@careoptionsau #beinghome2025 the future of respite in cdc markets maureen flynn september 2015

@CareOptionsAU #BeingHome2025

THE FUTURE OF RESPITE IN CDC

MARKETS

Maureen FlynnSeptember 2015


Understanding Respite…What people think:

• The dictionary definitions• Centre based• It’s not about the person with

disability, frailty from age, mental illness, chronic illness

What it should be:

• Community participation• Daily living skills• Personal care • Short term accommodation • A combination of all

These are all aspects of respite!!!


Respite Support

Peer Support/Group Recreation Programs

In Home and One to One Respite

Host Family

Emergency Respite

Short term accommodation/ residential respite

Flexible Respite

Centre Based Day Care

Understanding Respite…


Who is respite for?

Traditionally respite support has been defined as:

• A funded support to the caring role delivered collaboratively, flexibly, and within available resources, that is responsive to the client’s individual needs.

• Time limited in its occasion of service.• Client is both the carer(s) and the care recipient


Who is Respite For?

1. Why do you deliver respite?

2. Who is your client?

3. Why do you say that?


Respite in CDC markets

• Consumer directed markets putting consumers in the primary service system, not carers at the centre of support

PLUS• Respite having dual outcomes for the carer and care recipient and

aiming to meet consumer goals whilst building family resilienceEQUALS

• Government Challenge!!!


CarerCare recipient

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Care

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NDISCHSP

Integrated Carer Support Programme (DSS)

Original proposed changes…

Mental Health


Resp

ite

Care

Ca

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National Carer Gateway and Contact Centre

NDISCHSP

Integrated Carer Support Programme (DSS)

The New Future of Respite

Mental Health

2

CarerCare recipient


Challenges for Respite - CHSP

Issues for Respite & Carers• Still no structural means of resolving different needs and goals for carers and care

recipients• Innovation and evaluation:

• Early intervention respite• Flexible respite

• Interface between CHSP services and Carer Support services, and NDIS• Inclusion of carers in planning processes MAC, RAS, HCP• Unmet need – 15.8%• Transition for NRCP clients


Challenges for Respite – NDIS• Respite has been ‘the service type that cannot be named’’• It isn’t used in the Price List as a support cluster or item

BUT

• Respite has outcomes that fit into the following clusters:1. Social and Community Participation 2. Daily Living


Encouraging InnovationInnovative Respite Practice:• NSW flexible respite packages in the disability space• Community sector history of leveraging social capital from volunteers and other

flexible family supports• Maximising informal support networks through reimbursement models

Benefits for government: • Cheaper• Minimises over-servicing • Fits well with philosophy of consumer directed care markets

Benefits for the Client:• Grows natural support networks• Reduces isolation and risk of abuse• Builds family resilience and capacity


What’s next? NDIS

Significant changes for carers and respite services:• 5 strategic outcomes for carers and families:

1. have the support they need to care 2. know their rights and advocate effectively for the

person they are caring for 3. are able to gain access to desired services, programs

and activities in their communities 4. have succession plans 5. enjoy health and well-being

• Respite language to be restored• Flexible bundling of supports?• Commitment to include funding for emergency respite

in plans• Big changes to Tier 2

CHSP1. 2018 merger of HCP and CHSP2. Extension to 2017 for both output and

non-output services3. NRCP incorporated, & <65 grandfathered4. One off transition assistance grants

offered to providers5. New grant agreements November 2015


Contact Details

Maureen FlynnMembership and Policy OfficerNational Respite Association(02) 9789 [email protected]

@careoptionsau #beinghome2025 the future of respite in cdc markets maureen flynn september 2015

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