Transcript Defining Complex Needs

Complexity Unraveled
through Partnership
Presentation by –
Phyllis Quensier
Claudine Lombard
& Grant Robin
What are the benefits of
Partnership
Strategic enhancement through partnerships
 Integration of Services
 Improved systems coordination
 Collaboration between government, non
government and private health care providers
 Comprehensive care planning and continuity
of care across service boundaries
 Identify and respond to reducing gaps and
duplication of service

Why do we need Complex Needs
Panels





To meet the challenges of building a more
effective response to people with multiple and
complex needs
To establish a wide scope of expertise and
service provision
To provide care coordination of services
To stabilise health, housing, social connectiveness and safety issues
To provide a framework to monitor and follow up
in an effective and timely manner
Complex Needs Assessment Panels
 CNAPY
 Complex needs
assessment panel for
young people
0-10 years
CNAP
CNAPIS
CNAPA
Complex needs
assessment panel
Complex needs
assessment panel &
integrated support
Complex needs
assessment panel adults
10-17 years
17-29 years
16-64 years
Funded by Gold Coast
General Practice
Funded by Dept of
Communities
Funded by Gold Coast
General Practice
Funded by Qld Health
Auspice Wesley Mission
Youth at Risk Alliance
Auspice Wesley
Mission Youth at Risk
Alliance
Auspice Gold Coast
Drug Council
Qld Health
Mental health and
ATODS Service
Contact
Tanya Twyford
55038205
Contact
Claudine Lombard
55038207
Contact
Grant Robin
55354302
Contact
Phyllis Quensier
56672000
The Missing Link
Identified current gap over 64 years
 The ageing population
 Complex needs do not end at age 65
 Comparison to younger age groups
 Continue to build and sustain strong
partnerships
 Establishment of a Complex Needs Panel
for people over the age of 64

Feedback
Hello Phyllis
I want to put on record what a positive experience it was
for me to come to the panel meeting on Monday. It was
inspirational to see so many people pooling their
resources and ideas to work towards positive outcomes
for consumers.
I think it would be really beneficial for students and new
staff to attend to see what can be achieved when we all
work together.
many thanks
Christine
Defining Complex Needs
A diverse condition that adversely
affects the bio/psycho/social/spiritual
domains of an individual – generally
in the context of significant
family/social/service/support
fragmentation
Journey Towards
Complexity
Young man referred by an employment
agency at age 18 due to acute psych
admission – discharged from acute care to
community
Initial assessment realized acute level of II
No formal II support in place
Complex history involving fragmentation in
all areas as outlined
(Bio/Psycho/Social/Spiritual)
= Disadvantage
Journey Towards
Complexity
Defining the journey –
Born with congenital impairment
Separation & divorce, stepfather – little
connection
Didn’t crawl before 18 months of age
Delayed speech approx. age 6, signed until
then
‘monumental tantrums’ if needs not met
Interventions limited to families capacity to
engage
=Disadvantage
Journey Towards
Complexity
Defining the journey –
Multiple primary schools exposure,
indifferent experiences within these
environments
Tested via WPPSIR, hearing & CAT age 6;
VINELANDS Adaptive, WISC 3 age 10
1st percentile in all ranges of scoring & II
range
Again follow ups limited to families capacity
to engage
=Complex Disadvantage
Journey Towards
Complexity
Defining the journey –
Language impaired, access to a speech
pathologist age 9
Entire HS seclusion to SEU
Traumatic ‘bullying’ experiences
Sexually exploited from early teens
Perpetrator of inappropriate sexual contact
with young siblings (CS involvement)
Transience & vulnerability
=Complex Disadvantage
Journey Towards
Complexity
Initial Presentation Ongoing sig. language and memory
impairment
Moderate/severe unintelligible speech &
cognitions – capacity of 6 year old
Onset of poor mental health
AOD use in antisocial environ.
Transience & exploitation/vulnerability
Disengaged - socially
=‘High End’ Complex Disadvantage
Multiple & Complex Disadvantage
Bio
Sig. Primary
Health concerns
– teeth, eyes,
ears, nutrition,
AOD.
Psycho
Spiritual
II; Cog Deficit;
Adaptive
Functioning;
Depression;
AOD
Disconnected –
skewed norms,
abused/abuser,
exploitation
Social
Fragmented
family/service/
support,
conditioning,
transience, risk
to homeless, CS
CNAPIS –
Bio
Psycho
Testing & follow
up; OT, psych
assess/
reccomm. &
follow up;
AOD counselling
Address Primary
Health concerns
– teeth, eyes,
ears, nutrition,
AOD education/
mentoring
Social
Seamless
family/service/
support
provision
addressing
social exclusion;
RM plans
Spiritual
Establish
connection –
new norms –
positive peer
engagement
demonstrated
care & concern