated from him. John has maintained contact with his siblings, but considers that his time in care has affected his ability to interact with his broader family. John does not have anyone to turn to for support and says “I try to cope as best as I can. If I do think about help, I go to a pub and talk to strangers”. He has sought general communication, a shoulder to lean on, companionship, understanding and compassion from these strangers. Given his experiences in care, he finds it difficult to contemplate spending his senior years in aged care facilities. John has had involvement with the police for various offences such as driving when drunk, driving while disqualified, and various assaults. He considers that he would benefit from support services such as counselling, follow-up and outdoor activities. Summarising his experiences in care, John says “I was a bed-wetter. I used to get the belt across my bare backside and the back of my legs. What did they expect from us who were ripped away from our parents at such a young age? The only positive to come out of all this rubbish is that I got an education. I am an alcoholic and don’t read anymore. I used to be so outgoing. Now I would rather be on my own. That way I can’t get hurt anymore”. FIVE 37 IT’S NOT TOO LATE TO CARE REPARATION AND REDRESS SCHEMES The issue of reparation was not canvassed in the survey with careleavers. However, given the developments in various jurisdictions across Australia, and more recently in South Australia, Western Australia and Queensland, we consider it important to discuss the schemes that have been established in other states, in this report. Several overseas schemes have been discussed extensively in the Forgotten Australians Report providing us with an overview of how different governments have approached reparation and redress for people who suffered abuse in institutional care. Under the Tasmanian scheme, the claims were lodged with and processed through the Ombudsman’s office, and independent assessors determined the eligibility of the claimant to receive compensation. The maximum amount paid ex gratia to individual claimants under this scheme was $60,000. At the time the scheme was closed in 2005, 878 claims were lodged of which 670 were assessed to be eligible for compensation. The scheme cost the Tasmanian Government in excess of $27.5 million, against the original estimate of $5 million. Tasmania In response to representations from careleavers who legitimately missed out on applying for compensation under the original scheme, the Tasmanian Government has re-opened the compensation scheme for a limited period, from 28 March 2008 until 30 June 2008. The eligibility criteria to access this scheme and the maximum amount of ex gratia payment remain the same. An independent assessor appointed by the Tasmanian Government will determine each claimant’s eligibility for payment. The earliest known redress scheme in Australia was established by the Tasmania Government in 2003 in response to the Tasmanian Ombudsman’s inquiry into abuse of children in institutional care. This scheme was open for nearly two years until June 2005 for careleavers to file a claim for compensation from the Tasmanian Government. RESPONDENT PROFILE MARY (not real name) Mary is aged between 40–49 years and has spent 15 years of her life in care, with three placements in that time. She considers her care experience as bad overall, and describes it as “institutionalised, awful, traumatic, cruel, and insensitive”. Mary has siblings who were also placed in care, but were separated from her. She has contact with some of her siblings and considers that overall, her time in care has affected her ability to interact with her broader family. She completed Year 11 of her schooling while in care and did not attain post-secondary qualifications. She is currently employed part-time, working less than 35 hours per week. Her income is between $400–799 weekly and she also receives less than $200 by way of child support. She has debts connected with her credit card and vehicle, and struggles to provide adequately for her two children, their education, clothes and activities. She turns to her friend for emotional and financial support and advice. Mary has been the victim of rape and sexual assault, and physical and domestic violence. She has also been involved in theft and shop lifting. Mary lives in private rental accommodation, and has been in her current address for more than a year. She lives in this property with her two daughters aged 12 and 20. Mary has been diagnosed with rheumatoid arthritis, depression, anxiety and alcoholism, and has visited a GP and a specialist between one to five times in the six months prior to our survey. Her specialist health visits related to dental, physical and mental health problems. Jenny has attended an alcohol and drug service in the 12 months prior to our survey. She finds that her time in care has impacted on her relationship with her two daughters. She says “Yes. (it is) difficult to nurture, set appropriate boundaries, provide security and aspirational examples”. Financial assistance, dental and medical care, psychological assistance, educational and trade skills, financial management and personal relationships are some of the types of support services that Mary considers will assist careleavers. She considers herself resilient, canny and tough. She says “I worked very hard to help myself to the best of my ability despite all the abuse I received”. With regard to spending her senior years in aged care Mary says “any form of institutionalised care horrifies me”. Mary also says “my life, my children would greatly benefit from a lump sum financial award/compensation as I could invest and set them up in a way, providing security of sorts that I have never had. This would provide significant healing and a chance to forgive”. 