Metro North Newsletter by kao16131


									NSW Department of Ageing, Disability and Home Care
Regional NEWSLETTER June 2009 Ref: AH09/25580

Metro North Newsletter
Message from Acting                                                  need to report more accurate
                                                                     service outputs via the MDS; and
Regional Director                                                    we also need the stories of real
In early May, following the appointment of                           client outcomes showing how we all
Jim Moore as DADHC’s Director General                                make a difference.
(DG), our Regional Director James
Christian was appointed to act in one of the                         Over the past month we have been
three Deputy Director General positions in                           distributing a flyer requesting good
DADHC. James will be working in                                      news client stories. The flyer is
DADHC’s central office in that position until                        attached to this newsletter. To date
permanent recruitment is undertaken.                                 we have received very few stories.
During that time he will oversee the                                 We would appreciate completed
DADHC portfolios of Business                                         stories by 19 June 2009. Please
Improvement, Strategic Finance, Human                                email to:
Resources, Information Technology,                         
Strategic Asset Management &                                         or fax to 9841 9344.
Procurement, Legal Services,
Commonwealth/State Agreements,                                       There are 8 MDS training
Learning & Development and Assurance &                               workshops scheduled for our
Audit.                                                               region in June – see flyer attached
                                                                     to this newsletter with contacts for
In James’ absence I will act in the Metro                            registration. There will also be more
North Regional Director’s role.                                      training in the next financial year.
                                                                     Accurate reporting is a
One of the main areas of immediate work                              responsibility under the funding
for the new DG will be to support Minister                           contracts.
Lynch to build a case for more funds for
disability services in NSW for the second                            In the May newsletter we reported
phase of Stronger Together 2011-2016.                                the launch of the Companion Card
                                                                     NSW. So far most applicants have
We can assist the DG in this by:                                     been people with disabilities living
• improving our reporting compliance                                 at home. Few applicants have been
  through the MDS; and                                               clients of DADHC or NGO
• providing evidence about the positive                              Accommodation
  impact of current disability funding on                            clients.
  the lives of people with a disability and
  their families and carers.                                         We have been
                                                                     advised that all
That is, to account for current funding and                          Group Home
to build a case for more future funding we                           clients (DADHC
 Regional NEWSLETTER - June 2009
 Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
 PH: 9841 9500                                                                    page 1 of 18
and NGO) are automatically eligible for
Companion Cards. Accommodation                                        Inside this issue
Managers in Group Homes are                                           NGO CEO Profiles
encouraged to contact NDS for Cards for                               Future Directions - Disability
their residents so that when residents go                             Respite
out on individual or group outings with their                         Behaviour Support Symposium
support workers or relatives they may be                              Self-Advocacy
able to buy one ticket and have admission                             Behaviour Support Workshops
for 2 people to various events and venues.                            Person Centred Planning – MAPS
                                                                      & PATH
Please find more information from the NDS                             Clinical Governance &
website:                                                              Performance Team                          Toilet Training Group
                                                                      HACC Regional Plan 08-11
Thanks for the very positive feedback on                              Policy Q & As
the newsletter. Some people suggested a                               Easy Transport Northern Sydney
format without columns would be easier to                             DADHC Aboriginal Residential
read, however at this time, we are unable                             Support Worker Program
to vary the state-wide DADHC standard                                 Policies
format.                                                               What’s On
                                                                      Training & Resources
David Coyne
Acting Regional Manager

                                                                      Profiles of Non
                                                                      Government CEOs
                                                                      Bruce Taylor, Manager Easy
                                                                      Care Gardening

                                                                      Bruce Taylor commenced as Manager of
                                                                      the Easy Care Gardening Incorporated
                                                                      Organisation in 1996, and since then this
                                                                      volunteer Service (now 370 strong) has
                                                                      grown to care for the gardens of over

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                   page 2 of 18
1100 clients in the Hornsby, Ku-ring-gai, Ryde                        Trish is a hands-on CEO. She
and Hunters Hill areas of Sydney, as well as                          actively supports her staff to meet
providing subsidised lawn mowing services over                        the unique communication needs of
the Northern Sydney Local Planning Area.                              the 32 deafblind adults with
                                                                      additional disabilities living in
Bruce came to the position from a background                          Forsight’s 8 community group
of community service and volunteer                                    homes, through alternative and
management, with strong personnel, financial,                         augmentative communication,
property, insurance and business management                           music and dance therapy.
                                                                      Trish is a member of a number of
Links between NSW HACC funded                                         committees: ASSID NSW, the
gardening and lawn mowing services have                               Strategic Carers Action Network at
been developed over many years, to                                    Carers NSW, the NDS NSW
facilitate an effective network in this unique                        Accommodation Services
field. This network enables client services                           Committee and the Developmental
to be extended to those in need throughout                            Disability Health Unit Support
the Sydney area.                                                      Group at Royal Ryde Hospital.
                                                                      Trish became a Rotarian in 1999;
                                                                      she was the first female President
Trish Wetton, CEO, The Forsight                                       of the Rotary Club of Carlingford in
Foundation for the Deaf/Blind                                         2006/07 and will be Assistant
                                                                      Governor for 9 Clubs in The Hills’
                                                                      Zone, District 9680 in 2009/10.

