Family Reference Group Application

At headspace, family is defined uniquely by each young person. Family is considered an integral part of a young person’s circle of care. Family and other caregivers – whether by birth, choice or circumstance – hold a significant role in supporting a young person by fostering a sense of belonging and connection through their shared experience.

The headspace Armadale Family Reference Group allows for family and caregivers to share their valuable insights and unique perspectives based on their own experiences of headspace and/or the mental health system, and to contribute to the improvement of services and resources at headspace to best support young people.

the Family Reference Group plays a large role in supporting headspace centres to:

Deliver responsive and appropriate services for young people and their family
Be a trusted and respected youth mental health provider
Stimulate new ideas and improve services and resources
Demonstrate inclusive organisational decision making
Maintain connections within the local community

As part of the Family Reference Group, you will have the opportunity to:

Contribute meaningfully to enhancing the centre’s services and resources
Be involved in decision making processes across different levels of the organisation
Develop new and existing skill sets through free training opportunities
Create new social networks
Add value to the centre that makes a difference to young people and their family

Commitment: We appreciate that family and caregivers lead busy lives, so we allow for flexible participation hours for our Family Reference Group members. There are six bi-monthly group meetings per year. Meeting participation will honoured through members receiving their choice of a $50 voucher.

We communicate regularly via emails, and through our private FFRG Facebook page/messenger group.

For inquiries and more details, please contact headspace Armadale reception reception@headspacearmadale.com.au or call on 9393 0300

Full Name

First NameLast Name

Date of Birth

MonthDayYear

Preferred Pronoun

Phone Number*

Area CodePhone Number

E-mail*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

What language do you speak at home?

What country were you born in?

Do you identify as Aboriginal or Torres Strait Islander?

Are you from a rural or remote area?

(Optional) Do you have a family member with a mental illness?

(Optional) Do you identify as having/had a mental illness?

Is this something that you would be happy & comfortable talking about?

Family Reference Group Requirements*

I am 16+ years oldI have a valid Police ClearanceI have a valid Working with Children CheckI don't have a WWC but am willing to obtain oneI am able to attend bi-monthly meetings (2 hours in duration)I am able to respond to communication (email, txt, etc) within 5 working days

Please tell us a little bit about yourself

Please describe why you would like to join the headspace Armadale Family Reference Group

What skills and ideas could you bring to the group?

(Optional) Are you involved in any other organisations or reference groups? If yes, which ones and what is your involvement?

Is there anything else you would like to tell us or any questions you have?

Thank you for your interest. A headspace Armadale staff member will contact you within 5 working days to discuss your interest in our Family Reference Group and will let you know if you've been succesful in progressing to the next phase.

headspace Armadale Family Reference Group - Expression of Interest