Delivering comprehensive clinical services to young people in out of home care
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Delivering Comprehensive Clinical Services to Young People in Out of Home Care. Vanessa Clift 1, Katie Morgan2,3, Terence Yoong2,3, Miranda Shaw1, Tania May2 and Voula Kougelos1. Model of Care. January 2008 – review of Youth Health Services

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Delivering comprehensive clinical services to young people in out of home care

Delivering Comprehensive Clinical Services to Young People in Out of Home Care

Vanessa Clift1, Katie Morgan2,3, Terence Yoong2,3, Miranda Shaw1, Tania May2 and Voula Kougelos1


Model of care
Model of in Out of Home CareCare



Priority groups
Priority Groups in Out of Home Care

  • OOHC

  • Homeless young people

  • Aboriginal young people

  • Young parents

  • Young carers

  • GLBT

  • Newly arrived and refugee young people

  • High needs Culturally and Linguistically Diverse Communities

  • Experiencing economic disadvantage

  • Young people in other department care


Priority health issues
Priority Health Issues in Out of Home Care

  • Chronic Illness and Disability

  • Drug, Tobacco and Alcohol

  • Harm and Injury

  • Sexual Health

  • Mental Health

  • Nutrition and Physical Activity

  • Oral Health


Key priority group oohc
Key Priority Group - OOHC in Out of Home Care

2008 data

  • 34,069 children and young people within Australia

  • NSW 14,667

  • Within SSWAHS 2,148

  • Indigenous children and young person are over represented in OOHC


Multidisciplinary clinic
Multidisciplinary Clinic in Out of Home Care

  • NSW CAAH Youth Health Better Practice Framework

  • NSW Youth Health Policy 2010-2015 (Draft )

  • Area wide service using existing four Youth Health Service


What was the focus
What was the Focus in Out of Home Care

  • Comprehensive Medical Assessment

  • OOHC young people referred = 174

  • Offered an appointment within 30 days of receiving the referral = 100%

  • Full medical assessment = 100%

  • Counselling = 69%

  • Oral Health = 80%

  • Additional Specialist Services = 34%

  • FTA/Cancellations = 39%


What we have done
What We Have Done in Out of Home Care

  • Centralised intake

  • Electronic data collection system

  • Assessment forms

  • Client case management

  • Multidisciplinary case review

  • Defined roles

  • Work force development


Health issues identified
Health Issues Identified in Out of Home Care

Young people in OOHC have high rates of health problems

  • Emotional and behavioural

  • Developmental

  • Physical

    Often have unrecognised health issues

    Often health needs are not meet


Challenges
Challenges in Out of Home Care

  • Human resources

  • Slow uptake by Community Services (CS) case workers

  • FTA

  • Rescheduling

  • Different groups of clients

  • Young people in Support accommodation


Review
Review in Out of Home Care

  • Establish Clinical Services

  • Review data

  • Intake

  • Clinic processes

  • CS referral pathway

  • Key client contact points

  • Forms


  • Reduce FTA in Out of Home Care

  • Clinical Nurse Consultant

  • OOHC coordinator

  • Increase referral rate

  • Obtaining comparative data

  • Improve uptake of counselling services

  • Significant numbers of OOHC >18yrs referred by supported accommodation

  • Expand clinical sessions


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