The First Step Program

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.

An open letter from First Step CEO Patrick Lawrence to Tania Wolff on the phenomenal legacy she leaves behind:
13/11/2025

An open letter from First Step CEO Patrick Lawrence to Tania Wolff on the phenomenal legacy she leaves behind:

Dear Tania, Now, a few days after your time as the Director of First Step Legal has finished, I pen a few words of thanks. I write to you as a colleague of 13 years who has worked alongside you in the very challenging intersection of primary care, mental health, substance use and legal need.

Guest Blog: Benn VeenkerWhen I first entered treatment for my substance use, I had no idea what to expect. What I did kn...
10/11/2025

Guest Blog: Benn Veenker

When I first entered treatment for my substance use, I had no idea what to expect. What I did know was that I felt this undercurrent of guilt and shame for where my life had taken me and that no one could possibly understand what I had been through and why I was doing the things I was doing.

Then, in that service, I sat opposite a guy, who looked like anyone else but who spoke to me and connected to me like no one has before – I soon found out he was someone who had a lived experience of problematic substance use. He knew my struggles, he knew the emotional toll, he knew the guilt and shame, and he was able to, for the first time in what seemed like forever, give me hope for my future. I immediately felt safe and supported in that service.

Read more from Benn: https://www.firststep.org.au/guest_blog_benn_veenker

The Medication-Assisted Treatment of Opioid Dependence (MATOD) Clinical Placement Program is designed to build the skill...
06/11/2025

The Medication-Assisted Treatment of Opioid Dependence (MATOD) Clinical Placement Program is designed to build the skills and confidence of general practitioners in supporting people who live with Opioid Use Disorder.

First Step is proud to partner with South Eastern Melbourne Primary Health Network to deliver this hands-on real-world learning for GPs who are looking to make a big impact.

Find out more here: https://www.semphn.org.au/matod-clinical-placement-program

First Step has been closely involved in the consultations, advice, and decision-making processes of the City of Port Phi...
03/11/2025

First Step has been closely involved in the consultations, advice, and decision-making processes of the City of Port Phillip in recent months.

There have been numerous proposals from a current councillor aimed at taking a more punitive approach to rough sleepers.

We think the only way to achieve a win-win scenario is to enhance existing positive efforts, foster closer collaboration between organisations, and ensure the council continues to support and coordinate these initiatives.

Read more about how we have been working with Council on this: https://www.firststep.org.au/copp

First Step acknowledges the significance of Victoria’s Treaty legislation and the leadership of the First Peoples’ Assem...
31/10/2025

First Step acknowledges the significance of Victoria’s Treaty legislation and the leadership of the First Peoples’ Assembly of Victoria in shaping this moment.

Treaty is a pathway to truth, justice and self-determination, and we stand in solidarity with Aboriginal communities across the state as we move forward together.

We remain committed to listening, learning and contributing to a future where First Nations people have greater agency in shaping culturally safe, affirming and responsive health systems.

https://www.premier.vic.gov.au/sites/default/files/2025-10/251030-Treaty-Legislation-Passes-Parliament.pdf

https://firstpeoplesvic.org/treaty/

Treaty is our opportunity to make sure we – the Traditional Owners of these lands – always have the freedom and power to make the decisions that affect our communities, our culture, and our Country.

On October 31st Tania Wolff, after 12 years of service to First Step and leadership of First Step Legal, will work her l...
30/10/2025

On October 31st Tania Wolff, after 12 years of service to First Step and leadership of First Step Legal, will work her last day with us.

This has been a difficult decision for Tania, given her dedication to First Step, love of the work and care for our clients, but we fully support her as she consolidates many aspects of a super busy life.