                                                                      Future Directions for
                                                                      Disability Respite
                                                                      On 30 April, NDS hosted a
                                                                      consultation of non Government
                                                                      service providers in Metro North to
                                                                      provide comments to DADHC on
                                                                      the Discussion Paper: New
                                                                      Directions for Disability Respite
                                                                      Services in NSW.
Trish began working in a senior
management position at a Non-
                                                                      21 people attended the
Government disability service in 1976.
                                                                      consultation, representing 14 non
She held the positions of Financial
                                                                      Government service provider
Administrator and CEO of Inala until 1996,
                                                                      organisations in Metro North, one
then after a short time working for ACROD
                                                                      Council and the Australian
NSW was appointed CEO of the Forsight
                                                                      Department of FaHCSIA.
Foundation that same year.
                                                                      The participants raised many
Trish has a Graduate Diploma in Social
                                                                      constructive suggestions in relation
Administration and a Master of Special
                                                                      to the future of respite service
Education in Sensory Disability (2007).

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                    page 3 of 18
provision. The following report is a                                        as weddings and funerals by
summary of the feedback (not a                                              providing a respite carer at the
comprehensive list of the comments):                                        event where appropriate;
• strong support for person-centred,                                        counselling and social needs of
   family-centred individualised approach                                   carers should be identified
   to respite care based on client                                          beyond just carer support
   involvement in respite planning;                                         groups;
• respite care should aim at building                                 •     host family respite should be
   greater independence and addressing                                      improved and developed
   social needs in clients where possible;                                  including appropriate cultural
• practical guidance needed for service                                     matching;
   providers on how to effectively promote                            •     respite should be more
   and support greater control for clients                                  culturally sensitive and
   over their respite services;                                             appropriate. This requires more
• client control requires greater: service                                  cultural training for respite staff;
   flexibility, choice of carers, consistency                         •     respite care funds should be
   and compatibility in staff-client matching;                              able to be used to purchase
• small blocks of respite are often                                         other services to provide a
   frustrating for carers, the time and cost                                respite effect, eg ironing,
   involved in travel may seriously diminish                                shopping and transport help;
   the respite benefit;                                               •     respite activities should be more
• carers need more information about                                        integrated with community
   respite types, models and options – and                                  activities, eg putting up soccer
   navigation help, in order to exercise                                    nets; and focussed on building
   more control over their respite;                                         relationships between clients;
• a market driven approach would support                              •     strong support for more holidays,
   increasing client control. Clients should                                outings, camps, social support,
   be able to change agencies or choose a                                   peer support and recreation
   mix of agencies and service options for                                  services;
   short term or long term service                                    •     better respite services for people
   arrangements;                                                            with challenging behaviours or
• affordable transport is a significant                                     high support needs may
   issue in respite access. More work                                       require: specialist assessment;
   needs to be done about transport                                         specialist respite centres;
   options for centre-based respite, more                                   nursing staff; more support from
   information is needed for carers about                                   BIS teams; more regular client
   transport help, and more transport is                                    reviews; specialist training and
   needed to extend the respite time for                                    rotation for respite workers and
   carers; ageing carers often require more                                 continuing monitoring of staff
   transport help; peer support could be                                    competencies; and clear service
   used to assist with transport;                                           benchmarks and minimum
• respite funds should be available as an                                   standards for staff performance;
   alternative to centre-based respite                                •     specialised respite services
   support;                                                                 should be based on geographic
• respite should be available to allow                                      mapping to maximise access;
   carers to attend important events such

