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.

Have your say about proposed local law changes affecting people sleeping rough.The City of Port Phillip is consulting on...
26/03/2026

Have your say about proposed local law changes affecting people sleeping rough.

The City of Port Phillip is consulting on a proposal that would allow council officers to remove and impound “encampment equipment”, items like tents, blankets, swags or cardboard used by people sleeping outside.

If people don’t reclaim these items in time, they may be disposed of.

Many local organisations, including First Step, believe that removing essential survival items is not a humane or effective response to homelessness. Real solutions require housing, outreach, and integrated support.

The consultation is open until 11:59pm on 29 March.

If you live or work in Port Phillip, you can complete the short survey and share your view with Council:

https://haveyoursay.portphillip.vic.gov.au/community-amenity-amendment

Every submission counts.

We’re proposing a change to the Community Amenity Local Law to clearly set out how we respond to camps on Council land.

Clare Davies, CEO of SHARC, reflected on the emotional toll placed on lived experience communities repeatedly asked to c...
25/03/2026

Clare Davies, CEO of SHARC, reflected on the emotional toll placed on lived experience communities repeatedly asked to co-design reforms that stall or retreat.

“We cannot keep inviting people into broken systems.”

Sustainable reform requires systems worthy of people’s trust and participation.





Lead one of Australia’s pioneering Health Justice Partnerships.First Step is seeking an experienced and values-driven le...
24/03/2026

Lead one of Australia’s pioneering Health Justice Partnerships.

First Step is seeking an experienced and values-driven leader to guide First Step Legal, our embedded community legal service within a nationally recognised integrated care model.

As Director, you will shape strategy, strengthen partnerships, and ensure the ongoing impact and sustainability of a service that supports people experiencing complex and overlapping challenges.

This is a unique opportunity to work at the intersection of health, legal and social care, leading a collaborative, multidisciplinary team committed to access to justice and whole-of-life support.

For more information: https://www.firststep.org.au/careers

Applications close: April 10, 2026

First Step is a completely independent not-for-profit organisation that provides a safe and nurturing work environment for people of all backgrounds, genders, religions, sexualities, ethnicities or any other factor.

Sheree Lowe, Executive Director VACCHO, shared reflections from Victoria’s historic treaty process.“Treaty is how we mak...
23/03/2026

Sheree Lowe, Executive Director VACCHO, shared reflections from Victoria’s historic treaty process.

“Treaty is how we make the future possible.”

A shared future requires truth, accountability and self-determination.





Sheree Lowe, Executive Director of VACHO’s Balit Durn Durn Centre and member of the First Peoples’ Assembly of Victoria,...
19/03/2026

Sheree Lowe, Executive Director of VACHO’s Balit Durn Durn Centre and member of the First Peoples’ Assembly of Victoria, spoke directly about systemic harm.

“Racism is one of the leading factors that are killing our people.”

Health reform cannot ignore structural injustice.





In considering what success looks like in 25 years, Paul Edbrooke reframed the goal at the First Step Futures Forum.“It ...
17/03/2026

In considering what success looks like in 25 years, Paul Edbrooke reframed the goal at the First Step Futures Forum.

“It will be how much harm we have reduced.”

Progress is measured in lives stabilised, dignity restored and preventable deaths avoided.






Paul Edbrooke MP addressed the reality often avoided in political debate.“Substance use will always exist in our society...
12/03/2026

Paul Edbrooke MP addressed the reality often avoided in political debate.

“Substance use will always exist in our society.”

The question is not whether it exists, but whether we respond with punishment or with evidence-based care.






The City of Port Phillip is considering changes to its Community Amenity Local Law that would allow authorised officers ...
10/03/2026

The City of Port Phillip is considering changes to its Community Amenity Local Law that would allow authorised officers to remove and impound items used by people sleeping rough, including blankets, swags, cardboard and sleeping bags.

These items aren’t just belongings. They are often essential for safety and survival.

The proposal says this power would only be used as a “last resort”, after attempts to connect people with support services. But in practice, removing someone’s sleeping equipment can effectively force them to move on, often when they have nowhere else to go.

As a service working closely with people experiencing homelessness in our community, First Step believes responses should focus on housing, healthcare and support, not punishment.

The City of Port Phillip is currently asking for community feedback on the proposal.

If you live, work or spend time in Port Phillip, you can share your view before 29 March.

Have your say here:
https://haveyoursay.portphillip.vic.gov.au/community-amenity-amendment

Community voices matter in this process, and the number of responses can influence the outcome.

We’re proposing a change to the Community Amenity Local Law to clearly set out how we respond to camps on Council land.

At the First Step Futures Forum, Clare Davies, CEO of SHARC, reflected on the gap between reform promises and real chang...
10/03/2026

At the First Step Futures Forum, Clare Davies, CEO of SHARC, reflected on the gap between reform promises and real change. Speaking about the Royal Commission and lived experience leadership, she noted that the intention was genuine power-sharing , but systems were never truly asked to give up control.

“We don’t just have a policy problem. We have an implementation problem.”

The next 25 years will be defined not by what we promise, but by what we are prepared to implement.





Paul Edbrooke MP, Parliamentary Secretary for Mental Health and Su***de Prevention, spoke about the fragmentation people...
05/03/2026

Paul Edbrooke MP, Parliamentary Secretary for Mental Health and Su***de Prevention, spoke about the fragmentation people experience when navigating services.

Looking to 2050, he imagined:

“Integration is not a pilot, but the default setting.”

Real reform means designing systems that recognise whole lives, not isolated issues.






We were grateful to have Clare Davies, CEO of SHARC, join us at the First Step Futures Forum last week.Clare spoke power...
03/03/2026

We were grateful to have Clare Davies, CEO of SHARC, join us at the First Step Futures Forum last week.

Clare spoke powerfully about what the next 25 years require of us - not just reform, but healing embedded into our systems, and lived and living experience centred as a foundation rather than an afterthought.

These conversations matter. The future of our sectors will be shaped by how willing we are to share power, listen deeply and follow through.

Thank you, SHARC, for your ongoing leadership and partnership in this work.

At the First Step Futures Forum, Professor Patrick McGorry, Executive Director Orygen, challenged the room to confront a...
02/03/2026

At the First Step Futures Forum, Professor Patrick McGorry, Executive Director Orygen, challenged the room to confront a stark global imbalance. While mental illness represents a significant proportion of disease burden, funding does not reflect that reality.

“2% of health budgets around the world are spent on mental illness.”

If we are serious about reform, investment must match the scale of the problem.

VAADA - The Victorian Alcohol and Drug Association
Mental Health Victoria

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.