Monitoring the Urban Forest: A National Network for Researcher-Practitioner Partnerships
‘Stronger Together’ through partnerships Specialist Disability Services and the Office of the...
-
Upload
kaya-applin -
Category
Documents
-
view
219 -
download
1
Transcript of ‘Stronger Together’ through partnerships Specialist Disability Services and the Office of the...
‘Stronger Together’ through partnershipsSpecialist Disability Services and the Office of the Senior Practitioner
Ageing, Disability and Home Care
David CoyneExecutive DirectorOffice of the Senior PractitionerAgeing, Disability and Home CareDepartment of Family and Community Services NSW
Stronger Together – an overview
Partnerships initiated by the Office of the Senior
Practitioner
Therapeutic Memorandum of Understanding
ADHC forging partnerships
ADHC forging partnerships
Ageing, Disability and Home Care works in partnership
across the sector. This includes:
Individuals with a disability and their family/carers
Funded organisations
Advocacy bodies
Other Government agencies
Stronger Together A New Direction for Disability Services in NSW 2006 – 2016
Key areas identified for reform included:
making access to services fairer and more transparent
helping people to remain in their own home
linking services to need
expanding options for people who were living in specialist
support services, and
creating a sustainable support system.
Achievements of the First Five Years
Strengthening families through 8000 new therapy, early childhood
intervention and family support services
6000 families are able to access the Family Assistance Fund to
purchase equipment and services
4000 new respite services to provide relief for carers
Expanded and improved post school options
Assisting 1500 disabled school leavers into employment with
intensive skills based training
Providing a further 300 people with intensive in-home support
packages to enable them to remain with their families
Expanding accommodation and support to a further 1000 people
through the Innovative Accommodation Plan
Creating 4000 new case management places to support families
Doubling the service capacity of funded services (NGO’s)
Improving the system’s capacity and accountability through the
development of a five year industry strategy
This will ensure capacity, structure and regulation needs would be
met into the future
The establishment of the workforce recruitment strategy has led to
6000 job applications being registered since in January 2010.
2006 - 2011
International 2007 - United Nations Convention on the Rights of
Persons with Disabilities
NationalCouncil of Australian Governments (COAG) 2009 - National Disability Agreement 2011 - National Disability Strategy
- National Disability and Long Term Care Support Scheme
- National Health and Hospital Reform Agreement
“Until the concept of disability disappears and is replaced by a society that is structured to support everyone’s life relatedness and contribution - until that day, my life and opportunities and the lives of every other person who carries the label ‘disabled’ depends on the goodwill of people in the human service system. Goodwill is no substitute for freedom.”
National People with Disabilities and Carer Council - National Disability Strategy Consultation Report (2009)
Stronger Together Phase Two
Person centred approaches
A lifespan approach
Closure of Large Residential Centres
A service system with the capacity to deliver
Office of the Senior Practitioner
Policy and Practice Team
Statewide Behaviour Intervention Service
Integrated Services Program
Community Justice Program
Office of the Senior Practitioner with ADHC
Department of Family and Community Services NSW
Ageing, Disability and Home Care
Six RegionsOffice of the
Senior Practitioner
Northern
Southern
Western
Hunter
Metro North
Metro South
Statewide Behaviour Intervention
Service
Integrated Services Project
Community Justice Program
Policy and Practice Team
Practice Leader Psychology
Practice Leader Speech Pathology
Practice Leader Physiotherapy
Practice Leader Occupational Therapy
Practice Leader Nursing and Health Care
Statewide Behaviour Intervention Service
Provides comprehensive tertiary support, training and capacity
building to both ADHC and NGO service providers who work
with people who have challenging behaviour
Focus on research and practice development in the area of
behaviour support
Specialised Training Programs
Developmental Psychiatry Clinic
Framework for Professional Practice - partnership with
Children’s Hospital at Westmead
Integrated Services Program
Partnership project led by ADHC with Health and Housing commenced in
2005 now with recurrent funding
High-risk adults with multiple and complex needs
Significant barriers to accessing coordinated cross-agency responses
Clients nominated from Sydney based human services agencies
Aims to promote coordinated cross-agency responses and direct provision of
time-limited services, including comprehensive assessment, clinical
intervention, case management and accommodation support
Overseen by a program management committee consisting of officers from
ADHC, Mental Health Drug and Alcohol Office, Housing NSW and advised by
a broader interagency reference group
Integrated Service Program Target Group
Adults with high risk challenging behaviour One or more of the following diagnoses:
mental disorder intellectual disability acquired brain injury/impairment substance abuse
Blocking an acute mental health unit or respite service, homeless, or in gaol Significant barriers to accessing services and securing
coordinated multi- agency support Local support options exhausted
Community Justice Program Specialised post custodial accommodation and service support
models Candidates for the program are accepted through an eligibility and
prioritisation process Entry recommendations made by panel of representatives from
Juvenile Justice, Corrective Services, ADHC Regional Behaviour Support Specialist and a community sector delegate
Direct support provided by ADHC Regional and funded NGO service providers
Provides specialised training as well as ongoing capacity building and service monitoring for service providers
Working relationships with Mental Health Review Tribunal, Trustee and Guardian, Justice Health, Corrective Services and Juvenile Justice
Community Justice Program Target Group
Clients must be eligible for
ADHC services
Ages 10 - 65
Ongoing contact with the
criminal justice system,
resulting in time spent in
custody
Continuing risk of re-offending
Outside ADHC Regional
response
Court mandate is not required
Policy and Practice Team
Policy and project focus on: Behaviour Support Mental Health Justice Services Chair, Intellectual Disability Mental Health UNSW
Secretariat for: Senior Officers Group on Intellectual Disability in the
Criminal Justice System - Attorney General and Justice, Corrective Services, Juvenile Justice, Housing, Justice Health, Department of Education and Communities and the NSW Police Force
Joint Committee Intellectual Disability Mental Health – partnership between ADHC and NSW Ministry of Health
Practice Leadership
The Office of the Senior Practitioner leads ADHC practice in: Psychology
Physiotherapy
Speech Pathology
Occupational Therapy
Nursing
Practice Leaders provide expert high level support and advice to ADHC in order to facilitate agency-wide, consistent, best practice services to people with an intellectual disability.
