New directions in Case Management The Case Management Framework

Transcription

1 New directins in Case Management The Case Management Framewrk NSW Department f Ageing, Disability and Hme Care August 2008

2 Dcument apprval The New Directins in Case Management : The Case Management Framewrk has been endrsed and apprved by: Lauren Murray Executive Directr, DADHC Apprved: 18 August 2008 Signature n file Dcument versin cntrl Distributin: DADHC CST staff Dcument name: New Directins in Case Management : The Case Management Framewrk Versin: Versin 2.0 Dcument status: Revised File name: Authring unit: New Directins in Case Management : The Case Management Framewrk Cmmunity Access Date: August 2008 August 2008 Page 1 f 19

3 Table f cntents 1 The case management framewrk What is case management? Why a new directin in case management? Hw will new directins in case management be implemented between ? Hw will peple be referred fr case management? What are the case management strategies available t Cmmunity Supprt Team Case Managers? Wh will receive case management? Hw will new directins in case management link t the brader service system? Hw will staff be supprted t implement new directins in case management? Appendix 1: What are cmpnents f case management? Appendix 2: What are the guiding principles that will drive case management practice in DADHC? Appendix 3: Sme examples f Packaged Supprts August 2008 Page 2 f 19

4 1 The case management framewrk The intentin f the case management framewrk is t clarify the purpse f case management and enhance the quality, respnsiveness and effectiveness f case management services in meeting the diverse needs f peple with a disability and their families. The cntext fr the case management framewrk is the Cmmnwealth Disability Services Act 1986, the NSW Disability Services Act 1993 and the NSW Gvernment s Strnger Tgether: A new directin fr disability services This dcument utlines the verarching plicy framewrk fr case management by Cmmunity Access staff in the Department f Ageing, Disability and Hme Care (DADHC) 1. Case management is the cre service delivery apprach t crdinating supprt services fr peple with a disability. The framewrk draws n extensive research in case management appraches used t assist peple negtiate cmplex service netwrks. It builds n recent cnsultatin abut the experience and practices f DADHC staff in case management and achieving utcmes. Change will ccur at multiple levels in bth the management and structure f case management. The implementatin f case management will be supprted by new peratinal prcedures and the adaptatin f current prcedures and business systems including the Client Infrmatin System (CIS). Onging supprt and training will be prvided t staff and managers. The case management framewrk prvides the mechanisms fr mre effective targeting f case management services and managing the demand fr specialist disability supprt services. 2 What is case management? Case management is: a cllabrative prcess in which an individual s needs are assessed, a plan is develped and services are agreed upn which are tailred t meet individual needs. Prgress is mnitred and reviewed; fcussed within DADHC n peple with a disability and their families; and prvided by prfessinal staff with apprpriate training, skills and experience. Case Management aims t: enhance the quality f life f the persn with a disability by assisting them t achieve their chsen lifestyles and life gals thrugh individualised planning and supprt crdinatin. DADHC Case Managers will wrk in partnership with the persn with a disability and their family r carers t identify and acknwledge their strengths and t develp a plan f supprt. The Case Manager then negtiates, crdinates and mnitrs the delivery f services based n that plan. A DADHC Case Manager has primary respnsibility fr crdinating the delivery f services and maintaining the client relatinship frm referral t clsure. 1 Further wrk will be undertaken n case management services prvided by nn gvernment rganisatins. August 2008 Page 3 f 19

