RURAL ADVERSITY MENTAL HEALTH PROGRAM (RAMHP) QUARTERLY UPDATE - JANUARY - MARCH 2021

 
RURAL ADVERSITY MENTAL HEALTH PROGRAM (RAMHP) QUARTERLY UPDATE - JANUARY - MARCH 2021
RURAL ADVERSITY MENTAL
HEALTH PROGRAM (RAMHP)
QUARTERLY UPDATE
JANUARY – MARCH 2021
RURAL ADVERSITY MENTAL HEALTH PROGRAM (RAMHP) QUARTERLY UPDATE - JANUARY - MARCH 2021
RAMHP Quarterly Update Report, January – March 2021

RAMHP Quarterly Update Report: January – March 2021

This report is intended to provide an update for our key stakeholders on the work being undertaken by the Rural Adversity Mental Health Program
(RAMHP). It is intended that this report will be emailed to key stakeholders and also available on the Program’s website and that of the Centre for
Rural and Remote Mental Health (CRRMH). Please email comments or questions to: jeff.fuller@newcastle.edu.au.

Table of Contents

 Section                                                                                                                          Page Number

 General RAMHP Program Updates                                                                                                                  3

 Data Considerations                                                                                                                           17

 RAMHP Updates by Program Component                                                                                                            18

                       LINK                                                                                                                    18

                       TRAIN                                                                                                                   24

                       INFORM                                                                                                                  26

 Appendices                                                                                                                                    27

                       APPENDIX A                                                                                                              28

 |2        Rural Adversity Mental Health Program Quarterly Report: January - March 2021
RURAL ADVERSITY MENTAL HEALTH PROGRAM (RAMHP) QUARTERLY UPDATE - JANUARY - MARCH 2021
General RAMHP                                       RAMHP Updates by
                                  Data Considerations                                        LINK           TRAIN          INFORM
         Program Updates                                      Program Component

General RAMHP Program Updates
The Rural Adversity Mental Health Program – Jeff Fuller & Corinna West

RAMHP Program Updates                                                               People Updates
                                                                                •   In February we said goodbye to Data & Evaluation Manager
•   During this quarter, RAMHP completed its five-year Outcome Evaluation.          Sarah Maddox, as well as RAMHP Program Manager Tessa
    The full RAMHP Outcome Evaluation Report 2016 - 2020 is available here.         Cummins who has taken 12 months maternity leave.
    The report demonstrates the important work and outcomes of this unique          Congratulations to Tessa and her husband on the arrival of
    program over the last five years. A snapshot of the report can be found in      baby Lulu in March.
    Appendix A within this report.                                              •   We welcomed two new members to the RAMHP
•   In late March, RAMHP responded to the Northern NSW flood crisis with            management team this quarter: Jeff Fuller (RAMHP Program
    several of our RAMHP Coordinator areas affected. This included information      Manager) and Tara Phelps (RAMHP Team Leader), as well
    and support being offered through the RAMHP website dedicated flood             as two new RAMHP Coordinators: Alex Grantham
    support page and social media, alongside the support our coordinators           (Northern NSW) and Jamie Rose (Illawarra Shoalhaven).
    provided to the communities.                                                •   Lithgow based RAMHP Coordinator Sonia Cox received the
•   RAMHP partnered with Highway to Well and Gotcha4Life to deliver                 Mayor’s Special Recognition Award for her hard work and
    the Tough Enough mental health fitness project in Narrabri.                     dedication to the Lithgow community.
•   Eight ‘Decision Making & Stress Management’ workshops were held
    throughout the Murrumbidgee area.                                                               Q1 2021 Report Highlights
•   Planning for the free pilot ‘Be Gentle on Yourself’ event series with RAMHP
    Ambassador Melinda Schneider is well underway. The events will happen in
                                                                                    •   408 People Linked to Care between Jan – Mar 2021
    four key rural communities in partnership with local RAMHP Coordinators
    throughout June.
                                                                                    •   83 Training Courses were delivered to 1,213
•   Planning is underway with WorkSafe NSW for RAMHP Coordinators to
                                                                                        participants between Jan – Mar 2021
    participate over June in the Women in Agriculture Workplace Health & Safety
    Lunch & Learn sessions.
                                                                                    •   112 Community Events were attended by RAMHP
•   RAMHP continued their partnership with UNSW Rural Clinical Schools with
                                                                                        Coordinators between Jan – Mar 2021
    Coordinators running six training sessions for students across the Port
    Macquarie, Coffs Harbour, Wagga Wagga and Albury campuses.
•   The Baggy Blues delivered its final cricket for 2020/21 in Lithgow with the
    support of RAMHP.
•   A new integrated RAMHP logo was developed which includes the words “A
    program of the Centre for Rural and Remote Mental Health”.

    |3      Rural Adversity Mental Health Program Quarterly Report: January - March 2021
RURAL ADVERSITY MENTAL HEALTH PROGRAM (RAMHP) QUARTERLY UPDATE - JANUARY - MARCH 2021
General RAMHP                                         RAMHP Updates by
                                   Data Considerations                                  LINK       TRAIN        INFORM
      Program Updates                                        Program Component

General RAMHP Program Updates
RAMHP Community Engagement Highlights – Compiled by the CRRMH Community Engagement team

 Northern NSW Floods Response
                                                                    Special Achievement: RAMHP Coordinator Sonia Cox
 Towards the end of March much of Northern NSW was
 deluged with heavy rain and flooding. As with all               On the 25th February our
 natural disasters, RAMHP and the CRRMH                          Lithgow based RAMHP
 responded, and continues to respond, to the flood               Coordinator, Sonia Cox,
 crisis with the provision of information and resources to       received the Mayor’s Special
 support the mental health and wellbeing of those                Recognition Award for her
 affected.                                                       hard work and dedication to
                                                                 the Lithgow community. The
 In addition to RAMHP Coordinators in flood-affected             award is a testament to her
 communities being available on the ground, our range            passion and drive and we are
 of platforms, including social media and websites,              extremely proud to have her
 were utilised to provide information. This included links       on the team.
 to help services, information about taking care of your
 mental health and a range of resources.

