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Health & Education Professionals

Royal Far West provides a comprehensive multi-disciplinary service to children from rural and remote NSW with non-acute developmental, behavioural, learning and associated mental health disorders, where there are no appropriate local services, or in partnership with rural service providers.

Referrals for eligible children are from general practitioners or specialists.

The service is provided:

  • at the Royal Far West Manly site, using an integrated clinical and educational framework, in collaboration with the Royal Far West School; and
  • by outreach, involving services delivered by clinicians travelling to rural locations; or
  • by remote service delivery methods (eg video conferencing).

The service involves comprehensive pre-assessment planning and case-conferencing (the latter occurring both within the clinical-educational service at Manly, and with rural service providers using remote technologies).

The clinical team at Royal Far West covers a breadth of professions involved in child development and emotional wellbeing, including speech pathology, paediatrics, child and adolescent psychiatry, psychology, nursing, occupational therapy, social work, dietetics, orthoptics and physiotherapy.

Children attending the Manly site are accompanied by their parent/s or caregiver/s and stay in hostel style accommodation. All meals are provided.

Services Objectives

  • To provide high quality, multi-disciplinary services that effectively support a sustained improvement in developmental trajectory for children whose developmental, behavioural, learning, and associated mental health difficulties place them at increased risk of poor adult outcomes.
  • To deliver services which support the development of childhood resilience and family empowerment.
  • To prioritise clients who may benefit from early intervention, whilst recognising other significant opportunities for intervention in childhood, during critical developmental periods such as the transition to school, and between primary and high school.
  • To contribute to the collection of evidence to support best practice for children with developmental, learning and mental health disorders, through research partnerships with the University of New South Wales and Macquarie University.
  • To increase access, effectiveness and efficiency of the service and discharge planning by increasing the proportion of services which are delivered by outreach and remote methods.
  • To contribute to workforce development, including the secondment of an advanced paediatric trainee position in conjunction with Children’s Hospital at Westmead.

Research

Research partnerships with the University of New South Wales and Macquarie University ensure Royal Far West is both contributing to, and kept abreast of, the latest research on child developmental disorders.

The SURF Project (Skills for Understanding Relationships and Feelings)

The SURF Project is a collaborative research project between the University of New South Wales and Royal Far West aimed at improving the effectiveness of prevention, early intervention and treatment of child and adolescent developmental and mental health problems. The program aims to identify the abilities of children with a variety of developmental and mental health difficulties to ‘read’ emotions in other people and evaluate an innovative treatment to assist in this area. It is well suited to the diverse clientele and services provided through Royal Far West and is designed to produce outcomes that can be directly translated into clinical practice in community settings.

The Oxytocin Project

This joint project with the University of New South Wales investigates the effects of Oxytocin on the child’s ability to understand social cues and interact appropriately in social situations. Oxytocin is a hormone found naturally in the human body and research indicates that it is associated with social approach behaviours such as increased eye contact, emotion recognition and social memory. Through this project we hope to learn about how Oxytocin operates in children who have an Autism Spectrum Disorder. This project is one of the first of its kind. It is open to boys aged 8-16 years who are accessing services through Royal Far West who have a diagnosis of Autism Spectrum Disorder.

Cognitive and Neural Causes of Language Impairment in Autism

Royal Far West is involved in a joint study with Macquarie University which is part of a five-year project funded by the Australian Research Council. The study aims to understand the speech-processing difficulties of children with specific language impairment and autism.