Farewell For Now, Deadly Australia

Australia was not necessarily at the top of my list of countries to visit, but now that I have carried out the wise decision to take advantage of an opportunity to learn there for a month, I have to encourage everyone to move it to the top of theirs. Australia is so unlike the stereotypes, depending when and where you go in the country. To be fair, we only had a month and when we prioritized, the true outback got left out. Australia is a LARGE country despite what skewed modern world maps would have you think. Melbourne was like a mini-NYC on the Southern/bay area of the country and is very diverse and cultural. We were not quite prepared for just how diverse the people there are. The public transit system is impressive and the architecture throughout the city is something to marvel at for the sheer variety of styles splattered throughout downtown. At first, we thought the suburb we were staying in was a bit rough, because there was graffiti everywhere, but that was before we realized street art COVERS the city – and it is spectacular!

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This trip will go down in my personal history as one of the best things to ever happen and our weekend on the Great Ocean Road was unforgettable!

White Australia Has a Black History

I stole the title of this section from a sticker I saw on a restaurant in Newtown in Sydney. One of the most profound things I will take away from Australia 2015 is the deadliness of its aboriginal population. The term “deadly” is a positive way aboriginal people refer to themselves. Aboriginal and Torres Strait Islander people are the oldest surviving civilizations in the world (40,000+ years). After the U.S. gained independence, Britain set its colonial sights on “unsettled” Australia. Issue was hundreds of aboriginal nations covered the whole of Australia and they had unique eons-old customs, languages, and agricultural practices. The U.K. was imprisoning high levels of citizens for even the pettiest of crimes and they needed somewhere to dump them, so they sent them to Australia. They could barely grow food, ruined the aboriginal way of life, and introduced more than one invasive species (cough cough, rabbits) that wreaked havoc. The Australian government actively removed aboriginal children from their homes during the 1900s, often when fathers were off at war or at work. The children were put in camps and converted to Christianity. The strategy was to mix them into white society and to literally breed aboriginal people out of existence. Much in line with the immigration policies of the time, the goal was pretty stated as “White Australia”.

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You can see here that Berry Street went so far as to display apologies to the Aboriginal and Torres Strait Islander people, for any participation of theirs in the Stolen Generations.

 

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As you can see here, Australia’s historic treatment of immigrant and minority groups is strikingly similar to the U.S. (picture taken at the Melbourne Immigration Museum)

I was lucky to visit the Melbourne Immigration Museum. I used to want to be an immigration attorney and I am passionate about immigration issues within the U.S. As I explored the whole of Australian immigration history in the museum, I realized how many parallels there were with U.S. history and how many of the policies favored some categories while discriminating against others at politically opportune times. I think a lot of Australian immigration and native treatment issues parallel with the American experience, and I can see parallels between Australian aboriginal people and immigrants and Native Americans, African Americans, and immigrants. These populations – historically subjected to severe intergenerational trauma and institutional disadvantage – have symptoms of oppression in common >> more poverty, more drugs, more gambling, less education >> they are overrepresented in these areas because they’ve been underrepresented for too long by their governments. Australia is an example of a country that is doing things a bit differently from the United States and succeeding to an extent in increasing the standard of living for Australians via social programs and policies, such as universal healthcare. Programs are becoming trauma-informed, culturally competent, progressive, and noteworthy. The research done on new programs is creating an evidence base for the changes social workers for years have argued are necessary to empower human beings that are often simple, cost effective, and produce results when executed properly.

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A photo of the book published by Lighthouse Foundation/Institute – they are primarily concerned with helping homeless youth through trauma-informed care.

aUStralia 

It is interesting to compare the U.S. and Australia, because Australia is so similar to the U.S. in many ways. In fact, at times, we noted how aside from the accents, we wouldn’t know we weren’t in a U.S. city. On the other hand, poverty and homelessness seem to be less visible here than in major American cities. We were told that the minimum wage is much higher than the U.S. and happens to increase with age. This is compounded by the fact that the welfare benefits are more robust and single parents receive additional payments. In addition, as became very clear during our visit the Royal Children’s Hospital, the country guarantees public health insurance to each citizen – no documented person was on the streets on account of medical bankruptcy. One group member wants to attend medical school and run free clinics and her questions surrounding coverage issues and free clinics were virtually obsolete under the Australian system. How insane is it that their norm is “any sick Australian child can come into this hospital and receive treatment, without the fear of crushing charges”? Can you imagine a U.S. system in which free clinics aren’t necessary?

