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


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

Forum held on Thursday 17 June 2010.

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Published in: Education, Health & Medicine
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Francene McCartin - DHS - presentation at field Ageing and Disability Forum

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