addressing the barriers:
Post on 23-Feb-2016
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FACULTY OF HEALTH SCIENCES
Addressing the barriers:People with a disability accessing mainstream and specific services in rural and remote areas
Wobbly Hub & Double Spokes Project
Angela Dew, Craig Veitch, Kim Bulkeley, Gisselle Gallego,
Anita Bundy, Michelle Lincoln, Scott Griffiths,
Jennie Brentnall, Richard Madden
Wobbly Hub and Double Spokes Project
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Project Aim:
›To develop, implement and evaluate evidence-based policies which will promote timely and effective therapy service delivery to people with a disability living in rural and remote communities
ADHC Western Region (WR) of NSW
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Identification of a problem
› Geographic distance / travel
› Dispersed service user population
› Recruitment and retention issues
› Demand for therapy outstripping supply of therapists
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Challenges in delivering therapy services to people with a disability in WR
www.grc.asn.au
Understanding the Current Situation
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Analysing Policy DocumentsReviewing Literature
Talking to 50 Senior Staff in WR and Head Offices
Talking to 97 Service Providers in WR
Talking to 78 Carers and 10 Adults with a Disability
in WR
LocalState
Policy context – Community Services
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Federal
Person centred
Whole of government
Early intervention
Capacity building & Strengths
based
Interagency collaboratio
n
Model of Person-Centred Therapy
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DRAFT
Interagency Collaboration
Person Centred Practice
Capacity building
Early Intervention
Strengths-based
State Local
Locality
DRAFT
Carer
Person
Education
Whole of government
Person Centred Practice
Strengths based
Capacity building
Early Intervention
Interagency Collaboration
Health
ADHC NGO
Cross BorderPrivate
Federal
“Tarquin”
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Town
DRAFT
Parents
Tarquin
Interagency Collaboration
Person Centred Practice
Capacity building
Early Intervention
Strengths-based
Community Health
Early Intervention NGO
Capital cityCross Border
Siblings
Rosie said………….
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› “I need instruction to be able to know what to do with Tarquin….to make sure what I’m doing are not things that are going to hurt him…that I’m getting the best out of him and I don’t feel that I’m getting that here at all locally.”
“I’m not prepared to accept that how he is right now is never going to change…I still think that there’s a lot of progress to be made…I don’t think he’s been given enough [early intervention] to say ‘this is as good as it’s going to get;.”
“Marcus”
1010
Town
DRAFT
Marcus
Strengths based
Person Centred Practice
Capacity building
Early Intervention
Interagency Collaboration
Supported work NGO
Lives independently with drop-in
support
Marcus said………….
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› “I got speech problems and went to a lady [speech pathologist] in [regional town] a long time ago before 1982. I get muddled up with trying to get money, they [bank tellers] don’t understand me. When I am on the phone it is hard for me. I have not been able to get help with my speaking…I’d like to get some help with talking and people understanding me.”
“I can’t read and write and I don’t know why…I do my best. I got help but the lady I went to moved on and it stopped. Is it too late? I am 59.
“Marcus”
1212
Town
DRAFT
Marcus
Strengths based
Person Centred Practice
Capacity building
Early Intervention
Supported work NGO
Lives independently with drop-in
support
So what can be done?
Improved therapy service delivery in rural and remote
areas
Therapy Assistants
Technology
Flexible models
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