COMMUNITY REHAB NQ Community rehabilitation services for people with neurological conditions. For more information about CRNQ please call 4722 8700 SERVICES OFFERED Comprehensive reviews by all of the health professions. Physical Activity and Education Programs. Drive Your Own Recovery Programs. Aquatic Programs. Adapted Physical Activity Programs. Communication Programs. Singing Groups. Rehabilitation Counselling. Programs to assist people to participate in home, family and community. Programs that focus on improving the ability to think, reason, remember and communicate in daily activities. We are here ABOUT COMMUNITY REHAB NQ Community Rehab NQ is a community rehabilitation service for the people of northern Queensland. Services are for people with neurological conditions, such as stroke, brain injury, spinal cord injury, Parkinson s disease and Multiple Sclerosis. People experiencing mild to severe issues or concerns as a result of their neurological condition can be assisted by the service. THE TEAM: Physiotherapists; Occupational Therapists; Exercise Physiologists; Speech Pathologists; Registered Nurse; Dietitian; Neuropsychologist; Social Worker; Rehabilitation Assistant; and Indigenous Rehabilitation Assistant. Together with: University students of these professions. HOW SERVICES ARE OFFERED Individually or as a group. In the Community Rehab NQ Centre and in the community. Rural intensive e.g. every day for two to three weeks. Regular sessions e.g. three days a week for five weeks. Longer term programs e.g. over a three month period. Regular review of progress e.g. annual review and update. Great benefit to community. Well resourced, Friendly and approachable staff. Much needed facility. The information was helpful. Tailor made for individuals. I have learnt so much about my condition and now more capable of managing it appropriately. www.tmml.com.au Community Rehab NQ 16 Ryan Street Belgian Gardens Qld 4810 Belgian Gardens Qld 4810 t 07 4722 8700 f 07 4722 8799 ABN: 87063397231 Medicare Locals gratefully acknowledge the financial and other support from the Australian Government Department of Health (DoH)
Table of Contents TABLE OF CONTENTS... 1 REFERRAL FORM... 2 2015 CALENDAR OF CLINICAL SERVICES... 3 DESCRIPTION OF CLINICAL SERVICES... 4 INDIVIDUAL REHABILITATION SESSIONS... 5 GROUP SESSIONS... 6 Use your Arm in Everyday Tasks... 7 Balance & Mobility Circuit Class... 8 Walking Group... 9 Communication Group... 10 Everyday Activities - Workstations... 11 Singing Group... 12 Fit and Well Group... 13 Adapted Physical Activity Program (APAP)... 14 Aquatic Program... 15 My Story... 16 Have a goal, have a plan, have a go!... 17 Get Up & Go... 18 Keep it Up... 19 Cerebral Palsy Program... 20 Parkinson s Disease Program... 21 Multiple Sclerosis Program... 22 Spinal Cord Injury Program... 23 Stroke Program... 24 Brain Injury Program... 25 POST-DISCHARGE PROGRAM... 26 RURAL PROGRAM... 27 OUTREACH SERVICES... 28 Outreach Services to Palm Island... 29 Timetable for Visits to Palm Island... 30 Outreach Services to Charters Towers... 31 Timetable for Visits to Charters Towers... 32 Outreach Services to Ingham... 33 Timetable for Visits to Ingham... 34 Outreach Services to Ayr... 35 Timetable for Visits to Ayr... 36 SERVICE OVERVIEW... 37
Referral Form Note: Please complete all sections of this form in full. Name: Male Female DOB: Address: Card #: Suburb & Postcode: Medicare Card Details: Ref. #: Phone #: Expiry Date: Mobile #: Interpreter required? Yes No Ethnicity: Caucasian Aboriginal TSI South Sea Islander Specify language: Other Is this person under the Adult Guardian for the purpose of consent? Yes No Referrer s Name: Self Family/Friend Carer GP Medical Specialist Allied Health Professional Other please specify: Organisation (if appropriate): Phone #: Diagnosis: Reason for Referral: Current Location: Home Hospital Aged Care Facility Other please specify: Current Services Received: Inpatient Rehab Outpatient Rehab Community Health Allied Health Services Community Nursing Services Meals on Wheels Home Help Other please specify: Regular GP: Ability to Participate in Programs *This section to be completed by a Medical Officer* What level of physical demand is the person medically safe to work towards? Very low physical demand (e.g. Counselling for 1 hour, 2 x week *RPE 2) Low physical demand (e.g. Work in sitting, short walks 1 hour, 3 x week *RPE 3-4)) Moderate physical demand (e.g.walk, wheel, cycle leisurely, 1 hour, 3-5 X week *RPE 5-6) High physical demand (e.g. Walk, wheel, run, cycle, briskly > 1 hour, 5 X week *RPE 7-8) *RPE Borg s Rating of Perceived Exertion 0 10 scale. Are there precautions / restrictions / limitations that need to be observed during the program? Yes No If yes, please specify: Please attach the following: Health Summary or Discharge Summary Current Medications Summary Medical Officer s Name: Provider #: Signature: Contact Details: (Insert Stamp) Practice: Contact #: Date: Please refer URGENT conditions to the Nurse Consultant on telephone 4722 8700. Please complete & fax to CRnQ on 4722 8799 Along with any other relevant information e.g. Discharge Summary NOTE: CRnQ s Referral Form can be located on the TMML website at https://www.tmml.com.au/services/community-rehab-northern-queensland
2015 Calendar of Clinical Services 05/01/2015 to 18/12/2015 Services offered continuously throughout 2015 Individual Rehab Sessions Communication, Swallowing, Balance & Mobility, Arm in everyday tasks, Continence, Everyday Activities, Fitness, Swimming, Counselling, Health & Wellbeing. Availability Up to 5 times a week Intensive or distributed Group Programs Arm in Everyday Tasks Up to 3 times a week Balance & Mobility Circuit Walking Communication Everyday Activities Singing Health & fitness for people with neurological conditions Aquatic My Story an Indigenous specific self-management program Have a goal, have a plan, have a go! Self-management program for people with any neurological condition rolling start Get Up & Go Self-management program for older people who are ready to get out and about in the community following hip or knee replacements rolling start Condition-specific self-management programs 10 weeks Keep it up Independent practice sessions for ongoing participants Services offered within specific timeframes Up to 5 times a week Up to 3 times a week Up to 4 times a week Up to 5 times a week 1 x week Up to 5 times a week 3 x a week except June, July 1 x weekly 1x weekly 1x weekly Up to 4 times a week Dates 27/01/2015-03/04/2015 06/04/2015-12/06/2015 20/07/2015-25/09/2015 28/09/2015-04/12/2015 Package of services ~ 6-12 hrs a week Cerebral Palsy Parkinson s Multiple Sclerosis Spinal Cord Injury (e.g. Goals, communication Stroke Brain Injury (STEPS) Stroke Brain Injury (STEPS) mobility, everyday activities) Outreach Programs 5 weeks Dates 02/03 03/04 06/04 08/05 11/05 12/06 20/07 21/08 24/08 25/09 28/09 30/10 02/11 04/12 Charters Towers Palm Island Ingham Ayr Charters Towers Palm Island Ingham Tuesday full day 3