5 Case Managers are skilled prfessinals with authrity t secure resurces frm departmental and funded services. The cre functins f case management 2 are: engagement and relatinship building; infrmatin cllectin and assessment; planning and priritisatin f needs; allcatin, develpment and negtiatin f resurces; implementatin f a plan; mnitring f the plan; and review f the plan, case clsure r reassessment. The nature, intensity and duratin f each f the cre functins f case management will vary fr each individual. The key cmpnents f case management are summarised at Appendix 1. 3 Why a new directin in case management? Many peple s experience f the disability service system is simple and straightfrward. Others find the system cmplex, fragmented (invlving multiple service prviders) and difficult t negtiate. Case management practice in DADHC is demanding, with a high prprtin f peple having intensive and cmplex needs. Mst ften DADHC prvided and DADHC funded services are priritised separately, peple repeat their stries multiple times and there are variable links between disability services and ther cmmunity service agencies (in the generalist system). Plans and service requests are develped fr the services prvided by Cmmunity Supprt Teams but ften there are independent prcesses fr DADHC prvided services and DADHC funded services. Case Managers currently negtiate with thse DADHC prvided services and DADHC funded services n a ne-n-ne basis t secure the supprt r services identified in a client s plan. There has been a lack f clarity regarding the purpse f case management and the rle f Case Managers. The current frmal plicy dcument is Operatinal Prcedures: Case C- 2 Adapted frm Bigby, C., Fyffe, C., & Ozanne E. (eds) 2007 Planning and Supprt fr Peple with Intellectual Disabilities Issues fr Case Managers and Other Prfessinals Jessica Kingsley Publishers, Lndn & Philadelphia. August 2008 Page 4 f 19

6 rdinatin and Case Management, Department f Cmmunity Services, Octber Greater clarity abut the purpse and rle f the Case Manager is required. Cnsequently, cnsiderable variatin exists in the mdel f case management prvided. In sme Cmmunity Supprt Teams the fcus has been almst exclusively n crisis management, while in ther Cmmunity Supprt Teams there has been a fcus n early interventin, building natural cmmunity supprts and access t generalist cmmunity supprts (e.g. Lcal Supprt Crdinatrs). The lack f an integrated apprach t case management has als raised issues f equity fr peple with a disability accessing services. Majr strengths f the current arrangements have been the access t Infrmatin Referral and Intake fficers at the initial request fr supprt and the respnsiveness f individual wrkers at the Cmmunity Supprt Team level, t ensure that peple with the greatest need, particularly thse in crisis, are identified as the highest pririty fr service. Case management will crdinate, integrate and actively manage supprt services fr peple with a disability. It will imprve utcmes fr peple with a disability as it will extend early interventin appraches and prvide better supprt t peple in daily living and participatin in the cmmunity. Best practice in case management will result in 3 : a greater rle fr peple with a disability and their families in determining the supprts they receive and hw they receive them (fcused n their individual strengths, gals and strengthening their wn netwrks); persn centred and persn directed appraches; family centred appraches when supprting children with a disability and their families; equitable use f resurces - resurces will be prvided in a planned, fair and transparent way; imprved crdinatin f infrmal and frmal supprts fr peple, including greater attentin n family supprts; cntinued prvisin f supprts in the least restrictive envirnment; a range f service respnses including preventin, early interventin and mre intensive supprt; simplified access t the disability service system; and crdinated and accuntable delivery, emphasising strng links between specialist disability services and generalist agencies (e.g. educatin and husing). A key driver behind the case management framewrk will be a greater fcus n an early identificatin and preventin apprach. Early interventin characterise(s) the way the NSW Gvernment appraches future plicy develpment and prgram design cnsidering all the ptins fr acting earlier t prevent (a prblem r issue) r t reduce its impact 4. Greater emphasis will be placed n mnitring and review t better identify changing circumstances and n encuraging early interventin t ensure crises d nt develp r are minimised. Implementatin f DADHC s case management framewrk will be integrated with the prvisin f expanded flexible supprts under Strnger Tgether: A new directin fr disability services and imprved crss agency crdinatin thrugh Better 3 NSW Gvernment s Strnger Tgether: A new directin fr disability services NSW Gvernment State Plan, A new directin fr NSW Nvember 2006, p 76. August 2008 Page 5 f 19

