1. FALLS & MOBILITY ASSESSMENT & INTERVENTION PROGRAM A comprehensive community-based Falls Prevention Model Sunbury Community Health Centre Inc

2. Referral by:  Local Medical Officer  Self Referral  Hospital Discharge Planning  Other Agencies eg Hume City Council Sunbury Community Health Centre Inc.

3. FALLS & MOBILITY ASSESSMENT (FAMA) COMPREHENSIVE MULTIDISCIPLINARY ASSESSMENT Assessment by four Health Professionals Maximum of four clients per three hour session. Sunbury Community Health Centre Inc. EDUCATION Video - “Standing On Your Own Two Feet” Discussion on how to get up from the floor. What to do in case of a fall. Written Information - Falls Prevention Booklet and relevant brochures CARE PLAN FEEDBACK to Client and Carer LETTER to LMO SIX MONTHLY REVIEW

4. FALLS & MOBILITY ASSESSMENT (FAMA) Each Assessment Includes : Physiotherapist – Strength, Balance and Gait assessment Community Health Nurse – Medication, Vision, Nutritional Status, General Health assessment Occupational Therapist – Home Assessment, Falls History, Social ad Community Supports, Cognitive and Functional assessment Podiatrist – Footwear, Feet and Gait Assessment, Gait and Vestibular Stepping Test

5. Assessment results fed back to Client and CARE PLAN developed, which may include: –Lifestyle factors eg, increased fluid intake and regular exercise –Referral to internal Sunbury Community Health Centre services and programs –Home safety recommendations Sunbury Community Health Centre Inc. FALLS & MOBILITY ASSESSMENT (FAMA) Letter to LMO with summary of assessment results and recommendations for follow- up by LMO, which may include: – A review of Calcium and Vitamin D status supplementation – Optometry review – Specialist Clinics follow-up

6. REFERRAL TO RELEVANT INTERNAL SERVICE PROVIDERS These may include immediate start and priority status to the following : ‘In The Balance’ weekly exercise group Sunbury Community Health Centre Inc. Physiotherapy for Home Exercise Program / Hydrotherapy Dietitian Audiology for Hearing Test Podiatry Emergency Alarm Application Programmed Activity Group Dental

7. REFERRAL TO EXTERNAL SERVICE PROVIDERS These may include: - Aged Care Assessment Services (ACAS) Sunbury Community Health Centre Inc. - Hume City Council (HACC Services) - Aids & Equipment Program

8. SIX MONTHLY REVIEW  Review FAMA Assessment  Review Care Plan and LMO recommendations  Compliance with Recommendations recorded and discussed with client  Revise Care Plan Sunbury Community Health Centre Inc.

9. Problems Encountered Clients who do not attend ongoing centre programs, tend not to return for six monthly review. LMO’s do not always follow-up on recommendations for specialist clinic referrals. Vestibular conditions identified but not well treated. Sunbury Community Health Centre Inc.

10. CLIENT FEEDBACK (Anecdotal Narrative) * Client compliance is high due to accessibility to internal services and familiarity with staff. Sunbury Community Health Centre Inc. * Clients favour multidisciplinary assessment in one session at one location. * Clients feel ‘listened to’ and have the opportunity to have an extended consultation time to discuss a range of issues with FAMA health professionals. * Discussion / Sharing experiences with other ‘fallers’. * Greater understanding of multiple factors that can contribute to falling. * Clients prefer local assessment intervention.