Description of Clinical Services 4
Individual Rehabilitation Sessions Community Rehab NQ offers individual rehabilitation sessions for people who have a neurological condition who would like to improve their function and quality of life. Sessions focus on activities such as communication, swallowing, balance & mobility, use of the arm in everyday tasks, continence, managing everyday activities, health and fitness, swimming, counselling, health & wellbeing. Individual sessions are available up to 8 hours a day, 5 times a week. Sessions are planned with the participant, to focus on their goals and priorities. Sessions may include assessment, interventions and / or education. A thorough assessment is provided at the start and end of their rehabilitation program. The team assists participants to identify realistic solutions to achieve their goal. A visit to the home or within the community is undertaken if required. Links are made with each individual s local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. Individual rehabilitation sessions are provided by a multidisciplinary team that includes Physiotherapists, Occupational Therapists, Exercise Physiologists, Speech Pathologist, Registered Nurse, Dietician, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: 16 Ryan Street in Belgian Gardens. When: Monday to Friday from 8.00am to 4.30pm. Accommodation: Can be arranged for people living outside of Townsville. 5
Group Sessions 6
Use your Arm in Everyday Tasks Community Rehab NQ offers a program for people who would like to improve their ability to use their arm and hand in everyday tasks. The program is designed for people who have upper limb activity limitations as a result of a neurological condition such as Stroke, Brain Injury, Multiple Sclerosis or Cerebral Palsy. The program runs for 3 sessions per week for 1 and a half hours each session. Sessions include physical activity and education. The program focuses on each person s goals and priorities. A thorough assessment is provided at the beginning and end of the program. The team assists participants to identify realistic solutions to achieve their goals. A visit to the home or within the community is undertaken if required. Links are made with each individual s local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is led by a Physiotherapist and an Occupational Therapist with support from the multidisciplinary team that includes Exercise Physiologists, Speech Pathologist, Registered Nurse, Dietician, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: 16 Ryan Street in Belgian Gardens. When: Monday, Wednesday & Friday from 9.00am 10.30 am. Accommodation: Can be arranged for people living outside of Townsville. 7
Balance & Mobility Circuit Class Community Rehab NQ offers a balance and mobility program, in a circuit class format, for people who have a neurological condition such as Stroke, Brain Injury, Parkinson s Disease or Multiple Sclerosis, who would like to improve their ability to participate in everyday life. It is also for people who have had a hip or knee replacement recently and are ready to get out and about. This class is available 5 days a week for 90 minutes each session. Participants can choose how many classes per week they would like to attend. Classes include physical activities that focus on balance and walking. The class focuses on each person s goals and priorities. The team assists participants to identify realistic solutions to achieve their goals. A visit to the home or within the community is undertaken if required. Links are made with each individual s local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is led by a Physiotherapist and Occupational Therapist with support from other members of the multidisciplinary team that includes Exercise Physiologists, Speech Pathologist, Registered Nurse, Dietician, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: 16 Ryan Street in Belgian Gardens. When: Monday, Tuesday, Wednesday, Thursday & Friday from 1.00pm 2.30 pm. Accommodation: Can be arranged for people living outside of Townsville. 8
Walking Group Community Rehab NQ offers an afternoon walking group. The walking group is suitable for people who would like to walk regularly. It is designed to assist people who have walking difficulties resulting from a neurological condition such as Cerebral Palsy, Stroke, Brain Injury, Parkinson s Disease or Multiple Sclerosis. It is also for people with mobility issues associated with ageing. The walking group runs 3 sessions per week for 1 hour each session. The group focuses on each person s goals and priorities. A thorough assessment is provided at the beginning and end of the program. The team assists participants to identify realistic solutions to achieve their goals. Links are made with each individual s local services and facilities. The program is delivered by an Exercise Physiologist and/or a Physiotherapist, and by University students of these professions. Where: When: Jezzine Barracks or Anzac Park, The Strand. Monday, Wednesday & Friday from 5.00pm 6.00 pm (Winter) or 5.30pm 6.30 pm (Summer). 9
Communication Group Community Rehab NQ offers a program for people who would like to improve their communication. This includes people who have difficulties with talking, understanding others, reading and writing, as a result of a neurological condition such as Stroke, Brain Injury, Parkinson s Disease or Multiple Sclerosis. This program is available 4 days a week for 1 hour each session. Participants can choose how many times per week they would like to attend. The program focuses on each person s goals and priorities. The team assists participants to identify realistic solutions to achieve their goals. A visit to the home or within the community is undertaken if required. Links are made with each individual s local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is led by a Speech Pathologist with Speech Pathology students and with support from other members of the multidisciplinary team which includes Occupational Therapists, Psychologists, Physiotherapists, Exercise Physiologists, Speech Pathologist, Registered Nurse, Dietician, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: 16 Ryan Street in Belgian Gardens. When: Monday, Tuesday, Wednesday & Friday 9.00 am 10.00 am. Accommodation: Can be arranged for people living outside of Townsville 10
