Pre-Budget Submission 2021-2022 - Victoria APRIL 2021 - Australian ...
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Enquiries regarding this submission can be directed to: Anneka Farrington Branch Service Coordinator, AASW VIC 03 9320 1000 aaswvic@aasw.asn.au Charles Chu AASW Social Policy and Advocacy Officer 03 9320 1000 Charles.chu@aasw.asn.au 2
The Australian Association of Social Workers The Australian Association of Social Workers (AASW) is the professional body representing more than 14,000 social workers throughout Australia. We set the benchmark for professional education and practice in social work, and advocate on matters of human rights, discrimination, and matters that influence people’s quality of life. The Social Work Profession Social work is a tertiary qualified profession recognised internationally that pursues social justice and human rights. Social workers aim to enhance the quality of life of every member of society and empower them to develop their full potential. Principles of social justice, human rights, collective responsibility and respect for diversity are central to the profession, and are underpinned by theories of social work, social sciences, humanities and Indigenous knowledges. Professional social workers consider the relationship between biological, psychological, social and cultural factors and how they influence a person’s health, wellbeing and development. Social workers work with individuals, families, groups and communities. They maintain a dual focus on improving human wellbeing; and identifying and addressing any external issues (known as systemic or structural issues) that detract from wellbeing, such as inequality, injustice, and discrimination. 3
Our vision to a just society in the midst of the COVID-19 pandemic Our vision is for a cohesive, inclusive and just society in which it is possible for everyone to thrive, flourish and develop their full potential. 2020 has provided lessons for the whole community, especially official decision makers in what is required to ensure this outcome. The AASW believes that these lessons clearly illustrate that all aspects of our well being are deeply intertwined, and that we can no longer ignore the connections between our economic success, the strength of our communities, our responses to inequality and the health of our environment. Consequently, we call for the adoption of a holistic, proactive approach to all dimensions of health and well-being encompassing income levels, housing, safety from violence, mental health, climate action and Reconciliation. Social workers are on the front lines supporting individuals, groups and communities to manage the impacts of Coronavirus disease (COVID-19). Everyday, social workers are engaging directly with people across a wide range of health and social supports and services to address the devastating impacts that this pandemic is having on the lives of so many Australians. From previous pandemics to global conflicts, social workers have and will continue to play a vital role in crisis, recovery and long-term reconstruction efforts. Social workers have been a key part of the Victorian government’s response to COVID-19 and as a profession we have been working in partnership and collaboration with key stakeholders. COVID-19 has had far-reaching impacts across all aspects of peoples’ lives, in particular for Victorians. We recognise the impacts that the pandemic has had on the general community, including our members. Social workers, like many health professionals, are deeply concerned about the impact of COVID-19 on their well-being, the people to whom they provide services, their families, and others in the community. With this in mind, the Victorian State Budget 2021-22 must continue to address the myriad impacts of the COVID-19 crisis and recovery and ensure that no one is left behind. Our recommendations address the following areas: • Mental Health • Family Violence • Child Protection • Housing and Homelessness • Reconciliation & Closing the Gap • Climate Action • Hospital Social Work and End-of-Life Care 4
Mental Health Social workers are an integral part of the mental health workforce and our members deliver services across a range of settings throughout Victoria. In particular, Accredited Mental Health Social Workers (AMHSW) work with people across the lifespan (including children, adults and older persons) and provide a unique contribution to the mental health space in their holistic approach to working with a person. The advanced training that is expected of AMHSW prepares and provides them with the skills for working with people with very complex presentations and co-morbidities. The AASW strongly advocates for greater investment in community mental health and for programs focused on both prevention and early intervention. Our members have recognised that the mental health system has been ‘hollowed out’ since the previous budgets focus on acute mental health care in hospitals, instead of primary and secondary internventions in community mental health services. According to the Final Report to the Royal Commission into Victoria's Mental Health System, the mental health system has become so crisis-driven that many people have fallen through the cracks as their mental health conditions are either ‘too severe’ for GPs and ‘not severe enough’ for hospital admissions. Our submission to Royal Commission into Victoria’s Mental Health System has detailed the horrifying stories of people waiting for days, if not years, to access community mental health services. The situation has further deteroriated during the COVID-19 crisis with multiple strict and enduring lockdowns. Our members in all lines of service report increased demand for mental health care since the onset of the COVID-19 pandemic. As poor mental health often correlates with other social vulnerabilities, such as homelessness and alcohol and other drug dependency, it is urgent that the Victorian Government address the issues that make the mental health system inaccessible to many. The report to the Royal Commission into Victoria’s Mental Health System has detailed recommendations on the fiscal commitment required to build more community mental health facilities and to strengthen primary and secondary intervention programs to meet the diverse needs of the ‘missing middle’. To repair the broken foundations of the Victorian Mental Health System, the AASW welcomes all the recommendations of the Royal Commission and highly encourages the Victorian Government to significantly increase its investment to implement all recommendations from the Commission’s Final Report, as this is a re-investment to the Victorian community. AASW Recommendation: • That the Victorian Government commit to the significant and timely investment in the implementation of all recommendations from the Final Report of the Royal Commission into Victoria's Mental Health System. Relevant AASW Position and Statement: • AASW Submission to the Royal Commission into Victoria’s Mental Health System 5
