Presentation on theme: "Aims of the session To learn about DisabilityCare Australia, the National Disability Insurance Scheme To explore how to prepare for DisabilityCare Australia."— Presentation transcript:
2 Aims of the sessionTo learn about DisabilityCare Australia, the National Disability Insurance SchemeTo explore how to prepare for DisabilityCare AustraliaTo reflect on how families can support practical goal setting and choosing the supports and services that will best help people achieve their life plansTo identify any supports and resources families might need
3 What is DisabilityCare Australia? Group Exercise Universal health care schemeComparing Medicare with DisabilityCare AustraliaExercise – list features of Medicare
4 Universal health care scheme What is DisabilityCare Australia, the National Disability Insurance Scheme?Universal health care schemeHas been implemented in other countries in the world (eg Scotland) successfully and will be implemented here in Australia over the next few yearsThere are many details of the NDIS still to be worked outFocuses on those who are most in need who have a permanent disabilityFocuses on intensive early intervention The NDIS will be launched at 4 trial sites from mid 2013
6 Psychiatric Disability Rehabilitation Support Services & Carer Respite Services Supported accommodationCommunity activitiesLearning activitiesSocialising activitiesSporting activitiesEmployment supportHousing supportGroup learningFamily educationPersonal development/recovery group learningBreaks away from caring roles
7 Features of current model People are only entitled to services within the region that they liveServices are funded to provide a certain number of hours of serviceThe types of services don’t necessarily suit everyoneNot many services have catered to the needs of people from diverse culturesCatchment area bound – people are only entitled to services within the region in which the person livesServices are funded to provide a certain number of hours of service. As a consequence many services have long waiting times to be accepted to the service and many people aren’t getting access to servicesThe types of services don’t necessarily suit everyone. For example, most of them are group based, and some people would like to do things on a one-to-one basis.Not many services have catered to the needs of people from diverse cultures. therefore people from these cultures don’t have the opportunity to receive support or cultural appropriateness for their individual or family needs.
8 The DisabilityCare Australia model of service 1. Referral to DisabilityCare Australia 2. Assessment by DisabilityCare Australia • Assessment of eligibility 3. Planning and choosing services and support • Form a plan of what the person wants and needs to achieve independence • Must be ‘reasonable and necessary’ • Establish an individual budget based on the plan • Identify and access services and supports with Local Area Coordinator 4. Review process • Review outcomes of support • Changes made as neededReferral to NDIS Local Area CoordinatorAssessment by Local Area CoordinatorAssessment of need – may involve family/carer; may draw on existing assessments; may include specialist assessmentEstablishment of individual budgetPlanning and choosing services and supportLocal Area Coordinator supports person to decide what services they need. This becomes a goal plan.These services are assessed as to whether they are ‘reasonable and necessary’ – to be further discussed laterLocal Area Coordinator assists with identifying and accessing services and supportsReview processLocal Area Coordinator meets person to discuss whether the support has been useful and what changes might be necessary to make in the plan.Adjustments made as needed
9 Features of the DisabilityCare Australia model Individuals can decide what types of services they needIndividuals can choose services that are not necessarily in their local areaIndividuals can choose services from mainstream providersIndividuals can choose culturally appropriate, religiously appropriate servicesFeatures of this model include:Individuals can decide (in consultation with Local Area Coordinator) what types of services they need (within the ‘reasonable and necessary ‘ confines to be discussed later)Individuals are not confined to services provided within a given areaIndividuals have the option of seeking services from mainstream providers, for examples directly from Neighborhood Houses, Walking Clubs and other sporting clubs, art teachers, learning institutions as well as PDRSs to receive the services that currently they can only get from PDRSsIndividuals will have the option of seeking services that are culturally appropriate to them, or who have understandings of a particular groups’ needs for example gay and lesbian people, the needs of a particular religious group.Principles that inform this model;IndividualismChoice for the individualControl for the individual
10 Principles that inform DisabilityCare Australia IndividualismChoice for the individualControl for the individual
11 Current vs. DisabilityCare Australia Service Delivery Current SystemDisabilityCare Australia SystemIndividuals can choose from the services that are offered within the local PDRSS services and Commonwealth Respite Services for familiesIndividuals can decide what types of services they need and from a broader range of servicesCatchment area boundIndividuals are not confined to services provided within a given areaServices are funded to provide a certain number of hours of serviceLength and intensity of service is provided according to needThe types of services that are available don’t necessarily suit everyoneIndividuals have the option of seeking services from mainstream providersNot many services have catered to the needs of people from diverse cultures, religious groups, varying sexualityIndividuals will be able to choose to purchase what they need from ethno-specific services and those who cater to the needs of different religions and sexualitiesFeatures of this model include:Individuals can decide (in consultation with Local Area Coordinator) what types of services they need (within the ‘reasonable and necessary ‘ confines to be discussed later)Individuals are not confined to services provided within a given areaIndividuals have the option of seeking services from mainstream providers, for examples directly from Neighborhood Houses, Walking Clubs and other sporting clubs, art teachers, learning institutions as well as PDRSs to receive the services that currently they can only get from PDRSsIndividuals will have the option of seeking services that are culturally appropriate to them, or who have understandings of a particular groups’ needs for example gay and lesbian people, the needs of a particular religious group.Principles that inform this model;IndividualismChoice for the individualControl for the individual
12 What does ‘reasonable’ & ‘necessary’ mean? Supports and services;Should support the individual to achieve their goals and maximize their independenceShould support the individual’s capacity to undertake activities of daily living to enable them to participate in the community and/or employmentAre effective, and evidence informedOffer value for moneyShould reflect community expectations, including what is realistic to expect from the individual, families and carersAre best provided through an NDIS rather than through other systems of service delivery and supportSupports and services;Should support the individual to achieve their goals and maximize their independence – will add value to theShould support the individual’s capacity to undertake activities of daily living to enable them to participate in the community and/or employmentAre effective, and evidence informedOffer value for moneyShould reflect community expectations, including what is realistic to expect from the individual, families and carersAre best provided through an NDIS rather than through other systems of service delivery and support, including services that are provided through mainstream services as a part of their universal service obligations.