7 Tgether: A new directin t make NSW Gvernment services wrk better fr peple with a disability and their families The key principles which will drive the implementatin f case management in DADHC are summarised at Appendix 2. 4 Hw will new directins in case management be implemented between ? The implementatin f new directins in case management will be driven by five main rganising principles: the purpse f case management and the rle f Case Managers will be clearly defined and differentiated frm the rle played by ther prfessinals; there will be a greater emphasis n prfessinal case management practice; Case Managers will be supprted t wrk cllabratively with ther prfessins within an interdisciplinary apprach; the delivery f mre flexible types f supprt ( packages f supprt ) will be linked t peple s assessed and expressed need; and cntractual partnerships will be strengthened with DADHC funded service prviders and strnger partnerships will be negtiated with ther NSW human service agencies. 4.1 Clearly defined rle fr case management The key principles fr case management are: case management is a specific rle undertaken by Case Managers; case management perates frm an interdisciplinary apprach. Specialist services frm a range f disciplines (e.g. psychlgist, therapists) will be available t supprt Case Managers in undertaking assessments and ther rles; a persn with a disability shuld nt have mre than ne Case Manager at a time; a range f case management mdels shuld be utilised depending upn the intensity, nature and circumstances f client need with strategies ranging frm early identificatin and interventin, supprt crdinatin t intensive case management and crisis management; a persn centred and persn directed apprach t case management is adpted fr case management fr adults and fr children with a disability at perids f transitin, such as starting and leaving schl, leaving care r entering accmmdatin services; a family centred apprach t case management fr children with a disability, t increase family resilience and strengthen family links within their infrmal supprt netwrk and their lcal cmmunity; and 5 Better Tgether is a crss agency strategy t imprve services fr peple with a disability August 2008 Page 6 f 19

8 case management will initially fcus n accessing services in the wider generalist human service system and building n infrmal supprt netwrks, befre cnsidering the need fr specialist disability services prvided by the Department. 4.2 Increased fcus n prfessinal case management practice Prfessinal case management practice will be prmted thrugh: emplyment f experienced and qualified Case Managers; prviding a range f graded psitins; career paths fr Case Managers; reducing the span f cntrl fr managers f Case Managers; supprting prfessinal case management supervisin fr Case Managers and supervisin training fr supervisrs; creatin f a Senir Case Management Practitiner; prvisin f a training prgram which supprts the new directins f case management; and practice standards and guidelines, resurces and business systems t supprt staff. 4.3 Team Structure Case management will be delivered n a lcal basis where Case Managers wrk as part f a case management team and develp lcal netwrks. Team structure fr case management is dependent n the size f the Cmmunity Supprt Team wrkfrce in each regin. Fr Case Managers wrking in remte and islated areas, lcalised arrangements will prmte a sense f team membership t achieve an interdisciplinary apprach. Dedicated case management teams cmprised f Case Managers and a Cmmunity Access Manager will be established wherever pssible t prvide case management services t peple living in specific gegraphic areas. Specialist resurces frm a range f disciplines (e.g. speech pathlgy, psychlgy, behaviur supprt) will supprt Case Managers in a variety f rles, including interdisciplinary assessments and the delivery f services t supprt the implementatin f a plan. The specific fcus f these teams will be determined by pririty needs within thse lcalities (e.g. target grups, type f interventin). The Managers Access respnsible fr each f these teams will be respnsible fr ensuring interdisciplinary practice remains central t the way DADHC supprts peple with a disability. In rural areas, Lcal Supprt Crdinatrs will cntinue t facilitate the delivery f services in a client s lcal area by prviding individual needs analysis, persnal advcacy and cmmunity develpment wrk. The Casewrk Cnsultant (Children and Yung Peple) psitins in each regin will cntinue t facilitate the develpment and implementatin f systemic changes t imprve the quality f services t children and yung peple by prviding supprt, advice, mentring and caching t DADHC Case Managers and staff. The Reginal Optins Crdinatr psitins will cntinue t prvide service linkage t clients at Reginal Infrmatin Referral and Intake ffices. Cmmunity Supprt Team Case Managers will wrk cllabratively with Lcal Supprt Crdinatrs, Casewrk Cnsultants (Children and Yung Peple) and with Reginal Optins Crdinatrs as and when apprpriate. August 2008 Page 7 f 19

