Incorporating Chronic Disease Self
Management Principles in Training
Packages for CHC02 Community
Services and HLT07 Healt...
CONTENTS
Purpose of this scoping report......................................................................................
1
Purpose of this Scoping Report
The Community Services and Health Industry Skills Council (the Skills Council) is the
rec...
1. Background and context
Chronic disease
Chronic disease accounts for over half of the global health burden, and the prev...
The National Chronic Disease Strategy (2006)9
makes specific mention of
• asthma;
• cancer;
• diabetes;
• heart, stroke an...
A continuum of chronic disease care seeks better outcomes to:
• health promotion
• prevention;
• detection;
• assessment;
...
people and their families and carers to develop skills and resources to maximise their
capacity to self manage.12
The Chro...
Community and Health Industry Skills Council
Chronic Disease Self Management Scoping Report March 2007
8
The Chronic Disea...
2. Principles of chronic disease self management
Six key principles of chronic disease self management underpin good pract...
Principle 4: Partnership and participation
Client partnership and participation underpins the self management of chronic d...
3. Framework for analysis of CDSM principles in Training
Packages
The Framework used for identifying chronic disease self ...
Factors that influence the significance of client contact can be illustrated as follows:
In addition, a worker may have mi...
Step 2 - Identify possible job functions across the continuum of chronic disease
care
In order to identify the contributio...
Continuum of chronic disease care Working definition
Care co-ordination Any job function that supports the co-
ordination ...
Continuum of chronic disease care Possible job functions
Rehabilitation Implement program, as directed.
Recognise and pass...
The table below contains an example of the impact job function for Certificate IV in Allied
Health Assistance might have o...
CDSM Impact Statement
The following diagram illustrates the first three steps of CDSM analysis. These three
steps inform t...
Clearly, the Allied Health Assistant has the potential to have a significant impact on
CDSM. Other workers might have an i...
Stage Two
The CDSM Project is also required to determine where the self management principles
exist in the current units o...
Holistic practice,
including:
1. Provide direct support for positive lifestyle (including, information,
kits, education an...
Summary of the framework for CDSM analysis
Community and Health Industry Skills Council
Chronic Disease Self Management Sc...
4 Outcomes and recommendations of CDSM analysis
In the Health Training Package fourteen (14) qualifications were identifie...
In the Community Services Training Package twenty nine qualifications were identified
as having a significant impact on ch...
Community Services Work – Other Specialist Qualifications
Code Title
CHC41702 Certificate IV in Alcohol and Other Drugs Wo...
Health Training Package Recommendations
Aboriginal and/or Torres Strait Islander Health Work
Code Title Recommendations
HL...
Allied Health Assisting
Code Title Recommendations
HLT32407 Certificate III in Allied Health
Assistance
Add a performance ...
Complementary and Alternative Health
Code Title Recommendations
HLT42706 Certificate IV in
Aromatherapy
Include support of...
Code Title Recommendations
HLT51406 Diploma of Aromatherapy Include support of chronic disease self management in appropri...
Code Title Recommendations
HLT60906 Advance Diploma of
Aromatic Medicine
Include support of chronic disease self managemen...
Enrolled nursing
Code Title Recommendations
HLT43406 Certificate IV in Nursing
(Enrolled/Division 2 nursing)
Include suppo...
Community Services Training Package Recommendations
Community Services Work – General
Code Title Recommendations
CHC30802 ...
Code Title Recommendations
CHC40902 Certificate IV in Community
Services Work
Develop an element for CHCCS2C Deliver and d...
Code Title Recommendations
CHC60302 Advanced Diploma of
Community Services Work
Develop a set of competency units that foc...
Code Title Recommendations
CHC40202 Certificate IV in Service Co-
ordination (Ageing and
Disability)
Develop a competency ...
Code Title Recommendations
CHC60102 Advanced Diploma of
Disability Work
Develop a competency unit on Providing support to ...
Code Title Recommendations
CHC40602 Certificate IV in Youth Work Develop a competency unit on Supporting youth with chroni...
Code Title Recommendations
CHC41202 Certificate IV in Community
Services Advocacy
Develop a competency unit on Supporting ...
5 Questions
Questions have been formulated to guide feedback. The two questions seek feedback
on the accuracy and thorough...
Question 2A: Which Community Services and Health Training Packages (CHC02 and
HLT07) qualifications should address chronic...
Appendix 1 Project timelines
Key stages of stakeholder participation
The key stages of the CDSM project are presented in t...
Appendix 2 Health Training Package HLT07 qualifications
The Health Training Package HLT07 was endorsed in February 2007. T...
Ambulance
Qualification Title Job roles
Certificate II in Emergency Medical Service
First Response
Certificate III in Basi...
Certificate IV in Massage Therapy Practice Massage therapist, Massage therapy
practitioner, Assistant massage therapist
Di...
Neurophysiology technology
Qualification Titles Job roles
Certificate IV in Neurophysiology
Technology
Neurophysiology tec...
Hyperbaric technology
Qualification Titles Job roles
Certificate IV in Hyperbaric Technology Hyperbaric technician, Hyperb...
Sterilisation services
Qualification Titles Job roles
Certificate III in Sterilisation Services Sterilising assistant, Ste...
Health
Diploma of Population Health Cancer Notifications Coordinator,
Immunisation Officer, Immunisation and
TB Coordinato...
Appendix 3 Community Services Training Package CHC02
qualifications
The qualifications in Community Services Training Pack...
Qualification Titles Job roles
Diploma of Community Services
Management
Business manager, Employment services
manager, Pro...
Qualification Titles Job roles
Advanced Diploma of Disability Work Case manager, House supervisor, Psycho-
Social trainer,...
Employment Services
Qualification Titles Job roles
Certificate III in Employment Services Client services officer, Disabil...
Community Services Work – Other Specialist Qualifications
Qualification Titles Job roles
Certificate III in Telephone Coun...
Appendix 4 Example analysis of CDSM
HLT51607 Diploma of Nursing (Enrolled/Division 2 nursing)
This qualification covers th...
nursing care for clients with mental
health conditions
HLTEN513A Contribute to nursing care
for clients with chronic healt...
On-going monitoring Monitors wound management
Monitor medication impact
B,C,D HLTEN506A Apply principles of wound
manageme...
Coverage of CDSM Principles in the competency units
• The table shows the coverage of aspects of CDSM in the relevant comp...
in the work environment
HLTEN510A Implement
and monitor nursing
care to consumers with
mental health issues
1,2,3,4,5 1,2,...
Appendix 5 Glossary and Web Links
Glossary
AIHW Australian Institute of Health and Welfare
AQF Australian Qualifications F...
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Incorporating Chronic Disease Self Management Principles in ...

  1. 1. Incorporating Chronic Disease Self Management Principles in Training Packages for CHC02 Community Services and HLT07 Health March 2007 Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 1
  2. 2. CONTENTS Purpose of this scoping report..........................................................................................3 1. Background and context.............................................................................................4 2. Principles of chronic disease self management..........................................................9 3. Framework for analysis of Chronic Disease Self Management principles in Training Packages..................................................................................................................11 4. Outcomes and recommendations of CDSM analysis................................................22 5. Questions.................................................................................................................38 Appendix 1 CDSM Project Timelines …………………………………………………….40 Appendix 2 Health Training Package HLT07 qualifications and job roles..................41 Appendix 3 Community Services Training Package CHC02 qualifications and job roles........................................................................................................48 Appendix 4 Example of CDSM Analysis………………………………………………….53 Appendix 5 Glossary and Web Links.........................................................................58 Attachment 1 Chronic Disease Self Management – Analysis of the Health Training Package Attachment 2 Chronic Disease Self Management – Analysis of the Community Services Training Package Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 2
  3. 3. 1 Purpose of this Scoping Report The Community Services and Health Industry Skills Council (the Skills Council) is the recognised national peak body leading the development of an integrated approach to skills development for the CS&H Industries. The Skills Council places skills recognition and development of the Community Services and Health workforce at the centre of its strategic plan for the next three years. The VET system presents opportunities for far- reaching solutions to the challenges faced by the industry. The development, maintenance and promotion of VET products, particularly Training Packages, are integral to achieving its vision of a competent workforce. This Scoping Report is intended to provide a focus for a review of competence requirements of the Community Services and Health workforce to ensure that chronic disease self management (CDSM) principles are appropriately addressed in competency standards and qualifications within the Community Services Training Package (CHC02) and the Health Training Package (HLT07). The Scoping Report has five main sections: 1. The context and background, including the need, the definition and elements of CDSM and the objectives of the National Chronic Disease Strategy, (2005)2 ; 2. The principles of chronic disease self management, and a discussion about their possible relevance to the Community Services and Health workforce; 3. A Framework for the Analysis of Chronic Disease Self Management in the Community Services Training Package (CHC02) and the Health Training Package (HLT07); 4. Findings of the Analysis of CDSM Principles. An example of the analysis is contained in Appendix 4. 5. Outcomes and recommendations of the CDSM Analysis (see attachment 1 and 2) 6. Questions In Appendix 1 the Scoping Report provides a timeline for the project. Submissions to inform the Scoping Report are invited by 18 May 2007. Submissions may take any form or use the questions identified in Section 5. Submissions can be emailed to cdsm@cshisc.com.au. Contact Robin Flynn at the Skills Council for further information robin.flynn@cshisc.com.au, 02 9263 3589. 1 Formerly the Community Services & Health Training Australia (the national ITAB), now the Community Services & Health Industry Skills Council 2 National Health Priority Action Council (NHPAC) (2006). National Chronic Disease Strategy. Australian Government Department of Health and Ageing, Canberra. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 Community Services and Health Industry Skills Council Vision Australia will have a community and health workforce with sufficient competence such that, if deployed and managed well, it will always respond appropriately to the needs of the Australian population so that their health and well being is promoted, maintained and where necessary restored. 3
  4. 4. 1. Background and context Chronic disease Chronic disease accounts for over half of the global health burden, and the prevalence is rapidly rising. The Australian Institute of Health and Welfare3 reports that in 2004-05 77% of Australians had at least one long-term condition. Most common were asthma (10.0% of the total population), osteoarthritis (7.9%), depression (5.3%) and diabetes (3.5%) According to Australia’s Health 20044 , chronic diseases are the primary health concerns of Australia. The prevention and management of chronic diseases is considered one of the most significant challenges facing Australia’s health and community care systems. Features common to most chronic diseases include: • complex causality, with multiple factors leading to their onset; • a long development period, some of which may have no symptoms; • a prolonged course of illness, perhaps leading to other health complications; and • associated functional impairment or disability.5 Chronic diseases are defined as health problems that require ongoing management over a period of years or decades and include: • diabetes; • heart disease; • asthma; • chronic obstructive pulmonary disease (COPD); • cancer; • HIV/AIDS; • depression; and • physical disabilities.6 The Blueprint for nation-wide surveillance of chronic diseases and associated determinants (2006)7 focuses nation-wide surveillance and monitoring at a defined set of diseases, including “heart disease and stroke, Type 2 diabetes, renal disease, lung and colorectal cancers, chronic lung disease and depression.” The Australian Institute of Health and Welfare (2006) adds oral disease to the list of chronic conditions.8 3 Australian Institute of Health and Welfare 2006. Chronic diseases and associated risk factors in Australia. Canberra:AIHW. 4 Australian Institute of Health and Welfare 2004. Australia’s Health 2004. Canberra:AIHW. 5 Australian Institute of Health and Welfare 2006. Chronic diseases and associated risk factors in Australia. Canberra:AIHW. 6 WHO (World Health Organisation)2005. Preparing a health workforce for the 21st century: The challenges of chronic conditions. Geneva:WHO. 7 National Health Priority Action Council (NHPAC) (2006). Blueprint for nation-wide surveillance of chronic diseases and associated determinants.Melbourne, Australia. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 4
