Mental Health Hub

Because healing begins when we understand the weight they carry

Foster Wellbeing Together

Mental Health in Out-of-Home Care

Children and young people in foster and kinship care often carry more than what can be seen. Behind the brave faces and quiet resilience are stories marked by trauma, loss, and profound disruption, all of which can deeply affect their mental health. 

Research shows that kids in out-of-home care are between two and five times more likely to experience mental health issues than their peers. But the sad truth? Most never receive the care they need. 

Many have faced early childhood trauma, neglect, abuse, or substance exposure before birth. And while they may find safety in a carer’s home, the emotional wounds they carry don’t heal overnight. What they need, more than anything, is understanding, patience, and access to mental health support.

What the Data Tells Us

A recent study published in The Medical Journal of Australia highlighted some sobering truths about the mental health of children in foster care:

Externalising behaviours like social withdrawal, hyperactivity, and attention difficulties are more common than we may realise.

Younger children in care show more signs of these behaviours than older children, often signalling unmet developmental and emotional needs.

Serious suicide attempts are alarmingly higher among adolescents in out-of-home care than in the wider population.

Most children showing clear mental health challenges haven’t seen a mental health professional.

These are not just numbers, they are children. Children who deserve better, and who, with the right care and support, can begin to heal.

There Is Hope

Despite the weight of these challenges, the research also shows something powerful:
When children in care have access to therapeutic support and stable, loving carers, they can thrive.

When foster and kinship carers are supported, emotionally, practically, and professionally, they become the steady, healing presence these children so desperately need.

Evidence-based programs that strengthen carers’ therapeutic skills and provide early intervention have already shown promising outcomes for the well-being of children in care. With the right tools, the right people, and the right support, change is not only possible, it’s happening.

A guide for carers navigating mental health services for children in out-of-home care

Understanding Mental Health Care Options

Caring for a child or young person who’s struggling with their mental health can feel overwhelming, especially when you’re trying to figure it all out on your own.
The system can be confusing, the jargon hard to follow, and the pressure to get it right can be heavy.

We’ve created this easy-to-understand guide to help lighten the load. It explains:

First Step: Talk to a GP

If a GP assesses that the child needs mental health support, they can create a Mental Health Care Plan. This plan provides access to Medicare rebates for up to 20 individual sessions per year (January–December) with professionals like:

You're Not Alone

Choosing the right support for a child’s mental health is a big responsibility, but you don’t have to do it alone. If you need help understanding your options, A Better Life For Foster Kids is here to support you.

We can connect you with resources, guide you through the process, or simply listen when it all feels like too much

Phone Number

0412 154 424

Email Address

heather@abetterlifeforfosterkids.com.au

Who Can Help?

Below is an overview of the range of professionals and services you might consider:

Psychiatrists are medical doctors with 11–13 years of training, including specialisation in mental health. Some focus specifically on children and adolescents.

They can help with:

  • Diagnosing and treating mental health disorders
  • Prescribing medication
  • Ordering medical tests
  • Hospital or facility-based mental health care

Referral required: Yes, from a GP
Cost: $200–$400 per session without a rebate
Rebate: $116–$396 per session under a Mental Health Care Plan (up to 20 sessions)

Paediatricians are medical specialists in children's health. Some specialise in developmental delays or behavioural issues.

They can help with:

  • Diagnosing and treating Autism, ADHD, sleep issues, growth delays, disabilities
  • Offering referrals to psychologists or other allied health professionals

Referral required: Yes, from a GP
Cost: Bulk-billed in public settings; private gap fees range from $40–$222

Psychologists have 6–8+ years of training. Clinical Psychologists have extra qualifications and experience. Many specialise in child trauma and therapy for young people in care.