38 IT’S NOT TOO LATE TO CARE REPARATION AND REDRESS SCHEMES The Tasmanian Government is offering the following additional measures as part of this process: s¬ Access to the claimant’s welfare file s¬ ¬Information regarding referral to Tasmanian Police if the claimant wishes to pursue this option; and advice regarding pursuing civil proceedings against the alleged wrongdoer. s¬ ¬Up to $300 to seek legal advice for claimants who wish to receive the ex gratia compensation, regarding the waiver of their right to take legal action against the Government to recover compensation or damages suffered as a result of the abuse s¬ ¬Access to up to three counselling sessions for the claimant, funded by the Government. Queensland In response to the recommendations made by the Forde inquiry into the abuse of children in institutional care in Queensland, the Government established several support services for careleavers. These include: s¬ ¬Historical Abuse Network (HAN) auspiced by Micah Projects Inc to provide formal and informal peer support opportunities for people who identify as having experienced abuse in institutions, detention centres and foster care. The network aims to: – maintain a voice and continue dialogue with the government and the churches – share and disseminate information – reconnect and provide opportunities for engagement – participate in reconciliation events and children’s homes reunions – promote affirmative action and ensure recognition of the lifelong impact and disadvantage of institutional care. s¬ ¬Esther Centre also auspiced by Micah Projects Inc., which provides: – support and advocacy for individual former residents and their families experiencing crisis – advocacy and support for people processing complaints of historic abuse through internal church protocols, professional bodies or organisations and criminal justice processes – facilitation and resourcing of the Historical Abuse Network. s¬ ¬Aftercare Resource Centre (ARC), a program of Relationships Australia (Qld) which provides: – face to face counselling at the ARC office at South Brisbane, Relationships Australia branch offices and approved private practitioners in Queensland and interstate – telephone counselling via a 1800 telephone number – limited financial assistance for education expenses or vocational training opportunities, medical and psychological reports, personal development programs, records searches, family reunification and victims impact statements. s¬ ¬The Forde Foundation, which was established in 2000 as an independent, perpetual charitable trust benefiting former residents of Queensland children’s institutions and some foster care residents. The trust fund, to which the Queensland Government has contributed $4.15 M, is administered by the Public Trustee of Queensland which acts on the recommendations of a Board of Advice when distributing funds to beneficiaries. The Forde Foundation operates a program to provide small monetary grants to former residents to assist overcoming disadvantage arising from childhood experiences in institutional care, including: – basic life necessities – education and training – assistance with health issues – items or services for self development or improved quality of life – family reunification. More recently in 2007, the Queensland Government also established a redress scheme to make an ex gratia payment to careleavers to acknowledge the impact of the past and help them move forward with their lives. This scheme will be in operation from 1 October 2007 until 30 June 2008, and offers two levels of payments to claimants. At the first level, an amount of $7,000 is offered to claimants based on an assessment of their eligibility, ascertained through a review of the claimant’s records. At the second level, a further $33,000 can be accessed by the claimant if they have suffered more serious abuse or neglect. The second level payments are based on an assessment of the claim by a panel of experts. Western Australia On 17 December 2007, the Western Australian Government set up Redress WA, to administer a $114 million redress scheme for those who as children were abused while in State care in Western Australia. Eligible individuals will be able to apply for an ex gratia redress payment of up to $10,000 if they show they experienced abuse while in State care, or up to a maximum of $80,000 where there is medical or psychological evidence of loss or injury as a result of that abuse. Applications to Redress WA will be received by Redress WA for 12 months from 1 May 2008 and must be lodged by 30 April 2009. Individuals who do not wish to pursue civil litigation against the State are eligible to apply to Redress WA. In addition to the redress scheme, the Western Australian Government is providing the following to careleavers: s¬ ¬an apology and acknowledgement to those who in the past have suffered when the State did not provide a proper level of care. s¬ ¬a range of support services including personal support, financial counselling and independent legal advice, as well as funding of non-government consumer advocacy and self-help groups. 