 The Australian Way: Governance

I slowly came to a major realization that is important in understanding what we saw in Australia and how their agencies are able to thrive. I was beyond impressed with the nine agencies we visited for the program and the 4 additional agencies I visited with for personal research. They were generous with sharing their knowledge – each had a solid philosophy, commitment to values, evidence base, commitment to research, and a truthful and holistic way about them. I was surprised that none of the 9 agencies the program visited –and only 1 I visited on my own – was run by the government. Jeff Young of the Bouverie Centre ended up confirming that the Australian government has largely stepped away from service provision, therefore it now sets policy and funds community organizations to design, implement, and test programs. This seemed to be a significant positive, due to the fact that I witnessed progressive and innovative programming that appeared to be catalycized by a lack of red tape and bureaucratic attitudes. Organizations were young, diverse, and dynamic – which made them adaptable. Their physical spaces were mindfully created or repurposed and they were resourceful – very unlike the sterile cubicle environment you almost always encounter at a government-run agency. The downside to this model is, of course, now much of the legal and other burdens that used to be shared or held by the government are now shifted to the service providers.

My Australian Motivation

Why am I so concerned with funding and government structuring? I am heading into my final year of my master’s programs in social work and public administration. I have spent the past 3 years working in child – with an internship with the Children’s Defense Fund, followed by a caseworker position with Franklin County Child Support Enforcement Agency (FCCSEA), which led to both a policy internship and social program developer grant position. A good deal of my master’s research has centered around drug policy and social justice. My research topic for the John Glenn School will be comparing drug policy’s effect on the welfare of children in The United States, Australia, and Portugal.

Agencies Visited For Program:

  • Victorian Aboriginal Child Care Agency (VACCA)
  • The Royal Children’s Hospital
  • The Young and Well CRC
  • ReachOut.com
  • Berry Street
  • Lighthouse Foundation/Institute
  • The Bouverie Centre
  • Victorian Cooperative on Children’s Services for Ethnic Groups (VICSEG)
  • Anglicare

Agencies Visited for Personal Research:

  • Victorian Alcohol and Drug Association (VAADA)
  • Turning Point Alcohol & Drug Centre
  • The Australian Drug Foundation (ADF)
  • Australia Child Support Agency (Sydney)

 Empowering Clients as Experts On Themselves

The Bouverie Centre specializes in “single session” or “no bullshit therapy”, in which a long assessment is abandoned in favor of infusing the first session with as much discussion of the crucial issue at hand as possible. This is based on the research that shows 75% of clients report being happy with just one session of therapy and many don’t show for more than that one. Knowing this information, they decide to get realistic and create a model that fits the client, rather than the administrator’s perceptions. A couple of more micro-tracked master’s students commented they are taught 14-session therapies and that they were surprised to learn of this approach. This example goes to show that there are very different ways to deliver the same service and often, there are tradeoffs associated with all of them. What I found unique about the Bouverie Centre’s approach was that it really tapped into what the clients report and the statistics show, rather than a program conventional thinking would have designed. The fantastic track records of these organizations prove they are doing a lot right. I am a huge proponent of comfortable, bright, open, safe workspaces for social workers and others working in difficult positions with difficult issues and the Bouverie Centre really impressed me in that respect. Their office was laid out in a circle and I noticed the director’s office was no bigger than the rest. In addition, their two-way mirrored rooms were fascinating – not because of being two-way (of course I’ve seen those before!), but in how they are used. I love that Bouverie Centre actually has the family watch the clinicians debrief about what they saw during the family’s session. This seems a genius way to increase client trust and access to information – not many programs provide that level of empowerment for clients.

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Here you can see the Bouverie Centre cares about being culturally inclusive – their front desk was full of multilingual greetings and had a sign that said “Don’t see your language here? Let us know!”