 |4       Rural Adversity Mental Health Program Quarterly Report: January - March 2021
RURAL ADVERSITY MENTAL HEALTH PROGRAM (RAMHP) QUARTERLY UPDATE - JANUARY - MARCH 2021
General RAMHP                                         RAMHP Updates by
                                 Data Considerations                                         LINK           TRAIN           INFORM
         Program Updates                                        Program Component

General RAMHP Program Updates
RAMHP Community Engagement Highlights – Compiled by the CRRMH Community Engagement team

Be Gentle on Yourself Roadshow                                          Let’s Talk podcast

RAMHP, together with RAMHP Ambassador Melinda                           Planning for Series 5 of the Let’s Talk podcast has commenced. The
Schneider, are rolling out a series of FREE wellbeing events in         award-winning podcast features the lived experiences of rural people
four rural communities as part of a pilot project. The                  and was once again hosted and produced by journalist Kia Handley.
event dates and locations are:
                                                                        This quarter, 2020 podcast contributors were surveyed to get feedback
•    Saturday 5th June, 10am-12pm – Wagga Wagga                         on the quality, process, future topics, and support from RAMHP and the
•    Thursday 17 June – 5.30-7.30pm -Goulburn                           CRRMH around sharing personal lived experience. Overall, feedback
•    Sunday 20 June – 10 -12 noon – Dubbo                               was extremely positive with 80% of respondents rating the quality of
•    Saturday 26 June – 12-2pm – Casino                                 the podcast as ‘Very Good’ or ‘Exceptional’. 100% of respondents felt
                                                                        they received appropriate support from RAMHP in relation to sharing
Each event will include music and a keynote address from                their story.
Australian country music singer/song writer Melinda Schneider
and a facilitated wellbeing session from the local RAMHP
Coordinator in each community. A local Elder has been invited           The Baggy Blues Tour
to do a Welcome to Country and a prominent local community
member will MC each event.                                              RAMHP’s partnership with the Baggy Blues continued with the cricket
                                                                        tour visiting Lithgow on the 25th February. The Baggy Blues Cricket
                                                                        Tour is a partnership of the NSW Government, Allianz and
                                                                        RAMHP. The Baggy Blues are passionate about promoting mental
                                                                        health and wellbeing by bringing people together over sport. Lithgow
                                                                        was the last stop on the 2020/21 tour, which covered Inverell,
                                                                        Tamworth, Kempsey, and Wentworth, despite being interrupted by
                                                                        COVID-19 restrictions for most of 2020.

    |5      Rural Adversity Mental Health Program Quarterly Report: January - March 2021
RURAL ADVERSITY MENTAL HEALTH PROGRAM (RAMHP) QUARTERLY UPDATE - JANUARY - MARCH 2021
General RAMHP                                          RAMHP Updates by
                                  Data Considerations                                    LINK            TRAIN          INFORM
      Program Updates                                         Program Component

General RAMHP Program Updates
RAMHP Community Engagement Highlights – Compiled by the CRRMH Community Engagement team

                                                                             Decision Making & Stress Management Workshops

                                                                             RAMHP partnered with
                                                                             Murrumbidgee Primary
                                                                             Health Network (PHN) and
                                                                             NSW Farmers to deliver a
             Tough Enough Mental Health Fitness Project
                                                                             series of free 'Decision
                                                                             Making & Stress
      During February and March, RAMHP partnered with Highway
                                                                             Management for
      to Well and Gotcha4Life for the Tough Enough mental
                                                                             Successful Businesses'
      health fitness project in Narrabri. The six-week project aimed
                                                                             workshops in eight towns
      to increase mental health knowledge, reduce stigma around
                                                                             in the Murrumbidgee area,
      help-seeking behaviour and create a positive culture around
                                                                             including Leeton, Hay,
      proactively managing mental health
                                                                             Boorowa and Lockhart, in
                                                                             February and March 2021.
      Hunter New England RAMHP Coordinator Letitia Cross played
      a key role in the success of the Tough Enough project, which          The workshops explored the effects of stress on decision
      included a media and social media campaign, a community               making and provided tips around making important decisions.
      evening with Gus Worland from Gotcha4Life, targeted
      Tomorrow Man/Woman workshops with Narrabri High
      School and several local community sporting and community
      groups, and education & training workshops.

 |6       Rural Adversity Mental Health Program Quarterly Report: January - March 2021
RURAL ADVERSITY MENTAL HEALTH PROGRAM (RAMHP) QUARTERLY UPDATE - JANUARY - MARCH 2021
General RAMHP                                           RAMHP Updates by
                                  Data Considerations                                        LINK            TRAIN           INFORM
      Program Updates                                          Program Component

General RAMHP Program Updates
RAMHP Community Engagement Highlights – Compiled by the CRRMH Community Engagement team

 New integrated RAMHP and CRRMH logo

 A new integrated RAMHP logo was developed which includes the words “A program
 of the Centre for Rural and Remote Mental Health”. The objective behind this
 integrated​ logo is to communicate that RAMHP and the CRRMH are connected
 entities, not two separate organisations. The new logo does not replace the original
 RAMHP logo; it is a secondary logo that has been added to our suite of resources to
 be used in certain circumstances and was developed with that need in mind.