  5. 5. The National Chronic Disease Strategy (2006)9 makes specific mention of • asthma; • cancer; • diabetes; • heart, stroke and vascular disease; • osteoarthritis, rheumatoid arthritis and osteoporosis. The primary objectives of the National Chronic Disease Strategy (2006) are to: • prevent and/or delay the onset of chronic disease for individuals and population groups; • reduce the progression and complications of chronic disease; • maximise the well being and quality of life of individuals living with chronic disease and their families and carers; • reduce avoidable hospital admissions and health care procedures; • implement best practice in the prevention, detection and management of chronic disease; and • enhance the capacity of the health workforce to meet population demand for chronic disease prevention and care into the future. A continuum of chronic disease care applies to: • people without disease; to • people at risk of disease; to • people with chronic disease of varying levels of complexity, including people needing palliative care. 8 Australian Institute of Health and Welfare 2006. Chronic diseases and associated risk factors in Australia. Canberra:AIHW. 9 National Health Priority Action Council (NHPAC) (2006). National Chronic Disease Strategy. Australian Government Department of Health and Ageing, Canberra. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 5
  6. 6. A continuum of chronic disease care seeks better outcomes to: • health promotion • prevention; • detection; • assessment; • multidisciplinary care planning and review; • evidence based clinical management; • self-management; • care co-ordination; • rehabilititation; • ongoing monitoring; and • end of life care.10 Chronic disease self management Self management and collaboration between the client and all relevant service providers are essential components in both the prevention of chronic disease and the prevention of predictable complications of chronic diseases.11 Self management is the active participation by people in their own health care. Self- management incorporates health promotion and risk reduction, informed decision making, care planning, medication management, and working with health care providers to attain the best possible care and to effectively negotiate the often complex health system. All people self manage to some degree, but there are opportunities to support 10 National Health Priority Action Council (NHPAC) (2006). National Chronic Disease Strategy. Australian Government Department of Health and Ageing, Canberra. 11 WHO (World Health Organisation)2005. Preparing a health workforce for the 21st century: The challenges of chronic conditions. Geneva:WHO. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 6 The Chronic Disease Self Management Project has adopted the National Chronic Disease Strategy description of chronic disease, i.e. chronic diseases: • have complex and multiple causes; • usually have a gradual onset, although they can have sudden onset and acute stages; • occur across the life cycle, although they become more prevalent with older age; • can compromise quality of life through physical limitations and disability; • are long term and persistent, leading to a gradual deterioration of health; and • while usually not immediately life threatening, they are the most common and leading cause of premature mortality.
  7. 7. people and their families and carers to develop skills and resources to maximise their capacity to self manage.12 The Chronic Condition Self-Management Guidelines: Summary for nurses and allied health professionals13 , describes chronic disease self management as the person with the chronic disease engaging in activities that: • protect and promote health; • monitor and manage symptoms and signs of illness; • manage the impacts of illness on functioning, emotions and interpersonal relationships; and • adhere to treatment regimes. Self management skills that may assist people to minimise complications or delay the onset entirely include: • coping skills (i.e. managing emotions related to chronic conditions); • goal setting for specific and moderately challenging behaviours; • self monitoring (i.e. keeping track of behaviours); • environmental modification (i.e. creating a context to maximise success); • self reward (i.e. reinforcing one’s behaviour with immediate, personal and desirable rewards); and • arranging social support (i.e. gaining the support of others).14 Factors that affect a person’s ability for self management include: • motivation; • knowledge of condition; • knowledge of symptom management plan; • co-morbidities – other conditions that may affect self management; • health beliefs – religious, cultural and family beliefs; • self efficacy – client’s confidence in their capacity to self manage; • social context – e.g. access to services, cultural aspects of the client’s life;15 • health context – knowledge and support of health professionals. 12 National Health Priority Action Council (NHPAC) (2006). National Chronic Disease Strategy. Australian Government Department of Health and Ageing, Canberra. 13 The Royal College of General Practioners(2006). Chronic condition self management guidelines: Summary for nurses and allied health professionals. Australia. 14 WHO (World Health Organisation)2005. Preparing a health workforce for the 21st century: The challenges of chronic conditions. Geneva:WHO. 15 The Royal College of General Practioners(2006). Chronic condition self management guidelines: Summary for nurses and allied health professionals. Australia. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 7
  8. 8. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 8 The Chronic Disease Self Management Project will adopt the National Chronic Disease Strategy definition of self management. Self management is the active participation by people in their own health care. Self-management incorporates health promotion and risk reduction, informed decision making, care planning, medication management, and working with health care providers to attain the best possible care and to effectively negotiate the often complex health system. The Chronic Disease Self Management Project will consider all aspects of the continuum of chronic disease care: • health promotion; • prevention; • detection; • assessment; • multidisciplinary care planning and review; • evidence based clinical management; • self-management; • care co-ordination; • rehabilititation; • ongoing monitoring; and • end of life care. The Chronic Disease Self Management Project will accept that chronic disease self management involves the person with chronic disease engaging in activities that: • Protect and promote health; • Monitor and manage symptoms and signs of illness; • Manage the impacts of illness on functioning, emotions and interpersonal relationships; and • Adhere to treatment regimes.
  9. 9. 2. Principles of chronic disease self management Six key principles of chronic disease self management underpin good practice for health and community service workers trained through the Vocational Education Training (VET) system. These key principles have been generated from concepts and practices discussed in current documents (see References). The principles are expressed by outlining the key principles and including some examples of practices that support the principles that are relevant to the Community Services and Health workforce. Principle 1: Client-centred practice The concept of client-centred practice is now well established in the delivery of health and community services and there is an increasing recognition of the need to work in collaboration with clients and their families. Client-centred practice requires working with clients with respect, to build on their strengths and build resilience and behaviours that support the self management of chronic disease. In order to achieve successful chronic disease self management, support and care must be centred on the unique needs, characteristics and circumstances of the client. Practices that support client-centred practice include (but not limited to) the need to: 1. Work within the client’s context (including, motivation, beliefs and values, language); 2. Work within the client’s access constraints (including financial, travel, cultural); 3. Work according to informed client choices and preferences; 4. Work according to client’s pace and timing requirements; and 5. Work with regard for the client’s pain, suffering and impact of condition on life circumstances. Principle 2: Holistic practice Chronic disease self management requires support and care across a range of issues other than clinical treatment. The application of this principle requires information and support across all aspects of the client’s life that could have an impact on the management of a chronic disease, including (but not limited to) the need to: 1. Provide direct support for positive lifestyle (including information, kits, education and support services) 2. Provide indirect support for positive lifestyle (including, preparation of food, policy, staff development); 3. Support appropriate client coping skills and behaviour; and 4. Support family and other networks capacity to support client. Principle 3: Accurate, comprehensible, timely and appropriate information Successful self management of chronic disease is reliant on the client being an active partner in the management of chronic disease. Accurate, comprehensive, timely and appropriate information is essential for active participation. Some applications of this principle include the client (but not limited to) the need to: 1. Support client understanding of the nature of the condition; and 2. Support client understanding of treatment, care and behavioural responses to the condition. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 9
  10. 10. Principle 4: Partnership and participation Client partnership and participation underpins the self management of chronic disease. This occurs through care planning and monitoring, decision making and problem solving. The application of the partnership and participation principle requires collaboration with the client as an equal (at the very minimum) partner with health and community workers in the management of chronic disease. Practices that support partnership and participation include (but not limited to) the need to: 1. Support client to actively participate in planning and monitoring; 2. Support client decision making and problem solving; and 3. Support client self management practices and priorities. Principle 5: Strengths-based Traditional health and community service provision has focused on “doing for” rather than “doing with”. Many health and community services are designed around addressing the gaps between a person’s current health status or life functioning, and what is required for either wellness or life function. Working within a strengths based perspective requires the identification and building on coping skills, competencies and positive aspects of the client in order to facilitate the knowledge and skills required to self manage chronic disease. Practices that support this principle include (but not limited to) the need to: 1. Support client to identify and mobilise strengths; 2. Support client in solution focused self management strategies; 3. Provide feedback to client to validate decisions and actions; and 4. Provide information and support to clients to access and use compensatory equipment, aides and procedures. Principle 6: Coordination of support People with chronic diseases may be required to negotiate a complex service system, and wherever possible and within the client’s context, assistance and support with coordination or integration of services on a local level, and in a culturally sensitive manner is a priority to the facilitation of the capacity to self manage chronic disease. Supporting practices include (but not limited to) the need to: 1. Support contact and use of appropriate service and resources;; 2. Provide information to appropriate personnel about variations to client well being; and 3. Utilise information technology to effectively communicate with client and other services as appropriate. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 10
  11. 11. 3. Framework for analysis of CDSM principles in Training Packages The Framework used for identifying chronic disease self management principles in Training Packages consists of two stages: 1. Prioritising qualifications and work roles to determine the level of impact these have in a chronic disease self management context; 2. Identifying which chronic disease self management principles are included in qualifications and units of competency and recommending amendments where gaps exist. The results of the analysis are then collated in companion documents for both the Health Training Package and Community Services Training Package which show how the principles of chronic disease self management are included in individual units of competency and qualifications. Stage One The CDSM Project is initially required to determine and/or verify which health and community service workers trained through the Vocational Education Training (VET) system have a significant level of contact with people with a chronic disease as part of their work, their role in relation to chronic disease self management (CDSM) and relevant VET qualifications.16 Listings of qualifications covered in the Community Services Training Package (CHC02) and the Health Training Package (HLT07) and relevant job roles appear in Appendix 2 and Appendix 3. Stage One includes three steps to: 1. Determine the nature of client contact; 2. Identify possible job functions across the continuum of chronic disease care; and 3. Identify possible impact of job functions on client CDSM activity Step 1 – Determine the nature of client contact Key to this action is an analysis and definition of the concept of significant level of contact, in the context of worker roles in relation to CDSM. At its most basic application significant level of contact could be defined by: • Whether the contact is one-off or on-going e.g. an ambulance paramedic would most likely have one-off client contact whilst an Aged Care worker will have an on-going client contact; • The context of the job function e.g. an enrolled nurse in an acute setting may have contact over a defined and specific hospital stay, whilst an enrolled nurse in an Aged Care setting will have on-going contact; and/or • The amount of contact in a continuum of care context e.g. from diagnosis to end of life care. 16 Department of Health and Ageing (2006), Chronic Disease Self Management Project Brief. Canberra, Australia. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 11