They can help with:

  • Processing trauma and emotional distress
  • Behavioural challenges and relationship issues
  • Building coping strategies and self-worth
  • Mental health diagnosis (as part of a team)

Referral required: No, but a GP referral allows access to rebates
Cost: $150–$260 per hour
Rebate: $87 (General) / $127 (Clinical) per session, up to 20 sessions per year
Bulk billing: Available with some practitioners

👉 Find a psychologist via the Australian Psychological Society

Counsellors may hold qualifications ranging from a Diploma to a Master’s Degree.

They can help with:

  • Supporting emotional wellbeing
  • Processing grief, trauma, and life changes
  • Improving relationships and goal setting
  • Group or individual sessions

Referral required: Usually no
Cost: $100–$200 per hour
Rebate: Some eligible for Medicare rebate ($75–$125) with a Mental Health Care Plan
👉 Search for a counsellor – Australian Counselling Association

Located within schools, these professionals often hold psychology degrees and are registered. (Note: Guidance Officers may have different qualifications.) 

They can help with:

  • Learning assessments
  • Academic or emotional support
  • Goal setting and group sessions
  • Career guidance and wellbeing

Referral required: No, book through the school’s office
Cost: Free

👉 More info about psychologists in schools

Certified or Accredited Play Therapists specialise in using play to help children express emotions and process trauma.

They can help with:

  • Emotional literacy and regulation
  • Building resilience and coping strategies
  • Non-verbal processing through toys and games

Referral required: No
Cost: ~$150 per session
Rebate: Only if provided by a psychologist
👉 Find a Play Therapist

Registered Arts Therapists hold a Master’s degree and 750+ hours of clinical placement.

They can help with:

  • Creative emotional expression
  • Processing trauma and stress
  • Building confidence and communication
  • Supporting neurodiverse children

Referral required: Varies
Cost: $100–$180 per session
Rebate: Possible with a Mental Health Care Plan
👉 Find a Therapist – ANZACATA

This can include psychologists, counsellors, or occupational therapists who incorporate therapy animals (e.g. dogs, horses).

They can help with:

  • Emotional regulation and calm
  • Motivation, bonding, and social skills
  • Trauma support in a gentle, sensory-based way

Referral required: Depends on the provider
Cost: Varies by practitioner
Rebate: May apply if provider is a registered allied health professional
👉 Search for Equine/Animal-Assisted Therapy Providers

ACCHOs are community-run services that provide culturally safe care for Aboriginal and Torres Strait Islander people.

They can help with:

  • Social, emotional, physical and cultural wellbeing
  • Culturally-appropriate counselling and family support
  • Localised health and wellbeing programs

Referral required: Not for general services
Cost: Most services are bulk billed
👉 Find your local ACCHO

Because those who care, deserve care too.

Carers Corner

At A Better Life For Foster Kids, we see you,  the foster and kinship carers who open your hearts and homes to children who need safety, love, and stability. We know that your role can be both incredibly rewarding and undeniably challenging. 

This space is just for you.
To guide you, support you, and walk alongside you, every step of the way. Click the images below to read more. 

Carers Corner

We’re here for the foster carers who provide safety, love, and stability to children in need, guidance, resources & support every step of the way.

Child Safety Policies

We’re committed to clear, comprehensive child safety policies that protect, empower, and prioritise the wellbeing of every child in our care.

Request Help

Need support? We’re here to help with practical assistance, a listening ear, and crisis case requests when you need it most.

A Better Life For Foster Kids

Support That’s Just for You

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Others Do Care Fund

Kids in care often miss out on the little things that help them feel included. The Others Do Care Fund helps cover costs for sport, music, tutoring and more, so they can join in, feel proud, and just be kids.
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Request A Crisis Cases

When a child arrives with nothing, our Crisis Cases provide the essentials you need right away, clothes, toiletries, and comfort items, packed with care to help you both through the first days.
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Housing Transition Packages

If a young person is leaving care or a family is starting over, we can help furnish and fully stock their new home, creating a safe, stable, and welcoming place to begin again with dignity and ongoing support.