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					Building Resilience to Problem Gambling in the
         Eastern Metropolitan Region




                                      Project Plan


Action statement

Date           Name                  Position                Action required               Due date
                                                             (Review/Endorse/Approve)




Prepared by           Jo Maher
Title                 Project Manager Problem Gambling Initiative
Organisation          Inner East Primary Care Partnership
Version no.           1.0
Version date          30 June 2009
Status                Draft
File/Doc no.          G:\PCP\Problem Gambling Initiative\Planning materials\Project plan
Building Resilience to Problem Gambling in the Eastern Metropolitan Region                           - Project Plan




Document control sheet

Contact for enquiries and proposed changes

If you have any questions regarding this document or if you have a suggestion for improvements, please contact:

Project Manager         Ms Jo Maher

                        03-92854899

Version history

 Version no.           Date             Changed by                Nature of amendment
           1             30 -6-09                                 Initial draft.




Project Plan approval
The following have approved this document.

Customer
Name

Position

Signature                                                                          Date

Sponsor

Name

Position

Signature                                                                          Date


The following has endorsed this document.

Name

Position

Signature                                                                          Date




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Building Resilience to Problem Gambling in the Eastern Metropolitan Region                                                        - Project Plan




Contents

Introduction ................................................................................................................................ 4
1.1          Purpose of this document ............................................................................................. 4
1.2          References .................................................................................................................... 4
1.3          Definitions .................................................................................................................... 4

2            Project Customer, Sponsor and Project Manager ........................................................ 5
2.1          Project Customer .......................................................................................................... 5
2.2          Project Sponsor ............................................................................................................ 5
2.3          Project Manager ........................................................................................................... 5

3            Stakeholders ................................................................................................................. 5

4            Background .................................................................................................................. 5

5            Current situation ........................................................................................................... 7

6            Purpose/objectives ....................................................................................................... 7
6.1          Purpose/objectives. ...................................................................................................... 7
6.2          Links with PCP’s strategic objectives .......................................................................... 8
7.1          In scope ........................................................................................................................ 8
7.2      Out of scope ................................................................................................................... 11
7.3          Constraints ................................................................................................................. 11
7.4       Assumptions .................................................................................................................. 11

8.           Impacts ....................................................................................................................... 12

9            Method to date ........................................................................................................... 12

10           Project control ............................................................................................................ 13

12           Project performance measurement ............................................................................. 13

Appendix A Project Action Plan ......................................... Error! Bookmark not defined.14


Appendix B Project Budget....................................................................................................19




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Building Resilience to Problem Gambling in the Eastern Metropolitan Region - Project Plan




Introduction
1.1     Purpose of this document
        The purpose of this document is to outline the planning process which underpins the
        development of the project plan and to detail how the project will be implemented, managed
        and evaluated.




1.2     References
        Documents which have informed this project include:

               Problem Gambling Primary Care Partnership Integrated Health Promotion -
                Implementation Framework 2008-2010. Department of Justice Victoria

               Problem Gambling PCP Additional Funding Deliverables Document, Department of
                Justice 2009

               Funding and Service Agreement between the Department of Justice and Inner East
                Primary Care Partnership, 2008

               Problem Gambling Community Awareness and Education Strategy, March 2009.
                Department of Justice Victoria

               Gamblers Help Services Community Education Plan, Gamblers Help Eastern. 2008-
                9 to 2010-11

               Whitehorse Gaming Impact Study, 2003. City of Whitehorse

               Draft Health Promotion Resource Kit for Problem Gambling –Department of Justice
                2009


1.3     Definitions
        In the table below define any term, which this document’s audience may not
        understand, including specific terms and abbreviations.
        Terms,                      Meaning
        abbreviations and
        acronyms
        IEPCP                       Inner East Primary Care Partnership
        GHE                         Gamblers Help Eastern
        OEPCP                       Outer East Primary Care Partnership
        EGM’s                       Electronic Gaming Machines (pokies)




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2        Project Customer, Sponsor and Project Manager

2.1      Project Customer
         Gamblers Help Eastern and other participating members if the Inner East Primary Care
         Partnership.