                                                                          Resource Copyright

                                                                          During this quarter several of the RAMHP and CRRMH
                                                                          resources were updated to indicate their copyright status under
                                                                          the University of Newcastle. We continue to welcome other
                                                                          organisations to work with us on adapting our resources to suit
                                                                          their needs.

 |7      Rural Adversity Mental Health Program Quarterly Report: January - March 2021
RURAL ADVERSITY MENTAL HEALTH PROGRAM (RAMHP) QUARTERLY UPDATE - JANUARY - MARCH 2021
General RAMHP                                                 RAMHP Updates by
                                      Data Considerations                                               LINK               TRAIN          INFORM
        Program Updates                                                Program Component

General RAMHP Program Updates
RAMHP Online Connections – Compiled by Ashleigh Middleton and Lucy McEvoy
 Table 1: Website Analytics 1st January – 31st March 2021
 Website         RAMHP                                                   You Got This Mate                                         RAMHP eNewsletters

 Link            https://www.ramhp.com.au/                               https://yougotthismate.com.au/                            RAMHP released one
                                                                                                                                   eNewsletter during this
 Website         6,569 ​(-37%)                                           1,674 (+67.23%)
                                                                                                                                   period.
 Sessions
 Top 5 Pages     1.    Homepage – 3,241 views                            1.    Homepage – 759 views                                The February/March
                 2.    Online and Phone Support – 749 views              2.    Podcast - Alcohol & Other Drugs – 247 views         edition, Let’s Talk:
                 3.    Downloadable Resources – 474 views                3.    HYG Quiz – 200 views                                Moving Forward to
                 4.    Find a Coordinator – 418 views                    4.    Podcast - Men's Mental Health – 173 views           Recovery, was delivered
                 5.    About Us – 405 views                              5.    Take Action – 127 views                             to 2,097 recipients and
                                                                                                                                   had an open rate of 25%.
 New             •    As the NSW flood crisis ensued, RAMHP and          •    Addition of Dr Joanne Lawrence-Bourne's blog
 Additions            the CRRMH saw the need to develop a flood               “For some men, not having kids really matters”
                      support page for the websites, and as such,             under Research.
                      the ‘Drought Support’ tile on the website
                      home pages was amended to ‘Natural                 •    Links to ‘Family Man’ and Mr Perfect added
                      Disasters’ and now encompasses links to                 under the website’s Industry section.
                      resources, information and support during
                      times of adversity with separate pages for
                      ‘drought support’, ‘bushfire recovery’, ‘flood
                      support’ and ‘COVID-19 information’.

                 •    Blog: What is wellbeing and why should I
                      care? By Aimee Makeham, RAMHP
                      Coordinator, Wagga Wagga

 |8         Rural Adversity Mental Health Program Quarterly Report: January - March 2021
RURAL ADVERSITY MENTAL HEALTH PROGRAM (RAMHP) QUARTERLY UPDATE - JANUARY - MARCH 2021
General RAMHP                                                   RAMHP Updates by
                                       Data Considerations                                                LINK              TRAIN             INFORM
       Program Updates                                                  Program Component

General RAMHP Program Updates
RAMHP Media and Social Media Highlights – Compiled by Jocelyn Johnston and Ashleigh Middleton

Social Media Campaigns
                                                                                     Partner e-Newsletters
During Q1, RAMHP launched its new promotional video for You
Got This Mate. This video is featured in a targeted social media                     In this quarter RAMHP continued to contribute articles and content
campaign towards rural men and health professionals promoting                        to partners including:
the benefits of the website. The campaign will continue until June.                  • Rural Health Pro February e-newsletter
                                                                                     • Family Man Movember website
An additional campaign featuring Take Time contributor Kelly                         • Western NSW Health Research Network February e-newsletter
Foran ran during March. The story reached 16,500 people and led                      • Dairy NSW monthly e-newsletter - ‘The Milk Flow’
400 people to the Take Time website to read her story in full.                       • NSW Rural Women’s Network Facebook page

Editorial – RAMHP’s Tips on How to Have a Conversation                               Media Releases

                                                                                     This quarter the team also sent out the following media releases:
An Editorial ‘RAMHP’s Tips on
How to Have a Conversation’ was                                                      •   Narrabri people are tough...but are they tough enough?
placed in the South Coast Guide                                                          Thursday, February 18, 2021
which was released in March
                                                                                     •   RAMHP appoints new Coordinator based in Lismore
RAMHP's Tips on How to Have a
                                                                                         Tuesday, February 16, 2021
Conversation
                                                                                     •   Help us improve the mental health and wellbeing of rural
                                                                                         communities
                                                                                         Monday, February 8, 2021

Note: Examples of key media activity are presented in Table 1 on the following page. Please note this is a sample only. The full list for January
– March 2021 can be seen in Appendix A of the CRRMH Quarterly Report.

  |9        Rural Adversity Mental Health Program Quarterly Report: January - March 2021
RURAL ADVERSITY MENTAL HEALTH PROGRAM (RAMHP) QUARTERLY UPDATE - JANUARY - MARCH 2021
General RAMHP                                                      RAMHP Updates by
                                          Data Considerations                                                     LINK              TRAIN              INFORM
         Program Updates                                                     Program Component

General RAMHP Program Updates
RAMHP Media Highlights – Compiled by Jocelyn Johnston
 Table 2: Overview of media Interactions
 Date​            Media Outlet​             Topic​                             Spokesperson​                       Link​
 6.01.2021​       Radio 2NM Hunter          Setting Goals for 2021​            RAMHP Coordinator Matt Milne        Audio not available​
                  Valley​                                                      interviewed​

 20.01.2021​      Sunraysia Daily​          Pooncarie vs Anabranch             RAMHP Coordinator Jamie             No link​
                                            Cricket match​                     Kuerschner

 27.01.2021​      Tenterfield Star​         Access to health services​         RAMHP mentioned​                    https://www.tenterfieldstar.com.au/story/7101906/saffi
                                                                                                                   n-urges-dirienzo-to-take-a-good-hard-look-at-local-
                                                                                                                   health-service-delivery/
 28.01.2020​      Men’s Health              Forum on Drought, Bushfires,       RAMHP Coordinator                   Drought, bushfires, covid 19 – how are rural men
                  Connected​                COVID 19 – How are Rural           Andrew Daley presented​             coping? - YouTube
                                            Men Coping?​

 29.01.2021​      The Courier Mail, The     Women's Day event to raise         Melinda Schneider mentioned         No link​
                  Courier​                  funds for Protea Place​            RAMHP as Ambassador​