Everyday Activities - Workstations Community Rehab NQ offers a group program for people who wish to improve their ability to perform everyday activities. This program is run in a workstation format and is designed for people who have a neurological condition such as Stroke, Brain Injury, Parkinson s disease or Multiple Sclerosis. It is also for people having difficulties with everyday activities due to ageing. This program is available 4 days a week for 90 minutes each session. Participants can choose how many classes per week they would like to attend. The program focuses on each person s goals and priorities. The team assists participants to identify realistic solutions to achieve their goals. A visit to the home or within the community is undertaken if required. Links are made with each individual s local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is led by a Physiotherapist and Occupational Therapist, with support from other members of the multidisciplinary team, that includes Exercise Physiologists, Speech Pathologist, Registered Nurse, Dietician, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: 16 Ryan Street in Belgian Gardens. When: Monday, Tuesday, Wednesday & Friday from 10.30am 12.00 noon. Accommodation: Can be arranged for people living outside of Townsville. 11
Singing Group Community Rehab NQ offers a social singing group for people with communication difficulties. The aim of the singing group is to encourage participation and interaction in a comfortable and supportive environment. Singers of any ability are welcome. The singing group runs for 1 session per week for 1 hour each session. The group incorporates posture, breathing and vocal exercises along with singing. Participants are provided with a folder with education resources and handouts for warm-up activities and song lyrics. The singing group is delivered by a Speech Pathologist, Occupational Therapist, and University students of these professions. Support persons / partners / family members are encouraged to attend. Where: 16 Ryan Street in Belgian Gardens. When: Friday from 3.00 4.00 pm. 12
Fit and Well Group Community Rehab NQ offers a health and fitness program which includes education about a healthy lifestyle as well as physical activity sessions. The focus is on being fit and well through a healthy diet and a physically active lifestyle. The program runs for 2 sessions per week for 1 hour each session. Each session involves education and physical activity. The program focuses on each person s goals and priorities. A thorough assessment is provided at the beginning and end of the program. The team assists participants to identify realistic solutions to achieve their goals. A visit to the home or within the community is undertaken if required. Links are made with each individual s local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is led by an Exercise Physiologist and Dietician with support from the multidisciplinary team which includes Physiotherapists, Occupational Therapists, Speech Pathologist, Registered Nurse, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: 16 Ryan Street in Belgian Gardens. When: Tuesdays 2:00pm 4:00pm, Thursdays 3:00pm 4:00pm. Accommodation: Can be arranged for people living outside of Townsville 13
Adapted Physical Activity Program (APAP) Community Rehab NQ offers an individually tailored physical activity program for people who have a disability as a result of a neurological condition such as Stroke, Brain Injury, Parkinson s Disease or Multiple Sclerosis. Physical activity means any movement of the body that results in burning calories e.g. walking the dog, going shopping, and working out at the gym. The program runs for 1 session per week. Sessions include physical activity and education. The program focuses on each person s goals and priorities. A thorough assessment is provided at the beginning and end of the program. The team assist participants to identify realistic solutions to achieve their goals. A visit to the home or within the community is undertaken if required. Links are made with each individual s local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is led by an Exercise Physiologist with support from the multidisciplinary team that includes Physiotherapists, Occupational Therapists, Speech Pathologist, Registered Nurse, Dietician, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: 16 Ryan Street in Belgian Gardens. When: Ongoing. 14
Aquatic Program Community Rehab NQ offers an aquatic program for people who have a neurological condition such as Stroke, Brain Injury, Parkinson s disease, Multiple Sclerosis or Cerebral Palsy. It is also for people who have had a hip and knee replacement recently and wish to get out and about. The program is designed for people who would like to return to swimming or who could benefit from activity in a reduced load-bearing warm environment. This program is available 3 days a week for 45 minutes each session. Participants can choose how many times they attend per week. The program focuses on each person's goals and priorities. A thorough assessment is provided at the beginning and end of the program. The team assists participants to identify realistic solutions to achieve their goals. A visit to the home or within the community is undertaken if required. Links are made with each individual's local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is led by a Physiotherapist and an Exercise Physiologist with support from other members of the multidisciplinary team that includes Occupational Therapists, Speech Pathologist, Registered Nurse, Dietician, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: When: Cost: Kokoda Memorial Pool, Wellington Street, Aitkenvale. Monday, Wednesday and Friday from 1.00pm 2.00pm. Adults: $4.50, Concession: $3.50 - Per Session. Adults: $40.00, Concession: $30.00 - Ten Session Pass. 15
My Story Community Rehab NQ offers a program called My Story for Indigenous people who have a disability as a result of a neurological condition such as Polio, Cerebral Palsy, Stroke or Parkinson s disease. The program is delivered by the Indigenous Rehabilitation Assistant. 'My Story' picture cards are used to help the participant to tell their own story and to assist in overcoming barriers that could be caused by language and culture. The 'My Story' picture cards are used to identify what really matters to the individual so that they can work on these things whilst at Community Rehab nq. A program is designed with the participant, tailored to their goals and priorities. Each participant compiles a journal to guide them to work towards their goals at home. Family members are welcome to attend. My Story is led by the Indigenous Rehabilitation Assistant with support from the multidisciplinary team. Where: 16 Ryan Street in Belgian Gardens. When: Thursday from 12.30pm 2.30 pm. 16