  12. 12. Factors that influence the significance of client contact can be illustrated as follows: In addition, a worker may have minimal or no contact with a client but may have the potential to have significant impact on a client’s CDSM activities. For example, a Practice Manager might have no direct client contact but has many job functions that have the potential to have a significant impact on a client’s CDSM activities. These include appointment scheduling and management, information management and staff management. Similarly, a telephone counsellor might provide a one-off, minimal contact service, but the provision of appropriate referral – in a manner that is likely to be taken up by the client – has the potential to have a significant impact on client CDSM activities. As job roles with minimal or no direct contact still have the potential to have significant impact on CDSM, the analysis considers the impact on CDSM, of which client contact is a component. For the purpose of the analysis, the nature of client contact is described: • As direct, minimal, indirect or no direct contact • As one-off, short term/intermittent or on-going; • Within possible different occupational contexts. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 One-off versus on-going contact Context of job function Contribution to continuum of care 12 Client contac t Example HLT43407 Certificate IV in Nursing (Enrolled/Division 2 Nursing) This qualification covers the application of nursing skills and knowledge required to be eligible for enrolment* with some State/Territory nursing and midwifery regulatory authorities (*or registration as a Division 2 Nurse in Victoria). This worker has direct client contact that can be short term/intermittent or on-going depending on the occupational context. Different occupational contexts include working in acute care, working in Aged Care, working in a large general practice or working in community care.
  13. 13. Step 2 - Identify possible job functions across the continuum of chronic disease care In order to identify the contribution of client contact to the continuum of chronic disease care, job functions relevant to chronic disease self management will be identified against the continuum of chronic disease care. The continuum of chronic disease care has been taken from the National Chronic Disease Strategy.17 The table below provides a working definition of each stage in the continuum of chronic disease care. Continuum of chronic disease care Working definition Health promotion Any job function that promotes good health and well being. This could be at an individual level, group level or community level. For example, a Practice Manager could organise group sessions on healthy diet. A Community Development Worker might conduct surveys of community health concerns as a basis for educational programs. Prevention Any job that prevents chronic disease. For example, a youth worker might provide services in a smoke free zone, an Allied Health Assistant might provide information on healthy diet. Assessment Any job function that contributes to the assessment of a chronic disease. For example, a Community Care Worker might identify indicators of a chronic disease and refer the information to their supervisor. Multidisciplinary care planning and review Any job function that contributes to care planning and review for people with a chronic disease. For example, a Disability Support Officer might ensure that all information pertinent to possible self management of a client’s diabetes is available at planning meetings. An advocate might attend a planning meeting with a client. Evidence based clinical management Any job function that constitutes direct clinical management of a chronic disease (based on clinical evidence and good practice). For example, an Enrolled nurse. might assist a person adhere to a medication regime. 17 National Health Priority Action Council (NHPAC) (2006). National Chronic Disease Strategy. Australian Government Department of Health and Ageing, Canberra. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 13
  14. 14. Continuum of chronic disease care Working definition Care co-ordination Any job function that supports the co- ordination of all services (formal and informal) the client requires. For example, a HACC Co-ordinator might ensure that transport is available for a community- based older person with a heart problem to get to the full range of services and activities that support management of the disease and a positive lifestyle. Rehabilitation Any job function that supports rehabilitation following treatment for a chronic disease. For example, a Practice Manager might set up a local support group for people dealing with the impact of chemotherapy. On-going monitoring Any job function that involves monitoring the status/progress of a client. For example, an Aboriginal Health Worker might monitor a client’s health status, and also lifestyle requirements to manage a chronic disease. End of life Any job function that supports clients at the final stages of a chronic disease. For example, an Aboriginal Health Worker could support family by providing information and support. An Aged Care Worker could support an older person in a residential setting. The table below outlines possible job functions against the chronic disease care continuum for a Certificate IV Allied Health Assistant. Continuum of chronic disease care Possible job functions Health promotion Provision of information to individuals and groups. Prevention Provision of information to individuals and groups. Assessment Provision of information about concerns about a client to supervising professional. Multidisciplinary care planning and review Participate, where appropriate, in planning. Support client to identify strengths. Support client to be solution focused. Provide feedback to client. Evidence-based clinical management Conduct programs as directed. Care co-ordination Recognise and pass on information about variation in client wellbeing. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 14
  15. 15. Continuum of chronic disease care Possible job functions Rehabilitation Implement program, as directed. Recognise and pass on information about variation in client wellbeing. Support client to identify strengths. Support client to be solution focused. Provide feedback to client. On-going monitoring Support client to self monitor. End of life care Implement program, as directed. Recognise and pass on information about variation in client wellbeing. At this stage of the analysis the: • nature of client contact has been determined; and • job functions that could occur across the chronic care disease continuum have been identified. Step 3 - Identify possible impact of job functions on client CDSM activity Stage One In order to determine if these possible job functions have an impact on CDSM, the job functions are considered against the self management activities of people with chronic disease. The Chronic Condition Self-Management Guidelines: Summary for nurses and allied health professionals18 describes four client chronic disease self management activities. These four major areas of activity describe the client behaviour that supports chronic disease self management across a range of settings and contexts, and provide an indicator of the potential impact of job functions on chronic disease self management. The four client activities are: A. protecting and promoting health; B. monitoring and managing symptoms and signs of illness; C. managing the impacts of illness on functioning, emotions and interpersonal relationships; and D. adhering to treatment regimes. For purposes of the analysis these activities have been referred to as A, B, C and D. CDSM client activity Reference Protecting and promoting health A Monitoring and managing symptoms and signs of illness B Managing the impacts of illness on functioning, emotions and interpersonal relationships C Adhering to treatment regimes D 18 The Royal College of General Practioners(2006). Chronic condition self management guidelines: Summary for nurses and allied health professionals. Australia. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 15
  16. 16. The table below contains an example of the impact job function for Certificate IV in Allied Health Assistance might have on client chronic disease self management activities. Continuum of chronic disease care Possible job function Client activity Health promotion Provision of information to individuals and groups. A Prevention Provision of information to individuals and groups. A Assessment Provision of information about concerns about a client to supervising professional. B Multidisciplinary care planning and review Participate where appropriate in planning. Support client to identify strengths. Support client to be solution focused. Provide feedback to client. A, B, C, D Evidence based clinical management Conduct programs as directed. A, B, C, D Care co-ordination Recognise and pass on information about variation in client wellbeing. A, B, C, D Rehabilitation Implement program, as directed. Recognise and pass on information about variation in client wellbeing. Support client to identify strengths. Support client to be solution focused. Provide feedback to client. A, B, C, D On-going monitoring Support client to self monitor. A, B, C, D End of life care Implement program, as directed. Recognise and pass on information about variation in client wellbeing. B, C, D This step in the analysis of CDSM is considered an essential identification of the link between a job function and its likely impact on client CDSM behaviour. The Allied Health Assistant example highlights how some job functions can have impact on one type of client activity, whilst other job functions have a potential impact across all four client CDSM activities. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 16
  17. 17. CDSM Impact Statement The following diagram illustrates the first three steps of CDSM analysis. These three steps inform the CDSM Impact Statement. The CDSM Impact Statement contains the findings from these three steps of the analysis. In summary: A qualification is considered to have a significant impact on CDSM where possible worker functions are: • identified across five or more stages of the continuum of chronic disease care; and • have potential influence on three or more client CDSM activities A qualification is considered to have a no significant impact on CDSM where possible worker functions are: • identified across four or less stages of the continuum of chronic disease care; and • have potential influence on two or less client CDSM activities A qualification is considered to have a narrow impact on CDSM where possible worker functions are: • identified across four or less stages of the continuum of chronic disease care; and • have potential influence on three or more client CDSM activities Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 17 Determine the nature of client contact Identify possible job functions across the continuum of chronic disease care Identify possible impact of job functions on client CDSM activity
  18. 18. Clearly, the Allied Health Assistant has the potential to have a significant impact on CDSM. Other workers might have an impact but in a narrow range across the continuum of chronic disease care, e.g. a Rehabilitation Technician has no client contact, and has possible job functions at only one point of the continuum of chronic disease care (Rehabilitation) that influences one aspect of client CDSM activity (Managing the impacts of illness on functioning, emotions and interpersonal relationships). Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 18 Example: HLT 42507 Certificate IV in Allied Health Assistance This qualification covers workers who provide therapeutic and program related support to allied health professionals. The worker is required to conduct therapeutic and program related activities under the guidance of an allied health professional. Supervision may be direct, indirect or remote and must occur within organisation requirements. The worker is required to identify client circumstances that need additional input from the allied health professional. Occupational titles for these workers may include: • Therapy assistant • Podiatry assistant • Physiotherapy assistant • Speech pathology assistant • Occupational therapy assistant • Allied health assistant • Nutrition assistant • Dietetic assistant CDSM IMPACT STATEMENT This worker has direct client contact that can be short term /intermittent or on-going depending on the occupational context. Different occupational contexts include working in a hospital setting, working in aged care or working in community care. This worker has possible job functions across all stages in the continuum of chronic disease care. These job functions affect all aspects of client CDSM activities. This qualification has a significant impact on CDSM. Example: HLT43607 Certificate IV in Rehabilitation and Assistive Technology This qualification covers the skills and knowledge required by workers who undertake the design, construction and modification of specialized seating and associated equipment for people with disabilities based on multi-disciplinary assessment. Occupational titles for these workers include: • Rehabilitation technician • Rehabilitation engineering technician • Assistive technology technicians • Seating technician CDSM IMPACT STATEMENT This worker has no direct client contact. This worker has job functions at one stage of the continuum of chronic disease care and impact on one aspect of client CDSM activity. This qualification has a narrow impact on CDSM.
