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 peo

ple 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.

“I left school just after turning 15 and started working in kitchens. My first job was at a pizza place, then I moved on...
24/07/2025

“I left school just after turning 15 and started working in kitchens. My first job was at a pizza place, then I moved on to a Japanese restaurant. I only lasted three months there – they never properly inducted me, so when the trial period ended, they let me go. It was my first real lesson in how hospitality works.

For a while, I skated and did nothing else. Then Old Boy came home with a lead for a job at a restaurant. That’s where everything really started, both the cheffing career and the drug use.

I started as a kitchenhand and then quickly moved into an apprenticeship. The hours were long, the work intense, and the culture was full-on. Everyone partied. I started drinking more, smoking w**d, and experimenting with pills and speed. It all seemed normal. I’d grown up in a house where drugs were demonised, but in the kitchen, it was just part of the job.

I moved out, partly so I could smoke without sneaking around. I worked six days a week, 14- to 16-hour split shifts. The chefs would pool money to buy speed and keep it in the cool room, chopped on a plate with a straw. I was an apprentice earning a grand a week, and it was all going up my nose.

Eventually, I crashed and quit.”

Photographer: Nicholas Walton-Healey www.nwhphoto.com

“By the time I reached high school, I felt like I was just surviving. I moved schools a few times and ended up at one th...
23/07/2025

“By the time I reached high school, I felt like I was just surviving. I moved schools a few times and ended up at one that had a reputation for being the place where kids went if they’d been kicked out of other schools. I arrived halfway through year 10 and got slotted into a group by teachers that didn’t make sense for me. The bullying picked up again, and this time I didn’t have the academic safety net to retreat into. I started to struggle for the first time.

Skating became my refuge. I was a rollerblader, not a skateboarder, which meant I even got bullied at the skatepark at first. But over time, I found my place there. At school, we had our own little bubble too. We played Magic: The Gathering at recess, chess at lunch. Looking back, I reckon a lot of us were neurodivergent. But at the time, we were just “the nerdy kids.” That was our safe space.”

Photographer: Nicholas Walton-Healey www.nwhphoto.com

This year, First Step turns 25.We’re celebrating every story, every step, and are looking to reconnect with people from ...
22/07/2025

This year, First Step turns 25.

We’re celebrating every story, every step, and are looking to reconnect with people from our early years.

Were you a First Step client between 2000 and 2015? Or did someone you love receive care from us during those early years?

We’d love to hear from you. Your story could help us fill in some important gaps in our shared history.

Please drop us a message here or email nelly@firststep.org.au

And if this makes you think of someone else, please share it with them – you never know who might have a story to tell.

“Home life wasn’t much better. The Old Boy was a coal miner — strict, often asleep during the day because of shift work,...
22/07/2025

“Home life wasn’t much better. The Old Boy was a coal miner — strict, often asleep during the day because of shift work, and not great with noise. He could be heavy-handed, especially with me. My sister was spared more of that, but I think that was just the gender dynamic. Mum didn’t intervene much. That generation, you know? It was just seen as normal.”

Photographer: Nicholas Walton-Healey www.nwhphoto.com

Over the next few weeks, Nick is going to tell you his story, in his own words. Our wish is that you find hope and inspi...
21/07/2025

Over the next few weeks, Nick is going to tell you his story, in his own words. Our wish is that you find hope and inspiration in his journey.

“I was adopted from South Korea when I was 10 months old. My sister was adopted too, also from Korea, and we were raised in a small country town in New South Wales. We were the only Asian kids at our school.

I was bullied pretty early on — first for how I looked, then for being part of the "nerdy" group. At the time, I didn’t have the words for what was going on. I just knew I didn’t fit. Later in life, I was diagnosed with autism and am currently being assessed for ADHD. Looking back, that explained a lot of what I felt growing up: the disconnection, the sense that I was always one step behind socially even though I was excelling academically.

School was strange. I was moved into a gifted and talented program in year three and skipped ahead a grade, but no one told me I’d been accelerated. I remember thinking, "Cool, maybe we’ll get to go on camp twice!" I didn’t realise until year six that I’d actually missed a whole year.

A psychologist recently asked me, “Do you know the developmental difference between an 11-year-old and a 13-year-old boy?” And yeah, it’s massive. I was small, I was younger, and I was being bullied by kids who were bigger, older, and more socially advanced. I didn’t stand a chance.”