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                         page 4 of 18
• lack of appropriate equipment limits                                • respite assessments should be
  access to respite;                                                    more streamlined;
• respite for people with ABI or                                      • respite staff need training in
  neurological conditions should include                                epilepsy, mental health, dual
  an approach which builds links to the                                 diagnosis, and emotional
  person’s previous life and supports                                   support needs of carers.
  community access. Staff may need grief
  and loss training, clients may need                                 Thank you for all the comments
  referral to counselling;                                            and ideas you have provided.
• clients with ageing-related conditions                              DADHC central office is now
  and clients with a dual diagnosis often                             considering feedback on respite
  require an interagency approach to                                  issues from NDS-hosted service
  service provision;                                                  provider consultations across all
• service providers need easy access to a                             regions in NSW, written
  range of information (including service                             submissions from individuals, and
  descriptions) about available respite                               client and carer consultations. The
  services to allow referrals and promote                             outcome will be a disability respite
  client choice;                                                      New Directions Strategy which will
• carer training should be increased                                  in turn influence the allocation of
  especially regarding challenging                                    future Stronger Together respite
  behaviour, complex needs and also how                               funds.
  to identify the capacities and abilities of
  the person being cared for;                                         Behaviour Support
• many carers, especially long term                                   Symposium
  ageing carers may need an induction                                 The ninth DADHC Symposium,
  to respite care, along with more access
                                                                      What Disability? Closing the Gap –
  to behaviour support, counselling and                               High Functioning, Low skills was
  financial planning;                                                 held on 23 April at Rooty Hill RSL
• service providers should identify new                               Club.
  ways to collaborate and build respite
  networks such as sharing resources                                  Opened by Ethel McAlpine,
  (vehicles and centres) and conducting                               DADHC’s Deputy Director-General,
  joint programs like holiday camps or                                Accommodation & Direct Support
  outings;                                                            the day was a resounding success.
• working carers, particularly sole                                   The focus of the Symposium was
  working parents, need access to more                                on the population of clients that
  respite, especially for children under 12                           services struggle to engage,
  years of age;                                                       primarily because of their belief that
• volunteering in respite requires service                            they do not belong to or identify
  development;                                                        with the disability community.
• the sector would appreciate more                                    These people usually have a mild
  information from DADHC about the                                    to moderate level of intellectual
  range of respite funding and respite                                disability and pursue their
  good practice;                                                      independence of disability services.
                                                                      Some however may end up with

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                     page 5 of 18
involvement with other services such as                               The Rooty Hill RSL venue was
the NSW Police, preferring to be seen as                              such a popular venue that the next
delinquent, or criminal rather than                                   Behaviour Symposium will also be
“disabled”.                                                           held there. Evaluations were
                                                                      enthusiastic and we are already
The keynote speaker was Vince Ponzio,                                 well into planning the tenth
the Director of the Integrated Services                               Symposium, scheduled for early
Program, who talked about that Program’s                              November 2009. Overall, the day
services to clients who don’t easily fit the                          proved to be a great success, and
criteria for DADHC, DoCS, Housing,                                    we are hoping to open the numbers
Corrections, Juvenile Justice, or Mental                              up to even more people next time
Health support. The presentations of Jill                             around!
Abeshouse from the Statewide Behaviour
Intervention Service and Kaye Tydeman, a                              Congratulations and thanks to all
Special Education teacher at Model Farms                              involved in organising and
High School focussed on academic and                                  presenting.
learning support strategies for primary and
high school students.                                                 Self-Advocacy
Susan Pike presented her innovative
psycho-educational training package for
people who have coexisting intellectual
disability and mental health diagnosis. This
package was developed with Matt
Kinsman-Smith, a former behaviour
intervention worker with DoCS who now
works for Hornsby Hospital Adult
Rehabilitation Services. Renee Ferris,
Psychologist in private practice working
with children and young adults with
Asperger’s syndrome, presented her work
teaching about social skills in relationships
to this population.
                                                                      Daniel Horseman, Administrative
The Treasurer of Self-Advocacy Sydney,                                Assistant in the DADHC Metro
Daniel Horseman (article and photo                                    North Region made a presentation
below), delivered an interesting                                      at the regional Behaviour
presentation about the role and work of his                           Symposium about self-advocacy
organisation. The day concluded with the                              and the importance of supporting
CEO of Afford, Tim Walton, and Sydney                                 and promoting self-advocacy.
University’s Professor Roger Stancliffe                               Daniel is a volunteer with Self-
talking about their analysis of the needs of                          Advocacy Sydney which is funded
people in retirement and their endeavours                             by FAHCSIA. As current Treasurer
to engage the disability community to                                 and past Chairperson, Daniel
develop these supports and services.                                  regularly makes presentations to
                                                                      disability organisations and runs

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                   page 6 of 18
training workshops for people with
intellectual disabilities about self advocacy.                        When is Self-Advocacy used?