9 4.4 Packages f Supprt Strnger Tgether: A new directin fr disability services changes the way supprt is prvided fr peple with a disability and their families. A key part f this change is the intrductin f flexible packages f supprt: Services will be linked t need and packaged t enable peple t cntinue t live in their wn hme. Case Managers will help them achieve this gal by enabling access t a range f services. We will emphasise early interventin. (Strnger Tgether. p4) As part f this strategy supprt will be matched t peple s needs in a clear, equitable and predictable way and include cnsideratin f peple s infrmal supprt netwrks. Peple with a disability and their families will have greater clarity abut the supprt they can expect and when services will be available. The particular types f services that frm part f a persn with a disability s supprt packages will depend n their assessed and expressed needs. Cmprehensive assessments will include cnsideratin f the functinal abilities f the persn with a disability, their frmal and infrmal netwrks, their scial cntext (e.g. cultural and linguistic diversity, disadvantaged cmmunity r remte lcatin) and their lifestyles and aspiratins. Based n the assessed and expressed needs f the persn, Case Managers will package tgether different types f supprt t meet thse needs. This will draw tgether supprt frm a range f surces including services frm the generalist human service system, the specialist DADHC and DADHC funded nn-prfit disability supprts and infrmal scial supprts. The Case Manager will wrk acrss the spectrum f DADHC funded nn-prfit prviders and gvernment services as well as access discretinary mney (e.g. Family Assistance Fund, Flexible Family Supprt). The Case Manager will be accuntable fr: develping and maintaining a psitive and trusting prfessinal relatinship with the client; ensuring the cmpletin f a cmprehensive assessment; the develpment f a plan; the packaging tgether f a crdinated mix f services as identified in the persn s plan; and crdinatin, implementatin, mnitring and review. See examples f packages f supprt in Appendix Strengthened Service System T help reduce fragmentatin in the service system the Department will assist Case Managers t access services and maximise the capacity f the existing services by: building a strnger system t manage the funded services it cntracts with DADHC funded nn-prfit prviders; strengthening cmmunicatin between business streams within DADHC; and strengthening partnership arrangements with ther gvernment agencies. August 2008 Page 8 f 19

10 What ur new system will lk like. ELIGIBILITY CASE MANAGEMENT CONTACT ASSESSMENT CASE MANAGEMENT COMPREHENSIVE ASSESSMENT APPLICATION OF ASSSESSMENT TOOLS AND SCALES WHERE APPROPRIATE TO EVIDENCE CASE MANAGMENT SERVICES DETERMINE THE APPROACH TO CASE MANAGEMENT Shrt, medium r lng term, Supprt & Infrmatin, Intensive, Early Interventin & Preventin, Service Crdinatin, Immediate Respnse, Crisis. Planning fr Service Prvisin and Supprt This apprach is selected when there is an absence f life stage transitin r ther critical factrs. Family Centred Planning This apprach cnsiders bth the persn and their family r carer where the needs f thse wh are supprting the persn are cnsidered in rder t maintain and strengthen the family unit and supprt netwrk. Persn Centred Planning Adpted when supprting peple at perids f transitin, the primary fcus is n the persn. This planning prcess will identify persnal issues and cncerns that cntribute t challenges and identify a pathway t reslutin f thse issues. The Persn s Plan - detailing supprts and packaging Supprt and Referrals Packages August 2008 Page 9 f 19

11 5 Hw will peple be referred fr case management? Clients and their carers will be referred t DADHC Case Management when: 5.1 The client r carer has requested DADHC Case Management and has been deemed eligible fr DADHC Cmmunity Supprt Team services by the Reginal Intake Panel; and /r 5.2 An Infrmatin, Referral and Intake Officer has identified that the client s needs are best met by a DADHC Cmmunity Supprt Team Case Manager; and / r 5.3 The client is assessed by an Infrmatin, Referral and Intake Manager as meeting the criteria fr Immediate Respnse and is referred immediately fr case management, prir t eligibility fr service being determined by Intake; and / r 5.4 The persn is currently receiving services frm the Cmmunity Supprt Team and the therapist identifies with the persn that case management is required. The persn is referred directly fr case management service as an internal Cmmunity Supprt Team service request. 6 What are the case management strategies available t Cmmunity Supprt Team Case Managers? There are fur strategies describing hw case management is practised within DADHC Cmmunity Supprt Teams. The Case Manager develps the respnse accrding t the circumstances, nature and intensity f a persn s need. Case management Apprach Type f case management service Wh Strategies 1. Supprt Early interventin and Preventin Shrt term, cncentrated supprt may be indicated Supprt and Infrmatin (e.g. infrmatin kits, surces fr parent educatin, referral t parent, peer and sibling supprt netwrks) Referrals t generalist services Supprt the develpment f infrmal supprt netwrks Referral t specialist disability supprt services (e.g. small amunt f respite) Case Manager r Lcal Supprt Crdinatr r Infrmatin, Referral & Intake Officer, r Reginal Optins Crdinatr August 2008 Page 10 f 19

