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Thank you for your interest in applying for the Tandem Participation Register.

This is an exciting opportunity to use your lived experience, knowledge of the mental health system and communication skills to advocate for the issues and concerns of mental health carers in Australia.

Tandem is pleased to manage the Victorian Mental Heath Carer Register (Tandem Participation Register) with support from the Victorian Department of Health. The Participation Register began in 2017 and is a pool of family members, friends and supporters of a person with mental health challenges. Those on the register are inducted and supported and come from a range of backgrounds and ages across Victoria. Members of the Register use their lived experience, expertise and knowledge of the primary and mental health and wellbeing systems both clinical and community, to advocate for, and ensure the voice of family, friends and supporters of those with mental health challenges is heard in various forums from state-wide planning to local service delivery.
 
Anything you share throughout this questionnaire will remain confidential to the Participation Register staff and will only be used to ensure we provide you with engagement opportunities that suit your lived experience.

Please note that you do not have to answer any questions you don’t feel comfortable answering or provide information that you don’t feel comfortable sharing. These questions will NOT be used as eligibility criteria for you to be a Register participant.

We welcome and encourage a diverse range of participant perspectives and experiences and we will support you as a participant by providing education and training so that you gain the skills and confidence required to engage in the opportunities offered.

Note* We encourage you to engage in self-care while working through the questionnaire as some of the questions or topics may be distressing to revisit.
 
Please call Beyond Blue on 1300 224 636 or Tandem’s Support and Referral line 1300 314 325 if you need additional support.
 
If you have any questions please contact us on the details below.

Contact details

mhcregister@tandemcarers.org.au
03 8803 5555

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Mobile Number

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* 5. Suburb

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* 6. Date of birth

Date

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* 7. Why are you interested in joining the Tandem Participation Register?

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* 8. Have you provided/do you provide support to someone living with mental health issues as a carer, family member or supporter?

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* 9. Is your experience of the mental health system primarily in Victoria?

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* 10. Have you provided support in the last...

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* 11. Approximately how long have you been caring for / providing informal support to someone experiencing mental health issues?

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* 12. Please select the age range relevant to you

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* 13. What gender do you identify with?

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* 14. Does the person you support live with you?

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* 15. Do you provide care/support to more than one person?

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* 16. What age groups do the people/does the person you support sit in? (select all that apply)

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* 17. What is your relationship to the person/s you care for / provide informal support for?

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* 18. Are you a lived experience worker?

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* 19. If yes, what is your role/title?

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* 20. Have you had experience in the following when providing support to someone living with mental health issues? (Select all that apply)

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* 21. Have you provided support to someone living with mental health issues and an intellectual disability?

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* 22. Have you provided support to someone living with mental health issues and living with neurodiversity (such as autism spectrum)?

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* 23. If yes, have you or they previously accessed mental health and intellectual disability specific supports, including family supports? (select all that apply)

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* 24. If yes, have you or they previously accessed mental health and neurodiversity specific supports, including family supports? (select all that apply)

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* 25. Have you provided support to someone living with mental health issues and alcohol or other drug issues? (Select all that apply)

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* 26. If yes, have you or they previously accessed mental health and AOD specific supports? 

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* 27. Have you provided support to someone who has engaged in self-harming behaviour or experienced suicidal ideation?

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* 28. If yes, have you or they previously accessed self-harm or suicide specific supports (including family supports)? (Select all that apply)

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* 29. Have you lost a loved one or the person you provided support to, to suicide?

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* 30. If yes, have you accessed support for those bereaved by suicide?

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* 31. Have you had experience with the following? (Select all that apply)

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* 32. Have you or the person you provide care for experienced discrimination while accessing or attempting to access support? (Select all that apply)

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* 33. If yes, what discrimination was experienced? (select all that apply)

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* 34. Have you or the person you care for experienced family or domestic violence? (select all that apply)

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* 35. If yes, have you or they previously accessed family violence specific supports?

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* 36. Do you or the person you provide care for identify as LGBTQIA+?

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* 37. If yes, have you or they previously accessed LGBTQIA+ specific supports?

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* 38. Do you or the person you provide care for identify as Aboriginal or Torres Strait Islander?

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* 39. If yes, have you or they previously accessed Aboriginal or Torres Strait Islander specific supports?

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* 40. Do you or the person you provide care for identify as culturally diverse?

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* 41. If yes, have you or they previously accessed culturally diverse specific supports?

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* 42. Do you or the person you provide care for identify as a refugee?

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* 43. If yes, have you or they previously accessed specific services that support people with refugee status?

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* 44. Have you had experience in engaging with police, legal services, the justice system or child protection? (select all that apply)

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* 45. Has the person you provide care for had experience in engaging with police, legal services, the justice system or child protection? (select all that apply)

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* 46. Have you ever experienced financial hardship due to your caring role?

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* 47. Do you receive carer allowance or carer payments?

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* 48. Are you on a Disability Support Pension?

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* 49. Do you also identify as a person living with mental health issues/consumer?

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* 50. What other skills and experience do you have? (please select all that apply)

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* 51. What support/training do you feel you may need to be an active member of the Register?

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* 52. Is there anything else you would like to share with us?

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* 53. Do you think the person/people you support would be interested in joining the Register of VMIAC the peak organisation representing people with lived experience of mental health challenges?

If yes, please see more information here
https://www.vmiac.org.au/vmiac-consumer-register/

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