The following is an extract from Daniel’s

Self-Advocacy is the ability to speak-up for
yourself and the things that are important
to you.                                                               • when you want to be listened to;
                                                                      • when you are being assessed;
                                                                      • making a complaint;
                                                                      • developing or reviewing a care
                                                                        plan, IPP or Client Action Plan;
                                                                        and when
The ultimate goal of Self-Advocacy is for                             • making choices.
you to decide what you want then develop
and carry out a plan to help you get it. It                           Promoting Self-Advocacy
does not mean you can’t get help if you                               Service providers should:
need or want it, it just means that you are                           • encourage your clients to take
making the choices and you have to be                                   part in their IPP or CAP process
responsible for the choices you make.                                   and other decision-making
Types of Advocacy                                                     • assist your client/s in compiling
• Citizen Advocacy - a person who                                       and developing their plan;
  speaks on behalf of a person with                                   • treat client plans and information
  Intellectual Disability;                                              as confidential at all times;
• Systemic Advocacy - changing the                                    • identify your clients’ strengths as
  system (legislation, policy, Government,                              well as areas of need;
  community attitudes) in ways that will                              • assist your clients to take part in
  benefit people with a disability as a                                 meetings about them;
  group within society;                                               • encourage your client/s to know
• Self-Advocacy - speaking up for                                       their rights; and
  ourselves;                                                          • provide role modelling of skills.
• Group Advocacy - talking to the
  Government about making services
  even better;
• Family Advocacy - assisting groups of
  families who have children with
  disabilities.                                                       For more information about training
                                                                      and to contact Self-Advocacy
                                                                      Sydney please phone 9622 3005,
                                                                      Mon-Fri, 9:00am - 4:00pm.

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                    page 7 of 18
June-July Behaviour                                                   What are MAPS and PATHS?
                                                                      Not to be confused with HACC-
Intervention & Support                                                funded MAPs (Multicultural Access
Workshops                                                             Projects), MAPS and PATH are
Bookings are now open for the next round                              creative PCP tools designed to
of behaviour support workshops. Please                                identify do-able action steps in the
see the extensive schedule and                                        direction of desirable futures. They
registration details attached to this                                 are only two of many excellent tools
newsletter.                                                           that can be used by a facilitator of
Workshops are open to NGO and DADHC
care staff, clinicians, service managers and
family members. DADHC sincerely thanks
all workshop presenters for so generously
giving their time and skills to this
development program.

Kenneth Ferris, Psychologist
DADHC Metro North Regional Behaviour
Intervention Team (RBIT)

Person-Centred Planning with
MAPS & PATH                                                           DADHC Metro North staff pictured at
What is Person-Centred Planning?                                      PCP Training with course facilitator
                                                                      Lynda Kahn (centre)
Person-Centred Planning (PCP) is a
                                                                      Karen Buller, Dennis Chan (Case
process of listening to, and life planning for
                                                                      Managers from Hornsby and
individuals, based around the principles of
                                                                      Parramatta Office), Carolyn D’Mello
inclusion and the social model of disability
                                                                      (A/g Manager Access, Parramatta
(DADHC Draft Case Management Planning: Policy and
                                                                      Office) and Ric Bless (Casework
Procedures (April 2008).
                                                                      Consultant-CALD) represented
                                                                      DADHC Metro North Region last
• PCP is most often used for life planning
                                                                      month in a 3 day training workshop
  with people with learning &
                                                                      on facilitation of MAPS and PATH
  developmental disabilities.
                                                                      as tools for people with a disability
• PCP places the person at the centre of                              and their families/ friends.
  decision making.
• PCP includes family members and                                     On their return from the workshop,
  people who are important in the lives of                            DADHC staff prepared a
  the person with a disability.                                       presentation on the concept of PCP
• PCP is about what is important to a                                 and discussion on how PCP can be
  person, what they want to achieve, their                            further developed within the current
  dreams, hopes, fears, needs and                                     case management reform in the
  wishes.                                                             Metro North Region.

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                     page 8 of 18
Staff and management of DADHC and                                       treatment plans to all the Group
DADHC funded NGOs in Metro North                                        Homes; and
Region who are interested in the                                      • networks and organises case
presentation on the PCP applications can                                conferences with internal and
contact Ric Bless on 9841 9302.                                         external health care
                                                                        professionals and services, for
                                                                        example when clients have been
Clinical Governance &                                                   admitted to Intensive Care or
                                                                        High Dependency units.
Performance Team
DADHC’s Clinical Governance and                                       The Clinical GAP Team reports
Performance (GAP) Team was established                                directly to the Regional Director,
in January 2009 as part of a regional                                 Metro North Region.
response to a recommendation by the
NSW Health Ombudsman to develop                                       Linked to the Clinical GAP team is
systems to help with better health                                    a Regional Health Care Standards
outcomes for DADHC clients with complex                               Review and Improvement Panel.
health needs.                                                         The Panel, which is chaired by an
                                                                      independent specialist, Dr Lyn Lee,
Objectives                                                            is responsible for recommending
The Team’s overall objective is to monitor,                           actions to the Regional Director as
evaluate and promote quality health care                              a result of reviews performed by
for all clients who live in DADHC Metro                               the GAP Team. The Panel
North Group Homes or who access                                       monitors, evaluates and promotes
DADHC centre based respite. The Clinical                              quality health care support and acts
GAP Team:                                                             as an independent reviewer of
                                                                      standards and improvement in
• identifies service gaps relating to client                          health care in DADHC
  focused practices, and develops                                     Accommodation and Respite
  strategies to help implement and                                    services in Metro North.
  monitor complex client health care
  plans;                                                              Karen Alexanderson is the DADHC
• offers support to all DADHC Managers                                Manager of the Clinical G.A.P
  of Accommodation and Respite,                                       Team in Metro North.
  Network Managers and Residential
  Support Workers, using a collaborative
  approach, to support them in providing
  better health care, understanding and
  practice in the Group Homes and respite
• reviews all referrals relating to complex
  health care needs quarterly, and
  provides ongoing health care planning
  and support through the development of
  individualised complex health care

