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Improving care for people with intellectual disabilities across the life span The ACI Intellectual Disability Network:. Maxine Andersson Agency for Clinical Innovation. 29 March 2011. Summary of key areas. Developing model of care Improving workforce
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Improving care for people with intellectual disabilities across the life spanThe ACI Intellectual Disability Network: Maxine Andersson Agency for Clinical Innovation 29 March 2011
Summary of key areas • Developing model of care • Improving workforce • Providing comprehensive, integrated and accessible health care • Developing collaborative partnerships • Improving advocacy for people with ID and their carers • Determining rural and regional needs • Improving mental health services
Models of Care • Support the ID Health Pilot to develop a partnership model for integrated health care for people with ID in regional, rural and underserviced areas in NSW. • Determine the evidence base of currently used health assessments, interventions and models of care in people with ID in NSW • Identify current services provided for people with ID and range of their activities – including mapping target populations, types of health services and health services provided by. GPs.
Improving Workforce • Establish consultant positions in Intellectual Disability in large hospitals • Increase capacity/knowledge/skills base in the general workforce • Expansion of training structure for ID mental health within current psychiatric training setting • Review problems of staffing in LHNs without services and determine how to maximise responsiveness of Local Hospital Networks to people with ID
Comprehensive, integrated and accessible care: • More local access to disability clinics with specialist Doctor’s in disabilities for assessment and review • More appropriate facilities / support for person with Intellectual Disability with complex care needs e.g. Adolescent with a brain injury with challenging behaviour struggles to gain equity of care within a hospital facility. • Lobby for and facilitate access to comprehensive & expert health services • Equity of access to child developmental assessment services across the state with uniform assessment procedures to full assessment.
Collaborative partnerships • Develop linking and networking of health professionals – dissemination of information, support and professional development activities. • Improve and formalise relationships between NSW Health and all relevant government and non government organisations • Multidisciplinary care coordination and long term case management across medical and non-medical disciplines (outpatient setting) • Establish processes for clear joint care planning across agencies including agreement re. templates for joint care plans that include service responsible and review processes.
Mental health • A specialised service for intellectual disabilities within Mental Health & Drug and alcohol Services including dedicated psychiatric unit (s) for assessment/treatment • Recognition and equitable treatment of people who have an ID and a mental health issue • Development of an integrated care pathway for mental health care for people with an ID
Rural and regional needs • Ensure equity of access where possible • Provide therapy and respite services • Transition services
Providing advocacy for people with ID and carers • Develop strategies to support people with ID to make informed decisions about their health (empowerment and self determination) • Support those at risk of neglect , risk taking behaviour • Improve access to adequate respite and support for carers
ID Network: Draft Work Plan • The work plan and key performance indicators for the Network for Intellectual Disability will align closely with: • The NSW State Health Plan (A New Direction for NSW Towards 2010) and • The key outcomes of the Service Framework to Improve Health Care of People with Intellectual Disabilities.
Strategic Directions of the 2010 NSW State Health Plan • Make Prevention Everybody’s Business • Create Better Experiences for People Using Health Services • Strengthen Primary Health & Continuing Care in the Community • Build Regional and Other Partnerships for Health • Make Smart Choices About the Costs & Benefits of Health Services • Build a Sustainable Health Workforce • Be Ready for New Risks and Opportunities