OUR MODEL OF CARE
The Junction Works’ Model of Care broadly defines the way we organise and deliver our disability services. Our model of care is based on the rights of participants to live with choice and control, privacy and dignity and underpinned by person centred, active support and goal directed planning.
Being Person Centred
Person-centred support places the person with the disability at the centre of everything we do. It recognises that every participant is a unique and complex person. It requires us to respect the needs and preferences of participants and the knowledge they have about their ability and the way they want to live their life.
Being person centred is a way of delivering support that acknowledges what is important in the participant’s life and empowers them to think about the ways in which their life can be improved now and into the future. It encourages the person to speak up about the needs, likes and desires.
The benefits of a person centred approach include:
- Empowering the person to make decisions about their support
- Building the person’s confidence and a sense of ownership over their support
- Developing effective, appropriate and responsive Support Plans
- Increasing participant and staff satisfaction
- Supporting effective service coordination, information sharing and collaboration
- Enhancing continuity of care.
For TJW staff, being person centred requires an understanding that their role is to provide support when required rather than taking a controlling approach to the person. It requires the skills of active listening and observing; communicating in a way the participant understands; respecting the participant’s choices through the lens of the Dignity of Risk; and using reflective practice for continuous improvement and life-long learning of the support worker.
Particularly for people with intellectual and developmental disability, and for children with disability, being person centred also requires a family orientation. This means working in partnership with the participant and their family in the delivery of disability support. It also means being aware of and responding to the participant and their family’s needs.
Person centred support is required to be considered in the development and review of policies and procedures. Program Coordinators, Managers and Specialist Staff are tasked with promoting person centred support across the front-line.
Providing Active Support
Active Support is about enabling and empowering people with intellectual disabilities to be involved in the daily activities that make life meaningful for them. Active Support changes the style of support from ‘caring for’ to ‘working with’. It promotes independence and supports people to take an active part in their own lives. The four components of active support include:
- Providing graded assistance
- Maximising choice and control
- Little and often, enabling people to be involved in part of an activity, or coming back to the activity later
- Recognising that every moment has potential
Active Support requires staff training in providing graded assistance and positive interaction, recognising opportunities to offer the right amount of support at the right time and the developing of activity plans to support a person’s routines in a flexible and responsible way.
The approach also requires managers and specialist staff to be involved in coaching and mentoring front line worker to embed Active Support into our day to day practice.
Goal Directed Support Planning
Goal Directed Support Planning (GDSP) is one of many ways to apply a person centred approach. It is an ongoing process through which staff and participants work together, to collaboratively set goals, establish priorities and develop strategies to achieve positive and meaningful outcomes for participants.
Goal Directed Support Planning is founded on the questions:
- Where is the person now in their life?
- Where does the person want to be?
- How will the person get there?
Goals should be focused on outcomes, rather than specific supports. This is because the NDIS will only fund supports that relate to a participant’s goals. The nomination of supports comes after the setting of goals.
To maximise the effectiveness of Goal Directed Support Planning, it needs to be applied in the context of a holistic, coordinated and collaborative approach to support. This means the participant is supported to choose who they want involved in planning, decision making and their support.
Underpinning these core components are the person's
- Choice & Control
- Dignity of Risk and
- Privacy and Confidentiality