 8.02.2021​       ABC North Coast NSW​      DP Bushfire Recovery Officer -     RAMHP Coordinator                   Audio not available​
                                            Ros Rogers retires​                Sam Osborne mentioned​
 9.02.2021​       Radio 2NM​                Discussion on Self-Care,           RAMHP Coordinator Matt Milne        Audio not available​
                                            New Years resolutions              interviewed​
                                            and mental health​
 17.02.2021​      ABC New England           Narrabri 'Toughen up' project​     RAMHP Coordinator                   Audio not available​
                  North West​                                                  Letitia Cross interviewed​

 Note this is a sample only – see Appendix A of the CRRMH January – March 2021 Quarterly Report for a full list

 | 10         Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                                                       RAMHP Updates by
                                         Data Considerations                                                      LINK              TRAIN           INFORM
         Program Updates                                                      Program Component

General RAMHP Program Updates
RAMHP Media Highlights – Compiled by Jocelyn Johnston
 Table 2: Overview of media Interactions (continued)
 Date​            Media Outlet​              Topic​                                       Spokesperson​                  Link​
 23.02.2021​      Narrabri Courier​          Narrabri 'Toughen up' project​               RAMHP Coordinator              On file
                                                                                          Letitia Cross

 23.02.2021​      Narrabri Courier​          Tough Enough – Week 1 editorial​             RAMHP Coordinator              Not available​
                                                                                          Letitia Cross
 23.02.2021​      Grenfell Record,           Gooloogong to Grenfell walk for a cause,     RAMHP mentioned                https://transition.meltwater.com/paywall/redir
                  Canowindra News,           sign up now​                                 as beneficiary​                ect/m7U1zvgUsUEVEVtujp6BE8NbeYQ
                  Forbes Advocate​
 23.02.2021​      Lithgow Mercury​           NSW retired cricket ambassadors              RAMHP mentioned as             https://transition.meltwater.com/paywall/redir
                                             and current Big Bash League players to       partner​                       ect/5AGL-lYf47WMyaYdE_OQUnTHl9k
                                             visit Lithgow – Baggy Blues​

 25.02.2021​      Northern Star, The         RAMHP Coordinator Alex                       RAMHP Coordinator              On file​
                  Daily Telegraph​           Grantham's appointment​                      Letitia Cross quoted​

 25.02.2021​      Lithgow Mercury​           NSW Baggy Blues talk                         RAMHP mentioned as             https://transition.meltwater.com/paywall/redir
                                             mental health with Lithgow District          partner​                       ect/NHH-VvItWbQEqEU_CTJ4pzwJ_aw
                                             Cricket Association​
 26.02.2021​      ABC Mid North Coast        New RAMHP Role​                              RAMHP Coordinator              No link​
                                                                                          Alex Grantham interviewed​

 4.03.2021​       The Canowindra             Walking with a cause​                        RAMHP mentioned​               https://www.canowindraphoenix.com.au/walki
                  Phoenix​                                                                                               ng-with-a-cause/

 Note this is a sample only – see Appendix A of the CRRMH January – March 2021 Quarterly Report for a full list

 | 11         Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                                                       RAMHP Updates by
                                           Data Considerations                                                     LINK              TRAIN              INFORM
         Program Updates                                                      Program Component

General RAMHP Program Updates
RAMHP Media Highlights – Compiled by Jocelyn Johnston
 Table 2: Overview of media Interactions (continued)
 Date​            Media Outlet​               Topic​                                 Spokesperson​                Link
 5.03.2021​       The Vale Podcast​           Attendance at Landcare event at        RAMHP Coordinator            Not available​
                                              Euston​                                Marie Kelly​​

 12.03.2021​      The Vale Podcast​           Announcing Toby Price event            RAMHP Coordinator            Not available​
                                              at Euston Easter Saturday​             Marie Kelly​

 13.03.2021​      The Courier Mail,           Hundreds turn out in support           RAMHP Ambassador             The Courier Mail
                  The Chronicle-Mail​         of Protea Place at International       Melinda Schneider​
                                              Women’s Day fundraising
 19.03.2021​      The National Tribune,       Orange City Council to host            RAMHP mentioned​             https://www.orange.nsw.gov.au/orange-city-council-to-
                  Mirage News, Orange         mental health round-table​                                          host-mental-health-round-table/
                  City Council​
 25.03.3031​      Namoi Valley                Comedian Damian Callinan to            RAMHP mentioned​             https://transition.meltwater.com/paywall/redirect/btZFW4
                  Independent​                thrill Currabubula with comic                                       hZi0OE4j1qwxrROjFSa0w
                                              relief show in April​
 28.03.2021​      Central Western Daily​      NSW Minister for Mental                RAMHP mentioned​             https://transition.meltwater.com/paywall/redirect/hHPbTs
                                              Health, Regional Youth                                              FvxKMndKVInv51m74fLRo
                                              and WOmen Bronnie Taylor to
                                              meet in Orange​
 30.03.2021​      The Guardian​               Race champ star guest​                 RAMHP mentioned​             https://transition.meltwater.com/paywall/redirect/6s6kvW
                                                                                                                  Uc_SnQe7H6L19QnE7EY90

 Note this is a sample only – see Appendix A of the CRRMH January – March 2021 Quarterly Report for a full list

 | 12         Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                                          RAMHP Updates by
                                    Data Considerations                                      LINK             TRAIN             INFORM
      Program Updates                                         Program Component

General RAMHP Program Updates

RAMHP Social Media – Ashleigh Middleton and Lucy McEvoy

The following table provides an overview of the key statistics for RAMHP’s Facebook page.

