Jamie Lee is Principal Researcher at Relationships Australia (SA). He is also a Counselling Psychologist working with children and their families after separation.

In this article Jamie Lee describes learnings from a Universal Mental Health Screening project at Relationships Australia (SA).
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It’s no secret that parental separation and conflict is a risk factor for mental health problems in kids (Google "parental separation and child outcomes" if you didn’t already know.)
But nearly all children referred from the Adelaide Family Relationships Centre (FRC) to iKids, the Supporting Children After Separation Program at Relationships Australia (SA), were at much higher risk than typical Aussie kids.1
That’s when we asked: “Are all kids suffering like this when their parents/carers do mediation at the FRC? Short of sending them all to iKids to check, what more can we do to be sure?”
As a result, the FRC Universal Mental Health Screening project began in 2013 to assess:
1. the scale of mental health problems in FRC families; and
2. whether we could respond within current organisational capacity at Relationships Australia (SA).
We implemented the project as follows:
And the big headline?
There were no floodgates of mental health problems overwhelming the service, despite initial fears. Of the 238 families4 screened so far, over two thirds (68.8%) have no or low risk of mental health problems. By contrast, just 9.2% of children or adults are identified as high risk of a mental health problem with no suitable supports in place. When followed up – usually by phone – about half of these families took up the offer of support from us (e.g. family counselling); the other half said, “Thanks for the call, but I’ll manage it myself.”
The file review5 by the senior practitioner revealed that another 13.8% had supports in place already, or the mediator had already identified a counselling referral, so no action was needed.
The final 8.3% of cases – mostly medium level risks – involved supporting the mediator to manage the mental health risks within the mediation context rather than by responding to clients directly. For example, mediators may be prompted to consider child consultation in their mediation if parents’ reports of their children’s wellbeing varied, with the hope the missing ingredient may be strengthening the parenting alliance or hearing their children’s distress at the conflict.
In short, we already had the organisational capacity within our agency to respond to the diverse mental health risks. If not, we had the local knowledge to assist clients to the next place through effective onwards referral outside our agency.
An evaluation of the program6 showed that our universal screening was valued highly by mediators. They saw it as:
Client feedback has been overwhelmingly positive. Many clients have thanked us for checking in with them about their families without “checking up on them”.
Finally, an organisational review showed that triaging and responding to all cases was possible within current capacity, with each family taking a maximum of 10-15 minutes to screen and assess for risk.
We identified several factors that made universal screening work smoothly:
So, to answer the question, we don’t need all children to come to iKids. Universal screening of mental health problems in families is a quick and easy way to begin listening to kids via their parents and carers.
Jamie can be contacted via: adelaidefrc@rasa.org.au.
Footnotes:
The feature image is by Travis Swan, CC BY-SA 2.0.
Infographic: C - Relationships Australia (SA)
Jamie Lee is Principal Researcher at Relationships Australia (SA). He is also a Counselling Psychologist working with children and their families after separation.
Examines the importance of listening to the perspectives of young people on their experiences of parental separation.
Professor Lawrie Moloney writes about parenting and parental absence after separation.
Dr Jennifer McIntosh outlines a risk-screening tool that assists separating parents and professionals to detect and evaluate well-being and risks.
Professor Lawrie Moloney writes about what works in shared parenting arrangements after separation or divorce.
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