Thank you to Nicholas Walton-Healey for the beautiful photography www.nwhphoto.com

🌟 Say thank you with impact. 🌟Some people change our lives in ways words can’t capture. Our "In Honour" program lets you...
20/07/2025

🌟 Say thank you with impact. 🌟

Some people change our lives in ways words can’t capture. Our "In Honour" program lets you make a donation in recognition of that person who has made a difference to your life.

Your gift supports free, wraparound services for people facing mental health and addiction challenges.

Honour someone special today: https://www.firststep.org.au/donate

📅 Day 7: Reflect & Set a Long-Term Sleep Goal 🌟You made it to Day 7! Let’s reflect on what worked and set a long-term go...
19/07/2025

📅 Day 7: Reflect & Set a Long-Term Sleep Goal 🌟

You made it to Day 7! Let’s reflect on what worked and set a long-term goal for better sleep.

🌟 Challenge: Think about what changes made the biggest difference and commit to keeping them beyond this challenge.

💡 Try This:
✅ Write down your best sleep habit from this week
✅ Set a realistic goal (e.g., “I will keep my bedtime routine 5 days a week.”)

✨ Bonus Tip: Track your sleep in a journal or app to see your progress over time.

💬 Check-in: What’s your biggest takeaway from this challenge? Let’s celebrate together! ⬇️

📅 Day 6: Cut Down Screen Time Before Bed 📱🌙Time to unplug! Screens emit blue light, which tricks your brain into thinkin...
18/07/2025

📅 Day 6: Cut Down Screen Time Before Bed 📱🌙
Time to unplug! Screens emit blue light, which tricks your brain into thinking it’s daytime.

🌟 Challenge: Turn off screens at least 30-60 minutes before bed. No phones, tablets, or TV! Instead, try reading, meditating, or deep breathing.

💡 Why? Reducing blue light before bed boosts melatonin, helping you fall asleep faster.

✨ Bonus Tip: Use ""Night Mode"" on your phone in the evening to reduce blue light.

💬 Check-in: What did you do instead of scrolling tonight? Share below! ⬇️

Big Thanks to Community Bank Windsor! 💛We’re thrilled to share that our Emergency Relief Fund has received renewed suppo...
18/07/2025

Big Thanks to Community Bank Windsor! 💛

We’re thrilled to share that our Emergency Relief Fund has received renewed support from Community Bank Windsor

This generous funding helps us meet our clients at their most vulnerable with food, medication, safe accommodation, and transport, removing the everyday barriers that stand in the way of recovery.

Whether it’s a night in crisis accommodation, a taxi to a medical appointment, or a few days of essential medication, these small, practical supports make a big difference.

Thank you, Community Bank Windsor, for standing with us and backing real, human-centred care. Together, we’re building a safer, more compassionate community.



📅 Day 5: Get Morning Sunlight & Move Your Body 🌞🚶‍♀️Sunlight and movement help set your body’s natural sleep-wake cycle!...
17/07/2025

📅 Day 5: Get Morning Sunlight & Move Your Body 🌞🚶‍♀️

Sunlight and movement help set your body’s natural sleep-wake cycle!

🌟 Challenge: Spend at least 10 minutes outside in the morning and get some physical activity during the day.

💡 Why?
✅ Morning light helps regulate melatonin (your sleep hormone)
✅ Exercise improves sleep quality (but avoid intense workouts right before bed!)

✨ Bonus Tip: If you can’t get outside, sit near a bright window in the morning.

💬 Check-in: Did you get outside today? How did it feel? Drop your thoughts below! ⬇️

16/07/2025

Researchers at Monash University are trialling a new “breathing” app and smartwatch for people who are trying to reduce their alcohol use.

Victorians over 18 years who wish to reduce their alcohol use are invited to take part in this study.

Find out more: https://redcap.link/HRVBiofeedback

MUHREC: 44207

16/07/2025

| A pilot study led by The Matilda Centre has revealed that friends and family supporting a loved one using alcohol or other drugs experience high psychological distress, but often don’t seek help due to barriers like cost.

The study also found the Family and Friends Support Program (ffsp.com.au) to be an effective web-based intervention, highlighting a need for free, accessible support for affected friends and family members. Read more: https://pubmed.ncbi.nlm.nih.gov/40632753/

Address

St Kilda, VIC

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.