12 2. Service crdinatin Early interventin and Preventin Cncentrated supprt may be indicated Case management where interventin may be preventative Case Manager prvides infrmatin and supprt t access the generalist service system and specialist disability services Cllabrative partnerships fr the crdinatin f infrmal and frmal supprt netwrks Case Manager, r Lcal Supprt Crdinatr r Reginal Optins Crdinatr Mnitring, review & reassessment t minimise r reduce crisis 3. Cncentrated Service Early interventin and Preventin Cncentrated Supprt Case management invlving substantial negtiatin and crdinatin with stakehlders Lnger term case management Mnitring, review & reassessment t minimise r reduce crisis Case Manager, r Lcal Supprt Crdinatr 4. Immediate respnse Early Interventin and Preventin Intensive shrt term management and interagency crdinatin, usually initiated by a trigger Case Manager r Lcal Supprt Crdinatr Crisis Management Shrt term crisis plan befre lnger term plan and strategies identified 7 Wh will receive case management? The case management respnse will be decided after screening and assessment and will vary accrding t the needs f peple with a disability and their families and carers. Examples f peple wh may receive different strategies are utlined belw Case management Strategy Apprach Examples Supprt and infrmatin Early Interventin and Preventin Early interventin invlves taking a range f actins t prevent a prblem emerging thrugh early attentin t a prblem t stp it getting wrse, r t limit its impact. prviding supprt early 6. Shrt term cncentrated supprt may be indicated, where frequent and regular cntact will supprt self empwerment. Peple wh require minimal assistance t plan r rganise supprt services Peple wh require generalist and/r minimal specialist disability services (e.g. respite, time limited therapy) Family has supprts and capacity t withstand the current issue but needs guidance and directin. 6 In this cntext early interventin is defined as type f interventin which is relevant t all age grups, It is brader than early childhd interventin which supprts families with a child with a disability 6 years r under. August 2008 Page 11 f 19

13 Service crdinatin Preventin and Early Interventin Pssible cncentrated supprt indicated Peple with nging supprt needs wh need assistance t crdinate services and/r are high users f specialist disability supprts Peple whse needs are changing (e.g. due t ageing, serius illness, challenging behaviur) Children and adults at majr life transitins and/r mving between services: after diagnsis; transitin t schl frm early interventin; transitin t adult life; and ageing parent carer Parents with an intellectual disability Cncentrated case management Intensive Supprt is t reslve current situatin and t build resilience t meet future challenges Children and yung peple living with their family: at high risk f family breakdwn; and/r majr behaviural issues Yung peple wh are leaving Department f Cmmunity Services care. Children and yung peple with a disability wh are clients f the Juvenile Justice system Adults: living in independent accmmdatin withut strng family ties r scial supprts living with their family with majr behaviural issues and/r high physical supprt needs wh are subject t r at risk f abuse r explitatin with cmplex supprt needs, including yung peple in nursing hmes in repeated cntact with the criminal justice system August 2008 Page 12 f 19