  19. 19. Stage Two The CDSM Project is also required to determine where the self management principles exist in the current units of competency and qualifications of the Community Services and Health Training Packages (CHC02 and HTP07); and determine opportunities where the self management principles could be enhanced and/or incorporated into existing elements, units, qualifications or teaching resources of the Training Packages.19 Stage Two of the analysis addresses these requirements. In the case where the CDSM Impact Statement reveals that the qualification has a narrow impact on CDSM there is no further analysis. In cases where the CDSM Impact Statement reveals that the qualification has no significant impact on CDSM there is no further analysis. Four steps are then applied once the analysis has determined that a qualification has a significant impact on CDSM. 1. Compulsory and mandatory units of competency that address the job functions are identified; 2. These units of competency are analysed to identify how well they address the CDSM principles, as outlined in the table below; 3. Gaps in how the units address the CDSM principles are identified; and 4. Strategies are identified to address the gaps/or improve coverage of CDSM principles. CDSM Principles and Practices CDSM Principle Practices that support CDSM principles Client-centred practice, including: 1. Work within the clients context (including, motivation, beliefs and values, language) 2. Work within the client’s access constraints (including, financial, travel, cultural) 3. Work according to informed client choices and preferences 4. Work according to client’s pace and timing requirements 5. Work with regard for client’s pain, suffering and impact of chronic disease on life circumstances 19 Department of Health and Ageing (2006), Chronic Disease Self Management Project Brief. Canberra, Australia Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 19 In cases where the CDSM Impact Statement reveals a significant impact on CDSM there is further analysis. Significant impact on CDSM occurs when job functions appear over a range of stages in the continuum of chronic disease care, and have an impact on more than one client CDSM activity.
  20. 20. Holistic practice, including: 1. Provide direct support for positive lifestyle (including, information, kits, education and support services) 2. Provide indirect support for positive lifestyle (including, preparation of food, policy, staff development) 3. Support appropriate client coping skills and behaviour 4. Support family other networks capacity to support client Provision of information, including 1. Support client understanding of the nature of the condition 2. Support client understanding of treatment, care and behavioural responses to the condition Partnership and participation, including 1. Support client to actively participate in the planning and monitoring 2. Support client decision making and problem solving skills 3. Support client self management practices and priorities Strength based practice, including: 1. Support client to identify and mobilise strengths 2. Support client in solution focused self management strategies 3. Provide feedback to clients to validate decisions and actions 4. Provide information and support to clients to access and use compensatory equipment, aides and procedures Coordinated support, including: 1. Supporting contact and use of appropriate services and resources to support the client 2. Providing information to appropriate personnel about variations to client well being 3. Utilising information technology to effectively communicate with client and appropriate other services An example of this analysis is contained in Appendix 4. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 20
  21. 21. Summary of the framework for CDSM analysis Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 21 2. Identify possible job functions across the continuum of chronic disease care 3. Identify possible impact of job functions on client CDSM activity 1. Determine the nature of client contact CDSM IMPACT STATEMENT 1. Determine the competency units that address job functions 2. Identify competency unit address of the CDSM principles 3. Identify gaps in competency unit address of CDSM principles 4. Identify strategies to address identified gaps/or improve coverage of CDSM STAGE 1 STAGE 2
  22. 22. 4 Outcomes and recommendations of CDSM analysis In the Health Training Package fourteen (14) qualifications were identified as having a significant impact on chronic disease self management. Direct Client Care Work Aboriginal and/or Torres Strait Islander Health Work Code Title HLT21306 Certificate II in Aboriginal and/or Torres Strait Islander Primary Health Care HLT33206 Certificate III in Aboriginal and/or Torres Strait Islander Primary Health Care HLT43906 Certificate IV in Aboriginal and/or Torres Strait Islander Primary Health Care (Practice) HLT44006 Certificate IV in Aboriginal and/or Torres Strait Islander Primary Health Care (Community Care) HLT52106 Diploma of Aboriginal and/or Torres Strait Islander Primary Health Care (Practice) Allied Health Assisting Code Title HLT32407 Certificate III in Allied Health Assistance HLT42506 Certificate IV in Allied Health Assistance Complementary and Alternative Health Code Title HLT42706 Certificate IV in Aromatherapy HLT51406 Diploma of Aromatherapy HLT60906 Advance Diploma of Aromatic Medicine Enrolled nursing Code Title HLT43406 Certificate IV in Nursing (Enrolled/Division 2 nursing) HLT51606 Diploma of Nursing (Enrolled/Division 2 nursing) HLT61106 Advanced Diploma of Nursing (Enrolled/Division 2 nursing) General business operations Code Title HLT52007 Diploma of Practice Management Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 22
  23. 23. In the Community Services Training Package twenty nine qualifications were identified as having a significant impact on chronic disease self management. Community Services Work – General Code Title CHC30802 Certificate III in Community Services Work CHC40902 Certificate IV in Community Services Work CHC50702 Diploma of Community Welfare Work CHC60302 Advanced Diploma of Community Services Work Management Code Title CHC42002 Certificate IV in Community Services (Service Coordination) CHC51602 Diploma of Community Services Management CHC60402 Advanced Diploma of Community Services Management Community Services Work – Specialist Aged Care and Disability Work Code Title CHC30102 Certificate III in Aged Care Work CHC30202 Certificate III in Home and Community Care CHC30302 Certificate III in Disability Work CHC40202 Certificate IV in Service Co-ordination (Ageing and Disability) CHC40102 Certificate IV in Aged Care Work CHC40302 Certificate IV in Disability Work CHC50102 Diploma of Disability Work CHC60102 Advanced Diploma of Disability Work Child Protection Code Title CHC41802 Certificate IV in Community Services (Protective Services) CHC51202 Diploma of Community Services (Protective Intervention) CHC51302 Diploma of Statutory Child Protections Youth Work and Juvenile Justice Code Title CHC30602 Certificate III in Youth Work CHC40602 Certificate IV in Youth Work CHC40702 Certificate IV in Youth Work (Juvenile Justice) CHC50502 Diploma of Youth Work Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 23
  24. 24. Community Services Work – Other Specialist Qualifications Code Title CHC41702 Certificate IV in Alcohol and Other Drugs Work CHC51102 Diploma of Alcohol and Other Drugs Work CHC41102 Certificate IV in Mental Health Work (Non-clinical) CHC41202 Certificate IV in Community Services Advocacy CHC41602 Certificate IV in Community Services (Lifestyle and Leisure) CHC50802 Diploma of Community Services (Lifestyle and Leisure) CHC50902 Diploma of Community Services (Case Management) Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 24
  25. 25. Health Training Package Recommendations Aboriginal and/or Torres Strait Islander Health Work Code Title Recommendations HLT21306 Certificate II in Aboriginal and/or Torres Strait Islander Primary Health Care Include Providing information to appropriate personnel about variations to client well being in HLTHIR301A Communicate and work effectively in health. HLT33206 Certificate III in Aboriginal and/or Torres Strait Islander Primary Health Care Develop a competency unit on Supporting clients to make decisions and use problem solving. This competency unit to include solution focus. Develop a competency unit on Supporting client to function from a personal strength base. HLT43906 Certificate IV in Aboriginal and/or Torres Strait Islander Primary Health Care (Practice) Develop a competency unit on supporting clients to make decisions and use problem solving. This competency unit to include solution focus. Develop a competency unit on supporting client to function from a personal strength base. HLT44006 Certificate IV in Aboriginal and/or Torres Strait Islander Primary Health Care (Community Care) Develop a competency unit on Supporting clients to make decisions and use problem solving. This competency unit to include solution focus. Develop a competency unit on Supporting client to function from a personal strength base. HLT52106 Diploma of Aboriginal and/or Torres Strait Islander Primary Health Care (Practice) Develop a competency unit on Supporting clients to make decisions and use problem solving. This competency unit to include solution focus. Develop a competency unit on Supporting client to function from a personal strength base. Develop a competency unit to Support groups/communities to identify and build on strengths in a community development context Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 25
  26. 26. Allied Health Assisting Code Title Recommendations HLT32407 Certificate III in Allied Health Assistance Add a performance criteria to Element 1 of HLTAH301 Assist with an allied health program about providing information to support a positive lifestyle Develop a competency unit on Supporting client to function from a personal strength base in an allied health treatment context. HLT42506 Certificate IV in Allied Health Assistance Include Support of chronic disease self management in appropriate range statements of competency units Include the provision of information about supporting positive lifestyle in appropriate range statements of competency units. Include a statement about including family and other networks (where appropriate), in client range statements of appropriate competency units. Develop a competency unit on Supporting clients to make decisions and use problem solving Develop a competency unit on Supporting client to function from a personal strength base Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 26
  27. 27. Complementary and Alternative Health Code Title Recommendations HLT42706 Certificate IV in Aromatherapy Include support of chronic disease self management in appropriate range statements of HLTARO403A Provide aromatherapy treatment. Supporting client understanding of the nature of the condition, Supporting client understanding of treatment, care and behavioural responses to the condition are outside the scope of these workers and need not be addressed. Include a statement about including family and other networks (where appropriate), in client range statements of appropriate competency units. Develop a competency unit on Supporting clients to make decisions and use problem solving. Develop a competency unit on Supporting client to function from a personal strength base. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 27