39 IT’S NOT TOO LATE TO CARE REPARATION AND REDRESS SCHEMES s¬ ¬Assistance with referring cases to the Police for investigation, if the claimant wishes to bring the perpetrator to justice. s¬ ¬A prominent and permanent memorial to acknowledge those who have suffered in State care in the past; and s¬ ¬On a personal level, an opportunity for careleavers to formally record their own stories on their official files. South Australia The latest state in Australia to acknowledge the need for a redress scheme is South Australia. Following the release of Justice Mullighan’s report into abuse in care on 1 April 2008, the South Australian Government has responded with an interim measure, which allows careleavers to access compensation through the $22 million Victims of Crime Fund that is currently available to all South Australians. The Government has announced compensation of up to $50,000 for eligible claimants immediately, and has undertaken to provide a detailed response to Justice Mullighan’s 54 recommendations by June 2008. With four states in Australia taking the lead in establishing ex gratia payment schemes ranging from $40,000 to $80,000 to acknowledge the poor quality of care provided to people who were brought up in institutions, and the abuse and neglect they suffered, it is time to consider what is required in Victoria for careleavers who were brought up in Victorian institutions. The approach taken by other State Governments is that while money cannot make up for the abuse some people suffered in State care, the experience of abuse may have resulted in missed opportunities in life, together with emotional pain and suffering, making it appropriate for some ex gratia payment to be made available to the victims. This view is mirrored in the Senate Committee’s Forgotten Australians report which states “while no amount of money can adequately compensate victims for the pain and suffering experienced while in institutions and other forms of care, monetary compensation can go some way towards acknowledging past abuse and affording a sense of justice and closure for many victims”16. The committee also added that to achieve healing for many careleavers, monetary compensation alone is insufficient and other forms of redress are also essential. On the question of quantum of monetary compensation, the Committee’s view was that reparations should be capped at an appropriate level. It is our view that the time is right for the Government of Victoria to consider implementing a reparation scheme in Victoria that includes a monetary compensation scheme, supported by investment in the specific services and health measures identified in this report, based on the evidence generated through the survey. RESPONDENT PROFILE JANE (not real name) Jane is 60 years of age and went into care at a very young age. She says that her mother was an alcoholic, and left her with her grandmother. Her father turned up after eight years and met a woman who did not want her around, and took her from her grandmother and placed her in a home. Jane considers her care experience bad overall. She says “(it was) awful. I still have nightmares. (I) can see the nun’s face and feel the terror”. Jane completed year 10 after she left care and did not pursue further studies. She is currently unemployed and stopped working due to illness. Her current income comprises $200–400 as Government pension and less than $200 as superannuation. Jane lives alone in her own accommodation, and has lived there for the past 17 years. Jane suffers from a heart condition, has been diagnosed with post traumatic stress, and suffers depression and anxiety. 16 Senate Committee Report, p226. Her health condition has necessitated more than 10 GP visits in the 6 months prior to our survey. Jane has three children aged between 29 and 38 years. She finds it distressing and hard to talk about whether her time in care has affected her relationship with her children. Jane has siblings who were placed in care with her, but she does not have contact with her siblings now. In general she feels that her time in care has affected her ability to interact with her broader family. She looks to her doctor and friends for support, just talking to them to help with all the pain. However, she does not talk to her children about this. Jane has been a victim of crime, and does not feel as though she has any strengths. She has very poor self esteem and says “Being in care ruined my life”. SIX 41 IT’S NOT TOO LATE TO CARE AREAS FOR PRIORITY INVESTMENT RECOMMENDATIONS The following recommendations are made to further progress the work undertaken through this project, and to give effect to the recommendations made in the Senate’s Forgotten Australians report: 1 Given the evidence about the high reliance on specialist health services, it is recommended that the Victorian Government considers the needs of careleavers as a specific sub-group and develops appropriate physical health, dental health and mental health strategies and programs that will