Melbourne Children’s Campus Mental Health Strategy 2021–2026
Launched in 2021, the Melbourne Children’s Campus Mental Health Strategy set out to make mental health everyone’s business.
The challenge
Lifetime mental health problems begin in childhood and are among the most common and serious health issues affecting children and young people. Half of all mental health disorders begin before the age of 14, yet many families struggle to access timely, appropriate care.
At The Royal Children’s Hospital (RCH), mental health presentations to the Emergency Department have surged by 400 per cent in recent years. Children living with chronic physical illness are at even greater risk, and stigma and fragmented systems often leave families without the support they need.
Coupled with the findings from the 2020 Royal Commission into Victoria's Mental Health System, this growing crisis demanded a bold and coordinated response across the Melbourne Children’s Campus.
Launched in 2021, the Melbourne Children’s Campus Mental Health Strategy set out to make mental health everyone’s business.
It brought together The Royal Children’s Hospital (RCH), Murdoch Children’s Research Institute (MCRI), and the University of Melbourne Department of Paediatrics to create integrated, evidence-based approaches to mental health research, education, and care.
Proudly funded by The Royal Children’s Hospital Foundation and the Good Friday Appeal, the strategy aimed to:
- Amplify the voices of children, young people, and families, ensuring lived experience shapes all outputs.
- Integrate clinical and academic mental health research
- Develop evidence-based mental health education and resources for campus staff.
- Enable consistent, quality child and family centred care, inclusive of parents, carers, and siblings.
- Advocate for the integration of mental health care with physical health care as part of usual practice.
- Increase awareness and develop a shared understanding of trauma-informed care with a focus on preventing trauma and re-traumatisation of children, young people, families, and staff.
Over five years, the Mental Health Strategy delivered significant developments across mental health research, education, care, and advocacy, improving experiences and outcomes for thousands of children, young people, and their families.
The strategy drew on the expertise of multidisciplinary teams of clinicians, researchers, and educators from across campus, driving innovation and collaboration at every level.
Key researchers
We were supported and led by a Steering Committee consisting of leaders from the three campus partners, including from MCRI:
- Professor Harriet Hiscock
- Professor David Coghill
- Professor Vicki Anderson
- Professor Sharon Goldfeld
Where to next?
The Mental Health Strategy concludes in April 2026 with a focus on sustainability and scale. You can read and download our Mental Health Strategy Executive Summary Report below.
MHS Executive Summary Report 2026 (PDF7.30 MB)
Our ongoing priorities included:
- Investing in the continued integration of mental health research, education, and clinical care to improve outcomes for children, young people, and their families.
- Embedding evidence-based clinical practice guidelines into routine care across the campus and beyond.
- Expanding trauma-informed preventative care education and culture across campus to ensure it becomes a universal approach.
- Progressing research into mental health amongst chronically ill and gender-diverse populations.
- Strengthening workforce mental health education for all campus staff, no matter their role or department.
The Mental Health Strategy approach brought together lived experience, clinical expertise, trauma‑informed practice, and family‑centred care to create a more consistent and supportive mental health environment across the campus.
By developing evidence‑based guidelines, digital tools, training programs, and resources for staff and families, the Strategy strengthened the campus’s ability to recognise and respond to mental health needs early and effectively.
The Mental Health Strategy was committed to integrating and growing mental health research across campus. Along with coordinating our own research initiatives, the Strategy funded seven clinically led research projects.
Feasibility of a single question: Mental health surveillance in chronic disease
The objective was to determine the feasibility and acceptability of a single mental health surveillance question to parents and carers of children with chronic disease whilst admitted as inpatients to detect children “at risk”.
Publications:
- Feasibility of single question mental health surveillance in chronic disease; White et al 2022.
Improving mental health among transgender, gender diverse and non-binary adolescents
The project co-designed and trialled a group mental health program to support transgender and non-binary young people attending The RCH Gender Service (RCHGS), based on a model of cognitive behavioural therapy (CBT) and peer support.