2.2      Project Sponsor
         Inner East Primary Care Partnership


2.3      Project Manager
         Ms Jo Maher.


3        Stakeholders


         Stakeholder           Stakeholder                   Responsibility        Interest/context
         area                  representative
         Internal              Cheryl Wood                   Executive Officer ,   Project manager
                                                             Inner East Primary    reports to EO
                                                             Care Partnership
                                                                                   Project plan
                                                                                   integrates into the
                                                                                   IEPCP strategic plan
         External              Jacky Bramwell                Manager Gamblers      Compatibility of
                                                             Help Eastern          project plan with GHE
                                                                                   community plan
         External              unknown                       Department of         Project plan meets
                                                             Justice - Office of   requirements of
                                                             Racing and Gaming     Funding and service
                                                                                   Agreement
         External              Jacky Close                   Executive Officer,    Application of lessons
                                                             Outer East Primary    learnt in the first two
                                                             Care Partnership      years of the project to
                                                                                   apply in the OEPCP
                                                                                   in the third year of the
                                                                                   project




4        Background
In June 2008 the Inner East Primary Care Partnership (IEPCP) received funding from the Victorian
Office for Gaming and Racing to develop and implement an integrated health promotion project
aimed at increasing protective factors and reducing risk factors, which contribute to the
development of problem gambling behaviour, in the Eastern Metropolitan Region. In October 2009
the IEPCP appointed a project manager to work part time on the project. The project will be
implemented in the IEPCP in the first two years and will inform work undertaken by the Outer East
Primary Care Partnership (OEPCP) in the third year.


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The Primary Care Partnership (PCP) Problem Gambling Project forms part of the Victorian
Government’s five year strategy “Taking Action on Problem Gambling” addressing action area three
“Promoting Healthy Communities”. Nine PCP’s across Victoria have been identified as priority PCP’s
by the Office for Gaming and Racing to implement the health promotion project. All 31 PCP’s
received $10,000 to support health promotion or service coordination initiatives which address
problem gambling. Funding for the project is recurrent, for three years.


The PCP problem gambling project will work with PCP members and will support and compliment the
health promotion work and partnership approach of the remodelled Gamblers Help Services. PCP’s
were identified as an appropriate platform upon which to implement this project because of their
existing networks within the primary health and community services sectors and their key areas of
focus being the development of partnership initiatives in relation to integrated health promotion and
service coordination, which are crucial components of this project.


Problem gambling is recognised as a growing public health issue with significant health, social and
economic implications for individuals, communities and service providers. It is estimated that 2.14%
of the adult Victorian population, approximately 75,000 people exhibit problem gambling behaviour
and between six and ten people are negatively affected for each one, totalling between 375,000 –
750,000 people. (Productivity Commission Report, 1999).
EGM players are much more likely to develop problem gambling behaviour than those who
participate in other forms of gambling, and the amount of money spent on EGMs is significantly
greater that which is spent through other forms of gambling. In excess of 80% of the work
undertaken by Gamblers Help Eastern, the peak body in the EMR providing support to people who
identify having a problem with gambling, relates to EGM’s as the principal form of gambling.


The reasons for problem gambling are complex but can generally be categorised under two main
headings
           Characteristics of the individuals
           Characteristics of the environment.


Research has revealed a significant link between an individual’s propensity to gamble and other
prevailing individual characteristics, in particular mental illness, drug and alcohol misuse and family
and relationship difficulties. While it is tempting to focus on the individual when considering problem
gambling there is significant evidence to show the importance of the environment in contributing to
a vulnerable person developing problem gambling behaviour. In particular, the socio–economic and
cultural setting in which an individual lives is a contributing factor to their inclination to gamble;
while there is inherent danger for a vulnerable individual from using EGM’s themselves. EGM’s are
designed in a way which entices a vulnerable player to continue playing beyond the time they can
safely afford. This is supported by the fact that in the last financial year, Aristocrat one of the largest
makers of EGM’s for the Australian market, is reported to have spent $117 million on research and
development of EGMs.