  28. 28. Code Title Recommendations HLT51406 Diploma of Aromatherapy Include support of chronic disease self management in appropriate range statements of HLTARO403A Provide aromatherapy treatment Supporting client understanding of the nature of the condition, Supporting client understanding of treatment, care and behavioural responses to the condition to be addressed in performance criteria and range statements in HLTARO509A Plan a specialised aromatherapy treatment and HLTARO511A Provide specific aromatherapy assessment and care Include a statement about including family and other networks (where appropriate), in client range statements of appropriate competency units. Develop a competency unit on Supporting clients to make decisions and use problem solving Develop a competency unit on Supporting client to function from a personal strength base Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 28
  29. 29. Code Title Recommendations HLT60906 Advance Diploma of Aromatic Medicine Include support of chronic disease self management in appropriate range statements of HLTARO403A Provide aromatherapy treatment. Supporting client understanding of the nature of the condition, Supporting client understanding of treatment, care and behavioural responses to the condition to be addressed in performance criteria and range statements in HLTARO509A Plan a specialised aromatherapy treatment and HLTARO511A Provide specific aromatherapy assessment and care. Include a statement about including family and other networks (where appropriate), in client range statements of appropriate competency units. Develop a competency unit on Supporting clients to make decisions and use problem solving. Develop a competency unit on Supporting client to function from a personal strength base. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 29
  30. 30. Enrolled nursing Code Title Recommendations HLT43406 Certificate IV in Nursing (Enrolled/Division 2 nursing) Include support of Identify and support client’s appropriate coping skills, Support family and others to support the client as performance criteria in relevant units of competency. Include a statement about including family and other networks (where appropriate), in client range statements of appropriate competency units. Develop a competency unit on Supporting client strengths in nursing care. Develop a competency unit on Supporting clients to make decisions and use problem solving. HLT51606 Diploma of Nursing (Enrolled/Division 2 nursing) Include Supporting client self management practices and priorities as an element in HLTEN513A Contribute to nursing care for clients with chronic health problems. Develop a competency unit on Supporting client strengths in nursing care. HLT61106 Advanced Diploma of Nursing (Enrolled/Division 2 nursing) Include Supporting clients to identify and mobilize strengths and Supporting solution focused self management as elements in CHCCM3B Develop, facilitate and monitor all aspects of case management General business operations HLT52007 Diploma of Practice Management Develop a competency unit on Manage a practice to facilitate client self management. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 30
  31. 31. Community Services Training Package Recommendations Community Services Work – General Code Title Recommendations CHC30802 Certificate III in Community Services Work Include statements in the range statement of CHCCS9A Provide support services to clients to include working with clients with chronic disease and working with regard for the client’s pain. Include identifying and supporting appropriate client coping skills and behaviours in an element of CHCCS9A Provide support services to clients. Develop a competency unit on Supporting clients to make decisions and use problem solving. Develop a competency unit on Supporting client to function from a personal strength base. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 31
  32. 32. Code Title Recommendations CHC40902 Certificate IV in Community Services Work Develop an element for CHCCS2C Deliver and develop client services that highlights involvement of client in decision making and planning. Develop an element for CHCCS402A Respond holistically to client issues that highlights supporting client solution finding and planning. Review CHCCS402A Respond holistically to client issues to include provision of information, discussion of options and consequences of action and involving family in action plan. In CHCCS2C Deliver and develop client services add a range statement of possible service and include a range of positive lifestyle service options. Develop a competency unit on Supporting people with chronic disease in the community. Develop a competency unit on Supporting clients to make decisions and use problem solving Develop a competency unit on Supporting client to function from a personal strength base. CHC50702 Diploma of Community Welfare Work Develop a element of developing and supporting self management in CHCCM3B Develop, facilitate and monitor all aspects of case management. Develop a competency unit on Supporting people with chronic disease in the community. Develop a competency unit on Supporting clients to make decisions and use problem solving. Develop a competency unit on Supporting client to function from a personal strength base. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 32
  33. 33. Code Title Recommendations CHC60302 Advanced Diploma of Community Services Work Develop a set of competency units that focus on working with clients with complex (and maybe urgent) needs on decision making, problem solving, self management and working with strengths Management Code Title Recommendations CHC42002 Certificate IV in Community Services (Service Coordination) Develop a competency unit that has a focus on considering the needs of clients with chronic diseases in service co-ordination. CHC51602 Diploma of Community Services Management Develop additional elements for CHCORG23B Co-ordinate work to include managing/coordinating service practices that promote positive lifestyle, client- centred, holistic and strength based practices CHC60402 Advanced Diploma of Community Services Management Develop additional elements for CHCCS4C Manage the delivery of quality client services to include managing/coordinating service practices that promote positive lifestyle, client-centred, holistic and strength based practices Community Services Work – Specialist Aged Care and Disability Work Code Title Recommendations CHC30102 Certificate III in Aged Care Work Include Supporting the client to self manage health conditions as an element in CHCAC1C Provide support to an older person. Include Identifying and supporting client coping skills and behaviours as an element in CHCAC1C Provide support to an older person. CHC30202 Certificate III in Home and Community Care Develop a competency unit on Supporting the client to self manage life and health conditions in a home setting (within this job scope). CHC30302 Certificate III in Disability Work Develop a competency unit on Providing support to optimise self management of life and health conditions in a home setting (within this job scope) Develop a competency unit on Providing support to optimise self management of life and health conditions in a recreation setting (within this job scope) Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 33
  34. 34. Code Title Recommendations CHC40202 Certificate IV in Service Co- ordination (Ageing and Disability) Develop a competency unit that has a focus on Considering the needs of clients with chronic diseases in service co-ordination. CHC40102 Certificate IV in Aged Care Work Develop a competency unit on Supporting older people with chronic health conditions(within this job scope) CHC40302 Certificate IV in Disability Work Develop a competency unit on Providing support to optimise self management of life and health conditions in a home setting (within this job scope). Develop a competency unit on Facilitating environments that foster a positive lifestyle. Develop a competency unit on Supporting clients to make decisions and use problem solving. This competency unit to include solution focus. Develop a competency unit on Supporting client to function from a personal strength base. CHC50102 Diploma of Disability Work Develop a competency unit on Providing support to optimise self management of life and health conditions in a home setting (within this job scope). Develop a competency unit on Facilitating environments that foster a positive lifestyle. Include supporting family and other networks as an element in CHCCM3B Develop, facilitate and monitor all aspects of case management. Develop a competency unit on Supporting clients to make decisions and use problem solving. This competency unit to include solution focus. Develop a competency unit on Supporting client to function from a personal strength base. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 34
  35. 35. Code Title Recommendations CHC60102 Advanced Diploma of Disability Work Develop a competency unit on Providing support to optimise self management of life and health conditions in a home setting (within this job scope). Develop a competency unit on Facilitating environments that foster a positive lifestyle. Develop a set of competency units that focus on working with clients with complex (and maybe urgent) needs on decision making, problem solving, self management and working with strengths Child Protection Code Title Recommendations CHC41802 Certificate IV in Community Services (Protective Services) Include an element about Address health and health related requirements of child/young person in CHCPROT9C Provide primary/residential care CHC51202 Diploma of Community Services (Protective Intervention) Develop a unit of competency that addresses Supporting children/young people to make informed choices from a personal strength base CHC51302 Diploma of Statutory Child Protections Develop a unit of competency that addresses Supporting children/young people to make informed choices from a personal strength base Youth Work and Juvenile Justice Code Title Recommendations CHC30602 Certificate III in Youth Work Develop a competency unit on Supporting youth with chronic health conditions. Develop a competency unit on Supporting youth lifestyle to prevent chronic disease. Include CHCYTH5C Support youth programs as a compulsory unit. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 35
  36. 36. Code Title Recommendations CHC40602 Certificate IV in Youth Work Develop a competency unit on Supporting youth with chronic health conditions. Develop a competency unit on Supporting youth lifestyle to prevent chronic disease. Include CHCYTH5C Support youth programs as a compulsory unit. CHC40702 Certificate IV in Youth Work (Juvenile Justice) Develop a competency unit on Supporting youth with chronic health conditions. Develop a competency unit on Supporting youth lifestyle to prevent chronic disease. CHC50502 Diploma of Youth Work Develop a competency unit on Supporting youth with chronic health conditions Develop a competency unit on Supporting youth lifestyle to prevent chronic disease Community Services Work – Other Specialist Qualifications Code Title Recommendations CHC41702 Certificate IV in Alcohol and Other Drugs Work Include an element on Identifying the links between AOD use and chronic disease in CHCAOD2C Orientation to alcohol and other drugs work. Develop a competency unit on Supporting the alcohol and other drug user to manage chronic disease. CHC51102 Diploma of Alcohol and Other Drugs Work Include an element on Identifying the links between AOD use and chronic disease in CHCAOD2C Orientation to alcohol and other drugs work. Develop a competency unit on Supporting the alcohol and other drug user to manage chronic disease. CHC41102 Certificate IV in Mental Health Work (Non-clinical) Develop a competency unit on Supporting a person with mental health issues to manage chronic disease Develop a competency unit on Supporting client to function from a personal strength base Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 36