Better Than Souvenirs

I did not end the trip with much in the way of souvenirs due to being a broke student and the strategy with which I failed to pack my luggage, but I left Australia with experiences and insights that are priceless. There is a significant amount I have taken home from Australia that I can apply to my professional realm. I was already a proponent of universal healthcare, increased use of social workers, a more robust welfare system, and quality public transportation. Australia has solidified my commitment to bringing these qualities to the United States. We often hear that such policies cannot work in the United States – we are too big, we are too diverse. Australia rivals the United States in its diversity and issues with immigration, the economy, etc. and they are finding unique ways to function within the context of their aboriginal and immigration issues. Australian agencies we visited were inspiring for how culturally sensitive and trauma informed their policies and programs are. The Australian government officially apologized for its treatment of aboriginal populations, but has done little to aide in reparations for the splitting up of families and intergenerational trauma caused. One thing I noticed is that much of Australia, such as every single one of the agencies we visited and numerous businesses, acknowledged the traditional aboriginal owners of their land. We also saw signs such as “White Australia has a black history” and “Real Australians Say Welcome”, which demonstrate a community movement to confront issues of maltreatment and alienation of aboriginal and non-white populations in general. Berry Street even included an apology for any role they played in the stolen generations. Almost every agency we visited had aboriginal staff, aboriginal-specific programming, operating within cultural and trauma-informed frameworks. The United States is doing some of this as well, but we need to be more consistent. I know that the agency I work for has not always had the best of community relations reputation and is working hard to better understand the low-income, immigrant, and historically disadvantaged populations we work with so we can create and implement smarter, humane, evidence-based practices. I will also take back the lesson to keep in mind that convention or “common sense” practices are not always best and that it is important to tap into intuitive programming with strong research support – doing so can be revolutionary.

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The Three Sisters // The Blue Mountains // PURE BEAUTY

I MISS YOU ALREADY, MY DEAR AUSTRALIA!

I WILL be back.

 

Dinosaurs = Therapy!

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We began the week at Berry Street – an organization that runs many programs aimed at children and families going through difficult times. We got to help set up and run a dino-themed play group for some cute little kiddos 5 and under. We think we had as much fun as the kids! We participated in playing games with the kids, singing songs, and painting with them! It was interesting to see the way in which a Theraplay (TM) group works and it was amazing to be able to get hands on experience and to interact with the children and their parents/carers. There are some things that one make think is normal for parents to do such as sing songs with their kids and being eye level when talking to the kids that sometimes aren’t as natural for the carers to do and Theraplay helps develop these skills. Additionally, it is quite interesting that Australia pays attention to such small details, such as the words they use. “Carer” is used, rather than foster parent, because the term “parent” can be quite confusing and could potentially add to a child’s trauma, particularly because foster placements are sometimes for very brief periods/don’t work out. We also got to have a roundtable discussion with other staff at Berry Street who work on everything from homeless youth to family violence programs. It was great to hear from each of the team leaders and learn about the ways they run each of their programs. Through our conversation, it was evident that each member is passionate and dedicated in making a difference in the at-risk child and family population.

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Emily and Anna with the finished products: stegosaurus! The kids painted and added decorations to each of these.

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Prepping for our Berry Street play therapy group.

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Dino tracks!

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One of the most astonishing things about Australia has been the fact that every single of the 9 agencies we visited acknowledged in writing – and usually orally – the traditional aboriginal owners of the land. In addition, I think almost all of them had programming aimed at aboriginal and Torres Strait Islander communities. The first thing I noticed upon entering Berry Street was their heartfelt apology that was hanging up in the lobby. It went as far as to apologize for any contribution the organization made to the Stolen Generations.

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We also visited the Bouverie Centre this week. This organization mainly focuses on family therapy practice and is the leader in family therapy practice in Australia. We enjoyed the fact that they had all different languages posted on their front desk and it even said, “Don’t see your language here? Let us know!” How inclusive?!

