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15 February 2008 - Melbourne

The Opening Doors Program Presenter: Tim Allen Hospital: Cougar Key contact person for this project: Tim Allen e-mail t.allen@alfred.org.au telephone: 95372052. 15 February 2008 - Melbourne. KEY PROBLEM.

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15 February 2008 - Melbourne

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  1. The Opening Doors ProgramPresenter: Tim AllenHospital: CougarKey contact person for this project: Tim Allen e-mail t.allen@alfred.org.au telephone: 95372052 15 February 2008 - Melbourne

  2. KEY PROBLEM (A) Demand exceeds supply of residential rehab options providing variance in intensity of support (step down). Under utilized resources. (B) Existing services were characterized by diverse (unconnected) systems/processes for referral and entry (into residential rehabilitation programs) and complicated by under developed systems of support and communication between providers (The Alfred, MI Fellowship Victoria and ISCHS).

  3. AIM OF THIS PROJECT • Better integration and co-ordination of rehab services. • Single point of entry to all rehab beds (single referral process) within the Opening Doors Program. • Better communication/support between services. • Improved crisis response and post discharge support. • Improvements continue to be progressive and dynamic. • One million $ renovation of MI Fellowship property (DHS assisted). • $150,000 ongoing costs for MI Fellowship outreach workers. • Cost neutral (for clinical services).

  4. KEY CHANGES IMPLEMENTED • Establishment of joint management structure (3 tiers) to facilitate design and implementation. • Transfer of management of Adelaide St (6 beds) to MI Fellowship. • Opening of Elm Rd and High St (6 MI Fellowship beds). • Refurbishment of 94 Alma Rd (19 MI Fellowship) beds. • Amalgamation of part CCU and 94 Alma Rd and movement of 5 CCU residents into 94 Alma Rd.

  5. KEY CHANGES IMPLEMENTED • Movement of 0.8 CCU EFT (RPN 4) into 94 Alma Rd • Movement of 0.4 CCU EFT (OT) into 94 Alma Road • Single (joint) systems for referral and intake. • Overall increase of 8 funded rehab beds providing variable levels of support. • Shared education programs

  6. OUTCOMES SO FAR Increase in number of supported residential rehab beds. More functional/supportive relationships between services, facilitated by improved communication systems. Clearer, supported discharge pathways for CCU residents. Improved crisis/relapse management. Support and satisfaction with the program from participant consumers and their families (anecdotally).

  7. PROJECT EVALUATION • What would you recommend to other organisations? • The program has been operational for 9 months, we are currently embedding systems for evaluation. • Over the next 12 months we will be working on our relationships with other PDRRS services in area and developing opportunities for service improvement. • The biggest challenge to the success of the Opening Doors Program will be managing throughput in an local environment, characterised by diminishing housing options.

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