The First Step Program

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The First Step Program First Step is a not-for-profit addiction, mental health and legal services hub in Melbourne. All for free. All from one team. All at one site.

We provide free services to thousands of vulnerable Victorians every year. First Step provides a uniquely multi-disciplinary team of GPs, psychologists, psychiatrists, lawyers, mental health nurses, care coordinators, counsellors, and peer group educators. Many of our clients live stable lives, connected with family, work and education. But our multi-disciplinary team specialises in supporting people with complex needs, those at risk of hospitalisation for their mental health, imprisonment, homelessness, or worse. At First Step we believe that chronic addiction is generally a long-term, painful adaptation to childhood abuse and neglect, and that timely and effective treatment is a matter of social justice that benefits all of society. We work to keep people connected to their families, participating in society and taking control of their own lives. Learn more about our work at www.firststep.org.au. COMMUNITY GUIDELINES

The First Step Program page provides a space for people to find out more about First Step, as well as to encourage discussion about important issues like substance use disorders and mental illness. First Step monitors its social media pages between 9am to 5pm on Mondays to Fridays only. First Step posts are occasionally automatically generated outside of these hours and on Victorian public holidays, if this occurs the posts will not be moderated until the following business day between 9am to 5pm. Please be respectful of all points of view and refrain from personal attacks on other users and people who may be featured in our posts. First Step will remove any posts which:

• are likely to be offensive to other readers;
• discuss methods or depicts images of su***de or self-harm;
• discuss drug usage in an unbalanced way, e.g. omit the negative effects;
• contain unhelpful advice, such as blaming a person for their alcohol or other drug use;
• are dogmatic, such as setting out courses of action as “the only way”;
• are racist, sexist, trans/bi/homophobic or in any other way discriminatory;
• are obscene, or uses graphic sexual language;
• are defamatory, or overly critical of services or organisations which provide help to others;
• are likely to cause harm/distress to other people reading the story;
• are posted for commercial purposes; or
• promote inaccurate, inappropriate or harmful health advice. Users who repeatedly violate the above conditions may be blocked from the First Step page. The First Step page does not provide counselling or crisis services. If you need immediate assistance, please call the National Home Doctor Service on 13 74 25. In an emergency situation, please call 000. If a post on any First Step social media page indicates a person may be at risk of harm, First Step will reply to the post as soon as possible and provide information on counselling and crisis support services. In some instances, First Step may report a post which indicates a person may be at risk of harm to authorities, including the police. First Step can take no responsibility for comments from followers on the First Step social media pages.

If you are near north east Melbourne, this is a chance to join author and passionate speaker  for an in person conversat...
21/10/2026

If you are near north east Melbourne, this is a chance to join author and passionate speaker for an in person conversation with Melissa Manning, Ralph Jackman and John Ryan (OAM).

Today is World Mental Health Day. It's an opportunity to pause, check in with ourselves and those around us, and reflect...
09/10/2026

Today is World Mental Health Day. It's an opportunity to pause, check in with ourselves and those around us, and reflect on how we can look after our own mental health and wellbeing. A simple conversation, a kind message or taking the time to listen can make a meaningful difference.

This World Mental Health Day, let's help to raise awareness, reduce stigma and create a community where everyone feels safe to seek support when they need it. Learn more, get involved and download resources from Mental Health Australia:
www.worldmentalhealthday.com.au

This week we were pleased to welcome Minister for Mental Health, Ingrid Stitt MP , and local Member for Albert Park, Nin...
08/10/2026

This week we were pleased to welcome Minister for Mental Health, Ingrid Stitt MP , and local Member for Albert Park, Nina Taylor MP to First Step.

Visits like these are an opportunity to highlight the importance of compassionate, accessible care for people experiencing mental health challenges and substance use issues, alongside the legal support they may need.

First Step Chair Catherine Easton, CEO Patrick Lawrence and the whole First Step team thank you for supporting us and the people we serve.

October is Mental Health Month, and this year's theme is Together We Thrive. Through everyday acts of care, kindness and...
08/10/2026

October is Mental Health Month, and this year's theme is Together We Thrive.