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5        Current situation
In the four local government areas of the IEPCP catchment the total loss to EGM’s in the 2007- 2008
financial year was $265 million. The hot spot in the IEPCP catchment area is the City of Monash
which has consistently recorded the highest or second highest losses to EGM’s in Victoria. In the
2007-8 financial year $125 million was lost to EGM’s machines in the City of Monash with Matthew
Flinders Hotel reporting the highest takings per machine of all venues in the state, of $278,000 per
machine, (16 million in one year).
Studies have shown that most regular gamblers come from within a five kilometre radius of a
gambling venue ( Productivity Commission Report 1999). It is no coincidence that venues with EGM’s
are located in areas or settings, which maximise patronage.
Mathew Flinders hotel is located close to the Ashburton, Ashwood and Chadstone Neighbourhood
Renewal Area which has areas of significant social and economic disadvantage. Holmsglen TAFE is
also close by with a large population of international students living in the area.
Research has shown an association between disadvantage and risk of problem gambling. The reasons
for this are complex however social isolation (from being unemployed, single parent household,
CALD background, mental illness, drug and / or alcohol dependence, limited education opportunities,
relationship breakdown are some examples) is a key underlying determinant. It is always important
to note that low socio-economic status increases risks of problem gambling in people of low-socio-
status as a group. Obviously, many individuals in this category do not gamble and are not at risk of
problem gambling.

The public health consequences of problem gambling have been well noted in the IEPCP catchment
area with impact assessment studies undertaken by the Cities of Whitehorse (2003); Manningham (
); Boroondara (1999) and Monash ( )

In response to concerns about the growing public health impact of problem gambling on residents
and service providers located in the IEPCP catchment area, three separate groups have been
established . These are:

    1. The Eastern Region Gambling Group comprising representatives of the seven local
       governments in the Eastern Metropolitan Region
    2. The Monash Responsible Gaming Taskforce with representatives from Gambling industry,
       community groups (Churches) , concerned individuals and Council representatives.
    3. The Manningham Responsible Gambling Planning group



6        Purpose/objectives
6.1      Purpose/objectives.
         The purpose of this project is to address environmental factors which contribute to
         problem gambling behaviour, in particular, social isolation of individuals and groups in the
         Eastern Metropolitan Region. It is hoped that by increasing social connection of identified
         groups in our community who live in close proximity to gaming venues, fewer will resort to
         gambling as a way to overcome loneliness , boredom and / or anxiety.
         The project goal is to “Strengthen the capacity of community organisations in the Eastern
         Metropolitan Region to build supportive environments for people at risk of developing
         problem gambling behaviour”


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6.2     Links with PCP’s strategic objectives
        While the initiative for the Primary Care Partnership Integrated Health Promotion Problem
        Gambling Project came from the Government rather than being identified as a priority by
        the IEPCP, strategic planning has embraced this initiative.
        “Mental Health and Well Being” has been adopted as the key health theme in the IEPCP
        Integrated Health Promotion Strategic Plan 2009-2012. Using the Mental Health Framework
        as a guide, Social Inclusion and Family Violence have been identified as the two key areas
        for action in the strategic plan “Building Resilience to Problem Gambling, aligns closely with
        both the main theme and the two action areas.
         Research has shown that problem gambling behaviour commonly exists as a suite of
        conditions expressed by an individual . Studies into the propensity of individuals to gamble
        reveal three main co-morbidities with problem gambling. These are mental illness, drug
        and alcohol misuse and relationship difficulties. The “Building Resilience to Problem
        Gambling “project will sit under the “Social Inclusion “ action area but potentially overlap
        into the “family violence” action area.


7       Scope of project

7.1     In scope
        The project plan provides a framework for the implementation of integrated health
        promotion activities by members of the IEPCP and other interested community
        organisations and service providers in the IEPCP catchment area.
       The Project manager will work collaboratively with Gamblers Help Eastern to support
       community action, which reduces risk factors and builds protective factors associated with
       problem gambling.

       The project will support community organisations and service providers with training;
       assistance with funding applications; planning; monitoring of activities and evaluation.

       The project will use a strengths based approach when working with organisations to use
       existing structures and activities.

        Core funding is not available for the delivery of activities which form part of the project.



        Following are the deliverables for this project and factors influencing the project
        design.