Family Violence Family violence is a gendered crime: it is most commonly perpetrated by men, against women. It also deeply affects children. In Victoria, the male offender rate was over four times higher than the female offender rate with 489 male FV offenders per 100,000 males and 97 female FV offenders per 100,000 females in 2019 - 2020. 1 The causes of family violence are complex and include factors that operate at the individual level as well as across the whole of society. Factors such as community attitudes towards women and gender inequality are experienced across all aspects of a woman’s life, even if she is not directly subjected to violence against herself. While we welcome the introduction of the Safe and strong: A Victorian Gender Equality Strategy and its whole-of- government approach to address gender equality, sustained and long-term funding are needed to support the health and wellbeing initiatives outlined in the strategy. In particular, significant investment is needed to continue to address key services gaps, such as the mental health prevention services for young women and the abortion service for women living in rural and remote Victoria. Our AASW members support, assist, and advocate on behalf of women, children and men affected by family violence and are integral to the delivery of services in the field. In our recent submission to The Family Violence Reform Implementation Monitor, members who work in the family violence sector reported that the roll-out of the Orange Door was well-intentioned in its aim to address the fragmentation of family violence services, but it was introduced too rapidly and services were not funded adequately to obtain quality staff and to ensure the consistency of service delivery. In the next budget. In addition, a comprehensive guide to the reforms that are needed across the service system is contained in the recommendations of the Victorian Royal Commission into Family Violence. It details the critical need to provide adequate funding for a vast range of family violence and support services. Currently, there are two main areas that need to be funded as a matter of urgency. First, only 3% of the family violence budget is spent on primary prevention. The AASW endorses VCOSS’ recommendation that the Victorian Government should spend on family violence prevention to at least 10% and ensure primary prevention activities and programs are funded for at least two to three years. 2 Second, the demand for specialist family violence services has increased due to COVID-19 and the 2019-20 Bushfire. Therefore, funding to these services need to be increased so that they can cover higher operational costs and retain experienced workers who are experts in working with complexities. AASW Recommendations: • That the Victorian Government continue to provide long-term funding for the front-line service system that responds to victim-survivors who experience violence, including family 1 https://www.abs.gov.au/statistics/people/crime-and-justice/recorded-crime-offenders/latest- release#family-and-domestic-violence-statistics 2 https://vcoss.org.au/wp-content/uploads/2021/03/VCOSS-fairness2021-web.pdf 6
violence services, sexual assault services, emergency housing services, and women health services. • That Victorian Government allocate 10% of the family violence budget to primary prevention services and activities. • That the Victorian Government continue to fund the implementation of the Safe and strong: A Victorian Gender Equality Strategy, in particular, strengthening the mental health prevention services for young women and making abortion services for women living in regional and remote Victoria more accessible. • That the Victorian Government continue to invest in all services provided by the Orange Door. • That the Victorian Government provide additional funding to the Orange Door centres and partner services in regional areas to ensure the consistency of service provision across Victoria. • That the Victorian Government invest in outreach programs that collaborate with different sectors to provide services for victim-survivors of family violence. Relevant AASW Position and Statement: • AASW’s Position Statement: Family Violence Child Protection With our commitment to the best interest of the child, we respond to the critical issue of ensuring the safety and wellbeing of children and young people, and in particular, the most vulnerable children and young people in our community. The AASW believes that early intervention and prevention services are crucial to provide families with adequate resources and skills to support the healthy development of a child and to meet the diverse needs of vulnerable families. We commend the Victorian Government for the significant commitment to responding to the critical issue of ensuring the safety and wellbeing of Victorian children and young people particularly the most vulnerable. We have been pleased to see that there has been growing investment in evidence- based preventative measures and therapeutic work with children and young people in the the State Budget 2020-21, including funding an increase in Victoria’s child protection workforce, the permanent extension of the Home Stretch program and a $51 million investment in family preservation and reunification services over the next four years. While we commend the substantial investment in all lines of interventions, this budget does not fully implement the recommendations of the Victorian Ombudsman report in response to The investigation into complaints about assaults of five children living in child protection residential care units. The AASW recommends that the 2021- 22 State Budget demonstrates the Victorian Government’s continued commitment to fund child wellbeing and family support services and fully implement the recommendations identified in the Ombudsman’s Report. 7