13 Carer support Families can help the person take control by: Knowing what helps them manage their illnessKnowing what they want from life and what they need so they can reach their goals Helping to find information about different optionsAssisting the person to clearly communicate their choicesKnowing who else can support or advocate for the person as they choose the support / services they need to help them reach their goals
14 Assessment & planningWhat support would be helpful for a family to provide in the assessment and planning process?What things would the family offer?How could the family try and ensure that the person was as involved as possible in making choices?What would the family need to ensure they also feel supported in this process?
15 Assessment & planning during acute illness Listen to what the person is communicating, both verbally and non-verbally – carers and families will often be able to “translate” some of the concerns and fears a person may have about the assessment and planning processWhenever possible, attend to the person’s preferences about how meetings or conversations are conducted: e.g., the person may only be able to tolerate short conversations, or may wish to sit outside rather than insideDraw on plans that were discussed or in place while the person was less unwell – that way their needs and choices can still be heardCarers and family may need to take a more active and assertive role if the person’s insight and judgement is affected
16 Assessment & planning during early recovery Ask the person how they would like you to support them in the processAssist the person to access information about their rights and the options that are available to themEncourage the person to access advice or support from peersResist the urge to expect too much or too little: give the person space to set their own goals and articulate their own needsOffer messages of hope and encouragementNotice small achievements
17 Assessment & planning in established recovery Encourage the person to take the lead in the process: ask if they would like your supportRespect the person’s autonomyOffer positive feedbackNotice small and large achievements
18 What makes a good life? Feeling well Having good nutritious food that you enjoyHaving regular exercise that is enjoyableHaving something to do each day that is meaningful to youAdequate, secure, affordable accommodationStrong family supportGood friendships and relationshipsA positive vision of the future lifeFinancial support to sustain a good lifestyle
19 Recovery factors Acceptance of illness Hope and courage Managing symptomsEducationReconstructing identity and purposeSupporting othersChoice, responsibility, control and empowermentMeaningful activityAdvocacy(Pat Deegan)
20 Reflective exerciseTake a moment to reflect on what you know about the person you care for. Discuss with the other person:What areas do you think they have made small progress in already?What areas have they made large progress in?What types of questions could you imagine using in a conversation with your family member to prompt conversation about issues?Which areas that we have identified do you think will be a priority for them?Do you have ideas about what you think would be the most helpful types of support and services that might be able to be purchased through DisabilityCare Australia?
21 Change ‘You can’t change other people – you can only change yourself’ Changes to our own communication and actions may result in more effective support for the person with the mental illness and more effective care for ourselves as carers
23 Examples of life domains Family – How do you want your family to feature in your life?Physical and mental – What fitness or health goals do you want to achieve?Social - How do you want to enjoy yourself and with whom?Creativity - Do you want to achieve any artistic or creative goals?Work - What do you want to achieve?Financial - How much do you want to earn, by when? How is this related to your career goals?Education - Is there any knowledge you want to acquire in particular? What information and skills will you need to have in order to achieve other goals?Advocacy/volunteering - Do you want to make the world a better place? Do you want to be involved in a social cause? If so, how?
24 Being an effective advocate Know what the person needs to achieve their life goals; and know what you (as a carer/family member) need to support their goals. Be ready to talk about this Know about the most effective service providers and be ready to offer advice or information when requiredKnow about the rights of the person with mental illness and your rights as a carer
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