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Deliverable: Relationship with GHE developed


Tasks                           Timelines                     Responsibility
Meet with GHE staff to          Aug-Oct 2008                  PCP’s and GHS
develop plan for PCP
involvement with GHS
Invite GHE to IHP and SC        Sept 2008                     IEPCP
meetings
Invite GHE to IEPCP CHP         Sept 2008 and on going        IEPCP
2009/12 planning meetings/
forums
Include GHE and PCP             Sept 2008                     PCP’s and GHE
partnership work in reports
Identify key GHE workers to     Sept 2008                     PCP’s and GHE
be included in mail out lists
for IEPCP, IHP and SC
newsletters
Sharing of plans, especially    Oct 2008                      IEPCP and GHE
GHE Community Education
activities to ensure
integration of activity with
IEPCP Health promotion
activity


Deliverable: Profile of GHE raised amongst member organisations


Tasks                           Timelines                     Responsibility
GHE attending HP and SC         Oct/Nov 2008                  IEPCP and GHE
meetings
Time provided on agenda of      Nov. 2008                     IEPCP
IHP meeting for discussion re
: gambling project
Include GHE and PCP             Oct 2008 and on going         IEPCP
Partnership work in reports


Deliverable: Develop project brief for baseline mapping exercise


Tasks                           Timelines                     Responsibility
Meet with IEPCP and GHE         Oct 2008                      PCP’s and GHE

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staff to produce project plan
Project plan developed          Nov 2008                        PCP’s and GHE
Communication strategy       Nov / Dec 2008                     PCPs
with other sectors developed
and engagement with these
sectors started
Mapping completed and           March/April 2009                Consultant and PCP’s
Report completed and            May/June 2009                   Consultant and PCP’s
findings presented


Deliverable: Reporting
requirements:


Tasks                           Timelines                       Responsibility
Complete final Community        July 2009                       IEPCP
Health Plan – 3 yearly –
demonstrating integration of
GHE targeted strategies
Community Health Plan           July 2009                       IEPCP
Implementation




The IEPCP Problem Gambling Project Plan has been designed in response to a number of factors.
These include:


       The large area of the IEPCP catchment, the number of organisations working in this area and
        the size of the population.
         A decision to work sequentially across the four LGA’s rather than regionally was made
        because of the size of the catchment, the range in socio-economic status of populations, the
        need to deliver effective and sustainable outcomes and the capacity of the project manager
        and staff of GHE.
         The project will commence in the City of Monash local government area and move in a
        planned manner to the Cities of Manningham and Whitehorse local government areas. It is
        unlikely that activities will be undertaken in the City of Boroondara, except where it borders
        the Ashwood, Ashburton and Chadstone Neighbourhood Renewal Area. The order of the roll
        out is determined by the amount of losses to EGM’s, the SEIFA index and the receptiveness
        of key organisations to the project, by local government area.


       The knowledge that regular gamblers tend to travel less than five kilometres from their
        homes to a venue.



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        This information has influenced the decision to use a settings based approach in project
       design. Some settings under consideration are the Ashwood, Ashburton and Chadstone
       Neighbourhood Renewal Area (proximity to Matthew Flinders Hotel), retirement villages
       near EGM venues and the Chinese traders in the Box Hill shopping complex, where it has
       been identified that peer pressure and pressure from employers has lead to significant
       gambling by restaurant staff.


       The decision to start small and produce some “runs on the board’ which can be used as
       leverage in expanding the project into other parts of the IEPCP catchment.
        The need to maintain support of participating organisations including workforce
       development, support in the development of strategies and evaluation were factors in the
       decision to start small and to work with existing partnerships.




      The Community Education Plan 2008-9 to 2009-10 developed by Gamblers Help Eastern.
        A key component of the IEPCP Problem Gambling Initiative is the integration of health
       promotion activities of the IEPCP and GHE. The capacity of GHE community educators,
       counsellors and portfolio workers to participate will be a factor in the implementation of the
       project.



7.2    Out of scope

         The project will not:
      Attempt to stop all gambling or interfere in the business of gambling venues.
      Provide direct service to gamblers or potential gamblers. Support to gamblers and their
       families will continue to be provided by Gamblers Help Eastern.
      Provide direct funds to participating organisations ( although assistance with submissions will
       be available)
      Expect organisations to develop a whole new set of priorities /activities



7.3     Constraints
               Project manager employed half time which creates challenges in maintaining
                continuity and momentum in delivering the project.
               The project does not have funding to encourage participation by member of the
                IEPCP . Participating organisations will be required to adsorb costs in running new
                activities, adapt existing activities or apply for funding for new activities.
               This project was not sought by the IEPCP rather was offered to the IEPCP by the
                Victorian government. A strong sense of ownership is lacking requiring the concept
                to be “sold” to member organisations.