Publications:
- Evaluation of a codesigned group cognitive–behavioural therapy intervention for trans young people (TAG TEAM): protocol for a feasibility trial and a subsequent pilot RCT; Chinsen et al.
- “There’s hope and there’s a future for all of us”: Co-design of a group cognitive behavioral therapy (CBT) intervention for trans young people (TAG TEAM); Chinsen et al.
- “I could be one of those people that’s alive and happy”: a qualitative exploration of a co-designed group therapy program targeting gender minority stress for trans young people (TAG TEAM); Chinsen et al.
Evaluating an intervention for psychological distress for children with chronic medical conditions
Children and young people with chronic medical conditions are 30 per cent more likely to develop an anxiety disorder than children and young people without chronic illness. The project aimed to tailor a manualised, modular and flexible, evidence-based transdiagnostic intervention to meet this population’s needs.
A randomised controlled trial to provide the best evidence for this therapy is being completed.
Publications:
- A waitlist randomised control trial of the unified protocol for the treatment of emotional disorders in children and adolescents with chronic medical conditions (The UP-CAM Study): protocol paper; Botchway-Commey et al.
Clinical implementation study of the “Take a Breath” parent program
The Take a Breath (TAB) group program is an online, group mental health intervention for parents of very sick children. It provides parents with skills to manage distress and psychological challenges presented by their child’s illness, to prevent more serious long-term mental health difficulties.
A randomised controlled trial was conducted with RCH parents, and it found that TAB effectively reduced symptoms of post-traumatic stress and improved their management of the illness (Muscara et al., 2020).
The project completed an implementation study where 30 RCH staff were trained to use TAB. Many of these clinicians now use TAB as part of their usual care, and it is also used by several groups internationally.
Publications:
Reducing aggression and irritability in children attending mental health services
The study aimed to explore the associations between irritability in children accessing mental health care, parent functioning (parental distress and parental irritability), and family dysfunction.
Publications:
COVID Resilience study
This project worked to understand and respond to the impacts that the COVID-19 pandemic restrictions had on vulnerable children and families from The Royal Children's Hospital (RCH).
Publications:
- The impact of COVID‐19 on the well‐being of Victorian children born with cleft lip and/or palate; Branson et al.
- Parent-Reported Child and Parent Quality of Life during COVID-19 Testing at an Australian Paediatric Hospital Outpatient Clinic: A Cross-Sectional Study; Brusco et al.
- Characterising the Educational Experiences and Mental Health of Children with Pre-Existing Learning Difficulty or Specific Learning Disorder (SLD) during the COVID-19 Pandemic; Catroppa et al.
- Mental Health Impacts of the COVID-19 Pandemic on Australian Children and Adolescents with a Medical Condition: Longitudinal Findings; Crowe et al.
- Mental health impacts of the COVID-19 pandemic on children and adolescents with chronic health conditions; Crowe et al.
- The indirect impacts of the COVID-19 pandemic on children and adolescents (PDF 412KB) MCRI.
- Exploring the lived experience of families with a COVID-19 positive child: The journey from a critical grounded theory approach; Kaufam et al.
- Effect of a videoconference-based online group intervention for traumatic stress in parents of children with life-threatening illness: a randomized clinical trial; Muscara et al.
- The impact of the COVID-19 pandemic on children in Australian early childhood education and care (2022) (PDF2.11 MB) MCRI.
We also funded two large-scale mental health studies, completed in 2026:
- Interactions that hurt or heal: Patient and parent perceptions of healthcare conflict, mental health impacts and preferences for intervention (interHEAL). Led: Associate Professor Maria McCarthy.
- Mighty Minds: Co-design of an evidence-informed approach to promote the mental health of children living with disabilities and chronic health conditions on the Melbourne Children’s Campus;. Led: Associate Professor Rebecca Giallo.
Evidence-based education is a key driver in delivering great paediatric care across the campus.
Throughout the strategy, we aimed to enhance staff knowledge, skills, and confidence in supporting the mental health and wellbeing needs of children, young people, and their families.
The Mental Health Strategy delivered a range of accessible education resources for clinical and non-clinical staff, which were integrated into existing programs, including our Mental Health and Wellbeing Learning Hub on LearningHERO.
