NSW Department of Family and Community Services, Ageing Disability & Home Care (ADHC)
Target Group
Persons living in the community who, in the absence of basic maintenance and support services are at risk of premature or inappropriate long term residential care.
What is the aim of the program?
To provide a comprehensive, coordinated and integrated range of basic maintenance and support for frail aged people and for younger people with a disability
To support these people to be more independent, thereby enhancing their quality of life and/or preventing their inappropriate admission to long term residential care, and
To provide flexible, timely services that respond to the needs of consumers
HACC funded Case Management projects refers to the use of a client focussed model for managing clients’ support, care and social health needs to enable them to maintain maximum independence in the community.
The model is a collaborative process involving screening and assessment, care planning, implementation, monitoring and review and, when appropriate case closure.
Case Management projects specifically target:
People who have a range of interacting physical/medical, social and emotional needs, usually regarded as complex needs, and who require comprehensive assessment and formal case management.
People who need short term, ongoing or periodic assistance from a case manager to organise and co-ordinate community care services.
People whose needs can rapidly change and who need a case manager to monitor their situation and ensure a quick and flexible service response when needed.
People who need specific service types, mixes or levels of support services that are not usually provided by community care services and who need a case manager to help organise them. These special needs can be due to their ethnic or Aboriginal background, dementia or geographic isolation.
The carers of these people
What service does the program provide?
Comprehensive Assessment
Case Management
Access to brokerage funding as required
What is the program’s assessment and review process?
Comprehensive assessment (a process of screening and one or more face to face assessments which may involve accessing reports from specialists; case conferences may be beneficial)
Re-assessments (reviews) will generally be conducted on an annual basis, more frequently if appropriate
When does the program operate?
Services are generally provided weekdays, Monday to Friday between 8:00 and 17:00, not on Public Holidays. Services may be provided outside of these days and times, which may include Public Holidays, if necessary.
What partnerships does the program have?
NSW Health (Community Nursing, Hospitals), Private Hospitals, Aged Care Assessment Teams, GPs, other HACC providers,
Program Fees
$10 per hour for pensioners, $15 per hour for non-pensioners
Who can refer to the program?
Self, family, friend, neighbour, other (HACC) service providers, Aged Care Assessment Team, GP, Hospitals, agencies or anyone in the community that has concerns for someone.
How do you refer to the program?
Customer Service Centre on 1800225474
Any other information
In using an enabling approach, the individual requiring support becomes an active decision-maker in the planning and implementation of their community care support arrangements. As they become involved in identifying goals that are important and meaningful to them, and participating in decisions that affect their lives, their confidence and personal wellbeing is enhanced.
Referral Criteria:
Who is eligible?
People who have a range of interacting physical/medical, social and emotional needs, usually regarded as complex needs, and who require comprehensive assessment and formal case management.
people living in the community who, in the absence of basic maintenance and support are at risk of premature or inappropriate long term residential care
Carers of these people
Who is not eligible?
People who are not HACC eligible
HACC eligible people whose needs are not complex
People with complex needs who don’t require case management
COPs eligible people who are already receiving similar services from other government program
Is priority access given?
It is the aim of the program to provide the most benefit to the greatest number of people. Priority of need is based on the following factors:
The vulnerability of the individual to further deterioration
The effect of service delivery on the carer
The likely effect of the service provided in assisting individuals to attain their goals, for example reduce risk of admission to residential care or maintaining quality of life in the community
