1. National Census of Community Aged Care Packages 2002 Conference + Trade Exhibition 2004 Evon Bowler Australian Institute of Health and Welfare

2. 2 Introduction About Community Aged Care Packages (CACPs) About the census Service providers Care recipients Service provision

3. Australian Institute of Health and Welfare 3 Community Aged Care Packages (CACPs) A CACP is a planned and coordinated package of community care services to assist a person who needs management of services because of complex care needs Targeted at frail older people living in the community who would be eligible for at least low level residential care

4. Australian Institute of Health and Welfare 4 About the census

5. Australian Institute of Health and Welfare 5 About the census Commissioned and funded by the Australian Government Department of Health and Ageing. Aims: –To provide information about the care recipients, the assistance they receive and the service providers –To provide an information base for planning and policy development.

6. Australian Institute of Health and Welfare 6 What is a service outlet? A CACP-funded organisation may have more than one office from which services are provided – these are considered separate outlets. Outlet – Location 1 Outlet – Location 2 Outlet – Location 3 Head office Care recipients

7. Australian Institute of Health and Welfare 7 Service providers

8. Australian Institute of Health and Welfare 8 Outlets: State Estimated Participation rate (%) Number of Locations New South Wales97219 Victoria98118 Queensland90207 Western Australia9484 South Australia10064 Tasmania10037 Australian Capital Territory1006 Northern Territory5624 Australia94759

9. Australian Institute of Health and Welfare 9 Organisations Profit status - 95% not for profit Organisation type – –Government 23% –Ex-serviceman’s 1% –Religious34% –Other42%

10. Australian Institute of Health and Welfare 10 Extent of brokerage

11. Australian Institute of Health and Welfare 11 Care recipients

12. Australian Institute of Health and Welfare 12 Care recipients StateNumber Per cent Utilisation rate per 1,000 70+ years New South Wales9,03835.613.0 Victoria6,41725.312.1 Queensland3,88515.311.1 Western Australia2,2108.713.0 South Australia2,4789.813.7 Tasmania7603.015.1 Australian Capital Territory 3731.517.9 Northern Territory2591.031.4 Not stated29 Australia25,43910012.7

13. Australian Institute of Health and Welfare 13 Age and sex Age Under 7012% 70-84 years52% 85+ years36% Sex Males30% Females70%

14. Australian Institute of Health and Welfare 14 Age specific utilisation rate per 1,000 population

15. Australian Institute of Health and Welfare 15 Indigenous status 5% (1,341) Indigenous care recipients (Underestimated) 60% were less than 70 years of age

16. Australian Institute of Health and Welfare 16 Country of birth 68% Australian-born 11% born overseas in English speaking countries 21% born overseas in non-English speaking countries.

17. Australian Institute of Health and Welfare 17 Dementia status 18 % (4,646) diagnosed with dementia

18. Australian Institute of Health and Welfare 18 Carer status

19. Australian Institute of Health and Welfare 19 Living arrangements

20. Australian Institute of Health and Welfare 20 Need for assistance Self care –Eating –Showering/ Bathing –Dressing –Toiletting –Managing incontinence Communication Mobility –Maintaining or changing body position –Carrying, moving or manipulating objects –Getting in or out of a bed or chair –Walking and related activities –Using public transport

21. Australian Institute of Health and Welfare 21 Severe or profound core activity limitations

22. Australian Institute of Health and Welfare 22 Service provision

23. Australian Institute of Health and Welfare 23 Types of assistance Measured in hours: Personal care Domestic assistance Social support Other food services Respite care Rehabilitation Home maintenance Case management Other: Delivered meals (number of meals) Linen deliveries (number of deliveries) Transport (number of one- way trips)

24. Australian Institute of Health and Welfare 24 CACP assistance: Number of assistance types (%) QldVicAust 3-563.765.365.1 0-461.780.066.9 5+38.420.133.0

25. Australian Institute of Health and Welfare 25 CACP assistance: Total hours of assistance QldVicAust Median hours6.05.35.5 0-424.537.631.9 >4-852.043.448.8 More than 823.519.019.2

26. Australian Institute of Health and Welfare 26 Median hours of assistance

27. Australian Institute of Health and Welfare 27 Assistance: Per cent of all recipients QueenslandAustralia CACPOther programs CACPOther programs Domestic assistance86.51.382.61.3 Case management60.173.1 Social support68.02.359.73.3 Personal care62.91.053.61.3 Transport32.24.035.74.0 Other food services37.61.328.81.6 Delivered meals28.57.320.88.6 Home maintenance9.82.215.91.6 Respite care4.92.34.52.0 Rehabilitation1.62.4 Linen1.00.90.2

28. Australian Institute of Health and Welfare 28 Other government programs: % of all recipients QueenslandAustralia No other assistance46.051.1 Assistance54.048.9 - Nursing care7.88.0 - Centre-based day care8.17.7 - Allied health care care8.07.5 - Provision of goods and equipment4.54.0 - Financial assistance for continence aids8.12.1 - Counselling/support1.51.6 - Home modification2.10.9 - Other1.51.3

29. Australian Institute of Health and Welfare 29 Source of other government assistance

30. Australian Institute of Health and Welfare 30 Conclusion Compared with Australia overall, Queensland has: A similar proportion of care recipients living alone A higher proportion without a carer (difference in non- resident carers) A higher proportion of care recipients with a severe or profound core activity restriction Overall, care recipients are receiving more hours of service but this is generally because they are receiving more types of services than because they are receiving more hours of any particular type of service. Little difference in the pattern of assistance from other government programs with the exception of assistance for continence aids and, to a lesser extent, home modification.

31. Australian Institute of Health and Welfare 31 The full report is available from the Australian Institute of Health and Welfare website: www.aihw.gov.au/publications