meet the identified needs of careleavers. A Victorian health card system that identifies careleavers as a special community group eligible for priority access to, and concessions for a range of services within the Victorian public health system is the preferred option for enabling access to physical, mental and dental health services for careleavers. Given that an overwhelming majority of careleavers have expressed concerns about aged care services, it is recommended that: s¬ ¬Access guidelines to Home and Community Care (HACC) programs be reviewed to ensure that careleavers are able to access this program on a priority basis. s¬ ¬The 2 State Government trials innovative programs in consultation with the Victorian Sector Working Group on Forgotten Australians convened by the Centre for Excellence in Child and Family Welfare, careleaver support groups and in partnership with the Federal Government, which are aimed at addressing the specific needs of careleavers in alternative settings, with a view to embedding them in practice. s¬ ¬The Victorian Sector Working Group on Forgotten Australians, careleaver support groups, the Department of Human Services and community organisations work collaboratively with aged care peaks and aged care training providers, to address the gap in knowledge and training of the aged care services sector workforce about the experiences of careleavers in institutions, and the impact of their experiences as children on their lives as adults. 3 It is recommended that the Victorian Government increase its investment in support services such as counselling, to meet the demand for such services in recent times. The investment of $1.4 million over three years from 2006/07 is a welcome start. More recently, the Government announced an investment of $7.1 million over four years from 2008/09 to set up a single access point to coordinate the provision of information and advice to careleavers on how to access services that are currently available, assistance with searches, and accessing legal support. It is not clear at the time of writing this report whether the funds are allocated to provide advice about and referrals to existing services or for the actual provision of counselling, and other support services to careleavers. With an estimated 90,000 people in care between 1928 and 1990, and with the increase in demand for support services in the past few years, substantial resources will be required to support careleavers. Government should also support VANISH and other relevant community organisations establish counselling and other support services for careleavers where they are not currently available, or to strengthen them where there is some form of service provided, to ensure that careleavers are able to access services from CSOs when they require support. Investment in specific programs for careleavers on parenting their own children, in the light of the trauma they have experienced in institutional care is also recommended. 4 Access to personal and historical records for all careleavers along with support to access the records is another critical component in establishing support services for carers. Currently, many large organisations such as Mackillop Family Services, have led the way in establishing such heritage record access services for careleavers. However, their experience demonstrates the intense resource requirements to set up an archives system along with enabling supported access to records. Given the passage of time, the records of many community organisations are lost or damaged. With many organisations ceasing business, and handing back records to Government, a lot of effort is required to catalogue records and set up a records system which can meet the needs of careleavers seeking information about themselves and their time in care. Many small organisations will be unable to meet this challenge and need to be supported by Government in this process. Government should also explore the possibility of developing collaborative arrangements for providing supported access to records for careleavers. The Victorian Sector Working Group should consider developing a collaborative framework and guidelines for access to and release of records of careleavers. 5 Finally, it is recommended that the Government establish an appropriate financial redress scheme following the example set by Tasmania, Queensland, Western Australia and South Australia to acknowledge the abuse and neglect suffered by the many people who lived in institutional care in Victoria. SEVEN 43 IT’S NOT TOO LATE TO CARE CONCLUSION This report attempts to document the impact of institutional care on the lives of careleavers in this state. The information generated through the survey, benchmarked with the life experiences of people in the general population, provides us with an understanding of where careleavers are at, and the different areas we can target to establish support services. Our research demonstrates the impact of institutional care across various dimensions of careleavers’ lives, and the lifelong impact of their traumatic experiences as children. Our research also highlights the resilience and inner strength of many careleavers who have overcome adverse circumstances. Their resilience provides us with the basic building blocks on which to establish services which