Have a goal, have a plan, have a go! This program runs in conjunction with all other programs. Participants are guided to set their goals, plan how to achieve their goals and then supported to 'have a go at their goal. Participants review their progress, to identify both opportunities available and barriers to overcome, to achieve their goals. Barriers may include difficulties with motivation, thinking, reasoning or remembering, communicating, walking or getting from place to place. The program runs for 1 hour per week. The program focuses on each person s goals and priorities. Participants generally participate in a range of other programs to work towards achieving their goals (e.g. communication mobility, everyday activities, health and fitness). A positive approach is used to help overcome any needs/barriers identified. Links are made with each individual s local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is delivered by a multidisciplinary team that includes Physiotherapists, Occupational Therapists, Exercise Physiologists, Speech Pathologist, Registered Nurse, Dietician, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: 16 Ryan Street in Belgian Gardens. When: Monday or Friday 11.00am 12:00pm, Wednesday 2:30pm 3:30pm 17
Get Up & Go The Get Up and Go program is designed for people who are ready to get out and about in the community following hip or knee replacements. The program runs in conjunction with all other programs. Participants are guided to set their goals, plan how they will achieve their goals and then supported to 'have a go at their goal. Participants review their progress to identify both opportunities available and barriers to overcome to achieve their goals. The program runs for 1 hour per week. The program focuses on each person s goals and priorities Participants generally participate in a range of other programs to work towards achieving their goals (e.g. balance and mobility, everyday activities, health and fitness). A positive approach is used to help overcome any needs/barriers identified. Links are made with each individual s local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is led by a Physiotherapist and Occupational Therapist with support from the multidisciplinary team that includes Exercise Physiologists, Speech Pathologist, Registered Nurse, Dietician, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: 16 Ryan Street in Belgian Gardens. When: Wednesdays from 11.00am to 12.00noon. 18
Keep it Up Community Rehab NQ offers the Keep it Up Club for people who would like to practice their activities independently but in a group environment. It is designed for people who have been provided with their own program to work on independently. A staff member is available to assist participants as required, so that they are able to continue to drive their own recovery in a safe environment with minimal supervision. The program is available for 2 afternoon and 2 morning sessions per week for 1 hour each session. The program is supervised by a Rehab Assistant, with a Physiotherapist, and/or Exercise Physiologist, and/or Occupational Therapist being available as needed. Where: When: 16 Ryan Street in Belgian Gardens. Tuesday & Friday from 9.00am 10.00am, and Monday & Wednesday from 3:00pm 4:00pm. 19
Cerebral Palsy Program Community Rehab NQ offers a self-management program for people who have Cerebral Palsy and who would like to improve their function and quality of life. This program runs in conjunction with all other programs. Participants are guided to set their goals, plan how they will achieve their goals and then supported to 'have a go at their goal. This program consists of an 10 week package of services consisting of 2 12 hours a week. The package is designed with each participant, tailored to their goals and priorities. All participants attend self-management sessions for 2 hours a week. All participants are offered a range of other activity and education sessions that include communication, mobility, everyday activities and health and fitness. The team assists participants to identify realistic solutions to achieve their goals. A visit to the home or within the community is undertaken if required. Links are made with each individual s local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is delivered by a multidisciplinary team that includes Physiotherapists, Occupational Therapists, Exercise Physiologists, Speech Pathologist, Registered Nurse, Dietician, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: 16 Ryan Street in Belgian Gardens. When: Wednesday from 10.00am 12.00noon (additional sessions as required). Accommodation: Can be arranged for people living outside of Townsville. 20
Parkinson s Disease Program Community Rehab NQ offers a self-management program for people with Parkinson s Disease and who would like to improve their function and quality of life. This program runs in conjunction with all other programs. Participants are guided to set their goals, plan how they will achieve their goals and then supported to 'have a go at their goal. This program consists of an 10 week package of services consisting of 2 12 hours a week. The package is designed with each participant, tailored to their goals and priorities. All participants attend self-management sessions for 2 hours a week. All participants are offered a range of other activity and education sessions that include communication, mobility, everyday activities and health and fitness. The team assists participants to identify realistic solutions to achieve their goals. A visit to the home or within the community is undertaken if required. Links are made with each individual s local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is delivered by a multidisciplinary team that includes Physiotherapists, Occupational Therapists, Exercise Physiologists, Speech Pathologist, Registered Nurse, Dietician, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: 16 Ryan Street in Belgian Gardens. When: Wednesday from 10.00am to 12.00noon (additional sessions as required). Accommodation: Can be arranged for people living outside of Townsville. 21