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                     page 9 of 18
Toilet Training Group                                                 Feedback from the group was very
                                                                      positive. Parents:
                                                                      • enjoyed sharing information and
                                                                        supporting each other;
                                                                      • found the information relevant
                                                                        not overwhelming;
                                                                      • had enough time between
                                                                        sessions to complete checklists
                                                                        and gather information;
                                                                      • said the examples of social
                                                                        stories, visual systems and toilet
                                                                        equipment were very useful; and
                                                                      • appreciated the follow up
A significant number of referrals to DADHC
for behaviour intervention and self care
                                                                      The therapists involved were Sue
relate to toileting issues. A psychologist,
                                                                      Pike, Mandy Hoch, Robyn Potts,
OTs and speech pathologist from
                                                                      Margaret Crowe and Rebecca
DADHC’s Hornsby Specialist Support
                                                                      Fountain. DADHC’s Hornsby
Teams ran a parent training and
                                                                      Specialist Support Teams plan to
information group during Term 1, 2009.
                                                                      run more groups throughout the
The group was aimed at parents of
children from 3- 8 years.

Two morning sessions were run, based on                               Metro North HACC
Toilet Time, a resource developed by the                              Regional Plan 2008-2011
Intellectual Disability Services Council,                             Released
South Australia Government (IDSC) which
                                                                      Metro North Regional HACC
was adapted to the needs of the particular
                                                                      Triennial Plan for 2008 – 2011 has
                                                                      been released and is available from
                                                                      DADHC website at:
The sessions covered: development of                        
physical and independence skills; health                              yres/39C1876A-27F6-4C70-ABAD-
and diet; equipment and the environment                               CAD56D4F64E1/4497/HACCRegional
including sensory issues; specific toilet                             PlanMetroNorthRegion.pdf. Also
training approaches; and managing difficult                           available from the website are the
situations and behaviour. Parents were                                HACC Triennial Plans for other
asked to complete checklists and a toilet                             DADHC Regions.
diary at home. A very important component
of the program was the development of a                               DADHC Metro North Region
communication system. The psychologist                                followed an extensive process to
provided a follow up home visit to assess                             develop the HACC priorities for the
the toilet environment and offer support on                           triennium. The renegotiation of the
individual issues.                                                    HACC Agreement resulted in a
                                                                      move to triennial planning for the

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                   page 10 of 18
HACC Program, initially from 2008 to 2011.                            • Cumberland Prospect LPA
                                                                        overview and priorities - which
As an integral part of the development of                               outlines demographic data for
the 2008/2011 Regional HACC Plan, a                                     Cumberland Prospect;
series of consultations that gathered the                               summarises key priorities and
views of key stakeholders across the 3                                  describes identified service
Local Planning Areas:                                                   development activities;
Cumberland/Prospect, Nepean and                                       • Nepean LPA overview and
Northern Sydney was held. In addition,                                  priorities - which outlines
staff of DADHC’s Regional Planning Team                                 demographic data for Nepean;
attended all HACC Forums and other                                      summarises key priorities and
relevant network meetings to collect                                    describes identified service
information on service needs and gaps as                                development activities;
well as new and innovative proposals for                              • Northern Sydney LPA
improvements in HACC services. Apart                                    overview and priorities - which
from the Forums, discussions were held                                  outlines demographic data for
with representatives from Government and                                Northern Sydney; summarises
Non Government service providers, service                               key priorities and describes
users including people from the HACC                                    identified service development
Special Needs Groups, Peak                                              activities; and
Organisations, other Government Agencies                              • Consultation Plan and Report
and Local Councils.                                                     - which lists the consultations
                                                                        held and issues discussed at the
Apart from consultations, 2006 Census                                   meetings.
data and data from HACC MDS were
analysed to identify service gaps and                                 The Regional HACC Triennial Plan
service improvements. Priorities for the                              aligns with other strategic plans,
HACC services over the triennium 2008 –                               including the NSW State Plan, the
2011 formulated through this process were                             Region’s Ethnic Affairs Policy
then submitted to Prioritisation Committees                           Statement (EAPS) and
in each Local Planning Area:                                          management/strategic plans
Cumberland/Prospect, Nepean and                                       developed as part of the regional
Northern Sydney. The Committees, which                                DADHC corporate planning cycle.
comprised of sector representatives from
different Local Government Areas, ratified                            The Planning Team would like to
the list of priorities as included in the                             acknowledge the role played by
Regional Plan.                                                        service providers and other
                                                                      stakeholders in developing the
The Regional Plan consists of several                                 Plan. People representing various
sections:                                                             service organisations contributed
• Regional overview - which outlines                                  their time and expertise and
  demographic data for the Metro North                                provided valuable input to the
  Region; sets the service delivery                                   planning process. The Team
  context; lists strategic directions for                             thanks all participants for their
  HACC services in the Region; and                                    involvement in the process.
  describes key issues for the Region;

