Transcript GECC, BBCHS Presentation

Partnerships
An example of the
benefits of working
together
Who are we?
Glen Eira City Council
HACC Assessment Service and HACC service provider.
May 2014 the Community Care Unit provided 13,900 hours of
support to approximately 2600 Glen Eira Residents.
Service Delivery:
• In Home Support (Personal Care, Home Care, Shopping,
Respite care and social connectiveness). Approximately
140 Direct Care Workers
• Social Support (Planned Activity Group)
• Delivered Meals
• Property Maintenance
Bentleigh Bayside Community Health Service
Bentleigh Bayside Community Health’s Vision is:
“Optimal health and well being of our community”
Service Delivery:
• Variety of group programmes as well as individual sessions
for older adults, children and families.
• Health Promotion, Gamblers Health, Dental and Planned
Activity Groups.
Employed are allied health staff including Physiotherapists,
Occupational therapists, Counsellors, Community Health
Nurses, Podiatrists, Speech Therapists and Dieticians who see
clients at the centre or in their own homes.
The Beginning
Common aim 2010:
Establish a joint approach between the two organisations
to maximise outcomes for ASM clients
How was this achieved:
• Co-location of an Occupational Therapist 1 or 2
afternoons per week from Bentleigh Bayside Community
Health Service (BBCHS) into the offices of Glen Eira City
Council Community Care Unit.
• In 2011 BBCHS allocated ASM physiotherapy resources
Outcomes
• Improved communication and understanding between
the agencies
• Communication about clients enhanced by having
BBCHS staff allocated to the ASM role
• Joint home visits to clients
• Joint approach to complex client issues
• Increased flexibility to respond to clients
• Establishment of the ASM Working Group resulting in new
initiatives and shared projects
• Professional relationships strengthened
• Shared knowledge and professional support
• Provision of training by BBCHS staff to Direct Care Workers
and Program Workers
Overall Result: better outcomes for our clients
Focus Today
Training
Provided by BBCHS Occupational Therapists and Physiotherapist
to Councils Direct Care staff and Planned Activity Workers
Physiotherapy
Home exercise program
Training with Direct Care workers
Goals:
• Encourage client’s independence
• Maintain mobility, strength and balance
• Reduce falls
• Enhance socialisation.
Training provided:
(small group)
• Delivery of a home exercise program
• Sit to stand tasks and the use of a 4 wheel walker
• Hints and tips in assisting clients with total
hip replacements/Moores prosthesis
• Assisting clients with Parkinson's
(individual)
• Delivery of home exercise program
On site with client, Direct Care worker and Physiotherapist.
Occupational Therapy
Training with Direct Care Workers:
Small group training targeting workers who have recently
completed the dual Certificate 3 in HACC and Disability and
Peer Support Workers (senior direct care workers)
• ASM approach - focusing on Occupational Therapy, the
ASM model, PADLS and how to identify when an OT
assessment might be required for a client.
Individual Training
• Home visits to provide specific training with a Direct Care
Worker/s in relation to clients needs
Training with Program Workers Planned Activity Group:
• Goal setting (provided by previous OT)
• Introduction to different eating and drinking aids to
promote clients independence during meals.
Joint session at planning stage with Physiotherapist around
enabling clients to transfer independently in and out of
vehicles, sit to stand, minimising transfers and general
mobility issues.
Challenges
• Group size (best undertaken in small groups or with the
individual worker and the client)
• Changing the mind set of long term Direct Care Workers
• Coordinating joint visits between Physio or OT with the
client and Direct Care Worker at the clients home
• Follow up with Direct Care Workers – often don’t see the
Direct Care Worker again to ascertain whether they have
embraced the principles or need further support and
encouragement
In our experience partnerships are about professional
relationships that build on individual and
organisational skills resulting in the best outcome for
the client.
It is also about skill sharing which helps to inform and
educate those involved in responding to clients
needs.
Contact details:
Anita Brown
Occupational Therapist Bentleigh Bayside Community
Health Service
[email protected]
Carlie Tribe
Occupational Therapist Bentleigh Bayside Community
Health Service
[email protected]
Sue Nixon
Physiotherapist Bentleigh Bayside Community Health
Service
[email protected]
Vicki Woolard
In Home Support Coordinator Glen Eira City Council
[email protected]