Multiple Sclerosis Program Community Rehab NQ offers a self-management program for people with Multiple Sclerosis and who would like to improve their function and quality of life. This program runs in conjunction with all other programs. Participants are guided to set their goals, plan how they will achieve their goals and then supported to 'have a go at their goal. This program consists of an 10 week package of services consisting of 2 12 hours a week. The package is designed with each participant, tailored to their goals and priorities. All participants attend self-management sessions for 2 hours a week. All participants are offered a range of other activity and education sessions that include communication, mobility, everyday activities and health and fitness. The team assists participants to identify realistic solutions to achieve their goals. A visit to the home or within the community is undertaken if required. Links are made with each individual s local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is delivered by a multidisciplinary team that includes Physiotherapists, Occupational Therapists, Exercise Physiologists, Speech Pathologist, Registered Nurse, Dietician, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: 16 Ryan Street in Belgian Gardens. When: Wednesday from 10.00am to 12.00noon (additional sessions as required). Accommodation: Can be arranged for people living outside of Townsville. 22
Spinal Cord Injury Program Community Rehab NQ offers a self-management program for people with Spinal Cord Injury and who would like to improve their function and quality of life. This program runs in conjunction with other programs. Participants are guided to set their goals, plan how they will achieve their goals and then supported to 'have a go at their goal. This program consists of an 10 week package of services consisting of 2 12 hours a week. The package is designed with each participant, tailored to their goals and priorities. All participants attend self-management sessions for 2 hours a week. All participants are offered a range of other activity and education sessions that include mobility, everyday activities and health and fitness. The team assists participants to identify realistic solutions to achieve their goals. A visit to the home or within the community is undertaken if required. Links are made with each individual s local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is delivered by a multidisciplinary team that includes Physiotherapists, Occupational Therapists, Exercise Physiologists, Speech Pathologist, Registered Nurse, Dietician, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: 16 Ryan Street in Belgian Gardens. When: Wednesday from 10.00am to 12.00noon (additional sessions as required). Accommodation: Can be arranged for people living outside of Townsville. 23
Stroke Program Community Rehab NQ offers a self-management program for people with Stroke who would like to improve their function and quality of life. This program runs in conjunction with other programs. Participants are guided to set their goals, plan how they will achieve their goals and then supported to 'have a go at their goal. This program consists of a 10 week package of services consisting of 2 12 hours a week. The package is designed with each participant, tailored to their goals and priorities. All participants attend self-management sessions for 2 hours a week. All participants are offered a range of other activity and education sessions that include communication, mobility, everyday activities and health and fitness. The team assists participants to identify realistic solutions to achieve their goals. A visit to the home or within the community is undertaken if required. Links are made with each individual s local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is delivered by a multidisciplinary team that includes Physiotherapists, Occupational Therapists, Exercise Physiologists, Speech Pathologist, Registered Nurse, Dietician, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: 16 Ryan Street in Belgian Gardens. When: Friday from 10.00am to 12.00noon (additional sessions as required). Accommodation: Can be arranged for people living outside of Townsville. 24
Brain Injury Program Community Rehab nq offers a self-management program for people who have an Acquired Brain Injury (ABI). This program, titled Skills To Enable People and Communities (STEPS), is a Queensland-wide program run through the Acquired Brain Injury Outreach Service (ABIOS). The program involves group discussions. This program runs in conjunction with other programs. The STEPS program runs 1 session per week for 6 weeks for 2 hours each session and is augmented by other programs as required. All participants are offered a range of other activity and education sessions that include communication, thinking and memory, mobility, everyday activities and health and fitness. Each participant receives a manual to work through. The program is co-facilitated by a health professional and a person who has experienced an ABI. Support persons / partners / family members are invited to attend and participate. Topics include: Understanding brain injury. How I look after myself, including stress management, managing risks and goal setting. How I live in the community, including relationships, activities in the community, and working with services. Participants are invited to join a Townsville based social network following the program. Where: 16 Ryan Street in Belgian Gardens. When: Friday from 10.am to 12 noon. Accommodation: Can be arranged for people living outside of Townsville. 25
Post-discharge Program (Intensive rehabilitation for people recently discharged from hospital) Community Rehab nq offers tailored assessment and intervention programs for people who have been recently discharged from hospital, particularly people who have had a Stroke, Brain Injury, Spinal Cord Injury or Guillian Barre. This program includes individual rehabilitation sessions as well as group programs. A comprehensive assessment is provided by the multidisciplinary team. A 3 5 week intensive program is tailored to the individual's goals and priorities (with the option to extend if indicated). Sessions are provided Monday Friday and may include assessments, individualised training, education and self-management strategies. The team assists participants to identify realistic solutions to achieve their goal. Links are made with each individual's local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is delivered by a multidisciplinary team that includes Physiotherapists, Occupational Therapists, Exercise Physiologists, Speech Pathologist, Registered Nurse, Dietician, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Where: 16 Ryan Street in Belgian Gardens. When: Monday to Friday Accommodation: Can be arranged for people living outside of Townsville. 26
