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.

27/04/2026

“It was the first place I felt like a person again.”

That’s the impact of being treated with dignity.

In discussing lived experience leadership, Clare Davies challenged the First Step Futures Forum to consider what true in...
24/04/2026

In discussing lived experience leadership, Clare Davies challenged the First Step Futures Forum to consider what true inclusion means.

“Inclusion has too often been a tick-box exercise rather than a redistribution of power.”

Equity requires shifting decision-making authority, not simply widening consultation.





Earlier this week, we were honoured to welcome Her Excellency the Honourable Margaret Gardner AC, Governor of Victoria, ...
23/04/2026

Earlier this week, we were honoured to welcome Her Excellency the Honourable Margaret Gardner AC, Governor of Victoria, to First Step.

During her visit, the Governor met with members of our team and heard directly from a peer worker, a lawyer and one of our doctors about how integrated care works in practice, and why it matters. We spoke about the importance of responding to people’s health, social and legal needs together, and the very real consequences when systems fail to do so.

We were particularly encouraged by Her Excellency’s interest in the intersection between substance use, health and the justice system, and her recognition of the role early, integrated support can play in preventing escalation and improving outcomes for individuals and the community.

Thank you to the Governor for her thoughtful engagement, and to our staff who so generously shared their experience and expertise.



(Photo: Patrick Lawrence, First Step CEO, Her Excellency the Honourable Margaret Gardner AC, Governor of Victoria, Catherine Easton, First Step Chair)

“Why don’t they just stop?”It’s a question people ask a lot.But it overlooks the reality that substance use is often tie...
23/04/2026

“Why don’t they just stop?”

It’s a question people ask a lot.

But it overlooks the reality that substance use is often tied to pain, trauma, and survival.

It’s not that simple - and people deserve better than simple answers.

Paul Edbrooke MP addressed ongoing public debate about harm reduction measures at First Step's Futures Forum:“Harm reduc...
22/04/2026

Paul Edbrooke MP addressed ongoing public debate about harm reduction measures at First Step's Futures Forum:

“Harm reduction is healthcare, not a political football.”

Evidence-based approaches save lives.






If today feels heavy, you’re not alone.Sometimes it’s not about fixing everything—just getting through the next hour.Be ...
21/04/2026

If today feels heavy, you’re not alone.

Sometimes it’s not about fixing everything—just getting through the next hour.

Be gentle with yourself.

Closing the First Step Futures Forum, Rev Tim Costello AO quoted Desmond Tutu in reflecting on collective responsibility...
20/04/2026

Closing the First Step Futures Forum, Rev Tim Costello AO quoted Desmond Tutu in reflecting on collective responsibility.

“Optimism and hope aren't a preference. They're a choice.”

Choosing hope means continuing the work, even when progress feels fragile.




17/04/2026

A lot of people who walk through our doors have been turned away before.

Too complex. Too early. Too late.

We do things differently.

Prof Pat McGorry, Executive Director at Orygen, spoke about system failure and preventable tragedy at the First Step Fut...
16/04/2026

Prof Pat McGorry, Executive Director at Orygen, spoke about system failure and preventable tragedy at the First Step Futures Forum.

“There are probably dozens of Bondi Junctions that could happen.”

Early intervention and continuous care are not optional, they are safeguards.






Trauma doesn’t always look like what people expect.It can look like anger.It can look like shutting down.It can look lik...
15/04/2026

Trauma doesn’t always look like what people expect.

It can look like anger.
It can look like shutting down.
It can look like using substances to cope.

Understanding this changes how we respond.

At First Step's Futures Forum, Paul Edbrooke MP reflected on lived realities:“People do not experience mental health iss...
14/04/2026

At First Step's Futures Forum, Paul Edbrooke MP reflected on lived realities:

“People do not experience mental health issues or AOD issues in a vacuum.”

Housing stress, trauma, poverty and legal issues intersect, and services must respond accordingly.






What does non-judgemental support actually look like to you?There’s no right answer - we’d really love to hear.
13/04/2026

What does non-judgemental support actually look like to you?

There’s no right answer - we’d really love to hear.

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.