Joise Prioletti - facilitator field Ageing and Disability Forum

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Presentation from Joise Prioletti at the field Ageing and Disability Forum - Thursday 17 june 2010

Further information visit www.field.org.au

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Joise Prioletti - facilitator field Ageing and Disability Forum

  1. 1. Ageing and Disability Forum<br />Thursday 17th June 2010<br />1pm – 4pm<br />
  2. 2. Forum Aims<br />To inform participants about the issues/challenges facing people with disabilities who are ageing <br />To look at what services are doing (PLANNING) to meet the changing needs of clients<br />17 June 2010 <br />2<br />
  3. 3. Agenda<br />Josie Prioletti; Facilitator<br />Welcome, Forum Aims and overview of latest research “ageing in place” NDS 2009<br />Leah Hobson; Policy Officer AFDO (Australian Federation of Disability Organisations)<br /> Issues and challenges facing people with disabilities and services in the future<br />Frances Mc Cartain; Acting Director, Community & Individual Support DHS<br /> DHS plans to meet the changing needs of people with disabilities who are ageing<br />BREAKtea, coffee and biscuits provided<br />Ross Coverdale; CEO Araluen Centre<br /> The development of an ageing Action plan – our journey, why and how it was developed and what we hope to achieve<br />Janine Edwards; Nillumbik Community Health Centre<br /> The necessity for long term planning, individual case studies<br />17 June 2010 <br />3<br />
  4. 4. Interface Barriers<br />Impediments to “ageing in place” for Victorians with a disability<br />November 2008, National Disability Services, Victoria<br />Funded by Helen Macpherson Smith Trust<br />17 June 2010 <br />4<br />
  5. 5. About the Report<br /><ul><li>Documents the research and findings from Stakeholders Forum and Consultations (with Target Group)
  6. 6. Stakeholders include</li></ul> - Disability Services<br /> - Home and Community Care (HAC)<br /> - Aged Care Services and Carers Program<br /><ul><li>Target Group</li></ul> People eligible for support / services under the Victorian Disability Act 2006, including people living in the community as well as those living in all kinds of supported accommodation<br />17 June 2010 <br />5<br />
  7. 7. About the Report<br /><ul><li>Summarises the Key Findings
  8. 8. Indentifies Key Strategic Priorities
  9. 9. Develops an Action Plan</li></ul>17 June 2010 <br />6<br />
  10. 10. Stakeholder Forum<br /> NDS issued a broad invitation to the Aged Care & Disability Services seekers. <br /> Over 35 services attended the Forum.<br />Consultations<br />A target list of key individuals from a range of different organisations and backgrounds were identified and included in the consultation process. <br />They were interviewed and asked a series of questions including;<br /><ul><li>Perceived barriers to “Ageing in Place”
  11. 11. Potential strategic actions to address barriers</li></ul>17 June 2010 <br />7<br />
  12. 12. Summary of Findings<br /><ul><li>Cultural, attitudinal and philosophical differences between the Aged Care and Disability Services sectors, including the use of different definitions of ageing and different terminologies to describe their practice (e.g., “care” as compared to “support”)
  13. 13. Rigidity and inflexibility within eligibility criteria in both Aged Care and Disability Support Services
  14. 14. Lack of a comprehensive cross-program model to support people with disabilities of all ages throughout their lifetime</li></ul>17 June 2010 <br />8<br />
  15. 15. Summary of Findings<br />Continued…<br /><ul><li>Insufficient staffing resources and needs for a new targeted training and development programs for staff in both the Aged Care and Disability Service Sectors
  16. 16. A need for consistent assessment tools and protocols across the Aged Care and Disability Support sectors
  17. 17. Financial deficiencies in the service system and within families supporting people living with disabilities</li></ul>17 June 2010 <br />9<br />
  18. 18. Barriers were categorised into 6 key areas<br />Policy<br /><ul><li>Lack of a workable interface between State and Federal Governments and Aged Care and Disability Service programs
  19. 19. No clear process for Disability Support Services to access funding increases when support needs on individuals increase especially in CRUs