will support them now and into their future. By recounting their experiences in their responses to our survey, careleavers have attempted to provide us a glimpse into their past, with a view to making the present and future for many a better one. We are very grateful to all 77 respondents who participated in our research for their generosity in sharing their history with us. One of the respondents to our survey stated, “it is hard to make people understand how my upbringing has affected my life..the hurt and pain and anger that you carry in your head stay with you forever. Sure you laugh and smile but often that is a mask and it makes others happy if you seem happy…”. We are sure there are many careleavers in similar circumstances who have learnt to mask their true feelings as a way to cope, but carry the trauma of their childhood with them even today, and will continue to do so into the future. The clock can never be turned back for them, but there is certainly an opportunity now to address the impact of the trauma and hurt, by investing in realistic services to support careleavers. 44 IT’S NOT TOO LATE TO CARE Careleavers of Australia Network (2007), Brief Overview of Some Findings From the CLAN Survey, www.clan.org Curtis, M, 1946, Report of the Care of Children Committee, Home Office, England (Curtis Report) Department of Human Services (2003), Submission of the Government of Victoria to the Senate Inquiry into Children in Institutional Care. Senate Community Affairs Reference Committee (2004), Forgotten Australians: A report on Australians who experienced institutional or out-of-home care as children Tierney, L.J (1963) Children who need help: A study of child welfare policy and administration in Victoria, Parkville: Melbourne University Press 45 IT’S NOT TOO LATE TO CARE APPENDIX 1: PUBLIC APOLOGY TO FORGOTTEN AUSTRALIANS 10 August 2006 CENTRE FOR EXCELLENCE IN CHILD AND FAMILY WELFARE INC. The Centre for Excellence in Child and Family Welfare, a peak body for community organisations in Victoria providing care for children and young people, wishes to record its deep sorrow and regret for the abuse suffered by many Australians who were in institutional care as children. The Centre apologises to Forgotten Australians unreservedly for the hurt and harm they suffered in institutional care and the long term impact of past abuse on them. The Centre will work with its members to assist the development of appropriate support services for Forgotten Australians. The Centre will also extend support to advocacy groups for Forgotten Australians, in the development of such services. Signed, David Murray Coleen Clare President Chief Executive Officer 10 August 2006 10 August 2006 46 IT’S NOT TOO LATE TO CARE APPENDIX 2: CARELEAVER SURVEY 2006 Date: Location: Referring Organisation: A. Background Information C. Your education participation and attainment 1. Your gender Male Female 2. Are you of Aboriginal or Torres Strait Islander background? Yes No 10. What is the highest level of schooling you completed? (Please circle) While in care Year 12 Year 10 Year 11 Less than year 10 Both while in care and later Year 12 Year 10 Year 11 Less than year 10 3. Your age 40–49 50–59 60 and over 4. What is the postcode of your current address? B. Information about your institutional care experience 5. What year did you first enter care? (You may need to estimate) 11. Have you attained any post-secondary education? Yes (please go to Question 12) No (please go to Question 13) 6. What year did you last leave care? (You may need to estimate) 12. If you have attained post-secondary education, which of the following is the highest level you completed? Post Graduate Qualification Graduate Qualification 7. What were the circumstances that you understand led you to being initially being placed in care? Vocational Qualification 13. Are you currently studying or involved in a training program? Yes (please go to Question 14) No (please go to Question 15) 14. If you are currently studying or taking a training program, in which sector? 8. How would you describe your care experience? Good overall Bad overall Difficult to make general assessment 9. How many care placements did you have? University – full time University – Part time Vocational education – full time Vocational education – part time Other, please specify One placement Between two and five placements Between six and nine placements Ten or more placements Your comments: D. Your current employment 15. What is your current employment situation? Employed, including unpaid work in family business (please go to Question 16) Unemployed (please go to Question 17 and 18) Out of the active workforce (e.g. home duties, retired) 47 IT’S NOT TOO LATE TO CARE APPENDIX 2: CARELEAVER SURVEY 2006 16. If you are currently employed, is your job full-time or part-time? Full-time (35 hours or more each week in all jobs) 23. How many times have you moved residence in the last 12 months? Part-time (less than 35 hours each week in all jobs) 17. If you are currently unemployed, for how long have you been searching for work? Less than one year Full-time work Five to ten times One to five times More than ten times 24. Who are you currently living with? More than one year 18. If you are currently unemployed, are you searching for full-time work or part-time work? None