We launched digital material such as eLearns, podcasts, and webinars; hosted in-person education sessions such as workshops and Grand Rounds; and produced reference materials such as a policy summary, clinical practice guidelines, and educator resources.
Some of the education topics we covered included:
- Mental health and wellbeing for young people, families, and staff
- Trauma-Informed Preventative Care
- Behaviour Support Profile (BSP)
- Medically unexplained symptoms (MUS)
- Childhood anxiety
- Suicide and non-suicidal self-injury.
We aimed to be a strong voice advocating for the mental health needs of children, young people, and families and creating purposeful change across the mental health sector.
The advocacy agenda of the Mental Health Strategy focused on improving outcomes by:
- Prioritising workforce mental health literacy
- Access to evidence-based clinical care
- Amplifying lived experience to inform decision-makers.
Advocacy Toolkit
In 2025, we developed an evidence-informed Advocacy Toolkit for researchers, policymakers, and clinician scientists. The toolkit is a practical step-by-step resource that offers guidance and educational support for planning and delivering impactful public health advocacy.
It includes information on timing advocacy, managing risk, integrating lived experience, and tailoring messaging for different audiences, using real case studies.
Anxiety & clinical practice guidelines
- Evidence-based Clinical Practice Guideline for Anxiety in Children and Young People (2024)
- Childhood anxiety: a guide for parents, carers, and supporters (PDF933.94 KB)
- RCH Clinical Practice Guidelines: Anxiety Identification and Management
Suicide & self-injury
Trauma-Informed Care (TIPC)
- Paving the Way: Trauma-Informed Preventative Care at The Royal Children’s Hospital (2024)
- TIPC Foundational eLearn
- Why we need trauma-informed preventative care in paediatric hospital settings, MJA Insight+:(2024)
Behaviour Support Profile (BSP)
- Evaluation of the Behaviour Support Profile Report
- BSP Nursing guideline
- BSP EMR tipsheet
- BSP eLearn
Trans & gender-diverse young people
- Evaluation of a codesigned group cognitive–behavioural therapy intervention for trans young people (TAG TEAM): protocol for a feasibility trial and a subsequent pilot RCT
- “There’s hope and there’s a future for all of us”: Co-design of a group cognitive behavioral therapy (CBT) intervention for trans young people (TAG TEAM)
- “I could be one of those people that’s alive and happy”: a qualitative exploration of a co-designed group therapy program targeting gender minority stress for trans young people (TAG TEAM)
Chronic illness & mental mealth
- Feasibility of single question mental health surveillance in chronic disease
- A waitlist randomised control trial of the unified protocol for the treatment of emotional disorders in children and adolescents with chronic medical conditions (The UP-CAM Study): protocol paper
Parent mental health & trauma
- Traumatic Stress in Parents of Children With Life-threatening Illness: A Randomized Clinical Trial
- Effect of a videoconference-based online group intervention for traumatic stress in parents of children with life-threatening illness: a randomized clinical trial
COVID-19 impacts on children & families
- The impact of COVID‐19 on the well‐being of Victorian children born with cleft lip and/or palate
- Parent-Reported Child and Parent Quality of Life during COVID-19 Testing at an Australian Paediatric Hospital Outpatient Clinic: A Cross-Sectional Study
- Characterising the Educational Experiences and Mental Health of Children with Pre-Existing Learning Difficulty or Specific Learning Disorder (SLD) during the COVID-19 Pandemic
- Mental Health Impacts of the COVID-19 Pandemic on Australian Children and Adolescents with a Medical Condition: Longitudinal Findings
- Mental health impacts of the COVID-19 pandemic on children and adolescents with chronic health conditions
- The indirect impacts of the COVID-19 pandemic on children and adolescents
- Exploring the lived experience of families with a COVID-19 positive child: The journey from a critical grounded theory approach
- The impact of the COVID-19 pandemic on children in Australian early childhood education and care (PDF2.11 MB)
Advocacy & public health
- Advocacy Toolkit: Designing public health activities by the Melbourne Children’s Campus