Rural Program (For people who reside in rural and remote locations in northern Queensland) Community Rehab nq provides intensive rehabilitation, in Townsville, for people from rural and remote areas of northern Queensland. Arrangements are made for participants and a companion to stay in accommodation nearby. The program is for people who have a disability as a result of neurological conditions such as Polio, Cerebral Palsy, Stroke or Parkinson's disease. Participants are guided to set their goals, plan how they will achieve their goals and then supported to 'have a go at their goal. A comprehensive assessment is provided by the multidisciplinary team. A 2 3 week intensive program is tailored to the individual's goals and priorities (with the option to extend if indicated). Sessions are provided Monday Friday and may include further assessments, individualised training, education and self-management strategies. The team assists participants to identify realistic solutions to achieve their goals. Links are made with each individual's local services and facilities. Each participant compiles a journal to guide them to work towards their goals at home. The program is delivered by a multidisciplinary team that includes Physiotherapists, Occupational Therapists, Exercise Physiologists, Speech Pathologist, Registered Nurse, Dietician, Psychologist, Neuropsychologist, Social Worker and an Indigenous Rehabilitation Assistant, and by University students of these professions. Follow-up reviews, by telephone or videoconference, are available after returning home. Where: 16 Ryan Street in Belgian Gardens. Transport/Accommodation: Patient Travel Subsidy Scheme (PTSS). (PTSS forms to be completed before travel to Townsville. 3 star apartment style accommodation nearby) 27
Outreach Services 28
Outreach Services to Palm Island Community Rehab nq provides outreach services to Palm Island. These services consist of individual and group sessions as well as out and about sessions in the community. The services are for people with disabilities, in particular those with neurological conditions such as Stroke, Acquired Brain Injury and Polio. Sessions are held in the PCYC in the morning to help with balance and walking, thinking, memory, talking and listening. Out and about sessions occur after lunch and include visits to the home or community, such as to the shops, art centres, jetty, or beach, riding a bike, swimming or working out at the gym. The purpose of the out and about sessions is to help people with disabilities to participate in family and community. Outreach services to Palm Island run every Tuesday for 5 weeks, in April and October. In between April and October, services are provided every 2 nd Tuesday of the month. Sessions include physical activity, memory and thinking, talking and listening. The 'out and about' sessions focus on what really matters to each person. A thorough assessment is provided at the beginning and end of the program. Links are made with each individual's local services and facilities. Each participant compiles a journal to help them continue to work towards their goals within their home and community. The program is delivered by the Indigenous Rehab Assistant, Physiotherapists, Occupational Therapists and Speech Pathologists and sometimes University students. Where: When: PCYC, Palm Island. Every 2 nd Tuesday of the month and weekly in April and October. For more information please contact HACC staff at Joyce Palmer Health Service on 47525101, or 29
Timetable for Visits to Palm Island February December 2015 Date Type of visit Purpose of visit 10 th February Monthly visit 10 th March Monthly visit 7 th April Weekly Visit at PCYC & in community 5 Week Intensive 14 th April Weekly Visit at PCYC & in community 21 st April Weekly Visit at PCYC & in community 28 th April Weekly Visit at PCYC & in community 5 th May Weekly Visit at PCYC & in community 12 th May Monthly visit 9 th June Monthly visit 14 th July Monthly visit 11 th August Monthly visit 8 th September Monthly visit Intensive program to get people started when they have had a set-back. This may be people who have had a stroke, brain injury, Parkinson s Disease or others who have problems with balance or problems talking and listening. 29 th September Weekly visit at PCYC & in community 5 Week Intensive 6 th October Weekly visit at PCYC & in community 13 th October Weekly visit at PCYC & in community 20 th October Weekly visit at PCYC & in community 27 th October Weekly visit at PCYC & in community 10 th November Monthly visit 8 th December Christmas Party Intensive program to get people started when they have had a set-back. This may be people who have had a stroke, brain injury, Parkinson s Disease or others who have problems with balance or problems talking and listening. Visits are routinely on the second Tuesday of the month. Twice a year an intensive program is offered. A maximum of three people from Community Rehab nq attend each visit. The Indigenous Rehab Assistant may be accompanied by a Physiotherapist, Occupational Therapist, Speech Pathologist, as required. JCU students may also attend. For further information please call Marayah Taylor, Indigenous Rehab Assistant on 47228700 30
Outreach Services to Charters Towers Community Rehab nq provides outreach services to Charters Towers. These services consist of individual and group sessions as well as out and about sessions in the community. The services are for people with neurological conditions such as Stroke, Acquired Brain Injury, Parkinson s Disease and Polio as well as for people having difficulties with mobility, communication and activities of daily living due to ageing. Morning sessions are held at the PCYC to help with balance and walking, thinking, memory, talking and listening. Out and about sessions occur after lunch and include visits to the home or community, such as to the shops, art centres, or might involve riding a bike, swimming or working out at the gym. The purpose of the out and about sessions is to help people to participate in family and community. Outreach services to run every Tuesday for a 5 week period, in March and September. In between March and September, services run on the 1 st Tuesday of the month. Sessions include physical activity, memory and thinking, talking and listening. The 'out and about' sessions focus on what really matters to each person. A thorough assessment is provided at the beginning and end of the program via telehealth. Links are made with each individual's local services and facilities. Each participant compiles a journal to help them continue to work towards their goals within their home and community. The program is delivered by the Physiotherapists, Occupational Therapists and Speech Pathologists and sometimes University students. Where: When: PCYC, Charters Towers Every 1st Tuesday of the month and every Tuesday in March and September For more information please contact 31