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Bouverie Centre aboriginal artwork by an aboriginal employee. We got a bit of a background on the piece – the dots stand for the various aboriginal nations while the lines represent the relationships which were formed and it was simply beautiful!

 

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It was really cool that we got to meet the head honcho at the Bouverie Centre, as not many top dogs have time for a student group like us. I even noticed his office was the same size as everyone else’s – so he seems to be one of THOSE kind of leaders 🙂 Their office was really interesting because it was purposefully made in a circle formation, which I think is really cohesive and makes for a collaborative and open workplace. We were able to walk around and see the observation rooms and talk to staff along the way. One really interesting thing he explained to us are their teams of professionals that will actually debrief about a family’s therapy session afterward while the family looks and listens from the observation side of the room. I find this to be a really amazing way to increase knowledge and power of clients. We also got a really great introduction to single session therapy, which I was wholly unfamiliar with. Did you know that the majority of therapy attenders will only come to one session and that a majority of them state they got something out of and were satisfied after just 1? Me neither. Interestingly enough, dietitians use this practice without the title of single session therapy. The format of the session was extremely similar to what a dietitian would do in an in-patient setting since most of the time they only get about 30 minutes with the patient so they have to make those 30 minutes count and get as much information from the session as possible! Although mental health counseling is different from nutritional counseling, I saw some overlap between them. In each case, the practitioner has to decipher which stage of change the patient is in and find the internal motivation behind them and build upon that. Bouverie has studied this and modeled their way of doing things around it, by making the most of the first session and ensuring that they are addressing what the client wants out of it. Family Therapy practice is vital for every profession since it is hard to make lifestyle changes without a supportive network for the client/patient. We were lucky enough to have Dr. Young walk us through an analysis of a real case example, which was helpful.

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Dr. Young taking us through a real case-study with assistance by Dr. Cash. In this picture, he is taking us through the genomap.

 

VICSEG Group

Visiting with VICSEG – an organization that works for migrant and refugee families. 90% of what they do is training, to make other organizations more culturally competent in working with their target population, as well as create play groups and mentoring programs run by longer standing refugees and migrants for newer refugees and migrants from their country of origin. They are not a social service program provider, but create capacity-building and community outreach programs. This was one of my favorite organizations as they are one who deals with social change up front and center. They have great programs to help refugees including a healthy eating program where they teach adults and children what nutritious foods are, how to pick them, and ways they can incorporate them into their every day meals. I also valued that they train doctors on cultural competency since a persons culture influences the healthcare they receive. This conservation made me think about a book I read called The Spirit Catches You and You Fall Down by Anne Fadiman. This book analyzes the interactions of a refugee family and hospital in America and the role culture plays in health-care practice. It is a really moving book that depicts the importance of communication and an inter-disciplinary health-care team. Definitely worth the read! Pictured in this photograph are Janet and Suzie who were extremely passionate, knowledgable, and had the same amount of energy when we got there as when we left! We watched a video about a migrant family that hit close to home for many in our group – who themselves have migrant and refugee family histories. As someone who has parents that were born and grew up in India, this movie really struck me. My parents have sacrificed a lot for me and taught me that knowledge is power and that I can do/ be anything I want as long as I work hard for it and study diligently. They made a life for themselves in America without having a supportive network or any immediate family and they did it mainly so my sister and I could receive a good education and to help with my sister’s health. Although I do not live in India, I still have a strong sense of culture due to the tight-knit Indian community we have in Dublin and the traditions and food that my family celebrates and eats. We all got emotional, but that’s what us social workers do, right?!

 