AASW Recommendations: • That the Victorian Government continue to invest in all child protection and wellbeing, and family support services to support vulnerable children and families. • That the Victorian Government commit to make substantial investment to implement the recommendations from the report to Investigation into complaints about assaults of five children living in child protection residential care units. Relevant AASW Position and Statements: • AASW Child Wellbeing and Protection Position Paper (2020) • Media Release – Child Protection Week 2018 • AASW Submissions relating to children, families and young people Housing and Homelessness The AASW believes that safe and secure housing is a human right and being deprived of this right severely undermines a person’s mental, physical and social wellbeing. It is of critical importance for the Government to address the current housing crisis to ensure that every Victorian has a place to call home. The 2020 Anglicare Rental Affordability Snapshot found that out of 1,201 private rentals, none were affordable for a person on the Disability Support Pension, JobSeeker, Youth Allowance, or Parenting Payment Single without the Coronavirus Supplement. Meanwhile, in Victoria alone, there is a waitlist of 82,000 people seeking public housing, highlighting the extreme shortage and limited access there is to affordable housing. A key contributor to this situation is the severe lack of funding for housing projects that could provide accommodation for people in need. The AASW refers to our submission to Inquiry to Homelessness in Victoria, which details the scope of homelessness from a social work perspective and provide a list of extensive recommendations. The AASW commends the $2.7b provided in 2020-21 to build 12,000 new social and affordable homes across metro and regional Victoria, under the Big Housing Build. This investment will build 9,300 new community housing homes, replace 1,100 public housing homes and build 2,900 affordable and market homes. Further, we welcome the investment of $150.8 million over the next four years to extend emergency hotel accommodation and provide support to transition to long-term housing for up to 2,000 Victorians experiencing homelessness. While we commend these investments, the legislation that authorises COVID-19 Emergency Measures to protect renters from financial hardship and housing insecurity has just ceased and there appears to be no fiscal commitment to build more public housing. We are worried that many vulnerable Victorians who are not eligible for social housing due to their complex needs will struggle to secure private rentals or other forms of housing. The AASW recommends the Victorian Government maintains its commitment in the budget 2020-21 to ensure that vulnerable people do not fall into homelessness once all income support and renter protection measures are wound back. AASW Recommendations: 8
• That the Victorian Government invest in a form of the Secure Tenancy Guarantee Scheme that provides a rent subsidy to all young people leaving care so that they pay no more than 25 per cent of their income for their housing up to the age of 25. • That the recommendations relating to housing from the 2015 Victorian Royal Commission into Family Violence, in particular, private rental brokerage, head leasing properties, and increasing beds in refuges, be given more funding to meet the increase in demand. • That programs similar to Home at Last, managed and delivered by Housing for the Aged Action Group, and similarly the federally funded Assistance with Care and Housing program be properly funded, including funding for brokerage, and implemented state-wide to cohorts whose underlying needs require extra support to secure appropriate housing. • That the Victorian Government further increase the public housing stocks and commit to continued renewal of the current stocks. Reconciliation and Closing the Gap Social workers are committed to advocating on matters of social inclusion, social justice and human rights. Through our collective actions, including our Reconciliation Action Plan, the AASW demonstrates our commitment to our core values and objectives as they apply to addressing past and continuing disadvantages imposed on Aboriginal and/or Torres Strait Islander peoples. This is driven by a focus on learning from the past and building meaningful relationships in order to work together for a more just Australia. The AASW acknowledges the recent budget announcement of $20m in 2020-21 for a service delivery fund for Aboriginal Community Controlled Organisations and Aboriginal Community Controlled Health Organisations to improve targeted support services as part of the Workforce Recovery program, and $335.3 million over the next 4 years to support earlier intervention in the children and families system to improve outcomes for Victorian children and to reduce entries into out–of–home care. However, we are still aware that Aboriginal children and young people are significantly overrepresentated in the out-of-home-care system and the criminal justice system in Victoria. Therefore, while we welcome these recent budget announcements, the AASW recommends that the government further its investment to ensure self-determination of Aboriginal and/or Torres Strait Islander communities in Victoria. AASW Recommendations: • That the Victorian Government continue its investment to meet the National Closing the Gap target. • That the Victorian Government continue its investment to support Aboriginal Community- Controlled Organisations to further progress the transition of services for Aboriginal and/or Torres Strait Islander Victorians to community-controlled organisations. 9