When Tania came to First Step it was to work side-by-side with Melissa Hardham (founder of First Step Legal and now CEO of WestJustice). Tania took over the leadership role and has grown First Step Legal in terms of impact, sophistication, staff size, areas of law and reputation. First Step Legal is a leader in Health Justice Partnerships, establishing a totally unique model in being embedded within a health practice, and having 4 well-established external Health Justice Partnership with Windana Drug and Alcohol, Better Health Network, Launch Housing and St Kilda Road Clinic (part of Alfred Health). A number of smaller partnership round out this innovative, fully-accredited Community Legal Centre. It has been Tania's vision and ability to bring others along with that vision that has grown First Step Legal to this point, with of course many amazing staff to realise that vision along the way.

Tania was recently made an Honorary Life Member of the Law Institute of Victoria, of which she was president for some years. Her leadership and impact extends in many directions, and her contribution to First Step will never be forgotten. Tania will stay involved with First Step Legal, but is stepping down from the Director role from her current part-time position.

We wish Tania all the very best.

"There are people who needed support before we even opened our doors who might be about to take their first step. So, we...
30/10/2025

"There are people who needed support before we even opened our doors who might be about to take their first step. So, we're not going anywhere. First Step was created to give people every chance to turn their lives around. No financial barrier. Unconditional positive regard. Welcome. Empathy. Treatment and support." - Patrick Lawrence, CEO (2003 - current)

For 25 years, we’ve walked alongside thousands. With your support, we can walk with thousands more.

👉 Donate now: https://www.firststep.org.au/donate

"That commitment means we don’t always fit within standard models of care. The system might say a person should ‘step do...
29/10/2025

"That commitment means we don’t always fit within standard models of care. The system might say a person should ‘step down’ after a set number of sessions, but our clients often aren’t ready. The idea that someone will be ‘better’ in a fixed number of weeks doesn’t reflect the reality of complex trauma, homelessness, financial instability, or long-term substance use." - Joe Fishburn, Clinical Lead, 2012 - current

For 25 years, we’ve walked alongside thousands. With your support, we can walk with thousands more.

👉 Donate now: https://www.firststep.org.au/donate

"This was my first experience accessing any kind of support. I’d avoided help for years out of fear — fear of being judg...
28/10/2025

"This was my first experience accessing any kind of support. I’d avoided help for years out of fear — fear of being judged, of being written off. But from my first interaction at First Step, I felt seen. I was treated as a person, not a condition. I was never pitied, never judged." - Sam Pryer, Senior Peer Support Coordinator (2021–current)

For 25 years, we’ve walked alongside thousands. With your support, we can walk with thousands more.

👉 Donate now: https://www.firststep.org.au/donate

For 25 years, we’ve walked alongside thousands. With your support, we can walk with thousands more.👉 Donate now: https:/...
27/10/2025

For 25 years, we’ve walked alongside thousands. With your support, we can walk with thousands more.
👉 Donate now: https://www.firststep.org.au/donate

Please support First Step's life changing work

"I would say probably the most important thing that happened for me when I went to First Step was that, for the first ti...
27/10/2025

"I would say probably the most important thing that happened for me when I went to First Step was that, for the first time, 40-odd years after I was born, I was able to talk about what led me there. It was the first place I could talk about addiction and my life with no shame." - Wendy, Lived and Living Experience Reference Group

For 25 years, we’ve walked alongside thousands. With your support, we can walk with thousands more.

👉 Donate now: https://www.firststep.org.au/donate

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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Our Story

First Step is a mental health and addiction treatment ‘hub’ located in St.kilda, Vic. For nearly 20 years we have practiced the team care of clients, providing free-of-charge access to GP's (with vast AOD experience) psychologists, psychiatrists, case workers, mental health nurses, criminal and specialist family violence lawyers among others.

All practitioners practice from the one location at 42 Carlisle Street, St.Kilda. This is essential for people suffering from acute addiction & mental health as they are often too chaotic to cope with multiple appointments and whose care is optimised by accessing the expertise of multiple practitioners all working together.

First Step truly understands that effective treatment of highly complex conditions (like mental ill-health and addiction) is contingent on the input of different areas of expertise and this is extensively facilitated within the operating structure of First Step.

It is our mission to ensure that every person has every chance to turn their lives around.