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We attended a talk given by Don Tolman on Wednesday evening with our tour guide from over the weekend – Katie. The reviews were mixed – most of tbe group hated it (lol). I (Cassie) didn’t find his overall point to be too controversial, but I definitely think he could have gone about it in a different way and left parts out. His main point was that we should be eating whole foods like fruits and vegetables, getting fresh air and sun, doing what we are passionate about, and engaging in non-toxic relationships. All pretty basic stuff, with a lot of fluff mixed in. After hearing about this guy, I (Anna) was interested to what Don Tolman had to say since I am in the medical dietetics program and am on the track on becoming a registered dietitian after graduation. Unfortunately, Don Tolman, is NOT someone people should listen to and I really thought the talk was a waste of time. I think my professor put it in terms the best way: It is hard to study a topic which is everyone else’s hobby. Nutrition is a subject that is extremely subjective and constantly changing and most people have an opinion about it. I just do not agree when a person claims to have knowledge on a topic and people follow their advice blindly! Don Tolman did not have any evidence-based research behind any of his statistics and had some very questionable facts that he shared. Although the jist of some of his presentation was good (eat whole fruits and vegetables, get sun, drink water), these are the same things a credited professional such as a registered dietitian would tell you and they use evidence-based practice! I also did not like how he bashed doctors and told people not to visit them. I just hope people do not listen to him without doing their own research first!

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Our final agency visit was to Anglicare, where we learned a lot about Victoria’s largest provider of foster care. David, the policy person, gave us a really great overview of the Victorian child welfare system and he seemed to be really knowledgeable on a host of issues, including drug policy, which I (Cassie) appreciated. We also learned about this amazing program they run called TEACHaR, which aims to fill the gaps in schooling experienced by children in and out of care. They employ licensed teachers and we got to hear from an amazing employee, Jo, as well as the program director. It is a very progressive organization that seems to be working very well due to the successful results. They track about 40 kids and ensure that they are getting the individualized attention one who has missed or transferred schools quite a bit would need. I believe we sorely need a program like this to be implemented in the States.

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[SAD FACE] Thursday evening we had our final group dinner at a really cool restaurant called CiderHouse. This picture is of the beautiful lounge they have upstairs. The food was amazing and we had a good time chatting with the owner. This experience in Australia was life-changing. We learned a lot, met amazing people, visited beautiful places, and I would encourage EVERY Ohio State student to study abroad!!


Kangas, Koalas, and Parrots – OH MY!

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This week started off like your typical Monday – we fed wallabies, kangaroos, and emus! We took a trip to Phillip’s Island and got to meet all of these animals and more. We also attended the “Penguin Parade” at sunset and got to see groups of little penguins (that is the actual scientific name – they are the smallest breed of penguin in the world!) come in from the ocean to burrow for the evening. It was a special day and we had some great weather, as well as a wonderful tour guide, Peter AKA Outback Billy.

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Anna and her roo friend: They are one of the cutest animals either of us have seen! They are extremely friendly and are not afraid to get close to you…. especially when you have food!

 

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Mama kanga and her joey popping his head out of the pouch

 

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Emu

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On Wednesday, we visited the Lighthouse Foundation and Institute. They were an impressive organization that serves homeless youth who are aging or have aged out of the system. What I found most impressive was the fact that they were specifically trauma informed in their practice. I took a trauma and crisis class this past spring semester and my professor hammered into us the fact that we need trauma-informed systems. Lighthouse clearly has an understanding that the vast majority of homeless youth have trauma backgrounds – often severe – and that if trauma-informed programs are not part of the equation, things won’t add up. Additionally, another aspect of the organization that impressed me was how they want to change the face of how kids are cared for and take a holistic approach to health care. I am a strong believer that health is a complete state of physical, mental, and social well-being and not merely the absence of disease and that is something that this organization also believes in. It was amazing to get to gain insight from a carer, who has fostered several adolescents within the program. I believe their approach, which is to provide lifelong membership to their “clients” is compassionate and sorely needed in our current American system. The structure of their program involves caring for up to four kids in a home with a primary and supporter carer is amazing and from their success rate of only losing one kid in 24 years, extremely effective! Ensuring children spend time, not in institutions, but in “normal-looking” homes with carers more apt for long-term relationships is a key to transformation and support for homeless youth. As a Big in the Big Brothers Big Sisters program, I have learned the importance and effect of having a long-term relationship with my little. The influence of a positive mentor can help one face adversity and build resilience in the mentee’s life. This hopefully will bring upon employment opportunities and school retention as some of the ultimate goals. It would be amazing to see more of these homes get funded in the coming years in Australia and America alike. I appreciated the fact that they started their own institute 3 years ago to perform evaluation and research to create an evidence and marketing base for their therapeutic model – which has drawn interest from countries like Germany and Japan. Pictured is a book they published about their model.

