“The challenges in delivering impact in resilience” Prof Maree Teesson AC The Matilda Centre University of Sydney A Better Start is funded by the Ministry of Business, Innovation and Employment

The burden of mental and substance use disorders now accounts for lost years of health globally 1 IN EVERY 10 [Click to emphasise 1 in 10] Source: Patel et al, 2015

The burden falls heavily on youth Half of all disorders begin before leaving school

The burden falls heavily on youth Depression Road traffic accidents Schizophrenia Bipolar Disorder Violence Alcohol use HIV/AIDS Self-inflicted injuries Tuberculosis Lower Respiratory Infections 5/10 Conservatively costs $74B Annually in Australia [click to show 5/10] [click to show cost] Source: Gore et al., 2011 Source: Collins & Lasley, 2008; Niel et al., 2010, KPMG, 2013

than die in motor vehicle accidents Suicide Every year: Over 65,000 Australians make a suicide attempt 3,128 Australians died by suicide in 2017 Suicide is the leading cause of death for Australians between 15 and 44 years of age  Young Australians are more likely to take their own life than die in motor vehicle accidents [click to reveal each tile] Over 65,000 Australians make a suicide attempt 3,128 Australians died by suicide in 2017 Suicide is the leading cause of death for Australians between 15 and 44 years of age  Young Australians are more likely to take their own life than die in motor vehicle accidents

The changing landscape of resilience [Click to emphasise 1 in 10] Source: Patel et al, 2015

Young people want a better future Mission Australia’s asked over 24,000 young Australians what they think are the most important issues in Australia today Mental Health 1 Drugs and Alcohol 2 Equity and Discrimination 3 [click to reveal top 3 – speech bubbles]

Opportunity: Building effective prevention programs 6 trials involving 157 schools and > 14,000 students across Australia and London 17 published papers reporting effectiveness : Decreases in use of alcohol, cannabis and ecstasy Preventing anxiety and depression Sustained reduction in binge-drinking at 3yrs after program Reduced harms related to alcohol National Register of Evidence based Prevention Programs One such school-based program found to be effective is Climate Schools www.climateschools.org.au

Opportunity : Increasing our reach & 357,991 site users Tweets Following Followers Likes 2,467 1,466 1,379 849 Page Likes Followers 1,295 1,325 Maree: Could use something like this to talk about translation

Opportunity : creating enabling environments

Positive Choices Aboriginal and Torres Strait Islander Project The Positive Choices portal now provides culturally appropriate resources for Aboriginal and Torres Strait Islander people. Resources include: Organisations that we have consulted & collaborated with: So overall, what appears to work is: culturally-adapted programs, communities being involved in program development, including cultural knowledge enhancement, skill development and AOD education into the program content. Having Indigenous facilitators and/or trained facilitators, promoting health, including recreational activities an providing booster sessions post program completion.