Relevant AASW Position and Statements: • AASW Reconciliation Action Plan 2020-2022 • Media release: Australia Day continues as an open wound for Australians Climate Action Climate Change and Social Justice The responsibility of government is to create the conditions under which everyone can flourish and thrive. This encompasses the natural environment as well as the social and economic conditions. The changes confronting Australia’s environment as a result of global warming are already profound and extensive, making climate policy an urgent responsibility of the Victorian Government. Social workers observe that although the consequences of climate change are affecting the entire population, the economic and social burden is falling most heavily on already vulnerable people. The Bushfires of 2019-2020 demonstrated that the changing climate can cause a catastrophic outcome for regional Australians and Aboriginal and/or Torres Strait Islander communities across Australia, many of whom lost their homes and require ongoing mental health support. Many social workers in regional Victoria work with people who lost their homes and possessions. In the State Budget 2021-2022, the government must clearly demonstrate its commitment to progress climate action to prevent future catastrophies. Implementation of the Sustainable Development Goals The Sustainable Development Goals (SDGs) provide an important mechanism through which the government can address some of the biggest challenges currently facing Australia, and the world, with a particular focus on human rights and social justice. The implementation of the SDGs seeks to provide meaningful and sustainable solutions to addressing the major challenges we are facing at a local and global level. Currently, the Department of Environment, Land, Water and Planning is utilising this framework for climate actions. We have seen positive policy outcomes, including the the recent announcement to allocate $205.6m in 2020-21 to develop new clean energy projects and reduce power bills for households and $152.2 million in the next 4 years for solar panel rebates for 42,000 additional homes, as well as 17,500 solar battery rebates with no more postcode restrictions. Therefore, the AASW recommends the Victorian Government continue to invest in initiatives that transition away from non-renewable energy and achieve zero-emission target. AASW Recommendations: • That the Victorain Government continue its investment to achieve strong emissions reductions to reduce the current and future health impacts and risks associated with increasing global temperature, sea level rise, and food and water insecurity, and respiratory health. 10
• That the Victorian Government invests in the development and implementation of other Sustainable Development Goals in Victoria Relevant AASW Position and Statements: • AASW calling on all Australian governments to make serious commitments to meeting the 2030 Goals. Hospital Social Work and End-of-Life Care Social workers bring a unique, non-medical perspective to health care, with a cultural, systems, person-in-environment focus. They work in hospitals, rehabilitation facilities, and community health centres to provide essential services for vulnerable people. We endorse the growing acceptance of the principle that people can exercise informed choice over the services that they will receive. Empowering people to exercise control in their lives is consistent with a rights-based approach to human wellbeing and promotes the principle of self-determination that social work has long upheld. Nevertheless, we understand that ensuring that individuals can exercise choice will not automatically overcome the structural causes of injustice. The COVID-19 pandemic has highlighted the significance of hospital workforce and many social workers work in a health setting to assist people in discharge planning and service referrals. The AASW recognises the State Budget 2021-2022 needs to have a strong commitment to strengthen the health workforce, especially in regional Victoria. Our members told us that people in regional Victoria often travel for more than an hour to access the nearest health service, not to mention specialist health services that are often located in metropolitan areas. In addition, AASW members told us that the options for end-of-life-care in the home are scarce and cannot meet the demand of people who want to pass away at home with dignity and self-determination. Therefore, we support the Victorian Government initative to expand the provision of hospital services at home by investing $116.5 milion over the next three years to meet growing demand for hospital services in the home, including dialysis, chemotherapy and palliative treatment. This has to be continued alongside the strengthening of regional health workforce that meets the demand of vulnerable Victorians. AASW Recommendations: • That the Victorian Government continue to invest in regional health services and workforce to meet the diverse needs of regional Victorians. • That the Victorian Government strengthen its investment to the provision of end-of-life care at home to ensure the self-determination of Victorians. Conclusion While the State Budget 2020-21 made many promising fiscial commitments, those signficant funding allocations must be sustained for the State Budget 2021-22 and the years to come. Social workers work with many of the vulnerable Victorians whose quality of life have been and will continue to be 11
impacted by measures that are within the control of the Victorian Government during all stages of the COVID-19 pandemic. The AASW calls on Victorian Government to continue to proactively invest in the programs and services that will serve to ameliorate the myriad impacts of COVID-19 with a view to ensuring that Victoria is a fair, just and safe place for all Victorians. 12
© Australian Association of Social Workers Level 7, 14-20 Blackwood Street NORTH MELBOURNE VIC 3051 PO Box 2008 ROYAL MELBOURNE HOSPITAL VIC 3050 P: 03 9320 1000 www.aasw.asn.au E: socialpolicy@aasw.asn.au www.aasw.asn.au ACN 008 576 010 ABN 93 008 576 010 13
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