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                  page 11 of 18
The Plan provides a framework for                                     • other arrangements not excluded
undertaking HACC service development                                        under sub-clause 4(2) of the HACC
activities. While DADHC Regional Office                                     Review Agreement.
will take the lead in this work, a co-
operative effort with service providers will                          Homeless people who have no
be needed, both to examine the current                                fixed address may be eligible to
service system to develop                                             receive all HACC services except
recommendations for improvements, and                                 perhaps domestic assistance,
to effect the recommended changes to the                              home maintenance and home
services.                                                             modifications. For example, they
                                                                      may be assisted with community
The Regional Planning Team looks forward                              transport to get to an appointment;
to working at various levels to improve the                           they can receive meals from a
services provided to clients through funded                           meals service; they can attend
HACC services. It will provide an                                     Centre Based Day Care or social
opportunity to innovate and work together                             support activities, they can even
to serve HACC clientele in the most                                   receive personal care assistance.
effective manner, providing quality services                          For the service arrangement to
that are targeted and accessible to a wider                           work, the person would need to be
range of clients.                                                     contactable or able to be located in
                                                                      some predictable way, but this has
                                                                      definitely been successfully
Policy Q & As – HACC &                                                negotiated in the past for some
Disability                                                            clients.
Continuing the Policy Q & As we published
in the March newsletter, the following                                HACC services should be flexible
policy questions were raised at recent                                and person centred. HACC
service provider forums. The “answers”                                services do not duplicate other
provided below include quotes from the                                services already funded by
relevant HACC or disability policy as well                            Government. Therefore HACC
as DADHC interpretations.                                             would not duplicate assistance to a
                                                                      homeless person available from the
Q 1: Can homeless people access                                       Supported Accommodation
HACC services including Home Care?                                    Program (SAP) or a Government-
A: Yes                                                                funded homelessness initiative.

National Guidelines for HACC 2007 page 8                              People who live in accommodation
Where are HACC services provided?                                     which is classified as ‘severe
HACC services can be offered to people in:                            domestic squalor’, often recognised
• their own homes;                                                    as one level of homelessness may
• retirement villages, independent living units,                      also be eligible for HACC services.
  caravan parks, self care units, boarding                            Note that through the Partnerships
  houses, group/community housing in the                              Against Homelessness, DADHC
  community or in an aged care complex                                has funded Guidelines for service
• unstable housing circumstances (such                                provision to people who live in
  as transient or homeless people); and

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                       page 12 of 18
domestic squalor see                                                  recipients of disability program                           accommodation support service,
B41AD4-57B5-4BF3-8989-                                                when the aged care home/service
FD5A528FADE6/3251/Squalor_Guidelines.pdf.                             provider is receiving government
                                                                      funding for that purpose. The
Q 2: Can an older person with a                                       HACC Program also does not
disability (eg intellectual disability) go                            provide services for residents of a
to a HACC-funded Centre Based Day                                     retirement village or special
Care service when they can no longer                                  accommodation/group home when
attend their disability-funded day                                    a resident’s contract includes these
options service because of dementia or                                services.
age-related frailty?
A: Yes                                                                The SDS for Group Homes 1.04
                                                                      includes the following definitive
The two categories of Centre-Based Day                                statement.
Care in NSW are: General Centre-Based                                 The profile of service users may be
Day Care services; and Dementia Day                                   described as:
Care services.                                                        people with a disability who cannot
                                                                      reside in their own home or
The only qualification related to people with                         independent living arrangements
disabilities in the NSW Service Type                                  with support and who:
Guidelines for HACC Funded Centre                                     • require assistance in completing
Based Day Care (2007, page 2) is:                                        functional tasks;
specific, age-appropriate day programs for                            • require assistance in completing
younger people with a disability are funded                              aspects of personal care;
by other programs and include schooling,                              • require support in completing
employment and training options,                                         activities of daily life, such as
community participation and recreational                                 shopping/banking;
                                                                      • range from having some
                                                                         capacity to no capacity to
This clarifies that HACC-funded Centre
                                                                         develop and maintain skills,
Based Day Care is designed for social
                                                                      • may be able to move into less
interaction or dementia support for older
                                                                         intensive accommodation
people not for skills training and
                                                                         models with skills development;
socialisation for younger people.
Q 2: Can a person with a disability who                               • are not eligible for HACC
lives in a Group Home access HACC                                        Program or other generic
services.                                                                services.
A: No
                                                                      Q 3: Can a person who is
Under the National Program Guidelines for                             receiving disability funded in-
HACC p.8 -                                                            home support (also known as
the HACC Program does not provide                                     drop-in support) access HACC
services to residents of aged care homes.                             services?
Nor does it provide services to                                       A: No