Timetable for Visits to Charters Towers February December 2015 Date Type of visit Purpose of visit 3 rd March Weekly Visit 10 th March Weekly Visit 17 th March Weekly Visit 24 th March Weekly Visit 31 st March Weekly Visit 5 Week Intensive Intensive program to get people started with a rehab program. This may be people who are living with a neurological condition or others who have problems with balance or mobility due to aging. The focus of this intensive is to work towards goals set by participants. 7 th April Monthly Visit 5 th May Monthly Visit 2 nd June Monthly Visit 7 th July Monthly Visit The aim of these sessions is to follow up with participants with regard to how their progress with learnt skills and activities in the home and community environment. 4 th August Monthly Visit 25 th August Weekly Visit 1 st September Weekly Visit 8 th September Weekly Visit 15 th September Weekly Visit 22 nd September Weekly Visit 5 Week Intensive Intensive program to get people started with a rehab program. This may be people who are living with a neurological condition or others who have problems with balance or mobility due to aging. The focus of this intensive is to work towards goals set by participants. 6 th October Monthly Visit 3 rd November Monthly Visit 1 st December Monthly Visit Visits are routinely on the first Tuesday of the month. Twice a year an intensive program is offered. A maximum of three people from Community Rehab nq attend each visit. This may include a Physiotherapist, Occupational Therapist or Speech Pathologist, as required. JCU students may also attend. For further information please call Reception on 47228700 32
Outreach Services to Ingham Community Rehab nq provides outreach services to Ingham. These services consist of individual and group sessions as well as out and about sessions in the community. The services are for people with neurological conditions such as Stroke, Acquired Brain Injury, Parkinson s Disease and Polio as well as for people having difficulties with mobility, communication and activities of daily living due to ageing. Morning sessions are focussed on helping with balance and walking, thinking, memory, talking and listening. Out and about sessions occur after lunch and include visits to the home or community, such as to the shops, art centres, or might involve riding a bike, swimming or working out at the gym. The purpose of the out and about sessions is to help people to participate in family and community. Outreach services run every Tuesday for a 5 week period, in May and November. Follow up appointments via tele-health are provided outside intensive visits. The 'out and about' sessions focus on what really matters to each person. A thorough assessment is provided at the beginning and end of the program, conducted via tele-health or in person if participants are able and willing to travel to Townsville. Links are made with each individual's local services and facilities. Each participant compiles a journal to help them continue to work towards their goals within their home and community The program is delivered by a Physiotherapist, Occupational Therapist and Speech Pathologist and sometimes University students. Where: When: Hinchinbrook Community Support Centre, Townsville Rd. Every Tuesday in May and November. For more information please contact 33
Timetable for Visits to Ingham February December 2015 Date Type of visit Purpose of visit 12 th May Weekly Visit 19 th May Weekly Visit 26 th May Weekly Visit 2 nd June Weekly Visit 5 Week Intensive Intensive program to get people started with a rehab program. This may be people who are living with a neurological condition or others who have problems with balance or mobility due to aging. The focus of this intensive is to work towards goals set by participants. 9 th June Weekly Visit 3 rd November Weekly Visit 10 th November Weekly Visit 17 th November Weekly Visit 24 th November Weekly Visit 5 Week Intensive Intensive program to get people started with a rehab program. This may be people who are living with a neurological condition or others who have problems with balance or mobility due to aging. The focus of this intensive is to work towards goals set by participants. 1 st December Weekly Visit Twice a year an intensive program is offered. A maximum of three people from Community Rehab nq attend each visit. A Physiotherapist, Occupational Therapist and/or Speech Pathologist attend as required. JCU students may also attend. For further information please call Reception on 4722 8700. 34
Outreach Services to Ayr Community Rehab nq provides outreach services to Ayr. These services consist of individual and group sessions as well as out and about sessions in the community. The services are for people with neurological conditions such as Stroke, Acquired Brain Injury, Parkinson s Disease and Polio as well as for people having difficulties with mobility, communication and activities of daily living due to ageing. Morning sessions are focussed on helping with balance and walking, thinking, memory, talking and listening. Out and about sessions occur after lunch and include visits to the home or community, such as to the shops, art centres, or might involve riding a bike, swimming or working out at the gym. The purpose of the out and about sessions is to help people to participate in family and community. Outreach services run every Tuesday for a 5 week period, in August. Follow up appointments via tele-health are provided as required outside intensive visits. Sessions include physical activity, memory and thinking, talking and listening. The 'out and about' sessions focus on what really matters to each person. A thorough assessment is provided at the beginning and end of the program, conducted via tele-health or in person if participants are able and willing to travel to Townsville. Links are made with each individual's local services and facilities. Each participant compiles a journal to help them continue to work towards their goals within their home and community. The program is delivered by a Physiotherapist, Exercise Physiologist, Occupational Therapists and Speech Pathologists and sometimes University students. Where: When: Burdekin Centre for Rural Health, Chippendale Street. 21 st July- 18 th August. For more information please contact 35