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Here is a picture of us with the Young and Well CRC staff. On Thursday we were able to visit this progressive organization. They were so generous to us and hosted us 2 days in a row – as they provided space for a skype session with the organization we will talk about next. We learned about how they utilize technology to improve mental health for young people.  I really appreciated the fact that they use input from young people all around Australia to drive their research and apps. It helps them create effective services to create better outcomes. Their office was modern and fun, while their staff was young and energetic. They took us through stations showing us their latest websites and apps. One app that intrigued me was a music app where it took your playlist and categorized it in groups it thought was appropriate. For example, if it was a song that does not really get your heart beat up, it would be categorized as chill. This app is to show you that certain songs evoke different emotions and physiological responses and sometimes you do not realize the effect different songs can have on your body and mental health. Additionally, I was surprised by the fact that they are funded largely by the Australian government, as I could not see the United States government funding such an organization. I believe that the websites and apps they are creating for young people have a great potential to provide resources to in a way that works for the newest generations of technology users – as children, even of less resource – are increasingly gaining access to technology.

 

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At Young and Well CRC, we went through an exercise in which we developed an app. It was interesting to go through the way they develop products and solutions to problems. We learned sometimes the problem you think your solving is rooted in a different problem entirely once you break it down. We were dealing with the issue of lack of time for fitness and came up with an app to aid OSU students and faculty in locating the most convenient fitness options for their schedule — I think if we had a software developer in our midst, the app could be quite successful. 😉

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ReachOut.com is a really interesting organization that is not too different from Young and Well when it comes to mission and philosophy – which is to enhance Australian adolescent mental health via technology. Their focus is on their websites and resources they provide via the site. We were really impressed with some of the content they provide for young people. For example, there was a “what to expect your first time having sex” fact sheet and it was so direct, progressive, and incorporated humor and teenage language — I could never see an organization in the U.S. getting away with producing such a product, particularly if it were government-funded the way they are. Their research and evaluation leader did a great job of explaining how they build an evidence base for their organization and advocate for mental health policy change via their research. I found it really interesting that they have been able to make the case to government that there is not capacity to handle an increase in demand for mental health services, which are only currently accessed by ~70% of young people struggling with the issue currently and that leveraging technology as a form of prevention and connection to resources is a viable and cost-effective strategy.

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This was the most amazing weekend imaginable. We went on a 2-day trip on the Great Ocean Road, which is a memorial to the people who died fighting in WWI and was built by the servicemen who returned from the war. It is 83 years old and the longest war memorial. You will see in the following photos just how amazing this part of Australia is. Unfortunately, pictures do not do this beautiful place justice and this is an area which you have to experience yourself! We had opportunities to see kangaroos up close, watch koalas in the wild, see the 12 Apostles, taste delicious cheese and chocolate, and meditate in the rain forest. We were extremely lucky to have an energetic, spiritual, and down-to-earth tour guide who happens to be from the area.

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We did a ton of mediating over the weekend! We “set our intentions” and we believe that led to an amazing weekend where almost everything worked out in our favor. This was sunrise and it was very cold, but the sky looked amazing and our session was a relaxing start to the day. Mediation at the Great Ocean Road was an exhilarating experience where I was in tune with my mind and body and it gave me a heightened awareness of myself and surroundings. Katie, our tour guide, helped us get in a positive mindset, feel the land of Australia, and truly be grateful for this amazing experience we have had the chance to take part of. It was immensely calming and helped me clear my mind of stress and push aside negative thoughts.

 

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We visited a cheese factory/farm! That is a cowloch monster and the “mooternity ward”.

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Some O-H-I-O action on the beach!

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We hiked through a rainforest during the daytime and at night in the dark! The air smelled amazing. During the night, we had to be in tune with our senses to navigate our way through the windy path!

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Australian parrots really seem to love us…

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We saw a koala change trees, which they only do every few days and our tour guide hadn’t witnessed it in months. Another lucky aspect of the weekend! How cute is it??