Table 3: Overview of RAMHP’s Facebook Page Statistics, Jan – Mar 2021

 Statistic                                                           Impact

 94 new page likes were achieved during this period,            Number of page likes increased by 3% over this quarter
 bringing the total number of likes to 3,238
 There were 42 posts published this quarter                     Publishing frequency decreased by 53% this quarter as compared with the previous
                                                                (October – December 2020) quarter. This decrease was an expected impact due to
                                                                staffing changes within the RAMHP management team as well as the CRRMH
                                                                (Centre for Rural and Remote Mental Health) between the January – March 2021
                                                                period.
 There were 8,838 post engagements this quarter                 Total engagements decreased significantly (-71%) this quarter, as compared to the
                                                                previous (October – December 2020) quarter. This is consistent with the increase in
                                                                the number of paid campaigns during the previous quarter.
 Facebook posts during the Northern NSW Flood Crisis            There was an increase in post engagement during the flood crisis.
 reached 840 people with 57 post engagements

 | 13        Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                                           RAMHP Updates by
                                    Data Considerations                                       LINK             TRAIN            INFORM
      Program Updates                                          Program Component

General RAMHP Program Updates

RAMHP Social Media – Ashleigh Middleton and Lucy McEvoy

The following table provides an overview of the key statistics for RAMHP’s Twitter page.

Table 4: Overview of RAMHP’s Twitter Page Statistics, Jan – Mar 2021

 Statistic                                                            Impact

 21 new followers were achieved during this period, bringing      Number of followers increased by 2% this quarter
 the total number to 719
 There were 15 tweets published this quarter                      Publishing frequency decreased by 57% this quarter as compared with the previous
                                                                  (October – December 2020) quarter. This decrease was an expected impact due to
                                                                  staffing changes within the RAMHP management team as well as the CRRMH
                                                                  (Centre for Rural and Remote Mental Health) between the January – March 2021
                                                                  period.
 There were 231 post engagements this quarter                     Total engagements decreased by 29% this quarter as compared with the Oct – Dec
                                                                  2020 period, which is consistent with a significant reduction in paid campaigns
                                                                  during the Jan – Mar 2021 quarter

 | 14        Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                                           RAMHP Updates by
                                    Data Considerations                                       LINK             TRAIN             INFORM
      Program Updates                                          Program Component

General RAMHP Program Updates

RAMHP Social Media – Ashleigh Middleton and Lucy McEvoy

The following table provides an overview of the key statistics for RAMHP’s Instagram page.

Table 5: Overview of RAMHP’s Instagram Page Statistics, Jan – Mar 2021

 Statistic                                                           Impact

 32 new followers were achieved during this period, bringing     Number of followers increased by 5% this quarter
 the total to 715
 There were 16 posts published this quarter                      Publishing frequency decreased by 62% this quarter as compared with the previous
                                                                 (October – December 2020) quarter. This decrease was an expected impact due to
                                                                 staffing changes within the RAMHP management team as well as the CRRMH
                                                                 (Centre for Rural and Remote Mental Health) between the January – March 2021
                                                                 period.
 There were 291 post engagements this quarter                    Total post engagements decreased by 42% this quarter as compared with the Oct –
                                                                 Dec 2020 period, which is consistent with a significant reduction in paid campaigns
                                                                 during the Jan – Mar 2021 quarter.

 | 15        Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                                           RAMHP Updates by
                                    Data Considerations                                       LINK             TRAIN             INFORM
      Program Updates                                          Program Component

General RAMHP Program Updates

RAMHP Social Media – Ashleigh Middleton and Lucy McEvoy

The following table provides an overview of the key statistics for RAMHP’s LinkedIn page.

Table 6: Overview of RAMHP’s LinkedIn Page Statistics, Jan – Mar 2021

 Statistic                                                            Impact

 32 new followers were achieved during this period, bringing     Number of followers increased by 16% this quarter
 the total to 186
 There were 18 posts published this quarter                      Publishing frequency decreased this quarter. This decrease was an expected impact
                                                                 due to staffing changes within the RAMHP management team as well as the
                                                                 CRRMH (Centre for Rural and Remote Mental Health) between the January –
                                                                 March 2021 period.
 There were 96 post engagements this quarter                     Total post engagements decreased by 26% this quarter as compared with the Oct –
                                                                 Dec 2020 period, which is consistent with a significant reduction in paid campaigns
                                                                 during the Jan – Mar 2021 quarter.

 | 16        Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                      Data                    RAMHP Updates by
                                                                                                    LINK            TRAIN             INFORM
        Program Updates                Considerations              Program Component

Data Considerations

RAMHP Data and Evaluation – Corinna West and Nic Powell

   The following pages in this report represent the data collected for Q1 2021 (January – March 2021) using the RAMHP App. There are a
   number of considerations which must be taken into account when interpreting the results of this data. These include:

   •    Annual/personal leave taken by RAMHP Coordinators as well as vacant RAMHP Coordinator positions during the reporting period
        may impact on their data presented in the Report. During this reporting period we had two Coordinator vacancies (Hunter New
        England and Illawarra Shoalhaven) and one Coordinator on extended leave (Western).
   •    Population size and demography differs considerably in each of the LHDs covered by RAMHP Coordinators. RAMHP
        Coordinators tailor their activities to cater to the priorities within their LHD. This must be taken into consideration when interpreting
        the LHD comparative data.
   •    RAMHP data are collected by 20 different coordinators who may record their activities differently based on their background,
        expertise and understanding.
   •    RAMHP Data and Evaluations Manager position vacant from March 2021, allows for potential variations in the methodology/analysis
        of the data by the acting Data Analysts which may impact the data presented in the Report.

 | 17      Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                                                        RAMHP Updates by
                                        Data Considerations                                                      LINK                TRAIN               INFORM
       Program Updates                                                     Program Component

LINK: How Many People Were Linked?

                                               Chart 1: Number of Links Jan – Mar 2021, by Linkage Type

Note: The category ‘Unspecified’ was added to the Jan – Mar 2021 period to cover individuals who preferred not to identify who they were seeking assistance for.

 •   From January – March 2021, 408 people were linked to                            •   Most links (n=141, 35%) were people seeking assistance
     mental health support services or resources by RAMHP                                for someone else.
     Coordinators. This is an increase of +1% compared to the
     previous October – December 2020 quarter.

| 18      Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                                                        RAMHP Updates by
                                         Data Considerations                                                      LINK                TRAIN                  INFORM
        Program Updates                                                     Program Component

LINK: How Did Linking Take Place?

                                            Chart 2: Proportion of Links Jan – Mar 2021, by Method of Linkage

        Note: (n=270). 138 cases were not included as they were group links i.e. when a number of people are linked at the same time for a specific issue.