  20. 20. There is an unnecessary emphasis and fear amongst policy makers and Government Departments in relation to “double dipping”</li></ul>17 June 2010 <br />10<br />
  21. 21. Barriers were categorised into 6 key areas<br />Program<br /><ul><li>Approach of some ACAS whereby they adopt ‘blanket rules’ rejecting assessment of people aged <65 years
  22. 22. Inconsistencies in the interpretation of eligibility for Community Palliative Care Services
  23. 23. Difficulties experienced by people with a disability who are ageing when they wish to retire from their day program because CRUs are not generally staffed during the day
  24. 24. There is a barrier between supported employment and appropriate recreational and social activities, with no pathway to retirement
  25. 25. Absence of ready access to nursing services</li></ul>17 June 2010 <br />11<br />
  26. 26. Barriers were categorised into 6 key areas<br />Practice<br /><ul><li>Unsympathetic treatment of people with a disability in hospitals, at times resulting in episodes of challenging behaviours that are stressful for hospital staff, families and Disability Support personnel
  27. 27. Poor management of health care episodes resulting in inappropriate and early admissions to Residential Aged Care due to a lack of transition care availability linked to CRUs</li></ul>17 June 2010 <br />12<br />
  28. 28. Barriers were categorised into 6 key areas<br />Personnel<br /><ul><li>Lack of confidence amongst Disability Service providers in supporting ageing clients and family carers
  29. 29. Lack of medical knowledge of CRU staff leading to a fear of making a mistake in the provision of support to people with a disability who are ageing and experiencing age-related health issues
  30. 30. Lack of confidence amongst Aged Care Services personnel in assessing and working with people with a disability who are ageing </li></ul>17 June 2010 <br />13<br />
  31. 31. Barriers were categorised into 6 key areas<br />Personal<br /><ul><li>Inadequate and inconsistent access to carer supports, particularly respite care
  32. 32. Inadequate attention to transition planning for older carers to support their own ageing and the person for whom they care
  33. 33. A lack of clear and understandable information for families regarding the complex array of services, programs and eligibility rules </li></ul>17 June 2010 <br />14<br />
  34. 34. Barriers were categorised into 6 key areas<br />Place<br /><ul><li>Greater barriers to ‘ageing in place’ in metropolitan areas when compared to rural areas and regional centres due to a greater degree of flexibility shown by ACAS and other service providers in country areas
  35. 35. A lack of transport options in rural and remote areas making it difficult to access appropriate community and home-based supports</li></ul>17 June 2010 <br />15<br />
  36. 36. Suggestions to Address Priority Barriers<br /><ul><li>Develop and implement targeted training programs for health and aged care personnel to improve their understanding of Disability Services and the needs of people with disabilities as they age;
  37. 37. Develop and implement targeted training programs for disability support workers to improve their understanding of Aged Care Services (residential and community) and the needs of people as they age (e.g. retirement, dementia, health conditions)
  38. 38. Foster and evaluate the development of shared housing initiatives and/or the co-location of supported accommodation for disabled people with Residential Aged Care facilities so that ageing carers and people with disabilities can stay together or live close by</li></ul>17 June 2010 <br />16<br />
  39. 39. Suggestions to Address Priority Barriers<br /><ul><li>Implement and evaluate age-related streaming within Disability Services at agency level – similar to initiatives at Araluen (possibly including the establishment of a ‘seniors unit’ within their organisational structure)
  40. 40. Foster and evaluate partnership arrangements between local Aged Care providers (including ACAS) and Disability Support agencies
  41. 41. Confirm the extent to which the ACAS/Disability Services Assessment Protocol developed by DHS is currently in use, and encourage its implementation more widely</li></ul>17 June 2010 <br />17<br />
  42. 42. What Happens Now?<br /><ul><li>Suggestions; Not Immediate
  43. 43. What we can do now; </li></ul> What planning processes can we undertake now to assist us with meeting the changing need?<br />17 June 2010 <br />18<br />

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