Timetable for Visits to Ayr February December 2015 Date Type of visit Purpose of visit 21 st July Weekly Visit 28 th July Weekly Visit 4 th August Weekly Visit 11 th August Weekly Visit 5 Week Intensive Intensive program to get people started with a rehab program. This may be people who are living with a neurological condition or others who have problems with balance or mobility due to aging. The focus of this intensive is to work towards goals set by participants. 18 th August Weekly Visit Once a year an intensive program is offered. A Physiotherapist, Exercise Physiologist, Occupational Therapist and/or Speech Pathologist attend as required. JCU students may also be involved in service provision. For further information please call Reception on 4722 8700. 36
Service overview Name of Service Organisation Location Auspicing Body Community Rehab nq Northern Queensland Primary Health Network and James Cook University 16 Ryan St, Belgian Gardens Northern Queensland Primary Health Pty Ltd (formerly Townsville-Mackay Medicare Local) Contact Details 16 Ryan Street, Belgian Gardens Qld 4810, Belgian Gardens Qld 4810 Telephone: 07 4722 8700 Fax: 07 4722 8799 Email: admincrnq@tmml.com.au Hours of Operation Target Group Catchment Area Vision Mission Regular Hours: 8:00am - 4:30pm Monday - Friday Extra Hours: 4:30pm 7:00pm Fitness and Walking Groups > 16 years of age. People with neurological conditions and older people with disabilities associated with mobility, communication and activities of daily living. Northern Queensland west to Mt Isa, south to Mackay and north to Cape York High quality community rehabilitation services for people with neurological conditions. Services - responsive, innovative, evidence based across the lifespan. Education - inter-professional for current and future nq workforce. Research - build capacity and ensure continuous service improvement. Principles Participants of the service are central to the process of goal-setting and are engaged in learning to selfmanage using resources and networks from within and outside their communities. Participants of the service are recognised for their contribution to the education of the current and future NQ workforce. Family members and carers are included according to each participant s preference as long as the safety of other participants is not compromised. Services are: o accessible to all, irrespective of religion, culture or economic situation o flexible to address the unique needs of NQ people, particularly Indigenous people o provided at no out-of-pocket cost to participants. Clinical services are: o student-assisted o based on an inter-professional model of care o innovative and evidence-based o incorporate community rehabilitation core competencies. Services are linked with each participant s local health services, health service providers and community networks and facilities. Workforce education programs are: o Inter-professional o tailored to the unique context of NQ o integrated into clinical services o recognised by professional teaching bodies. High-quality research and evaluation: o identify need o ensure continuous service improvement o build research capacity in community rehabilitation in northern Queensland. Referral Intake Self-Referral, Health Professional Referral, Other Medical Clearance is required to participate. By telephone or in-person. 37
Service Type Capacity Transport Accommodation Service Model Professional Services Community Rehab NQ Centre-based, Tele-rehab, Outreach (Charters Towers, Ayr, Ingham, Palm Island) ~ 100 150 people at any one time. Patient Transport Subsidy Scheme (PTSS) for people from outside of Townsville. Funding for transport within Townsville e.g. Taxi, TOTTS. Patient Transport Subsidy Scheme (PTSS), plus top up funding for 3 star apartment style accommodation for the participant and a companion. Community Rehabilitation with a focus on community participation. Inter-professional, student-assisted. ICF Framework. Clinical Nurse Consultant - 1 FTE Social Work 0.8 FTE Physiotherapy - 3 FTE Occupational Therapy 2.6 FTE Speech Pathology - 1 FTE Exercise Physiology 1.6 FTE Neuropsychology - 0.2 FTE Psychology 0.5 FTE Dietitian 0.4 FTE Indigenous Rehabilitation Assistant - 1 FTE Rehabilitation Assistant - 1 FTE Visiting Rehabilitation Physician - available fortnightly Student Services Student Nurse - 2 Student Physiotherapy - 2 Student Occupational Therapy - 2 Student Speech Pathology - 2 Student Exercise Physiology - 4 Student Psychology - 1 Student Dietician - 1 Student Social Work - 1 Student Medicine TBA Clinical Services Offered Individual rehab sessions Group programs Communication, Swallowing, Balance & Mobility, Arm in everyday tasks, Continence, Everyday Activities, Health & Fitness, Swimming, Counselling, Health & Wellbeing. Arm in everyday tasks Balance & Mobility Communication Everyday activities Walking Group Aquatic Program Adapted Physical Activity Program Up to 5 times a week Intensive or distributed Up to 3 times a week Up to 5 times a week Up to 4 times a week Up to 5 times a week Up to 3 times a week Up to 3 times a week 1 x weekly for 12 weeks Keep it up Up to 4 times a week Singing 1 x week Fit & Well 2 x week Self-management programs STEPS for people with Brain Injury 1 x week for 8-10 weeks My Story Indigenous specific self-management program Specific programs for Parkinson s, MS, CP and SCI Have a plan, have a goal, have a go! Get up & Go after hip or knee surgery 1 x week ongoing 1 x week for 8-10 weeks 1 x week for 8-10 weeks 1 x week for 8-10 weeks 38
Referral On Education / Training Offered Research Community Engagement Community Rehab NQ Participants local services and facilities e.g. gyms, health services. Rural and remote health services. Undergraduate and post-graduate health professional student placements. AHP and medical workshops in the field of neurological rehabilitation. Adapted Physical Activity Program. Mindfulness-based Strength Program Comprehensive Upper Limb Program. Service evaluation process, outcome, impact and economic. Senior Citizens, Sporting Wheelies, Spinal Injuries Association, Consumer support groups, links with HHS services Community Rehab nq Reference Group; Neuro Special Interest Group Townsville Community Resource ; Advertising in Community Noticeboard, NQPHN website, and CRnQ portal (development continuing) 39