 •   During January – March 2021, the largest number of links                         •   A considerable proportion of linkages also occurred through
     took place by phone or email contact between RAMHP                                   organisations within the RAMHP network (n=42, 16%), as
     Coordinators and a member of the community (n=66, 24%). In                           well as via direct contact with people in the community
     the previous October – December 2020 quarter, the largest                            e.g. on the street or by chance (n=36, 13%).
     number of links took place when RAMHP Coordinators
     attended community events or meetings.

 | 19      Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                                                         RAMHP Updates by
                                              Data Considerations                                                   LINK                TRAIN            INFORM
          Program Updates                                                      Program Component

LINK: How Did Linking Take Place

Table 7: Proportion of Links Jan – Mar 2021, by Method of Linkage & Local Health District

                                                         Hunter New     Illawarra     Mid North                  Nepean Blue
  How linking took place                      Far West                                            Murrumbidgee                  Northern      Southern   Western   Total
                                                          England      Shoalhaven      Coast                        Mtns.

  At RAMHP training                             24%         16%           0%            8%            0%             0%           3%            10%       10%      10%

  At a disaster related community event or
                                                 0%         2%            0%            23%           0%             0%           10%           10%        0%       6%
  meeting (e.g. drought, fire)
  At another type of community event or
                                                12%         2%            0%            8%            0%             0%           4%            14%       15%       9%
  meeting
  Direct contact with the person in the
                                                12%         16%           50%           8%            20%            0%           21%           4%        10%      13%
  community (e.g. on the street, by chance)
  Through an organisation in RAMHP's
                                                 8%         9%            0%            8%            0%             0%           17%           28%       15%      15%
  network

  Referral to RAMHP coordinator                  0%         5%            0%            0%            0%           100%           24%           4%         2%      10%

  Via Zoom or other conference platform          0%         0%            0%            0%            0%             0%           0%            2%         2%       1%

  By phone or email contact with a
                                                24%         48%           50%           23%           60%            0%           18%           12%       22%      24%
  community member
  At a community organisation or other
                                                 4%         0%            0%            8%            0%             0%           0%            0%         2%       1%
  service

  Other                                         16%         2%            0%            15%           20%            0%           4%            16%       22%      12%

TOTAL                                           100%       100%          100%          100%          100%          100%          100%           100%      100%     100%

Note: (n=270). 138 cases were not included as they were group links i.e. when a number of people are linked at the same time for a specific issue.

  | 20       Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                                      RAMHP Updates by
                               Data Considerations                                   LINK           TRAIN            INFORM
       Program Updates                                   Program Component

LINK: What Symptoms or Issues Were RAMHP Coordinators Assisting With?

   Chart 3: Symptoms and Issues Identified when Linking, Jan – Mar 2021

                                                                                 The issues or symptoms RAMHP Coordinators
                                                                                 assisted with are presented in chart 3 (left). More
                                                                                 than one issue or symptom can be selected for each
                                                                                 person linked (N=475).

                                                                                 The top 5 most common symptoms or issues
                                                                                 identified during linking were:
                                                                                 1. Disclosed, Known or Suspected Pre-existing
                                                                                    Mental Health Disorder (n=61).
                                                                                 2. Relationship concerns (e.g. relationship
                                                                                    breakdown, divorce, family discord, friendship
                                                                                    difficulties) (n=42)
                                                                                 3. Symptoms of an emerging mental health
                                                                                    disorder (e.g. psychotic disorders, bipolar
                                                                                    disorder, depressive disorders, anxiety disorders
                                                                                    etc) (n=37)
                                                                                 4. Trauma (e.g. sexual assault, military combat,
                                                                                    victim of crime, vicarious trauma) (n=35)
                                                                                 5. Bereavement (n=34)

| 21      Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                                       RAMHP Updates by
                                Data Considerations                                    LINK           TRAIN   INFORM
       Program Updates                                    Program Component

LINK: What Support or Resources Were Suggested by RAMHP Coordinators?
               Chart 4: Number of Times a Type of Support or Resource was Suggested, Jan – Mar 2021
                                                                                                              RAMHP Coordinators
                                                                                                              often provide more
                                                                                                              than one type of
                                                                                                              support or resource
                                                                                                              when they link
                                                                                                              (N=423).

                                                                                                              The three most
                                                                                                              common support or
                                                                                                              resources provided by
                                                                                                              RAMHP Coordinators
                                                                                                              were:
                                                                                                              1. RAMHP
                                                                                                                 Coordinators
                                                                                                                 providing
                                                                                                                 strategies
                                                                                                              2. Website
                                                                                                                 information, app,
                                                                                                                 online therapy or
                                                                                                                 e-mental health
                                                                                                              3. GP.

| 22      Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                                            RAMHP Updates by
                                    Data Considerations                                         LINK          TRAIN            INFORM
        Program Updates                                         Program Component

LINK: Coordinators’ Stories From Those We Help

     I met a woman who had lost her husband at                                                    An RFS volunteer presented and told me he
        new years eve during the fires. She was                                                   hadn't been managing well since the start of
        feeling very distressed, finding it hard to                                               the year. Whilst he had attempted to access
    function and was unable to cope. I linked her                                                   support, he had not found it helpful. We
      to services and also encouraged her to be                                                   explored what he thought would work for him
       less hard on herself, and that her feelings                                                and built on that. I encouraged him to speak
                                                       I worked with a young man who was
               were a normal response.                                                             to his GP and recommended some online
                                                        the first responder to a work-related
                                                                                                          resource and support options.
                                                         incident nearly a year ago. He was
                                                           unable to get the images of the
                                                       incident out of his head and reported
                                                      feeling unsupported by his employer. I
                                                        encouraged him to get support from
                                                           his GP and also recommended
A person in my professional network who was                       Phoenix Australia.
   suffering domestic violence and as a result
suicidal ideation reached out. As a result of our                                                 I linked a Dairy farmer experiencing a
connection, she was linked to multiple services                                                       marital breakdown to a farm gate
 including local mental health services and law                                                   counsellor. They are working through
  enforcement for protection. Her response on                                                     mental health issues that his wife was
  seeing me in the community "Thank you. If it            I met a local osyter grower who         threatening to leave him because of.
wasn’t for you and the people that worked with             was impacted by the flood and
you I wouldn’t be where I am today...I wouldn’t             was not coping financially. I
             have been here at all".                        linked him to Rual Financial
                                                               Counselling Services.