14 with multiple cntacts with ther service systems that require crdinatin Immediate respnse Crisis management invlves the Case Manager taking a mre directive rle until there is a respnse t the immediate critical issue The fcus is n meeting basic needs and minimising risk Breakdwn in family placement Hmelessness Death f primary carer and n ther supprt netwrks Break dwn f current supprts Exclusin frm essential services Infants under 12 mnths Cntact with the Criminal Justice System 8 Hw will new directins in case management link t the brader service system? An imprtant factr which will shape the effectiveness f new directins in case management will be the availability f specialist disability supprts prvided directly by the Department and nn-prfit rganisatins. Strnger Tgether prvides the directin fr the future grwth in specialist disability supprts. Case Managers will need t supprt clients within a diverse system f funding specialist disability supprts: blck funded services (e.g. centre based respite, early childhd interventin services and day prgrams); services which are funded n an individual basis (e.g. Cmmunity Participatin); services funded accrding t unit csts t prvide a specific number f places (e.g. Intensive Family Supprt, Family Chices, Leaving Care); flexible funding packages (e.g. flexible respite); and discretinary funding (e.g. Family Assistance Fund and Lcal Supprt Crdinatin). August 2008 Page 13 f 19

15 9 Hw will staff be supprted t implement new directins in case management? Getting the structures and systems right Structures, supprt, crdinated delivery and gd gvernance Structures: supprt interdisciplinary appraches in DADHC; include capacity and increase the fcus fr early interventin; are designed fr metrplitan and rural and remte delivery; supprt new accuntabilities and spans f cntrl; and supprt partnerships. What we will d: Develp practice guidelines n interdisciplinary practice and early interventin; Realign the supprting business systems; Develp guidelines n caselad management, including cmplex cases; Develp case management strategies fr rural and remte areas. Getting supprt fr staff right Definitin and clarificatin f rles Case Managers have clear rles, spans f cntrl and accuntabilities within: DADHC and the disability specialist system; and Brader human service system (Department f Cmmunity Services, Husing, Educatin, etc). What we will d: Prepare detailed psitin descriptins fr Case Managers; Establish new reginal service level agreements with DADHC funded nn-prfit prviders; Establish a case management Memrandum f Understanding fr integrated supprt delivery fr peple with a disability (where DADHC has the lead case management rle). Prfessinalism perfrmance and building capabilities Staff rles are valued; Staff are trained and wrk as a team; Staff have the tls they need t d their jb (hlistic assessment, strengths based appraches); Staff have culturally apprpriate strategies; August 2008 Page 14 f 19

16 Staff wrk in partnership with ther agencies; and Staff receive the supervisin and supprt they need. What we will d: Implement flexible recruitment strategies in areas where it is hard t recruit ; Develp practice guidelines n prfessinal case management and supervisin; Develp a range f screening and assessment tls; Develp resurces n culturally cmpetent case management practice; Implement training packages (e.g. grup wrk with families, wrking with grief); and Build crss business stream appraches t wrking with DADHC funded nn-prfit prviders, including infrmatin sheets fr Case Managers n new services funded under Strnger Tgether. Getting the plicies and prcesses right Flexible plicies and systems Needs are priritised; Plicies supprt equitable delivery; and Plicies are flexible t respnd t individual need and changing/emerging needs. What we will d: Review and update case management practice plicies and prcedures; Develp a range f infrmatin packages (e.g. internet); Develp peratinal prcedures abut equitably allcating resurces; and Develp practice resurces abut the needs f specific pririty target grups (e.g. children and yung peple with autism). August 2008 Page 15 f 19

17 Appendix 1: What are cmpnents f case management? Engagement, infrmatin cllectin, assessment, planning and priritisatin f needs. 1. Engagement T nurture and develp a prfessinal and trusting relatinship with the client and family / carer. The prvisin f infrmatin. 2. Infrmatin Systematic cllectin f relevant infrmatin abut the persn and their frmal and infrmal supprt netwrks. 3. Assessment Cmprehensive assessment f the needs f the persn with a disability, determined in partnership with them, their families and ther relevant peple r services nminated by them. 4. Priritisatin f needs The prcess f identifying with the persn the rder in which their needs and service requests are addressed. Allcatin, develpment and negtiatin f resurces 5. Planning Gals, timeframes, frmal and infrmal resurces and desired utcmes are identified in partnership with the client. 6. Packaging supprts The Case Manager prpses a package f disability specialist and generalist supprt services which are allcated accrding t need. Implementatin, mnitring and review f supprt plans 7. Implementatin Active crdinatin and management f frmal supprt services acrss multiple prviders t ensure the persn receives the supprt required. Strnger partnerships with ther agencies and seamless service delivery. 8. Mnitring Mnitring prgress and ensuring that supprts are prvided in accrdance with the gals f the plan. Early identificatin f changes in the persn s circumstances r envirnment which may require adjustment f the plan t prevent the develpment f crisis situatins. 9. Review, reassessment and case clsure A review invlves a reassessment f the situatin f the persn with a disability and the apprpriateness f the current supprts. This may result in a reductin, an increase r change in supprts. August 2008 Page 16 f 19