7.4     Assumptions
               That funding will be provided for the full three years of the project at the level
                indicated at the commencement of the project.


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               That a suitably qualified project manager is employed throughout the three year
                term of the project.
               That an positive and effective relationship is established and maintained between
                the project manager and staff of GHE.
               That members of the IEPCP elect to become involved in the project.


8.      Impacts
        The intended impacts of the project are:
               Increased knowledge amongst staff of participating organisations about the social
                determinants of problem gambling and opportunities for early intervention
                activities to address these determinents.
               Increased knowledge amongst staff of participating organisations about the use of
                integrated health promotion as a means for planning activities which help to build
                the resilience of people at risk of developing problem gambling behaviour.
               An increase in the number and effectiveness of activities and interventions aimed
                at increasing social connection amongst identified population groups experiencing
                social isolation
               An increase in the communities awareness of the risks associate with gambling on
                EGM’s


9       Method to date
           A range of information relating to problem gambling has been gathered to inform
              planning.
           A strong base has been built for the developing relationship between Gamblers Help
              Eastern, the IEPCP project manager and other member partners.
           A draft project plan has been developed. Key components of the plan are:


          - The project goal is to “Strengthen the capacity of community organisations in the
              Eastern Metropolitan Region to build supportive environments for people at risk of
              developing problem gambling behaviour”
          - A settings based approach will be used to maximise impact and to facilitate effective
              interventions, adequate support and reliable evaluation.
          - The criteria for selection of settings are: proximity to venues with Electronic Gaming
              Machines (EGM’s) with high expenditure on machines; SEIFA index; the level of
              interest and resource capacity of potential participating organisations.
          - The project will link with existing partnerships, where possible, and focus on
              interventions which address social isolation.
          - An asset based community development approach will be used to value add to existing
              programs and initiatives delivered by organisations to encourage their participation
              in the project and increase sustainability of effect.
          - Organisations will be encouraged to develop initiatives that reflect the full range of
              health promotion strategies available.




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10      Project control
        The project is currently managed by the project manager with support from the Executive
        Director of the IEPCP. It is the intention to form a steering group for each of the local
        government areas as the project rolls out. The rationale for this approach is that the
        activities will be setting based and a steering group with links to each setting will be more
        relevant than one which sits across the four local government areas and may be too
        removed from the activities to be useful.
        A small reference group has been formed to guide the Service Coordination Research
        Project funded from the year one additional funding grant.


12      Project performance measurement
        Success criteria        Responsibility              Measurement KPI                Target
                                                            method




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GOAL:
Increase the resilience of vulnerable populations in the Eastern Metropolitan Region to risks associated with gambling on electronic gaming
machines.
                                         Performance Indicators                  Evaluation Methods                      Evaluation Findings
Objective 1
Increase the commitment by PCP           Problem gambling identified as a        Review of organisational policies and
members and other agencies, to           focus area for action in                strategic plans
address the social determinants of       organisational policies and strategic
problem gambling.                        plans.


Strategy 1.1
Work with established networks to        Membership of :                         Number of meetings attended by
promote health promotion approach                                                problem gambling project manager
                                             IEPCP Integrated health
in addressing gambling related harm
                                              promotion steering Committee
                                             Monash Responsible Gambling
                                              Taskforce
                                             Eastern Region Gambling group
                                             Manningham Responsible
                                              Gambling Steering Committee
                                             Integrated health promotion



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Building Resilience to Problem Gambling - Project Plan
                                               Steering Committee
                                              Local Government Working
                                               group of Gambling
Strategy 1.2
Hold a forum to raise awareness of        Forum attended by representatives of     Survey of participants to capture
the risks associated with gambling        IEPCP members and other health and       change in knowledge of gambling
and the use of health promotion           community organisations in the           related risks.
strategies to address the social          EMR.
determinants of problem gambling


Strategy 1.3
Work with Council social planners to      Four Councils have current gaming        Review of Council policies
strengthen Councils response to the       policies
prevention of gambling related harm
                                          Councils have a gaming policy as
                                          part of their planning schemes.
                                          Use of Council buses or facilities for
                                          gambling or access to gambling
                                          opportunities prohibited