  37. 37. Code Title Recommendations CHC41202 Certificate IV in Community Services Advocacy Develop a competency unit on Supporting client to function from a personal strength base Develop a competency unit on Supporting clients to make decisions and use problem solving. This competency unit to include solution focus. CHC41602 Certificate IV in Community Services (Lifestyle and Leisure) Reconfigure the competency units to reflect: • client participation in decision making and planning; • building on identified client strengths; and • contributing to a care plan i.e. linking activities to the overall care plan. CHC50802 Diploma of Community Services (Lifestyle and Leisure) Reconfigure the competency units to reflect: • client participation in decision making and planning; • building on identified client strengths; and • contributing to a care plan i.e. linking activities to the overall care plan. CHC50902 Diploma of Community Services (Case Management) Develop a competency unit on Supporting client to function from a personal strength base Develop a competency unit on Supporting clients to make decisions and use problem solving. This competency unit to include solution focus Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 37
  38. 38. 5 Questions Questions have been formulated to guide feedback. The two questions seek feedback on the accuracy and thoroughness of the analysis of the CDSM principles. Question 1 – Health and community services workers with contact with people with chronic disease. Current literature clearly identifies and provides guidance for the roles of professional (degree qualified) workers who have contact with people with chronic diseases. The purpose of this question is to. • identify the health and community service workers trained through the Vocational Education Training (VET) system who have a level of contact with people with chronic disease as part of their job role; and • explore their role in relation to chronic disease self management. Question 1A: Who are the health and community service workers trained through the Vocational Education Training (VET) system that have a significant impact on with people with chronic disease? Question 1B: What level of client contact do these workers have in relation to supporting self management of chronic disease? Has the analysis correctly defined the nature of client contact? Question 1C What level of impact do these workers have in relation to supporting self management of chronic disease? Has the analysis correctly defined the CDSM impact? Question 2 – Addressing Chronic Disease Self Management in qualifications and competencies The purpose of this question is to explore how well the current competency units and qualifications of the Community Services and Health Training Packages (CHC02 and HLT07) incorporate chronic disease self management. See Appendix 5 for an example of this process. The ISC seeks input from employers, unions, peak industry bodies, professional bodies and regulatory bodies to identify strengths and weaknesses of the capacity of current qualifications to meet the competencies required to support chronic disease self management. As job roles are constantly being redefined in the workplace, respondents may wish to consider new or emerging roles or skill sets that are not currently covered by the CHC02 or HLT07 Training Packages. Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 38
  39. 39. Question 2A: Which Community Services and Health Training Packages (CHC02 and HLT07) qualifications should address chronic disease self management (CDSM)? Has the analysis correctly identified these qualifications? Question 2B: How well do the required competency units address CDSM in these qualifications? Has the analysis correctly identified the address of CDSM? Question 2C: Where the required competencies do not adequately address CDSM what possible action would provide the best result for industry (e.g. additional units of competency, additional element)? Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 39
  40. 40. Appendix 1 Project timelines Key stages of stakeholder participation The key stages of the CDSM project are presented in the diagram below. Industry stakeholders are invited to comment on the draft Scoping Report Date Key Stages Stakeholder activities December 06 Project Start up • IRG establishment • Develop draft Discussion Paper • IRG meeting Thurs 14 December 2006 • IRG advice regarding Discussion Paper and development of Scoping Report January 07 Draft Scoping Report development • ISC staff and consultant develop draft Scoping Report • Updated on project the ISC newsletter promoting upcoming release of the Scoping Report and validation sessions. February/March 07 Draft Scoping Report distributed to IRG • IRG meeting to consider draft Scoping Report • IRG meeting to revise Scoping Report April 07 Scoping Report distributed to industry for validation • Scoping report distributed to industry • Validation session promoted for late April (including at least 1 month lead time) • Documents hosted on ISC webpage http://www.cshisc.com.au/load_page.asp?ID=221 April/May 07 National Validation sessions • National validation sessions • Invitations/EOI issued early April and registration collated via webpage May 07 Final Report • Data collated and presented in a final report • IRG convened to provide feedback/sign off for final report Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 40
  41. 41. Appendix 2 Health Training Package HLT07 qualifications The Health Training Package HLT07 was endorsed in February 2007. The qualifications in Health Training Package HLT07 are grouped under the major sub-headings “Direct Client Care Work”, “Technical Support Work”, “Ancillary and Business Services Work’ and “Public Health Work”. DIRECT CLIENT CARE WORK Aboriginal and/or Torres Strait Islander Health Work Qualification Title Job roles Certificate II in Aboriginal and/or Torres Strait Islander Primary Health Care Aboriginal Health Worker, Torres Strait Islander Health Worker Certificate III in Aboriginal and/or Torres Strait Islander Primary Health Care Aboriginal Health Worker, Torres Strait Islander Health Worker Certificate IV in Aboriginal and/or Torres Strait Islander Primary Health Care (Practice) Aboriginal Health Worker, Torres Strait Islander Health Worker Certificate IV in Aboriginal and/or Torres Strait Islander Primary Health Care (Community Care) Aboriginal Health Worker, Torres Strait Islander Health Worker Diploma of Aboriginal and/or Torres Strait Islander Primary Health Care (Practice) Aboriginal Health Worker, Torres Strait Islander Health Worker Diploma of Aboriginal and/or Torres Strait Islander Primary Health Care (Community Care) Aboriginal Health Worker, Torres Strait Islander Health Worker Advanced Diploma of Aboriginal and/or Torres Strait Islander Primary Health Care (Practice) Aboriginal Health Worker, Torres Strait Islander Health Worker Advanced Diploma of Aboriginal and/or Torres Strait Islander Primary Health Care (Community Care) Aboriginal Health Worker, Torres Strait Islander Health Worker Allied Health Assisting Qualification Title Job roles Certificate III in Allied Health Assistance Therapy Assistant, Physiotherapy Assistant, Occupational Therapy Assistant, Podiatry Assistant, Speech Pathology Assistant, Allied Health Assistant Certificate IV in Allied Health Assistance Therapy Assistant, Physiotherapy Assistant, Occupational Therapy Assistant, Podiatry Assistant, Speech Pathology Assistant, Allied Health Assistant, Dietitian Assistant Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 41
  42. 42. Ambulance Qualification Title Job roles Certificate II in Emergency Medical Service First Response Certificate III in Basic Health Care Certificate III in Non-Emergency Client Transport Ambulance transport officer, Patient transport officer, Patient transport attendant Certificate III in Ambulance Communications (Call-taking) Certificate IV in Ambulance Communication Certificate IV in Health Care (Ambulance) Volunteer ambulance officer, Community ambulance officer, Ambulance attendant, Honorary ambulance officer, Casual ambulance officer, Emergency patient transport officer Diploma of Paramedical Science (Ambulance) Ambulance officer, Ambulance paramedic, Ambulance transport attendant Advance Diploma of Paramedical Science (Ambulance) Intensive care paramedic, Mobile intensive care ambulance paramedic Anaesthetic technology Qualification Title Job roles Certificate IV in Anaesthetic technology Anaesthetic or anaesthesia technician, Anaesthetic assistant, Anaesthetic paramedical officer Diploma of Paramedical Science (Anaesthetic) Anaesthetic or anaesthesia technician, Anaesthetic paramedical officer Audiometry Qualification title Job roles Certificate IV in Audiometric Assessment Audiometrist, Hearing aid audiometrist Diploma of Hearing Aid Dispensing Audiometrist, Hearing aid audiometrist Complementary and Alternative Health Qualification title Job roles Certificate IV in Aromatherapy Aromatherapist Diploma of Aromatherapy Aromatherapist, Clinical aromatherapist Advance Diploma of Aromatic Medicine Arometic medicine practitioner Certificate IV in Ayurvedic Lifestyle Consultation Ayurvedic lifestyle consultant, Ayurvedic assistant Advance Diploma of Ayurveda Ayurvedic practitioner, Ayurvedic therapist Advance Diploma of Homeopathy Homeopath, Homeopathic practitioner Certificate IV in Kinesiology Kinesiology practitioner, Natural therapist Diploma of Kinesiology Kinesiologist, Specialist kinesiology practitioner Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 42
  43. 43. Certificate IV in Massage Therapy Practice Massage therapist, Massage therapy practitioner, Assistant massage therapist Diploma of Remedial Massage Remedial massage practitioner, Remedial massage therapist, Remedial therapists Advance Diploma of Naturopathy Naturopath, Naturopathic practitioner, Natural medicine practitioner Advance Diploma of Nutritional Medicine Natural medicine practitioner, Natural therapist Diploma of Reflexology Reflexologist Diploma of Shiatsu and Oriental Therapies Shiatsu therapist, Shiatsu practitioner Diploma of Traditional Chinese Medicine Remedial Massage (An Mo Tui Na) TCM remedial massage practitioner, TCM remedial massage therapist, Chinese remedial massage practitioner, Tui Na practitioner Advance Diploma of Western Herbal Medicine Botanical medical practitioner, Phytotherapist, Herbalist, Western herbal medical practitioner Dental work Qualification Title Job roles Certificate III in Dental Assisting Dental assistant Certificate IV in Dental Assisting Dental assistant Advanced Diploma of Dental Prosthetics Dental prosthetist Enrolled nursing Qualification Title Job roles Certificate IV in Nursing (Enrolled/Division 2 nursing) Enrolled Nurse, Division Two Registered Nurse Diploma of Nursing (Enrolled/Division 2 nursing) Enrolled Nurse, Division Two Registered Nurse Advanced Diploma of Nursing (Enrolled/Division 2 nursing) Enrolled Nurse, Division Two Registered Nurse Health service assistance Qualification Title Job roles Certificate III in Health Service Assistance Ward assistant, Theatre assistant, Orderly, Wardsperson, Patient support assistant, Personal care assistant Certificate IV in Operating Theatre Technical Support Senior theatre technician, Senior theatre wardsperson Medical assisting Qualification Title Job roles Certificate IV in Defence Health Care Medical assistant, Health care provider Certificate IV in Medical Practice Assisting Medical assistant Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 43