18 Appendix 2: What are the guiding principles that will drive case management practice in DADHC? Case management will be undertaken in accrdance with the fllwing key principles. Persn Centred Planning (PCP) A prcess f listening t, and life planning fr individuals, based arund the principles f nrmalisatin and inclusin and the scial mdel f disability. The different styles f PCP are used t answer the questins What are yur capacities and gifts and what supprts d yu need t express them? Wh are yu and wh are we in yur life? What can we d tgether t achieve a better life fr yu nw and in the future? 7 Family Centred Apprach Fr children and their families case management is Family Centred which means that services strengthen and build the capacity f families t supprt children with a disability. 8 This apprach aims t increase family resilience and strengthen family links within their infrmal supprt netwrk and their lcal cmmunity. Fr adults with a disability case management practice must be sensitive t the views f the netwrk members hwever the adult with a disability is recgnised as the primary client. Infrmal and frmal supprts Packaging The Case Manager negtiates the interface f infrmal supprts and ther services generally available t any ther persn in the cmmunity. Supprting and develping natural r infrmal supprts fr a persn with a disability is critical. The bringing tgether f individually tailred frmal and infrmal supprts that are cmplementary and prmte quality f life cmparable t general cmmunity expectatins. Packaging may include funding. Mnitring and review will highlight transitinal adjustments that are required ver time. Interdisciplinary apprach The skills and experience f prfessinals frm a number f disciplines infrm the assessment, planning and implementatin f the client s chsen life plan and accmpanying needs. Inclusin Full and equal participatin in the cmmunity f peple with a disability and the prmtin f their valued status. Cllabratin Case Managers will develp effective partnerships with ther DADHC staff and ther parts f the human services and justice system fr psitive client 7 O Brien, J & O Brien C A Little Bk Abut Persn Centered Planning. Inclusin Press, Trnt. P C J Dunst and C M Trivette (1998). Current and prspective use f family-centred principles and practices in the early elementary grades. Orelena Hawks Puckett Institute, Nrth Carlina August 2008 Page 17 f 19

19 utcmes. Strengths-based Practice Strengths-based appraches recgnise that Every individual, every family, every cmmunity has strengths, assets and resurces T detect strengths yu must be genuinely interested in, and respectful f, clients stries, narratives and accunts Avid limitatins created by language, diagnses and assessments 9. Value fr mney Supprt services are cst effective and efficient, are underpinned by benchmarks and prduce demnstrable psitive utcmes fr clients. Evidence based practice Case management builds n gd practice within DADHC and ther agencies and n research findings which prvide evidence f measurable gains frm the practice fr the persn being supprted. 9 Saleeby,D 1999, The strengths perspective: principles and practices in Scial wrk prcesses, 6 th edn, eds BR Cmptn & B Galaway, Brks/Cle publishing, Pacific Grve, Cal., pp August 2008 Page 18 f 19

20 Appendix 3: Sme examples f Packaged Supprts Figure 2: Primary Schl-Aged By with Family Regular Respite (NGO) Behaviur Supprt Vacatin Care Speech Pathlgy Child & Family Siblings Supprt Prgram (NGO) DET Intensive Family Supprt (NGO) Figure 3: Yung Adult Wh Has Left Schl Figure 4: Middle Aged Persn with Older Parent Carer Transitin Infrmatin fr Family Transitin t Wrk (NGO) Regular stays with Sister Flexible Day Optins (NGO) Recreatin Grup Yung Adult & Family TAFE RSL Club Functins Persn & Family Carer Supprt C-rdinatin (NGO) Peer Supprt (NGO) Hme Care (DADHC) August 2008 Page 19 f 19