Through everyday acts of care, kindness and connection, we can create communities where people feel supported, valued and understood. This month, let's take the opportunity to check in with ourselves, reach out to others and start conversations that matter. Learn more, get involved and download resources from Mental Health Australia here: www.worldmentalhealthday.com.au

Today, Victoria decriminalised begging — a welcome and overdue reform.Asking another person for help because you are poo...
10/09/2026

Today, Victoria decriminalised begging — a welcome and overdue reform.

Asking another person for help because you are poor, homeless or desperate should never have been a crime.

But there is unfinished business.

People experiencing poverty, homelessness, mental ill-health and substance dependence can still face serious consequences when fines they cannot afford accumulate.

At First Step, we see the impact of this every day.

Poverty should not be criminalised.

We welcome today’s reform. The next step is ensuring that inability to pay a fine can never become a pathway to prison.

03/09/2026

First Step CEO Patrick Lawrence got his two cents’ worth into this Nine News report last night about the Flinders Street health hub, which is due to open this year to support people who use drugs.

It has been claimed that the hub will be a supervised injecting room “by stealth”. That is misleading.

One of the many health interventions planned for the hub is a trial of hydromorphone, an opioid medication more similar in its effects to he**in than established treatments such as methadone or Suboxone.

But there is a crucial difference: hydromorphone is a prescription medication provided as part of structured medical treatment. That means:

- doctors and patients know exactly what is being prescribed (without the guesswork and contamination associated with illicit drugs)
- patients receive a precise dose according to a prescribed regimen
- participants receive other health and social supports
- participants are closely monitored and must continue engaging with the program

This approach dramatically reduces the risks of overdose, contamination and unknown potency. It also removes the need to deal with the illicit drug market and can greatly reduce the pressure to commit crime to fund drug use.

Most importantly, the hydromorphone trial is only one part of a broader health service designed to bring stability, treatment and support into people’s lives.

The vast majority of the Hub's patients will be living with trauma and mental distress. Many have survived experiences, often beginning in childhood, that most of us have never had to endure. They also possess resilience and hope that deserve our respect and must be fostered.

This is evidence-based healthcare, delivered with dignity.

As Patrick says in the clip "I ask the traders, do you want [people who use drugs in the city] to be sicker or healthier? Do you want them to be chaotic or more stable. We all benefit, the entire community benefits when people get the medical support they need."

VAADA - The Victorian Alcohol and Drug Association
Nine.com.au
Victorian Government News
Self Help Addiction Resource Centre - SHARC
Windana
cohealth
Jude DiMeglio Trang
Harm Reduction Victoria (Australia)
Hamilton Centre
Turning Point
Community Bank Elwood
Penington Institute
International Overdose Awareness Day
Access Health and Community
Fair Treatment
Victorian Aboriginal Community Controlled Health Organisation Inc

03/09/2026
Our CEO Patrick Lawrence was interviewed for comment on cohealth’s Flinders St Health Hub and hydromorphone trial by Nin...
03/09/2026

Our CEO Patrick Lawrence was interviewed for comment on cohealth’s Flinders St Health Hub and hydromorphone trial by Nine News for the bulletins at 4 and
7pm today.

It remains to be seen what is kept from his responses, but the core element was that we ALL benefit when vulnerable people get the health care they need. Also, that op**te replacement therapies (like hydromorphone) have a decades-long evidence-base for reducing harm, creating stability (for patients, their family and children, and for the community) and . . . reducing death.

The need has been there, in the C*D, for years. This centre will address at least some of that need and that is a good thing.

30/08/2026

Dear friends. Today is International Overdose Awareness Day , a day when we pause to remember people who have struggled valiantly with substance use and ultimately lost their lives. Any remembrance day, however, is actually for the living. So, please look after yourselves, reach out to friends who have lost loved ones and allow others to reach out to you too.

Chloe Bradford (Manager of AOD Services) and Patrick Lawrence (CEO) made a timely podcast with the marvellous Jude DiMeglio Trang that was released yesterday to align with IOAD: https://youtu.be/kQzcfCi-8mw?si=eFKvIgYN-9P8nwqa

It is well worth the listen, and today is a good day for it.

Address

18 Mitford Street
St Kilda, VIC
3182

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

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