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                    page 13 of 18
The List of Activities in the SDS for                                 Q 4: Can people with an
disability funded In-Home Support 1.06                                Acquired Brain Injury (ABI)
includes the following service activities:                            access National Disability
Personal Care-Assistance with completing                              Agreement and Stronger
or monitoring the completion of tasks, such                           Together funded disability
as:                                                                   services and HACC funded
-eating and drinking                                                  services?
-hygiene                                                              A: Yes
-dressing and grooming
-bathing and toileting;                                               People with a Brain Injury can and
Domestic Assistance- assistance with                                  already do access both HACC
household activities;                                                 funded services and some
Social Support-accessing recreational and                             Disability funded services, although
leisure activities outside the home;                                  access to disability services is
Shopping and banking;                                                 currently reported to be limited.
Transportation-assistance to access                                   Note that many of the younger
transport services to undertake activities of                         people living in residential aged
daily living and participate in the                                   care who are being assisted
community                                                             through the Stronger Together
Meals-preparation, delivery, other food                               funded Younger People in
services;                                                             Residential Aged Care program
Case Coordination-developing an                                       (YPIRAC) have ABI. Some of those
individual support plan developing a health                           people will remain living in
care plan where appropriate planning and                              residential aged care with disability
review of services and support-assistance                             services brought to them (in-reach
to access appropriate accommodation                                   services). DADHC will assist others
when required-support the client to access                            to move out into accommodation in
day activities, eg. work, supported                                   the community.
employment and/or education-coordinating
appropriate services and support;                                     In addition, DADHC provides
Personal Support -assistance to access                                disability funding to a small number
counseling, support, information and                                  of non Government services
advocacy;                                                             specifically for and targeted to
assistance to access medical services-                                people with ABI. These services
assistance to access allied health services                           provide a range of services to
and interventions;                                                    people with ABI including: in-home
Skills Development-maximise personal                                  accommodation support, advocacy,
independence through skills building; and                             behaviour support, case
Managing behaviour-promoting behaviours                               management, social support,
that enable participation in community                                respite care and centre based
activities.                                                           respite.

                                                                      DADHC is also currently working
                                                                      with other Government
                                                                      Departments (Health, Housing and
                                                                      Lifetime Care and Support

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                    page 14 of 18
Authority) to ensure that future                                      Home Care (DADHC) is recruiting
Government funded services for people                                 90 Aboriginal Residential Support
with ABI are coordinated and integrated.                              Worker positions across NSW. The
                                                                      positions form part of the Enhanced
                                                                      Aboriginal RSW Program.
Easy Transport in Northern
                                                                      The 12 month program will offer:
Sydney                                                                • 12 months employment in one of
                                                                        DADHC’s Group Homes;
                                                                      • Induction and Training in
                                                                        Certificate III in Disability Work;
                                                                      • career guidance and support by
                                                                        Cultural Mentors;
                                                                      • Cultural Camp and Career
                                                                        Development Workshop; and
                                                                      • opportunity for ongoing
The Easy Transport project is a DADHC                                   employment.
HACC-funded community transport project.
It has recently launched a brochure,                                  Do you know someone who would
information line on 1800 035 262 and a                                be good in this job?
website: all
providing information about the Easy                                  Who should apply?
Transport options available in Northern                               Aboriginal people interested in
Sydney including Community Transport,                                 working directly with clients with an
accessible public transport, and taxis.                               intellectual disability in a community
There will also be some information                                   based residential setting.
provided on licences for older drivers.                               Information is available on free to
                                                                      call 1800 185 466.