Cultural Melbourne: From Street Art to Aboriginal History

Chicago Airport

This photo was taken at the Chicago airport. It was a long trip, but oh so worth it. We had to fly from Columbus to Chicago to LA to Melbourne. The flight from LA to Melbourne was rough, but it got us there. We all arrived safely and settled into our rooms at a very nice hotel. Although we did not sleep much on the plane, it helped us sleep well our first night, which was necessary considering we had lots of Melbourne exploring to do the next day!

Main Melbourne train station

Our first day was spent doing some sightseeing and becoming familiar with downtown Melbourne. This is Flinders Station – the main train station in Melbourne. The city is like a smaller version of NYC and has an elaborate transportation system including trains, trams, and buses. The people are extremely diverse, which was unexpected for us. There are a lot of Asians here, as evidenced by the plethora of Asian food options.

Street Art

We have never seen so much graffiti in our lives as in Melbourne. It is ubiquitous and so beautiful that it is more accurately described as street art. This alley is one in which the authorities allow it, therefore it is vibrant and covers the entire thing. There was a youth center located in the middle of the alley, so we assumed that it serves as a creative outlet.

We were able to spend time at the Chinese Museum, which was free. It has some great historical art. We liked the colorful water wall on the front.

We were able to spend time at the Chinese Museum, which was free. It has some great historical art. We liked the colorful water wall on the front.

Their malls are cool

Even their malls are cool looking in Melbourne. The architecture in this city is like nothing we’ve ever seen. It’s an eclectic mix of old, new, classic, and funky.

The group with staff

Our first agency visit was to the Victorian Aboriginal Child Care Agency. We learned a ton about aboriginal history, culture, and contemporary movements from the staff. It was eye-opening to hear their personal stories first hand. They were extremely generous and happened to be hilarious. The history of the treatment of indigenous peoples has many parallels with the plight of Native Americans and African Americans. Shockingly, the Australian government’s strategy was to literally “breed out” aboriginal people by removing them from their homes (the stolen generations) and mandating they live with white families, in hopes they would interbreed with white people to the point that successive generations would cease to exist. Their stories are tragic and their resilience inspiring.

Men playing the yidaki AKA digeridoo

Men playing the yidaki AKA digeridoo at VACCA.

 

 

Royal Children's Hospital

The Royal Children’s Hospital is the second agency we visited and we were lucky enough to see them 2 different days. Robin, the social worker who facilitated our visit, was beyond nice and insightful. We all split up as they were generous enough to create individual schedules for us. We were able to sit in on an interdisciplinary meeting, which was so fascinating to hear the way a team worked together from different angles to serve their patients. The Australian public health system is much more robust than the U.S. and social workers are really valued at the hospital, which allows for much comparing and contrasting. We also got to have a Q&A session with the adolescent psychiatrist, which was fascinating. He said many conditions, such as eating disorders, he believes are caused by a disconnect between the way an adolescent thinks they should be perceived and how they perceive themselves. He also explained that their dietitian was out of the office, but that she is an instrumental part of the team. Curiously, the dietitian has no contact with families once they are discharged. This is very different from dietitians in America who work with eating disorder patients since they are an integral part in an out-patient setting in order to help the child restore eating patterns physically and mentally. Due to the family based theory approach utilized by the team at Royal Children’s hospital, most faculty interacts with the family and child in an in-patient setting. The dietitian will help restore the child’s lab levels to normal values during their stay at the hospital (the most important values to look at for eating disorders are potassium, calcium, and phosphorus) and make sure that the formula and rate for a feeding tube, if needed, is correct. It is very important to make sure that the re-introduction to food is not too aggressive in order to avoid re-feeding syndrome and possible death. Yet, the adolescent psychiatrist said that the incidence of this occurring to their patients was low so that was good to hear!  We also got a tour of the hospital, which is one of the most amazing and thoughtful buildings we’ve ever come across. We got to learn from social workers as well and the aboriginal staff that exist to assist aboriginal patients and families. It was an amazing experience overall.

Royal Children's Hospital

Royal Children’s Hospital

Meerkats for the kids!

Meerkats for the kids! At the RCH