@CareOptionsAU #BeingHome2025 THE FUTURE OF RESPITE IN CDC MARKETS Maureen Flynn September 2015

@CareOptionsAU #BeingHome2025 Understanding Respite… What people think: The dictionary definitions Centre based It’s not about the person with disability, frailty from age, mental illness, chronic illness What it should be: Community participation Daily living skills Personal care Short term accommodation A combination of all These are all aspects of respite!!!

@CareOptionsAU #BeingHome2025 Respite Support Peer Support/Group Recreation Programs In Home and One to One Respite Host Family Emergency Respite Short term accommodation/ residential respite Flexible Respite Centre Based Day Care Understanding Respite…

@CareOptionsAU #BeingHome2025 Who is respite for? Traditionally respite support has been defined as: A funded support to the caring role delivered collaboratively, flexibly, and within available resources, that is responsive to the client’s individual needs. Time limited in its occasion of service. Client is both the carer(s) and the care recipient

@CareOptionsAU #BeingHome2025 Who is Respite For? 1.Why do you deliver respite? 2.Who is your client? 3.Why do you say that?

@CareOptionsAU #BeingHome2025 Respite in CDC markets Consumer directed markets putting consumers in the primary service system, not carers at the centre of support PLUS Respite having dual outcomes for the carer and care recipient and aiming to meet consumer goals whilst building family resilience EQUALS Government Challenge!!!

@CareOptionsAU #BeingHome2025 Carer Care recipient Respite Care Carer support ? 37 NDISCHSP Integrated Carer Support Programme (DSS) Original proposed changes… Mental Health

@CareOptionsAU #BeingHome2025 Respite Care Carer support National Carer Gateway and Contact Centre NDISCHSP Integrated Carer Support Programme (DSS) The New Future of Respite Mental Health 2 Carer Care recipient

@CareOptionsAU #BeingHome2025 Challenges for Respite - CHSP Issues for Respite & Carers Still no structural means of resolving different needs and goals for carers and care recipients Innovation and evaluation: Early intervention respite Flexible respite Interface between CHSP services and Carer Support services, and NDIS Inclusion of carers in planning processes MAC, RAS, HCP Unmet need – 15.8% Transition for NRCP clients

@CareOptionsAU #BeingHome2025 Challenges for Respite – NDIS Respite has been ‘the service type that cannot be named’’ It isn’t used in the Price List as a support cluster or item BUT Respite has outcomes that fit into the following clusters: 1.Social and Community Participation 2.Daily Living

@CareOptionsAU #BeingHome2025 Encouraging Innovation Innovative Respite Practice: NSW flexible respite packages in the disability space Community sector history of leveraging social capital from volunteers and other flexible family supports Maximising informal support networks through reimbursement models Benefits for government: Cheaper Minimises over-servicing Fits well with philosophy of consumer directed care markets Benefits for the Client: Grows natural support networks Reduces isolation and risk of abuse Builds family resilience and capacity

@CareOptionsAU #BeingHome2025 What’s next? NDIS Significant changes for carers and respite services: 5 strategic outcomes for carers and families: 1.have the support they need to care 2.know their rights and advocate effectively for the person they are caring for 3.are able to gain access to desired services, programs and activities in their communities 4.have succession plans 5.enjoy health and well-being Respite language to be restored Flexible bundling of supports? Commitment to include funding for emergency respite in plans Big changes to Tier 2 CHSP merger of HCP and CHSP 2.Extension to 2017 for both output and non-output services 3.NRCP incorporated, & <65 grandfathered 4.One off transition assistance grants offered to providers 5.New grant agreements November 2015

@CareOptionsAU #BeingHome2025 Contact Details Maureen Flynn Membership and Policy Officer National Respite Association (02)