First Step is a treatment clinic located in St.Kilda that specialises in team care for people suffering from mental ill-health and substance use disorders.

Joined April 2017
561 Photos and videos
DepSec Anders speaking at #vaada on Vic Gov AOD Strategy: new GHB clin guidelines, support of medical specialists, true costs of delivering care (funding model review te complex needs), access to pharmacotherapy (inc low dose m’done) @VAADAENEWS
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At #vaada conference @IngridStitt reflects on new naloxone vending machines, AOD hubs in 4 hospitals, Cmty Health Hub in Flin. St (promised later this year), LLE, Nth Rich. MSIR, continued support of harm reduction, funding of First Step and other harm reduction initiatives.
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Clare Davies @WeAreSHARC at #FirstStepFuturesForum “True transformation requires real risk.” Meaningful reform demands not just structural adjustments, but courage. #LivedExperience #MentalHealthReform #HarmReduction
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We welcome the Victorian Government’s support for First Step in last week’s State Budget providing critical funding that helps people access integrated care when they need it most. Thanks to @NinaTaylorMP, @rachelpayneMP and @georgievpurcell for your ongoing support.
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Clare Davies @WeAreSHARC spoke about long-term change and courage. “It is a radical act to build something that outlasts the current system.” Long term change is radical. #FirstStepFuturesForum #LivedExperience #MentalHealthReform #HarmReduction
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First Step retweeted
The budget is in and here are some of the wins for our community. #budget #auspol
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Sheree Lowe @VACCHO_org spoke about treaty not as symbolism, but as structural change. “Treaty is an opportunity to listen, to learn, and to affirm the rightful place of First Peoples.” Listening must lead to shared decision-making, accountability and self-determination.
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Last week we welcomed the Governor of Victoria. It was a moment to reflect, not just on how far we’ve come, but on what still lies ahead. In his latest blog, Patrick reflects on where things are at, and why the work is far from done. firststep.org.au/ceoblog_apr…
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Clare Davies @WeAreSharc challenged the #FirstStepFuturesForum to consider what true inclusion means. “Inclusion has too often been a tick-box exercise rather than a redistribution of power.” Equity requires shifting decision-making authority, not simply widening consultation.
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Closing the #FirstStepFuturesForum, Rev Tim Costello AO quoted Desmond Tutu in reflecting on collective responsibility. “Optimism and hope aren't a preference. They're a choice.” Choosing hope means continuing the work, even when progress feels fragile.
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At #FirstStepFuturesForum, @Paul4Frankston reflected on lived realities: “People do not experience mental health issues or AOD issues in a vacuum.” Housing stress, trauma, poverty and legal issues intersect, and services must respond accordingly. #DrugPolicyReform
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At #FirstStepFuturesForum @PatMcGorry @orygen_aus highlighted a national contradiction. “Mental illness is the major cause of disability in Australia by far.” Yet funding and system design do not reflect that scale. #MentalHealthReform #MentalHealthPolicy
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Reflecting on deinstitutionalisation and community reform, @PatMcGorry @orygen_aus described unfinished change. “They built foundations and no one ever built the rest of the building.” Without sustained investment, reform stalls at intention. #MentalHealthReform
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#Integratedcare is everywhere right now - policy, strategy, sector reports. But turning it into something real takes more than words. Read Patrick’s latest blog: All roads lead to integrated care here: firststep.org.au/ceo_blog_ma…
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Opening her address at #FirstStepFuturesForum, Sheree Lowe @VACCHO_org reminded the audience that reform spans generations. “Twenty-five years is a generation.” The decisions we make now shape the lives of children not yet grown. #TreatyVictoria #FirstPeoples
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Clare Davies @WeAreSHARC reflected on the emotional toll placed on lived experience communities repeatedly asked to co-design reforms that stall or retreat. “We cannot keep inviting people into broken systems.” Trust depends on systems that change. #FirstStepFuturesForum
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Lead one of Australia’s pioneering Health Justice Partnerships. We are recruiting a values driven Director for First Step Legal. Check out the PD and please share with your networks firststep.org.au/careers Applications close: April 10, 2026
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Sheree Lowe @VACCHO_org shared reflections from Victoria’s historic #treaty process at the #FirstStepFuturesForum. “Treaty is how we make the future possible.” A shared future requires truth, accountability and self-determination. #SelfDetermination #FirstPeoples
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Sheree Lowe, @VACCHO_org, spoke directly about systemic harm at #FirstStepFuturesForum. “Racism is one of the leading factors that are killing our people.” Health reform cannot ignore structural injustice. #TreatyVictoria #SelfDetermination #FirstPeoples
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In considering what success looks like in 25 years, @Paul4Frankston reframed the goal at the #FirstStepFuturesForum. “It will be how much harm we have reduced.” Progress is measured in lives stabilised, dignity restored and preventable deaths avoided. #DrugPolicyReform
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