                                                                      How to Apply?
                                                                      Interested people can apply online
                                                                      on the DADHC jobs board or by
                                                                      paper based application form
                                                                      available on the DADHC website:
                                                                      areers/Job+Board.htm by 5 June

DADHC Aboriginal
Residential Support Worker
As part of our plan to develop employment
opportunities for Aboriginal people, the
NSW Department of Ageing, Disability and

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                     page 15 of 18
Policies                                                              What’s On
                                                                      Day Conference
Maintaining Respite Capacity
The policy Maintaining Respite Capacity
(April 2009) is issued for implementation in
DADHC-provided respite services. In
finalising the policy, DADHC has taken into                           Thursday 16 July 2009
consideration all the feedback received                               9.00 am – 4.00 pm
during the consultation process.                                      North Sydney Leagues Club North
The Maintaining Respite Capacity Policy                               FREE
outlines the actions that DADHC will
undertake when a person with a disability                             Do you want to enhance the
stays in centre-based respite for longer                              cultural responsiveness of your
than planned, and restoration to the family                           current practices?
home is not possible.
                                                                      Who should attend? Community
DADHC acknowledges that sometimes                                     workers and service managers.
there are unavoidable reasons why a                                   Priority will be given to HACC
person overstays their allocated period of                            services. Registration:
time in centre-based respite. In other                                Helen McLachlan T: 8877 3517; E:
cases, the decision may be made by                          
families, because for a variety of reasons,                           au.
they can no longer support their family
member. It is acknowledged that these
decisions are not made lightly. Most people                           Disability Fact Sheets
in these situations work with DADHC to                                DADHC and MDAA have released
find realistic and suitable alternative                               a series of Fact Sheets explaining
solutions. DADHC prefers to work with                                 Disability terms. These are
people with a disability and their families to                        available in the following
restore family arrangements where that is                             languages: Arabic, Chinese,
possible.                                                             Croatian, Dari, Dinka, Farsi, Hindi,
                                                                      Indonesian, Korean, Macedonian,
The Maintaining Respite Capacity Policy is                            Serbian, Spanish, Turkish, and
available on the DADHC website at:                                    Vietnamese. They are available on                              the DADHC website at:
ity.                                                                  eople+with+a+disability/Disability+Ter
Implementation of the Maintaining Respite
Capacity Policy is mandatory for all
DADHC staff.

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                     page 16 of 18
                                                                      DADHC needs real life
Training & Resources                                                  examples of how funded
                                                                      NGOs & DADHC services
                                                                      make a difference in the lives
                                                                      of people with disabilities
                                                                      and their families.

                                                                      Q What do disability
                                                                      services providers actually
                                                                      do for people?
                                                                      A We help people to:
                                                                      get dressed     get to friends,
                                                                      shops, the footy         learn
                                                                      signs so they can make
                                                                      choices and communicate
                                                                                            learn to calm
Working with HACC clients from                                                  paint and dance
refugee-like backgrounds                                              get more comfortable & mobile with
A Resource Kit for HACC Service                                                   reduce pain
Providers in Cumberland/Prospect and                                                                   eat
Nepean Local Planning Areas and also the                              safely
Training Program Notes for Participants                                go on a holiday
can be downloaded from the DADHC                                               buy a new bike, swing
website in the section: Publications and                              or chair
Policies> Other and also in the                                       go to the beach, touch the
subsection>Ageing.                                                    waves…
                                                                                catch a bus, use money
The Resource Kit and Training Program
                                                                       phone home
Notes for Participants were produced as
                                                                                           ask for help
part of a project funded by the Australian
                                                                         get a job
and NSW Governments through the HACC
                                                                                  move out to a shared
Program. It was commissioned by DADHC
and undertaken by NSW Service for the
                                                                        work out a future plan
Treatment and Rehabilitation of Torture
and Trauma Survivors (STARTTS). The
author was Kathryn Knight.                                            Please see flyer attached

                                                                      Dementia is now the
                                                                      fourth highest cause
Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                   page 17 of 18
                                                                      If you are looking for this newsletter
of death in Australia.                                                on the Portal go to
Heart disease, stroke and                                             message>message search type
                                                                      newsletter in the title box then hit
lung cancer remain the                                                the button Search Messages.
top 3. (Alzheimer’s Australia report in                               If you are looking for past
their April newsletter Alzheimer’s                                    newsletters on HSNet go to the
Advocate, based on ABS Report March 09)                               section: newsletters.

Dementia Care – Making Choices                                        Newsletter Feedback
A new report commissioned by Alzheimer's
                                                                      Please email feedback about the
Australia and undertaken by Access
                                                                      newsletter to:
Economics was released in May. The                          
impacts of dementia are extraordinary and                             New Subscribers please email:
will grow as the numbers of people with                     
dementia inexorably grow to over 700,000
(in Australia) by mid century. The report is
called Making choices - Future dementia
care: projections, problems and
preferences (May 2009) and can be found

Accessible Cinemas
The Australian Government is expanding
the number of cinemas around Australia
with special equipment to enable access
for people with hearing and vision
Impairments. To view the full media
release with the list of cinemas, click on the

Senate Report into Residential
and Community Aged Care
The Senate Report was released in April
and the Australian Government is currently
considering its recommendations and
deliberations. The Report is available at:

Regional NEWSLETTER - June 2009
Metro North Regional Office Level 5, 93 George Street Parramatta NSW 2150
PH: 9841 9500                                                                     page 18 of 18

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