  44. 44. Neurophysiology technology Qualification Titles Job roles Certificate IV in Neurophysiology Technology Neurophysiology technician, Neurophysiology technologist Advanced Diploma of Neurophysiology Technology Neurophysiology technician, Neurophysiology technologist Nutrition/dietetic assistance Qualification Title Job roles Certificate III in Nutrition and Dietetic Support Diet aide, Nutrition assistant, Meal coordinator Optical dispensing Qualification Title Job roles Certificate IV in Optical Dispensing Optical dispenser, Optical technician (NZ) Pathology Qualification Title Job roles Certificate III in Pathology Specimen collection officer, Pathology assistant, Laboratory aide, Pathology collector Certificate IV in Pathology Experienced specimen collector, Specialist specimen collector, Advanced testing and collection officer TECHNICAL SUPPORT WORK Cardiac technology Qualification Title Job roles Certificate IV in Cardiac Technology Cardiac technician, Cardiac technologist Cast technology Qualification title Job roles Certificate IV in Cast technology Cast technician, Plaster orderly Dental technology Qualification Titles Job roles Certificate III in Dental Laboratory Technology Dental laboratory assistant Diploma of Dental Technology Dental technician Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 44
  45. 45. Hyperbaric technology Qualification Titles Job roles Certificate IV in Hyperbaric Technology Hyperbaric technician, Hyperbaric technical officer Diploma in Hyperbaric Technology Technical facilities manager, Senior hyperbaric technical officer, Hyperbaric technical officer grade two Mortuary assisting/technology Qualification Titles Job roles Certificate III in Mortuary Theatre Practice Mortuary technician, Mortuary assistant, Post mortem assistant, mortuary attendant Certificate IV in Mortuary Theatre Practice Mortuary technician, Mortuary assistant, Post mortem assistant, mortuary attendant Diploma of Mortuary Theatre Practice Senior mortuary assistant, senior mortuary assistant Optical technology Qualification Title Job roles Certificate IV in Optical Technology Optical mechanic, Optical technician Pharmacy support Qualification Titles Job roles Certificate III in Hospital/Health Services Pharmacy Support Pharmacy technician, Pharmacy assistant, Dispensing technician, Distribution technician Certificate IV in Hospital/Health Services Pharmacy Support Pharmacy technician, Senior pharmacy technician Prosthetic/orthotic technology Qualification Titles Job roles Certificate III in Prosthetic/Orthotic Technology Rehabilitation and Assistive Technology Qualification Titles Job roles Certificate IV in Rehabilitation and Assistive Technology Rehabilitation technician, Assistive technology technician, Seating technician Sleep technology Qualification Titles Job roles Certificate IV in Sleep technology Sleep technician Diploma of Sleep Technology Sleep technician Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 45
  46. 46. Sterilisation services Qualification Titles Job roles Certificate III in Sterilisation Services Sterilising assistant, Sterilising aide Certificate IV in Sterilisation Services Sterilisation supervisor, CSSD supervisor ANCILLARY AND BUSINESS SERVICES WORK Ancillary services Qualification Titles Job roles Certificate II in Health Support Services Administration support, Assistant cook, Cleaner, Clerk, Food services assistant, Domestic assistant, Handyperson, Grounds maintenance worker, Kitchen hand, Laundry worker, Stores assistant, Ward assistant Certificate III in Health Support Services Cook, Laundry leading hand, Maintenance supervisor, Senior kitchen hand, Senior cleaner General business operations Qualification Titles Job roles Certificate III in Health Administration Administration clerk, Clinical coding clerk, Ward clerk, Administrative worker Certificate IV in Health Administration Administration supervisor, Practice manager, Medical records section leader, Senior clinical coder Certificate IV in Health Supervision Supervisor, Assistant manager Diploma of Practice Management Practice manager, Business manager, Service manager Public Health Work Qualification Titles Job roles Certificate II in Population Health Certificate II in Indigenous Environmental Health Indigenous Environmental Health Worker Certificate III in Population Health Disease Control Officer, Assistant Project Officer Team Support Worker, Outreach worker, Needle & Syringe Exchange Program Certificate III in Indigenous Environmental Health Indigenous Environmental Health Worker Certificate IV in Population Health Data Entry Supervisor, Registry Officer, Cancer Surveillance, Health Sponsorship Coordinator, Team Support Worker, Outreach Worker, Health Liaison Worker, Assistant Community Health Worker Certificate IV in Indigenous Environmental Indigenous Environmental Health Worker Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 46
  47. 47. Health Diploma of Population Health Cancer Notifications Coordinator, Immunisation Officer, Immunisation and TB Coordinator, Gay Men’s Education Support Officer, Peer Education Officer, Health Sponsorship Coordinator Diploma of Indigenous Environmental Health Indigenous Environmental Health Worker Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 47
  48. 48. Appendix 3 Community Services Training Package CHC02 qualifications The qualifications in Community Services Training Package CHC02 are grouped under the major sub-headings “Community Services Work - General”, “Management”, “Community Services Work –Specialist” and “Community Services Work – Other Specialist Qualifications”. Community Services Work – General Qualification Titles Job roles Certificate I in Work Preparation Certificate II in Community Services Work Certificate II in Community Services (First Point of Contact) Contact officer, Assistant community workers, Customer service staff, Administration/reception staff Certificate III in Community Services Work Support worker, Case Worker, Assistant community worker, Youth housing support worker, Neighbourhood centre worker, Intake and referral worker (Aboriginal), Youth case worker, Indigenous youth worker, Youth worker, Juvenile justice worker, Community care worker, AOD worker Certificate IV in Community Services Work Community Support worker, Detoxification worker, Case worker, Support worker, Welfare support worker, Family support worker, Mental health worker, Domestic violence worker, Outreach officer, Drug and alcohol worker Diploma of Community Welfare Work Assessor, Case manager, Case coordinator, Family services coordinator, Welfare worker, Social welfare worker, Program manager, Local area coordinator Advanced Diploma of Community Services Work Management Qualification Titles Job roles Certificate IV in Community Services (Service Co-ordination) Assistant manager, Community care worker, Residential respite officer, Program coordinator, Volunteer coordinator, Respite care coordinator, Local area coordinator (supervisor), House coordinator, Case coordinator, Unit coordinator, Unit manager Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 48
  49. 49. Qualification Titles Job roles Diploma of Community Services Management Business manager, Employment services manager, Program manager, Service manager, Executive officer, Manager, General manager Advanced Diploma of Community Services Management Executive officer, Executive director, Manager (large organisation), Community service manager, Community education manager, Community development manger Community Services Work – Specialist Aged Care and Disability Work Qualification Titles Job roles Certificate II in Community Services Support Work Cleaner, Housekeeper, maintenance officer, Launderer, Home helper, Gardner, Care service employee, Handyperson Certificate III in Aged Care Work Support worker, Carer, Personal care assistant, Home care assistant, Field officer, Personal care worker, Community care worker, Disability service officer Certificate III in Home and Community Care Care assistant, Carer, Driver, Food service assistant, Home maintenance officer, Personal care give, Home care worker, Disability support worker, Community care worker Certificate III in Disability Work Support worker, Carer, Personal care assistant, Home care assistant, Personal care giver, Disability Service officer, Disability Support officer Certificate IV in Aged Care Work Day activity worker, Support worker, Carer, Field officer, Community house worker, Community support worker, In-home respite carer, Accommodation support officer Certificate IV in Service Co-ordination (Ageing and Disability) (Assistant) Activities program coordinator, Assistant care coordinator, Assistant house coordinator, Assistant options coordinator, Assistant respite coordinator, Shift coordinator Certificate IV in Disability Work Social educator, Lifestyle support officer, Employment coordinator, Disability support officer, Job coordinator, Residential care officer, Behaviour support officer Diploma of Disability Work Assessor, Case coordinator, Case manager, Coordinator, Local area coordinator, Manager, Service/Program manager Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 49
  50. 50. Qualification Titles Job roles Advanced Diploma of Disability Work Case manager, House supervisor, Psycho- Social trainer, Service Coordinator, team leader, Supervisor, Unit manager Children’s Services Qualification Titles Job roles Certificate III in Children’s Services Child care assistant, Family day carer, Nanny, Out of school hours care assistant Certificate IV in Out of School Hours Care Recreation assistant, out of school hours care supervisor, group leader, Youth worker, Play leader, Senior play leader Diploma of Out of School Hours Care Out of school hours care coordinator, team leader, Group leader, Program leader Diploma of Children’s Services Child care worker –qualified, Group leader, Team leader, Program leader, Service manager, Service director Advanced Diploma of Children’s Services Service director Child Protection Qualification Titles Job roles Certificate IV in Community Services (Protective Care) Cottage parent, Residential care worker, Foster parent, Case support worker, Family support worker, Children’s support worker, Direct care worker Diploma of Community Services (Protective Intervention) Youth support worker, Foster care worker, Protective case worker, Senior protective case worker Diploma of Statutory Child Protection Child protection investigation officer, Case manager, Child protection caseworker Community Development Qualification Titles Job roles Certificate IV in Community Development Community development worker, Community worker, Project worker, Neighbourhood centre worker Diploma of Community Development Community development officer, Project officer, Economic development manager, Community builder, Migrant resource worker Diploma of Community Education Family worker, Women’s support worker, Community education and health promotions officer, Gay men’s educators, Aboriginal HIV/STD education/promotions officer Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 50