Practice Leader Psychology
Development of workforce capacity and linking with universities
Practice Supervision Framework for ADHC Psychologists Development of minimum core standards/competencies Professional Development Motivational Interviewing Project Practice improvement and evidence base practice
Practice Leader Speech Pathology
Development of workforce capacity
Professional development for ADHC staff in the areas of:
Inclusive Communication and Behavioural Support
Training in Dysphagia assessment and screening tool
Accessible Information
Key Word Signing Development of minimum core standards/competencies
Research project with University of Sydney – ‘Barriers and enablers to the
use evidence based practice by Speech Pathologists in ADHC’
Innovative uses of various communication technologies
Collaboration with Westmead Hospital to develop referral guidelines for
people with dysphagia.
Practice Leader Physiotherapy
Develops workforce capacity in Physiotherapy
Development of specific core standards/competencies
Is developing a training and supervision framework for ADHC
Physiotherapists
Coordinates the University and Disability Sector Therapy
Project Reference Group
Leads a research project on the therapeutic use of Nintendo
Wii for people with Intellectual Disability
Establishes best practice guidelines for ADHC
Physiotherapists
Practice Leader Occupational Therapy
Development of minimum core standards/competencies
Developing work force capacity framework to establish
student placement program, professional and clinical
development
Researching use of sound clinical outcome measures
when providing services to people with disabilities
Training Project - Playfulness in Care: Enhancing the
Quality of Life for Children in Out of Home Care
Practice Leader Nursing and Health Care
Provides expert advice in the development of workforce
capacity in specialised disability nursing and health care
Representative on Nursing Workforce Planning Group
Facilitating consistent supervision and professional
development framework for nurses across all ADHC settings
Palliative Care joint initiative with NSW Health
Development of the Nursing and Healthcare Procedures
Manual
Memorandum of UnderstandingAccess to Therapy Services for People with Disability and their families in NSW
A set of agreed principles, roles and areas of focus that NSW Government human service agencies have identified to improve access to therapy services for people with a disability and their families and carers in NSW.
NSW Ministry of Health
Department of Education and Communities
Ageing, Disability and Home Care
Community Services
Department of Family and Community Services
Background
Therapy service system in NSW is complex and was provided by a range of government and non-government organisations
These organisations had different purposes, operating contexts and areas of focus
They provided different services, eligibility criteria and assessment requirements and processes
These complexities make navigating the therapy system to obtain a service difficult for people with a disability, their families and supporters
From initial screening to receiving a therapy service some people are required to undergo multiple assessments or move between agencies to get the therapy service they need.
Roles of participating agencies
NSW Health provides therapy services on the basis of prioritised clinical need. Services are provided in inpatient, non-inpatient and community settings.
Department of Education provides a range of services to support students with a disability in public schools across NSW, including specialist support classes, special schools and targeted support programs for students with a disability in regular classes
Ageing, Disability and Home Care is a major provider of therapy services for people with a disability in NSW. Like NSW Health, ADHC employs a full range of therapists, though their roles are solely to work with those with a disability.
Community Services is responsible for children and young people in out-of-home care, as well as children and young people living with their families and carers who have been assessed as being at risk of harm or neglect
Non-government organisations and the private sector services meet their therapy needs of many people with a disability.
Desired Outcomes of the MOU
Establish a more consistent and equitable process for people with a disability to access to therapy services across NSW
Make the journey easier and quicker for people with a disability and their families/carers to access the right services
Enable more people with a disability to have access to the therapy services that they need
Make more effective and efficient use of existing resources and therapy workforce across agencies.
Focus
Increase collaboration at all levels - centrally, regionally and locally
Increase coordination in the delivery of services Clarify and promote understanding of the respective roles
and responsibilities Streamline referral pathways, information sharing and
communication Work towards an agreed approach to eligibility,
assessment and prioritisation Establish evidence-based flexible service delivery models Make optimal use of resources, services and initiatives.
Principles
Access to services will be based on the individual’s needs
Service delivery will be individual and family focussed
Service delivery will respect and acknowledge diversity
Service delivery will be based on collaborative practice and good communication.
Service delivery will meet quality standards and be cost effective
Continuous improvement in service coordination between agencies