Objective 2.
Increase the number of health             A range of PCP members and               Number of new interventions or
promotion activities which address        community organisations delivering       strategies adopted
problem gambling in the IEPCP             health promotion activities which




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catchment area.                          address gambling related harm


Strategy 2.1
Identify target areas for project        Settings for project activity based on    Evidence for selection of Settings,
action                                   proximity to gaming venues, degree        Partnerships and Priorities provided
                                         of vulnerability of communities and       by research, census data and SIEFA
                                         support from community agencies in        index.
                                         these areas.
Strategy 2.2
Develop and distribute health            Health promotion resource guide for       Numbers of resources distributed
promotion resources to PCP               problem gambling prevention in
members and other interested             Melbourne’s East developed and
community agencies which address         distributed.
the risks associated with gambling.
                                         Department of Justice Resource Kit
                                         for problem gambling promoted
                                         throughout t
Strategy 2.3
Encourage and support community          Establish working group to source
organisations to access resources to     financial support for activities in the
support health promotion activities      Ashwood, Ashburton and Chadstone
which address gambling related harm      Neighbourhood Renewal Area
Objective 3



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Promote effective partnerships           Increased number of co-counselling,     Collection of data on referral rates,
between Gambler’s Help Eastern and       cross – referrals and communication     training and other signs of
PCP members                              between staff from GHE and other        collaboration
                                         members of the PCP
Strategy 3.1
Facilitate relationship building         Representative of GHE participate in    Awareness ,by members of IHP
between GHE and other PCP                meetings of the IEPCP Integrated        steering committee ,of gambling as a
member agencies                          Health Promotion Steering               public health issue
                                         Committee (IHP)
                                         Opportunities for collaboration
                                                                                 Number of new collaborations
                                         identified through project networking
Strategy 3.2
Undertake research to look at the        Research completed                      Research findings launched and
potential for improving the                                                      feedback received
                                         Recommendations for improving
relationship between staff from GHE
                                         referral, co- management of clients
and agencies which provide
                                         and training of staff about gambling
relationship counselling,
                                         issues.
Strategy 3.3
Engage PCP members in activities         Information about GHE provided to       Number of member agencies
during Responsible Gambling              clients of PCP members during week      participating in displaying resources
Awareness Week




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Strategy 3.4
Maintain regular contact with      Monthly meetings held for planning      Number of meetings held
Gamblers Health Eastern            joint activities, information sharing
                                   and support with health promotion
                                   interventions




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Appendix B –            Project budget, estimate & cash flow


Component                    Proposed Allocation           Actual         Budget
                             2008-9                        2008-9         2009-10
Recruitment and salary of    $39,733                       $29,428 *(1)   $42,782
project manager to
undertake integrated
health promotion work
(anticipated appointment
Oct 2008 –June 2009
Purchase of capital          $2,500                        *(2)           nil
equipment, ie IT
equipment to support
remote access
IEPCP costs towards          $7,000                        *(3)           9,000
baseline mapping exercise
Forums and Catering          $1,000                        *(4)           2,200
Embedding practice – PCP     $1,500                        400 *(5)       600
meetings and Gambler’s
Help Eastern, travel costs




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IEPCP administration costs   $1,600                        5,333 *(6)
Stationary, Printing and                                   300            300
general expenses
Contingency                                                               10,990 *(7)
Total                        $53,333                       $35,461        $60,215


Budget notes.


    (1) This figure represents the salary, payroll administration and recruitment costs from late October 2008 until June 30th 2009. Unspent funds will be
        allocated as contingency.
    (2) Remote access not required
    (3) Mapping activity delayed until the current financial year as efforts were concentrated on relationship building in the first year of the project. This
        amount has been increased and allocated in the 2009-10 year.
    (4) No forums were held in the financial year. This amount has been allocated to next year’s contingency.
    (5) Meetings were arranged in workplaces during the relationship building stage of year one. This amount has been increased and allocated to the 2009-10
        year as the project becomes implemented across a full year.
    (6) IEPCP administration costs set at 10% of each program budget. Cover accommodation and running costs of the organisation.
    (7) Contingency. With project implementation occurring in year two it is anticipated that there will be opportunities to develop training and support grass
        roots organisations with health promotion activities.




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