  51. 51. Employment Services Qualification Titles Job roles Certificate III in Employment Services Client services officer, Disability employment support officer, Trainee employment consultant Certificate IV in Employment Services Business development consultant, Disability employment support officer, Job development officer, Job matching consultant, Employment consultant Diploma of Employment Services Program manager, Unit manager, Senior employment consultant, Intensive assistance consultant, Marketing consultant Social Housing Qualification Titles Job roles Certificate III in Social Housing Housing assistant, Tenant administration assistant, Administration assistant, clerical worker Certificate IV in Social Housing Aboriginal housing worker, Community housing worker, Housing manger, Tenancy worker, Supported housing worker Diploma of Social Housing Property housing manager (specialist), Tenancy advice manager, Senior housing manager, Team leader, Policy worker Youth Work and Juvenile Justice Qualification Titles Job roles Certificate III in Youth Work Youth support worker (community based), Case worker (community based), Indigenous youth worker, Youth worker, Youth officer Certificate IV in Youth Work Community development worker (youth), Coordinator – youth services, Coordinator – youth and family services Certificate IV in Youth Work (Juvenile Justice) Youth worker (juvenile justice), Senior youth officer, Juvenile justice officer Diploma of Youth Work Senior juvenile justice officer, Senior youth worker, Senior case worker Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 51
  52. 52. Community Services Work – Other Specialist Qualifications Qualification Titles Job roles Certificate III in Telephone Counselling Telephone counselor, Youth help line counsellor, Alcohol and other drugs telephone counsellor, Men’s help line telephone counsellor Certificate IV in Telephone Counselling Telephone counselor, Youth help line counsellor, Alcohol and other drugs telephone counsellor, Men’s help line telephone counsellor Certificate IV in Mental Health Work (Non- clinical) Case worker, Coordinator, Family support worker, Mental health worker, Indigenous mental health worker, Health education worker, Domestic violence worker Certificate IV in Community Services Advocacy Tenant advice and advocacy worker, Community legal officers, Information worker, Community education worker Certificate IV in Community Mediation Family mediator, Indigenous connection worker, Mediation worker, Mediation caseworker, Counsellor Certificate IV in Community Services (Information, Advice and Referral) Personal advisor, Information worker Certificate IV in Marriage Celebrancy Marriage celebrant Certificate IV in Community Services (Lifestyle and Leisure) Leisure officer, Recreational activities officer, Diversional therapy assistant, Disability officer – day support Certificate IV in Alcohol and Other Drugs Work Case worker, Detoxification worker, Drug and alcohol worker, Outreach worker, Drug and alcohol counsellor Diploma of Community Services (Case Management) Case manager, Options coordinator Diploma of Community Services (Financial Counselling) Financial counsellor, Senior financial counsellor, Rural financial counsellor Diploma of Alcohol and Other Drugs Work Alcohol and drugs worker, Alcohol and drugs counsellor Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 52
  53. 53. Appendix 4 Example analysis of CDSM HLT51607 Diploma of Nursing (Enrolled/Division 2 nursing) This qualification covers the application of nursing skills and knowledge required to be eligible for enrolment** with state/territory nursing and midwifery regulatory authorities (**or registration as a Division 2 Nurse in Victoria). CDSM IMPACT STATEMENT This worker has direct client contact that can be short term /intermittent or on-going depending on the occupational context. Different occupational contexts include working in acute care, working in aged care, working in a large general practice or working in community care. This worker has possible job functions across all but three stages in the continuum of chronic disease care. These job functions affect most aspects of client CDSM activities. This qualification has a significant impact on CDSM. KEY ASPECTS of CDSM activity for these workers are: Continuum of chronic disease care Possible job function Client activity Units of competency Health promotion n/a n/a n/a Prevention n/a n/a n/a Assessment Conducts basic health assessment Collects and analyses client information Assess wound impact on client and family Identifies impact of chronic health problem on client and family B,C HLTAP401A Confirm physical health status HLTEN503A Contribute to client assessment and developing nursing care plans HLTEN506A Apply principles of wound management in the clinical environment HLTEN513A Contribute to nursing care for clients with chronic health problems Multidisciplinary care planning and review Contributes to care plans, including wound care, mental health conditions, chronic health problems, older clients B,C HLTEN503A Contribute to client assessment and developing nursing care plans HLTEN506A Apply principles of wound management in the clinical environment HLTEN510A Implement and monitor Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 53
  54. 54. nursing care for clients with mental health conditions HLTEN513A Contribute to nursing care for clients with chronic health problems HLTEN515A Implement and monitor nursing care for older clients Evidence based clinical management Assists client with daily living skills Provides information to clients Assists with a range of client requirements and procedures Assists with client movement Prepares clients for procedure Performs nursing interventions to support clients with complex needs Provide nursing care for specific disorders/conditions Implements wound care strategies Administer medication Contributes to nursing clients with mental health conditions Performs nursing intervention for clients with chronic health problems Provide nursing support to older clients B,C,D HLTEN504A Implement and evaluate a plan of nursing care HLTEN505A Contribute to the complex nursing care of clients HLTEN506A Apply principles of wound management in the clinical environment HLTEN507A Administer and monitor medications in the work environment HLTEN510A Implement and monitor nursing care for clients with mental health conditions HLTEN513A Contribute to nursing care for clients with chronic health problems HLTEN515A Implement and monitor nursing care for older clients Care co-ordination n/a n/a n/a Rehabilitation Supports clients recovering from an acute chronic disease experience B,C,D HLTEN507A Administer and monitor medications in the work environment HLTEN513A Contribute to nursing care for clients with chronic health problems HLTEN510A Implement and monitor nursing care for clients with mental health conditions HLTEN515A Implement and monitor nursing care for older clients Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 54
  55. 55. On-going monitoring Monitors wound management Monitor medication impact B,C,D HLTEN506A Apply principles of wound management in the clinical environment HLTEN507A Administer and monitor medications in the work environment End of life care Provide care of deceased person B,C,D HLTEN515A Implement and monitor nursing care for older clients Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 55
  56. 56. Coverage of CDSM Principles in the competency units • The table shows the coverage of aspects of CDSM in the relevant competency units for the qualification, which are listed in the left hand column. • CDSM practices highlighted in blue indicate that they are addressed by the particular competency unit. • CDSM practices with no highlight are not addressed by the compulsory competency unit – and therefore must be addressed somewhere else. • The Qualification Summary outlines any gaps found in coverage of CDSM by this qualification and how these gaps will be addressed. Compulsory Competency Units Client-centred Holistic practice Information Partnership & Participation Strength- based Support Coordination HLTAP401A Confirm physical health status 1,2,3,4,5 1,2,3,4 1,2 1,2,3 1,2,3,4 1,2,3 HLTEN501A Analayse health information 1,2,3,4,5 1,2,3,4 1,2 1,2,3 1,2,3,4 1,2,3 HLTEN503A Contribute to client assessment and developing nursing care plans 1,2,3,4,5 1,2,3,4 1,2 1,2,3 1,2,3,4 1,2,3 HLTEN504A Implement and evaluate basic nursing care 1,2,3,4,5 1,2,3,4 1,2 1,2,3 1,2,3,4 1,2,3 HLTEN505A Contribute to the complex nursing care of clients 1,2,3,4,5 1,2,3,4 1,2 1,2,3 1,2,3,4 1,2,3 HLTEN506A Apply principles of wound management in the clinical environment 1,2,3,4,5 1,2,3,4 1,2 1,2,3 1,2,3,4 1,2,3 HLTEN507A Administer and monitor medications 1,2,3,4,5 1,2,3,4 1,2 1,2,3 1,2,3,4 1,2,3 Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 56
  57. 57. in the work environment HLTEN510A Implement and monitor nursing care to consumers with mental health issues 1,2,3,4,5 1,2,3,4 1,2 1,2,3 1,2,3,4 1,2,3 HLTEN513A Contribute to nursing care for clients with chronic health problems 1,2,3,4,5 1,2,3,4 1,2 1,2,3 1,2,3,4 1,2,3 HLTEN515A Implement and monitor nursing care to older clients 1,2,3,4,5 1,2,3,4 1,2 1,2,3 1,2,3,4 1,2,3 HLTEN512A Contribute to nursing care for clients with acute health problems 1,2,3,4,5 1,2,3,4 1,2 1,2,3 1,2,3,4 1,2,3 HLTEN413A Promotes positive health outcomes 1,2,3,4,5 1,2,3,4 1,2 1,2,3 1,2,3,4 1,2,3 Qualification summary Client-centred Holistic practice Information Partnership & Participation Strength- based Support Coordination Gaps identified in competency units nil nil nil 3 1,2,3,4 nil Summary of CDSM principles coverage in this qualification • The matrix suggests that the Client-centred, Holistic Practice Information and Coordinated Support CDSM principles are addressed in this qualification. • The matrix suggests a number of gaps. Strategy to address identified gaps/or improve coverage of CDSM principles • Include Supporting client self management practices and priorities as an element in HLTEN513A Contribute to nursing care for clients with chronic health problems • Develop a competency unit on supporting client strengths in nursing care Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 57
  58. 58. Appendix 5 Glossary and Web Links Glossary AIHW Australian Institute of Health and Welfare AQF Australian Qualifications Framework AQTF Australian Qualifications Training Framework CDSM Chronic Disease Self Management CHC02 Community Services Training Package – revised in 2002 CS&H ISC Community Services and Health Industry Skills Council Ltd DEST Australian Government Department of Education, Science and Training DoHA Australian Government Department of Health and Ageing HLT07 Health Training Package – revised in 2007 ISC Industry Skills Council NTIS National Training Information Service RPL Recognition of prior learning RTO Registered Training Organisation VET Vocational education and training Web Links Community Services and Health Industry Skills Council www.cshisc.com.au Community Services and Health Industry Skills Council – CDSM project page http://www.cshisc.com.au/load_page.asp?ID=262 Community Services and Health Industry Skills Council – HLT07 and CHC02 pages http://www.cshisc.com.au/load_page.asp?ID=12 Australian Qualifications Framework www.aqf.edu.au National Training Information Service www.ntis.gov.au Community and Health Industry Skills Council Chronic Disease Self Management Scoping Report March 2007 58

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