National Register of Mental Health Consumer and Carer Representatives Application Form

Name: Emily Cherrie Summers Email: emilycherriesummers@yahoo.com.au Address: 56 First Avenue Katoomba Do you currently identify as a mental health consumer or carer? (whilst some people identify as both for the purposes of this application please pick which one you most identify with) Do you identify as a member of any of the following groups:

Tel: 0247822980 Mob: 0429922710

Postcode: 2782

Consumer

CALD (culturally and linguistically diverse) ATSI (Aboriginal or Torres Strait Islander) Youth (18-25 years old) Older people (65+ years old) Other minority group (please specify) My twin daughters do

N N N N

Please provide concise answers to the following questions. Do not exceed 300 words per question.
1. Please detail your reasons for applying

for the National Register program including what you have to offer as a national representative of mental health consumers/ carers.

I am a survivor who lives with Dissociative Identity Disorder. I have worked for the Department of Ageing, Disability and Home Care as a Level 3 Carer from 1989 to 2004. I also have experience with ADHD, as my son lives with this; ODD as my twin daughters live with this and also Bipolar Disorder, as my oldest daughter lives with this. I have an Associate Diploma in Social welfare;

Mental Health Council of Australia, Ph:(02) 6285 3100, Fax:(02) 6285 2166, E-mail: natreg@mhca.org.au , www.mhca.org.au National Register Program Application Form, September 2010

National Register of Mental Health Consumer and Carer Representatives Application Form
A Bachelor of Social Science (Welfare Studies)A BA in Psychology; and am currently studying for my Masters in Social Science (Counselling). I feel I have alot to offer. Especially for adult survivors of severs and prolonged childhood abuse. My speciality is dissociative disorders and aim to set up my own practice when I have completed my Masters.
2. What representative roles do you

currently hold at state/territory and/or national level?

3. What skills do you have that will benefit

the National Register program? How will your success in this application be of benefit to other mental health consumers and/or carers?

Please see above for skills and qualifications.

Mental Health Council of Australia, Ph:(02) 6285 3100, Fax:(02) 6285 2166, E-mail: natreg@mhca.org.au , www.mhca.org.au National Register Program Application Form, September 2010

National Register of Mental Health Consumer and Carer Representatives Application Form
4. Please give details of some of your key

achievements or contributions representing consumers/ carers within the mental health field

As above, I worked for many years with adolescents and adults with moderate to severe developmental disabilities and comorbid psychiatric conditions. I worked as a carer at Mayumarri (Heal for Life) for a year. I have personal experience living with my children, and myself who all live with various disorders. I have succeeded academically BECAUSE of my dis(ABILITY). I am a poster-woman for what can be achieved by any human being despite what I had gone through in my childhood and personal development. I am an ADVOCATE for survivors. I do not hide my condition, and am not afraid what others think about it. I am proud of who I am. See above qualifications and experience. I have completed the Mayumarri Carers Training Programme. I have completed the NSWMH training. I have a current First Aide Certificate. When I worked with DADHC I completed many training programms. DADHC

5. Please give details of mental health or

consumer/ carer representational training you have completed or delivered (please specify if you were a participant or a presenter/ trainer).

Name of organisation conducting training:

Mental Health Council of Australia, Ph:(02) 6285 3100, Fax:(02) 6285 2166, E-mail: natreg@mhca.org.au , www.mhca.org.au National Register Program Application Form, September 2010

National Register of Mental Health Consumer and Carer Representatives Application Form
NSW Mental Health Mayumarri (Heal For Life) Tel: Contact person: Dates of training (approximate): Approximate number of hours training: Further details of training e.g. content Email: Liz Mulliner 2008

6. What further training would you benefit

from?

7. What do you consider to be quality

consumer or carer participation?

Mental Health Council of Australia, Ph:(02) 6285 3100, Fax:(02) 6285 2166, E-mail: natreg@mhca.org.au , www.mhca.org.au National Register Program Application Form, September 2010

National Register of Mental Health Consumer and Carer Representatives Application Form

8. Please detail any other relevant

information not already included (max 500 words)

The final component of your application is a letter of support from a mental health or consumer/carer organisation. Please list below the details of the organisation you are approaching for a letter of support for your application. Ask the organisation to send the letter directly to the Mental Health Council of Australia (MHCA) at the address below. Name of organisation: Tel: Contact person: Psychologist Email: Maria Quinn

Final checklist - please indicate you have done the following:

Mental Health Council of Australia, Ph:(02) 6285 3100, Fax:(02) 6285 2166, E-mail: natreg@mhca.org.au , www.mhca.org.au National Register Program Application Form, September 2010

National Register of Mental Health Consumer and Carer Representatives Application Form

I have read the background information about the National Register on the MHCA website I have completed all sections of this form I have requested a mental health or consumer / carer organisation to send a letter in support of
my application to the MHCA by 12pm Monday 18 October 2010 Please send your application to: Email: natreg@mhca.org.au Fax: Post: (02) 6285 2166 National Register program MHCA PO Box 174 Deakin West ACT 2600

All applications must be received by 12pm Monday 18 October 2010 Incomplete and late applications will not be accepted

Mental Health Council of Australia, Ph:(02) 6285 3100, Fax:(02) 6285 2166, E-mail: natreg@mhca.org.au , www.mhca.org.au National Register Program Application Form, September 2010