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Francene McCartin - DHS - presentation at field Ageing and Disability Forum
Francene McCartin - DHS - presentation at field Ageing and Disability Forum
Francene McCartin - DHS - presentation at field Ageing and Disability Forum
Francene McCartin - DHS - presentation at field Ageing and Disability Forum
Francene McCartin - DHS - presentation at field Ageing and Disability Forum
Francene McCartin - DHS - presentation at field Ageing and Disability Forum
Francene McCartin - DHS - presentation at field Ageing and Disability Forum
Francene McCartin - DHS - presentation at field Ageing and Disability Forum
Francene McCartin - DHS - presentation at field Ageing and Disability Forum
Francene McCartin - DHS - presentation at field Ageing and Disability Forum
Francene McCartin - DHS - presentation at field Ageing and Disability Forum
Francene McCartin - DHS - presentation at field Ageing and Disability Forum
Francene McCartin - DHS - presentation at field Ageing and Disability Forum
Francene McCartin - DHS - presentation at field Ageing and Disability Forum
Francene McCartin - DHS - presentation at field Ageing and Disability Forum
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Francene McCartin - DHS - presentation at field Ageing and Disability Forum

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Presentation from Francene McCartin; Acting Director, Community & Individual Support …

Presentation from Francene McCartin; Acting Director, Community & Individual Support
DHS
DHS plans to meet the changing needs of people with disabilities who are ageing

Forum held on Thursday 17 June 2010.

Further information visit www.field.org.au

Published in: Education, Health & Medicine
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Transcript

  • 1. Disability and Ageing Forum Image zone Francene McCartin, A/Director, Community and Individual Support Disability Services Division
  • 2. Transforming Disability Support Overview
    • The move to self-directed support
    • New approaches to protecting the rights of people with a disability
    • A new quality framework for Victoria's Disability Support Services
    • Making a difference with a focus on outcomes
  • 3. The context for transformation
    • UN Convention on Rights of Persons with Disabilities
    • Victorian State Disability Plan 2002-2012
    • Disability Act 2006
    • Victorian Charter of Human Rights and Responsibilities 2006
    • Victorian Context: Support Your Way
    • National and international trends
  • 4. It’s about improving outcomes for people with a disability and their families
    • Achieve economic participation and social inclusion
    • Enjoy choice, wellbeing and the opportunity to live as independently as possible
    • Well supported and resilient families/carers
  • 5. A self-directed approach
  • 6. Disability Services Current Outcome Domains
    • Increased individual capacity, choice and independence
    • A more sustainable and responsive service system
    • More inclusive communities and improved human rights
  • 7. Demographics - Residents with a Disability
  • 8. Demographics - Victoria
  • 9. National Study
    • National project – Aging with a Disability (2006)
        • National survey
          • 42% of people in residential services over 50 years
          • 27% of residents under 50 years had increased age-related support needs
        • Aging-in-Place
          • Strategies include:
            • Staffing and skills
            • Modifications to the physical environment and Aids & Equipment
            • Service design eg. program operation
            • Organisational changes
          • Barriers
            • Organisational willingness and capacity for adaption
            • Choices and preferences of person/family
        • Resident's of CSTDA services less likely to move to RAC than people with a disability in the community.
        • Complex interaction of Disability, Health and Aged Care sectors.
  • 10. Some Challenges
    • Increasing health related needs and access to good health services and advice
    • Earlier “ageing” including risk dementia
    • Goal to retire from fulltime day activity and participate in more age appropriate activities
    • Disability workforce having knowledge and skills in working with people who are ageing
  • 11. Disability Health Interface
    • Discharge planning - Coordination of Disability, Health and Aged Care sectors
        • A hospital admission is a common pathway to RAC.
        • Aim is to guide and improve communication, planning and processes between health services and disability services to improve the person’s experience and outcomes.
    • Parkinson’s Nurse Practitioner pilot – Western Health
        • Appropriate health care support is essential for people with progressive neurological conditions
        • Joint Department of Health and Department of Human Services funded pilot.
        • Western Health have successful bid for a movement disorders clinic using the pilot.
    • Medicare item – Intellectual Disability
        • Medicare rebate introduced for people with intellectual disability due to having additional support needs.
        • Enable general practitioners to better manage health care and age-related needs.
  • 12. Disability Supported Accommodation
    • Disability Hospital guide (draft)
        • Describes the agreed roles of disability and hospital staff related to the admission
    • CHAP – Comprehensive Health Assessment Program
        • Schedule of health checks for a person with a disability
        • Ill health can be misinterpreted as early onset ageing
        • Implemented in disability managed accommodation & negotiations underway for use in CSO sector
    • Care Coordination pilots
        • Care coordinators review health care needs of residents and supports residential services staff.
        • Resulted in identification of health conditions and improved access to health services.
    • Disability Palliative Care Guide
        • Describes key issues regarding end-of-life care and the existing resources available.
        • Describes the role of palliative care providers in supporting residents and staff.
  • 13. Changed Approach to Day Supports
    • 1 January 2010 – Day program funding client attached
    • Increases choice and control for day program users
    • Capacity to change the activities they are undertaking to be more age appropriate
  • 14. Aged Care - Support Proposal
    • Commonwealth Aged Care Proposal
    • 200 Community Aged Care packages for trial by States and Territories
    • Target group – people with a disability living in supported accommodation
    • Additional funds to purchase age-related needs
  • 15. In summary – continuing to move forward
    • Enabling choice and control based on a self-directed approach
    • Shifting the power to the service user
    • Supporting an agile and sustainable industry
    • Quality improvement based on outcomes

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