Making a difference through continuous care management and coordination

1
Making a difference through continuous care
management and coordination
Kate Harrington-OBrien Bendigo Community Health
Services
2004 VAADA CONFERENCE
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Bendigo Community Health Services

• Located in Central Goldfields area of Victoria
• Loddon Mallee Health Region covers 26 of the
  state
• Extensive range of A D services provided at a
  local, subregional, regional and cross regional
  level

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AD support services programs

• Withdrawal
• Adult residential withdrawal unit
• Home based withdrawal
• Post withdrawal
• Post withdrawal support programs
• Post withdrawal linkage program
• Housing support
• Supported accommodation
• Forensic supported accommodation
• Counselling
• 4 Cs
• Forensic

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Case study

• 34 year old male
• Referral source
• Principle drug cannabis
• Psychiatric history since 20s
• Family history alcoholic parents
• Relationship status separated
• Legal profile

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Referral and service coordination

• Internal/external communication
• systems
• PCP
• Psych services dual diagnosis worker
• Intake, response referral (internal)

6
Coordinating services
Original referral source
Withdrawal
Post withdrawal
Residential Rehabilitation
GP
Client
Mental Health Services
Counselling

• Housing Support

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Conclusion

• Client focused service provision
• Improve communication between service providers
• Establish effective internal and external
  referral pathways