23 March 2026

Multilingualism has been linked with numerous benefits for children and families.

The amount of exposure to each language directly impacts language acquisition, and the trajectory of language development for multilingual children can differ from monolingual children.

When a child has strong skills in their first language, they are better able to learn additional languages.

Children may learn multiple languages simultaneously and show a preference for one language. Receptive language skills are key in determining if speech pathology intervention is required for multilingual children.

Early referral to speech pathology is critical if a child is having difficulty with understanding and following verbal information in their primary language.

 

Referral and early intervention

If you are considering referral or want to better understand early intervention pathways:

Early Intervention – Where and How to Refer 2026
EACH Early Childhood Approach

Building your knowledge

Learn more about multilingual development and how to support children and families:

Webinar – The benefits of multilingualism
Teaching multiple languages to under fives
Expert in multilingualism – Paola Escudero

Clinical guidance and development milestones

Use these resources to support assessment and conversations with families:

Speech Pathology Australia
Speech development milestones
Raising Children Network
Thriving Kids factsheet

 

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This article appeared in Practice Pulse on Wednesday, 25 March 2026. If you are a GP, practice nurse or practice manager in South Western Sydney and do not get the weekly Practice Pulse email, speak to your Practice Support Officer.

 

10 March 2026

Emergency relief support can assist families in cost-of-living crisis and other adverse conditions such as income loss. It can include food, money, housing, healthcare, and other support services.

Here’s an example:

Mrs Nawabi, 34, comes to her GP feeling anxious because she lost her job last week. She’s a single mother with three young children.

In cases like this, the children’s health and wellbeing may be supported through emergency relief. This support will also help manage Mrs Nawabi’s anxiety by reducing her stressors.

 

Where to get support:

Providers of low-cost meals

Emergency relief providers – after selecting the state and local government area, choose Financial crisis and material aid – Emergency relief in the Program field

Centrelink social workers

Income support advance payment

NSW government rebates

NSW Government cost of living hub

Ask Izzy

No Interest Loans (NILS)

Low cost and free meals directory

Support for temporary visa holders

Settlement Services International Emergency Relief

 

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24 February 2026

Medical clinicians may or may not realise when they encounter individuals with autism who walk into their clinics.

Autism Advisory and Support Service CEO Grace Fava says some will have obvious autistic traits, while others have learned how to mask these traits until they become visible during times of great stress and anxiety.

Here are some links to support you in identifying and serving these patients:

 

What is autism?

Masking

Stimming

Executive functioning

Sensory processing disorders

Sensory experience video

Anxiety and autism can go hand in hand

Special interests

Easy to understand resources

Medical causes of aggression in autism

PGx screening can be a useful test as medication is never one size fits all.

Some additional information: Early intervention: when and how to refer

 

  • These articles are written by members of the ‘Stronger Seeds, Taller Trees’ project which includes professionals from a number of government and non-government organisations in South Western Sydney. The group aims to support GPs working with families to navigate and access timely services when they have a concern about a child’s development.
10 February 2026

Stronger Seeds, Taller Trees is an initiative which provides doctors and parents with information about early childhood developmental milestones and the importance of early intervention.   

Initially developed by The Facilitation Project, Stronger Seeds, Taller Trees brings together workers from a range of government and non-government organisations who collaborate with paediatric specialists to write articles for Practice Pulse 

In recent times, other topics which have been the subject of their articles include supporting children to make a good start to school and services which can support families and individuals with the cost of living. 

 

For more information contact Debbie Winardi at winardid@missionaustralia.com.au or phone 0436 111 179.

 

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25 November 2025

Gambling rates in South Western Sydney are very high, particularly in Fairfield and Canterbury-Bankstown.

Problem gambling can cause financial hardship and can negatively impact relationships, work, physical and mental health. Gambling can also be a problem for young people through online gaming.

Problem gambling negatively impacts the individual and their family, and support is available for both.

GPs can support people experiencing gambling harm through screening and referring to appropriate support services.

SWSPHN has an online Gambling Harm Screening Tool: SWSPHN’s Gambling Harm Screening Tool

GambleAware has a plethora of online resources which can help GPs identify signs of gambling harm and support people who might be experiencing gambling harm.


This article appeared in Practice Pulse on Wednesday, 26 November 2025. If you are a GP, practice nurse or practice manager in South Western Sydney and do not get the weekly Practice Pulse email, speak to your Practice Support Officer.

11 November 2025

A mental health condition is a health issue just like any other. However, dealing with mental health conditions can be overwhelming to patients and their loved ones.

Parenting and mental health are deeply connected – for many parents, mental health can impact parenting and parenting can impact mental health.

Circumstances of parents can have a great impact on the immediate emotional and social wellbeing, and the future mental health outcomes for children. Children need age-appropriate education and support to understand and cope with a parent’s mental illness and this can significantly prevent or minimise the impact on them.

GPs, often the first point of contact for family health, play a vital role. By linking parents with the right support services and providing age-appropriate support to children they can help prevent or minimise the impact of parental mental illness on children.

