Karin has extensive experience working in Local Health Districts in NSW in various roles, including nursing, policy development, service development and planning, academic teaching, and leadership positions. She held leadership positions such as Director of Mental Health Services and Executive Director of Forensic Mental Health and Mental Health Branch, NSW Ministry of Health from 2015-2019. During this time, she contributed to national and state mental health committees and has influenced mental health reform in the state and national level. Karin is also on the board of Support Act, a charity for musicians and others in the music industry and has assisted in the development of a prevention program and mental health helpline for people in the music industry. In 2018, she was awarded the Public Service Medal for outstanding public service to mental health care in NSW.
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