Lifestyle Options

1
Lifestyle Options

• A Service Model
• for
• People with Disabilities

2
Background

• Sub committee comprising ACROD, VICNORD Carers
  Association
• Conducted questionnaire focus groups with
  people with disabilities, carers disability
  service providers
• Research findings were used as a basis to
  formulate the service model

3
Ideal Service Characteristics

• 24 hr, 7 day a week capacity
• Encourages spontaneous decision making
• Supports Self Determination
• Freedom
• Authority to direct own life choices and set
  priorities
• Support that is person directed
• Responsibility for wise use of resources

4
A Service System

• Should support the person to be
• Involved in the community
• Linked with specialist expertise in the
  community, and
• Able to mesh with other things going on in his or
  her life.

5
Support should be

• Flexible
• Provided by skilled, competent staff
• Able to respond to individual difference
• Specialist in nature, if required
• Portable if person moves home
• Able to provide continuity

6
The Support System should ensure that the person
is able to

• Find the right balance between dignity of
  risk-taking the need to feel safe
• Use a blend of unpaid paid support
• Support a relationship focus
• Maximize their participation in the community

7
Supporting family/carer needs

• The service system should
• Understand respond to the family/carers needs
• Be reliable, safe, stable predictable
• Provide relevant sound information for the
  family
• Provide minimal formal bureaucratic procedures
• Provide program options for the family that mesh
  with other things in their lives

8
The family/carer should

• Be seen as a legitimate source of information
• Not be expected to plug gaps in the service system

9
Emphasis towards life in the community

• Brokerage
• Advocacy Support
• Community Development
• Volunteers

Generic Community Services
Disability Specialist Services
10
The Model

• Universal Eligibility Screening

Case Management Advocacy Support as required
Common National Needs Assessment
Individual Funding Allocation
Self Managed Direct Funding
Person Centred Planning
Brokerage Service Navigation
Community Development
Service Delivery Recreation, Employment, Further
Education, Health, Justice
11
Eligibility Screening

• Agreement on a common process acceptable to both
  Commonwealth State Governments

12
Assessment

• Common process that is acceptable to both
  Commonwealth/State Governments
• Assesses needs in terms of support required to
  achieve an individuals goals
• Funding level is based on the assessment
• Identifies service purchase options
• Allows funding levels to be varied according to
  need
• Includes an appeal process

13
Allocating funding

• Self managed direct funding
• - personally accountable for dollars

• Brokerage
• Person centred planning
• Links person to generic specialist services
• Accountable for dollars

14
Service Delivery

• Focus on individual need choice
• Need to shift delivery from traditional day
  services to service support models
• Remove prescribed barriers to funding

15
Community Development

• Develop partnerships between disability generic
  services
• Create opportunities for people with disabilities
  to participate in the economic, cultural civic
  life of the community
• Reduce systemic barriers to full participation in
  the community
• Cultivate the capacity of the community to
  provide informal support

16
The Government Approach ..
Commonwealth

• Develop a national disability support system
  consistent approach across all levels of
  government
• Develop more effective framework for broad cross
  government policy development
• Introduce entitlement based funding program for
  disability support
• Initiate partnerships between government
  stakeholders

17
State Government

• Allocate budgets for
• Individualized funding packages
• Establishing Assessment Agencies
• Person Centred Planning Agencies
• Brokerage
• Provision of advisory and advocacy structures
• Specialist/therapy disability services
• Community development
• Whole of government infrastructure development
• Research development
• Justice Guardianship

18
Regional

• Implementation of assessment individual funding
  allocation for the person with a disability
• Support for person centered planning services
  offering various forms of brokerage, case
  management advocacy support to individuals
  families where appropriate
• Facilitate regional co-ordination cross LGA
  initiatives
• Monitor performance of each LGA in relation to
  disability planning service development
  responsibilities

19
Local Government

• Needs identification collation across each LGA
• Development of existing community infrastructure
  through well targeted community development
  initiatives
• Development of disability action plans that
  directly involve people with disabilities
• Outsource HACC programs and services to community
  organizations

20
In Summary

• The challenge for the disability service system
  is to develop service models that
• Are shaped by the needs, choices and aspirations
  of the individual
• Create frameworks for collective action that
  makes best use of available resources
• Focus attention on the exclusionary nature of
  social processes and structures within our
  communities