Resources for GPs and other health professionals:

 


This article appeared in Practice Pulse on Wednesday, 12 November 2025. If you are a GP, practice nurse or practice manager in South Western Sydney and do not get the weekly Practice Pulse email, speak to your Practice Support Officer.

14 October 2025

GPs play a crucial role in supporting parents’ postnatal mental health as they are often the first point of contact for new parents experiencing emotional or psychological difficulties.

GPs can identify early signs of postnatal depression, anxiety or other mental health issues through regular check-ups and sensitive conversations. They can offer initial support, refer patients to mental health specialists, counselling services or local support groups, and prescribe appropriate treatment if needed.

By normalising discussions around mental health and offering compassionate care, GPs help reduce stigma and ensure parents receive the help they need during this vulnerable time.

What GPs can do to support patients in the postnatal period:

  • complete an EPDS or K10 questionnaire with a parent in the postnatal period
  • ask about their birth experience
  • discuss their relationship with their baby
  • discuss current supports
  • review any other current stressors or challenges

Find out more:

ForWhen helpline

PANDA

NSW Mental Health Line – 1800 011 511

Karitane

Centre of Perinatal Excellence

 

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This article appeared in Practice Pulse on Wednesday, 15 October 2025. If you are a GP, practice nurse or practice manager in South Western Sydney and do not get the weekly Practice Pulse email, speak to your Practice Support Officer.

23 September 2025

Research shows early detection and early intervention of cerebral palsy is vital.

Some signs which may indicate a child has cerebral palsy include low muscle tone, reduced head control, delayed development, feeding or swallowing difficulties or a preference to use one side of their body.

Referrals to early diagnosis clinics aim to fast-track diagnosis and enable quicker access to early interventions, family support and better outcomes for the future.

Early intervention within the first 12-months is essential for the developing brain as the connections between the brain and spine are still forming.

Infants at risk of cerebral palsy also need targeted intervention and monitoring to prevent secondary problems from occurring.

 

Find out more:

What is Cerebral Palsy?

Early Diagnosis Clinic

Early Detection & Early Intervention

Research at Cerebral Palsy Alliance

 

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This article appeared in Practice Pulse on Wednesday, 24 September 2025. If you are a GP, practice nurse or practice manager in South Western Sydney and do not get the weekly Practice Pulse email, speak to your Practice Support Officer.

26 August 2025

Parenting is rewarding yet challenging, with parents often relying on their own upbringing to inform their parenting style and practices.

Family case management can help parents to prioritise issues and initiate supports. This is especially important for isolated families or those who are unfamiliar with health and wellbeing support services.

GPs can refer families, or families are able to self-refer, to a support service. The families will be assigned a caseworker, who usually visits the home to better understand their needs.

Together, the caseworker and family create a case plan based on discussions and surveys the family complete as part of their initial assessment when joining the program.

The caseworker helps the family work toward their goals, updating the plan as new issues arise.

Support typically lasts three to six months, depending on the program’s scope and the family’s needs. As the GP made the referral, the caseworker may contact the GP to discuss concerns.

The GP can also assist by monitoring the health and other needs of the family and contact the caseworker for ongoing and/or new concerns.

 

Organisations that provide case management or can support clients to link with a case manager

 

Organisations that provide case management or can support clients to link with a case manager

Note: Many of these organisations also work with families in neighbouring local government areas. They also provide other supports for families, which may include playgroups, counselling, assistance in an emergency, and referral to other services.

Local Government Area Who to contact
Bankstown
(The former Bankstown local government area)
Creating Links
1300 254 657
creatinglinks.org.au
Campbelltown and Camden Macarthur Family and Youth Services
4620 4667
mfys.org.au
Fairfield Community First Step
9727 4333
cfs.asn.au

The Parks Community Network
9609 7400
parkscommunity.org.au

Liverpool Anglicare
1300 111 278
anglicare.com.au

Kari Aboriginal Resources
8782 0300
kari.org.au

Wingecarribee and Wollondilly Community Links Tahmoor
4683 2776
communitylinks.org.au

Home Start Family Services Wingecarribee
0411 759 100
homestartaustralia.org

 

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This article appeared in Practice Pulse on Wednesday, 27 August 2025. If you are a GP, practice nurse or practice manager in South Western Sydney and do not get the weekly Practice Pulse email, speak to your Practice Support Officer.

05 August 2025

Strong language abilities are increasingly required for kindergarten children.   

Early identification of speaking and reading comprehension, and referral to intervention services, is essential for success in learning, mental health and socio-emotional well-being.  

You may consider the following when assessing a kindergarten-age child: 

  • are they easily understood when speaking, with minimal sound errors? 
  • can they follow unfamiliar two to three step instructions? 
  • can they understand a variety of question forms, including questions about inferencing and prediction? 
  • can they speak in complete and complex sentences of five or more words with minimal grammatical errors? 
  • do they have a wide vocabulary? 
  • can they retell events and short stories using complete sentences? 

For cases of concern, you can refer to the following checklists and referral pathways. 

 


This article appeared in Practice Pulse on Wednesday, 6 August 2025. If you are a GP, practice nurse or practice manager in South Western Sydney and do not get the weekly Practice Pulse email, speak to your Practice Support Officer.