Addressing the barriers
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Addressing the barriers:. People with a disability accessing mainstream and specific services in rural and remote areas. Wobbly Hub & Double Spokes Project . Angela Dew , Craig Veitch, Kim Bulkeley, Gisselle Gallego, Anita Bundy, Michelle Lincoln, Scott Griffiths,

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Addressing the barriers

Addressing the barriers:

People with a disability accessing mainstream and specific services in rural and remote areas

Wobbly Hub & Double Spokes Project

Angela Dew, Craig Veitch, Kim Bulkeley, Gisselle Gallego,

Anita Bundy, Michelle Lincoln, Scott Griffiths,

Jennie Brentnall, Richard Madden


Wobbly hub and double spokes project

Wobbly Hub and Double Spokes Project

Project Aim:

  • To develop, implement and evaluate evidence-based policies which will promote timely and effective therapy service delivery to people with a disability living in rural and remote communities


Adhc western region wr of nsw

ADHC Western Region (WR) of NSW


Identification of a problem

Identification of a problem

Challenges in delivering therapy services to people with a disability in WR

  • Geographic distance / travel

  • Dispersed service user population

  • Recruitment and retention issues

  • Demand for therapy outstripping supply of therapists

www.grc.asn.au


Understanding the current situation

Understanding the Current Situation

Analysing Policy Documents

Reviewing Literature

Talking to 78 Carers and

10 Adults with a Disability

in WR

Talking to 50 Senior Staff in WR and Head Offices

Talking to 97 Service Providers

in WR


Policy context community services

Policy context – Community Services

State

Local

Federal


Model of person centred therapy

DRAFT

DRAFT

Model of Person-Centred Therapy

Strengths based

Education

Health

Locality

Whole of government

Interagency Collaboration

Capacity building

Capacity building

Carer

Person

NGO

ADHC

Person Centred Practice

Person Centred Practice

Early Intervention

Early Intervention

Cross Border

Private

Strengths-based

Interagency Collaboration

Local

Federal

State


Tarquin

DRAFT

“Tarquin”

Community Health

Town

Interagency Collaboration

Capacity building

Parents

Tarquin

Early Intervention

NGO

Person Centred Practice

Siblings

Early Intervention

Capital city

Cross Border

Strengths-based


Rosie said

Rosie said………….

  • “I need instruction to be able to know what to do with Tarquin….to make sure what I’m doing are not things that are going to hurt him…that I’m getting the best out of him and I don’t feel that I’m getting that here at all locally.”

“I’m not prepared to accept that how he is right now is never going to change…I still think that there’s a lot of progress to be made…I don’t think he’s been given enough [early intervention] to say ‘this is as good as it’s going to get;.”


Marcus

DRAFT

“Marcus”

Capacity building

Strengths based

Town

Marcus

Lives independently with drop-in support

Supported work NGO

Person Centred Practice

Early Intervention

Interagency Collaboration

10


Marcus said

Marcus said………….

  • “I got speech problems and went to a lady [speech pathologist] in [regional town] a long time ago before 1982. I get muddled up with trying to get money, they [bank tellers] don’t understand me. When I am on the phone it is hard for me. I have not been able to get help with my speaking…I’d like to get some help with talking and people understanding me.”

“I can’t read and write and I don’t know why…I do my best. I got help but the lady I went to moved on and it stopped. Is it too late? I am 59.


Marcus1

DRAFT

“Marcus”

Capacity building

Strengths based

Town

Marcus

Lives independently with drop-in support

Supported work NGO

Person Centred Practice

Early Intervention

12


So what can be done

So what can be done?


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