Alone Relative Friend Partner Other Part-time work E. Your current income G. Your current health 19. On average, what is the gross income (before tax) you receive each week from: 25. Have you been diagnosed as having an illness or disability? Yes, please specify No Wages/salary less than $200 $400–$799 $200–$399 $800 or more 26. How many times have you visited a GP in the last six months? Government benefit/pension less than $200 $400–$799 $200–$399 $800 or more Superannuation less than $200 $400–$799 $200–$399 $800 or more Zero Six to ten times One to five times More than ten times 27. How many times have you visited a medical specialist other than a GP in the last six months? Zero Six to ten times One to five times More than ten times 28. If you visit a medical specialist other than a GP, is this for: Other sources (please specify) Dental health Physical health Mental health less than $200 $400–$799 $200–$399 $800 or more 20. Please indicate if you currently have problems with these debt-types: Credit Card Phone or other utilities Vehicle Rental arrears Other, please specify Other (please specify) 29. Have you ever attended a drug and alcohol service? Yes No 30. Have you attended a drug or alcohol service in the past 12 months? Yes F. Your housing situation No H. Family, children and support providers 21. Which best describes your current living situation? Living in own accommodation Retirement home Private rental Caravan park Public housing Sleeping rough/squatting Transitional housing 31. How many children have you had? (Please circle) 0 1 2 3 4 5 6 More than 6 32. If you do have children, have any of them ever been in State care? Yes, just one of my children has been in State care Boarding Yes, more than one of my children has been in State care Emergency refuge No, none of my children has ever been in State care Other housing arrangements (please specify) 33. What are the current ages of your children? 34. Do you have contact with your children? 22. How long have you lived at the current address? Less than six months More than a year Between six months and a year More than 5 years Yes, I have contact with all my children (please go to Question 35 and 36) Yes, I have contact with some but not all of my children (please go to question 35 and 36) No (please go to Question 37) 48 IT’S NOT TOO LATE TO CARE APPENDIX 2: CARELEAVER SURVEY 2006 35. If you have contact, how often do you see your children? J. Your thoughts on services that could assist you 46. Please identify any services that could now be offered to you to address issues arising from your time in care. 36. Do you think that your time in care has affected your relationship with your own children? Please explain. 47. Are there any education/training programs you would recommend for those in organisations providing services to careleavers? 37. Do you have any siblings? Yes (please go to Questions 38–40) No (please go to Question 41) 38. When you were in care, were your siblings also in care? Yes 48. What do you see as your main strengths as a person? Were any of these strengths helped by your period in care? No 39. If your siblings were also in care, were you separated or together with them? Yes No 40. Do you have contact with your siblings now? Yes 49. Does your period in care when young make it difficult for you to contemplate spending your senior years in aged care? No 41. In general, do you think that your time in care has reduced your ability to interact with your broader family? Yes, negatively Yes, positively No Yes No K. Your achievements and general thoughts 42. Whom do you turn to most when you are in need of support? 50. Would you like to share your significant achievements with us? 43. What type of support have you sought from this person (persons)? 51. Is there anything else you would like to add to this survey? I. Other issues 44. Have you been involved in any community organisations at any stage over the past year? Religious Sports Community Service Other Social None 52. Would you be willing to be contacted by the Centre for Excellence in Child and Family Welfare to share further specific details of your experiences since leaving care at a subsequent interview? 45. Have you had involvement with the police: a) As a victim of crime? Yes (please specify) Yes No b) For your role in committing an offence? Yes (please describe the offence) Please note that while the Centre for Excellence in Child and Family Welfare would be very pleased if you agree to provide the contact information in Question 52, it is an optional addition to the core survey and you are under no pressure to provide it. No No Please complete the box on the next page with your contact details. Please note that any contact information will be treated confidentially and not disclosed to anyone. It will only be used to contact you if further information is required for research purposes. Thank you very much for filling in this survey. Photography Child and Family Services (Ballarat) and Glastonbury Child and Family Services (Geelong) Design Louisa Williams Printing BLS Printing, www.blsprinting.biz CENTRE FOR EXCELLENCE IN CHILD AND FAMILY WELFARE INC. 5/50 Market Street Melbourne, Victoria 3000 Australia TELEPHONE +613 9614 1577 FACSIMILE +613 9614 1774 WEBSITE www.cwav.asn.au
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