 | 23      Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                                         RAMHP Updates by
                                  Data Considerations                                    LINK           TRAIN           INFORM
        Program Updates                                      Program Component

TRAIN: How Much Training Was Delivered?
    Chart 5: Number of Training Courses Delivered, by Course Type,            Chart 6: Number of Training Participants, Jan – Mar 2021
                           Jan – Mar 2021

•     From January – March 2021, 83 training courses were               •   The most common training courses delivered were Tailored
      delivered by RAMHP Coordinators. This is a decrease of                Training (n=25, 30%) and Short Presentations (n=17, 20%).
      31% compared to the previous October – December 2020 quarter.
                                                                        •   On average each course contained 14.7 participants.
      This decrease in training can be attributed to the annual leave
      taken by RAMHP coordinators as well as vacant positions in the
      January – March 2021 quarter. October is also Mental Health
      month which is a huge focus for RAMHP and the Coordinators.
•     RAMHP Coordinators delivered mental health training to 1,213
      participants this quarter.

| 24       Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                                      RAMHP Updates by
                               Data Considerations                                      LINK          TRAIN          INFORM
       Program Updates                                   Program Component

TRAIN: Who Did RAMHP Coordinators Train?

   Chart 7: Number of Training Courses, Audience Type, Jan – Mar 2021
                                                                              •   Training courses were predominantly comprised of
                                                                                  community groups and organisations (n=14, 17%)
                                                                                  and general community members (n=13, 16%).
                                                                              •   Examples of mental health staff trained included
                                                                                  Hunter New England LHD, Temora Community
                                                                                  Mental Health Services, Northern NSW LHD and
                                                                                  Southern NSW LHD – Aboriginal MH Traineeship
                                                                                  Program Education.

                                                                                    Examples of Organisations Trained

                                                                                    •    UNSW – Rural Clinical Schools
                                                                                    •    Live Better
                                                                                    •    Central West Family Support Group
                                                                                    •    Bathurst Regional Council
                                                                                    •    Department of Community and Justice
                                                                                    •    Department of Sport and Recreation
                                                                                    •    Rural Fire Service (RFS)
                                                                                    •    Meat and Livestock Australia
                                                                                    •    Action Learning Initiatives
                                                                                    •    Mid Western Regional Council
                                                                                    •    Narrabri Interagency
                                                                                    •    Coomealla High School
                                                                                    •    Meat and Livestock Australia

| 25      Rural Adversity Mental Health Program Quarterly Report: January - March 2021
General RAMHP                                      RAMHP Updates by
                               Data Considerations                                      LINK            TRAIN           INFORM
       Program Updates                                   Program Component

INFORM: Which Audiences Were Reached Through Community Events?

Chart 8: Coordinator Attendance at Community Events, by Audience Type, Jan – Mar 2021

                                                                         •   RAMHP Coordinators attended 112 Community Events
                                                                             between Jan – Mar 2021. This is a decrease of 21% as
                                                                             compared with the previous October – December 2020
                                                                             quarter.

                                                                         •   Most community events attended by RAMHP Coordinators
                                                                             were for General Community (n=29, 26%) or Fire Related
                                                                             (n=25, 22%).

                                                                         •   Fire Related events included Walcha Show Fire Recovery
                                                                             Exhibition, Fire Up Cobargo, Nowendoc Fire Recovery Dinner
                                                                             and Red Cross Bushfire Stories.

                                                                         •   We expect that the impact of the Northern NSW Floods will
                                                                             likely be seen in the Community Events data for the following
                                                                             Apr – June 2021 quarter, as the current Jan – Mar 2021
                                                                             quarter was a time for crisis management and linking to
                                                                             support.

                                                                         •   RAMHP Coordinators had direct contact with 1,493 visitors at
                                                                             events.

| 26      Rural Adversity Mental Health Program Quarterly Report: January - March 2021
APPENDICES
APPENDIX A:
Summary – Rural Adversity Mental Health Program Outcome Evaluation 2016 – 2020
Evaluation Purpose
This Outcome Evaluation Report is the final evaluation report for the funding period 2016 – 2020. The findings of this report will be used to assess the impact of
the program, the contribution of particular strategies and to make improvements.

Approach
A multi-method approach was used, producing quantitative and qualitative data from key stakeholders and a range of data sources.

                                    Satisfaction                                                                                              Effectiveness
                   Key stakeholders were satisfied with RAMHP.                                                RAMHP has made strong progress toward achieving program objectives.

                                                                                                                                               “[The most valuable thing the RAMHP Coordinator did
                                                                                                                                               was give me] incredibly relevant information relating to
                                                                             The RAMHP                                                         the target group. Incredible resources that came to me
                                                                           Coordinator role                                                    within the day of contact.” (RAMHP Survey participant)

         94%                                 97%                                                     11,499 people linked to
                                                                          has been delivered
                                                                          consistently across
                                                                                NSW.                 41,645 services or resources.
                                                                                                     The top 3 services or resources
                                                                                                     linked to were:
                                                                                                     1. General Practitioners
                                                                                                     2. Printed information

                                                                                                                                                            94%                                  77%
                                                                                                     3. Website information, online
Of partner organisations rated      Of RAMHP training participants were                                  therapy or e-mental health
RAMHP’s role of connecting people   satisfied with the training.
to services as valuable.            Comprised of 41% who were
                                    ‘satisfied’ and 56% who are ‘very
                                    satisfied’.                                  LHD
                                                                            Management
                                                                            were satisfied
                                                                           with all areas of
                                                                                                                                                    Of RAMHP training participants      Of RAMHP training participants
    “I believe everyone should                                                 program
                                                                                                                                                    agreed that the training had        agreed that the training had made it
 undertake such training, it would                                           delivery and                                                           increased their awareness of
                                             “Oh, [RAMHP’s linkage            outcomes.               RAMHP Coordinators developed                                                      more likely they would seek help if
   greatly reduce stigma in the                                                                                                                     mental health services and          they were concerned about their own
 community making it more likely
people would seek help when it’s
                                               service is] extremely
                                              valuable because they                                   789 significant partnerships.                 resources.                          mental health.

needed for themselves or a loved               provide information I                                  The top 3 sectors partnered with
one.” (RAMHP Training Follow-Up               wouldn’t otherwise be                                   were:
                                               able to get anywhere                Partner
        Survey respondent)                                                      organisations         1. Community groups or
                                            else.” (Population Sector                                    organisations
                                                 Representative)              and community

                                                                                                                                                            52%                                  79%
                                                                              representatives         2. Mental health organisations
                                                                               indicated high         3. Government or council
                                                                              levels of praise
                                                                                for RAMHP’s       “The training was great. Being in a rural area
                                                                                  value and      we have many clients who have been affected
    “It was great to speak to [RAMHP Coordinator].                             effectiveness.       by the drought. I now feel equipped to help
     She was friendly, clear, good listener, came up                                             someone should they confide in me about their
    with ideas and followed through with resources.                                               mental health. I know the resources available
         Fantastic!” (RAMHP Survey participant)                                                    in our local area and what is the appropriate    Of RAMHP training participants      Of RAMHP training participants had
                                                                                                     response to different situations.” (RAMHP      had asked or spoken with            done more to look after their own
                                                                                                                                                    someone about their mental          mental health two months after
                                                                                                      Training Follow-Up Survey respondent)
                                                                                                                                                    health two months after training.   training.
Appropriateness                                                                                              Sustainability
       RAMHP’s strategies, activities and outputs were appropriate to the                               The main factors supporting program sustainability were demand for RAMHP
       needs of rural and remote communities in NSW.                                                    services and strong relationships with communities and other stakeholders.

                                                                                                        Key program risks relate to funding uncertainty and the ability of RAMHP to adapt
                                                                                                        to COVID-19 and other unforeseen disasters.

                                                                                                                “I think the program is in the best shape it has been. The strong team at

1,967 training
courses delivered to
                                   87%                                  89%                                            the Centre, under Tessa's leadership, we have seen massive
                                                                                                                  improvements in the way we operate. It has meant we have a strong,
                                                                                                                 evidence-based state-wide program with a great profile and good track
41,991 people.                                                                                                       record. As a team we feel well supported and we are clear in our
                                                                                                                   purpose and how we execute this. The longer the funding period the
613 Tailored Training                                                                                            better as it allows us to plan and stay engaged with our communities.”
courses developed                                                                                                                          (RAMHP Coordinator)
and delivered.             Of RAMHP training participants       Of RAMHP training participants
                           viewed the training as useful for    viewed the training as useful for
                           their role or job two months after   their personal life two months after
                           training.                            training.

                             “They’re local, they know the place,
                                                                                                                                          Conclusion
                           they know the players, they know how                                           RAMHP has performed strongly in all areas of service delivery producing outcomes
                           things work and they can relate to the                                         that benefit individuals, communities, workplaces, community organisations and the
Expansion of RAMHP’s        individual struggles because they’ve
                                                                                                          mental health system in rural and remote NSW.
communication                been involved in them themselves.”
capacity resulted in a       (LHD Director, General Manager or
                                           Manager)
                                                                                                                                Main Recommendations
wide variety of program
resources available in                                                                                 1. Increase partnerships with currently under-represented sectors e.g. employment-
many formats to reach                                                                                      related organisations (see main report for full list).
                                                “Other service providers actually are a
and engage different                           little bit pushy in what they provide and               2. Use feedback from RAMHP training participants and RAMHP Coordinators to
groups.                                         what they won’t provide, whereas I’ve                      improve training.
                                              always found RAMHP to be very flexible                   3. Expand the reach of RAMHP’s training to less represented organisational sectors
Direct contact with                             and open and willing to look outside of                    and community members e.g. sports (see main report for full list).
37,135 people at                              what they provide to see if they can meet                4. Clarify the program’s disaster response role and continue to explore how to manage
2,231 community                                    what the community is asking for.”
                                                     (Health Sector Representative)
                                                                                                           the impact of disasters on program capacity.
events.                                                                                                5. Continually innovate including determining new ways to reach people with mental
                                                                                                           health information and creative delivery of all program pillars (linking, partnerships,
26 different state-wide                                                                                    community events and training).
events attended.
                                                                                                       6. Continue to work toward ensuring that program activities are inclusive of all
                                                                                                           demographic groups in rural and remote NSW including the elderly, unemployed
                          Unintended Impacts                                                               people and Aboriginal people.
The main unexpected impacts of the program were:                                                       7. Continue to explore additional sources of program income.
1. Wider than intended impact on external organisations’ activities, services and                      8. Continue to monitor RAMHP Coordinators’ wellbeing, workloads and support
   events.                                                                                                 requirements.
2. An increased role and profile in disaster-response due to the occurrence of                         9. Increase LHD management and executive-level awareness, support and promotion
   severe and prolonged drought, floods, record-breaking fires, environmental                              of RAMHP.
   chemical contamination and global pandemic during this funding period.                              10. Investigate further ways to respond creatively to the impact of COVID-19 on program
3. RAMHP’s longevity providing a consistent service in a changing context.                                 activities.
4. Higher than expected demand for RAMHP resources.                                                    11. Continue to invest in (and improve) comprehensive program evaluation to inform
5. High levels of recognition through receiving awards.                                                    strategic program planning and promote program achievements.
If you have any questions regarding the content of this Report, please contact:
                                   Jeff Fuller
                         Program Manager, RAMHP
                              Ph: 0436 029 699
                     Email: jeff.fuller@newcastle.edu.au
You can also read