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YDHS Annual Report 2006 (2.4Mb pdf) - GHA Central

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Community Services<br />

Yarram and District Health Service Community Services is<br />

committed to the provision of quality service provision to<br />

ensure the ongoing wellbeing of the local community. The<br />

improvements made during the financial year 2005-06 have<br />

highlighted this commitment.<br />

The Community Service Client Intake process has continued to<br />

be the cornerstone of assessment and screening of<br />

community clients, ensuring services needed by clients are<br />

provided in a timely, efficient and effective manner.<br />

During the year approximately 250 people received a needs<br />

based assessment and referral to community services. Further<br />

development of the Client Intake service will occur in coming<br />

years as the Initial Needs Identification process changes and<br />

regional referral becomes electronic.<br />

The Youth and Family Service Department has been<br />

restructured as a result of being awarded the Wellington Shire<br />

Family Support Innovations Project “Wellington Working<br />

Together with Families.” This funding was provided to the<br />

Wellington Working Together with Families partnership of<br />

Kilmany UnitingCare, Ramahyuck Aboriginal Corporation and<br />

Yarram and District Health Service.<br />

The purpose of the funding is to provide community based<br />

family support to families at risk of becoming involved with<br />

child protection and has funded the addition of a new Family<br />

Support Worker. This new worker raises the Family Support<br />

staffing to 1.0 FTE from 0.3 FTE.<br />

The financial year also saw the addition of Maternal and Child<br />

Health service to the suite of Community Services. This service<br />

assesses the health and wellbeing of children up to the age of<br />

4 years old.<br />

The continued professional development of Health Service staff<br />

is essential to the success of many programs delivered from<br />

this area. This year community services staff have been<br />

supported in their skill development, attending short courses<br />

and seminars on ageing and sensory loss, Huntington’s<br />

Disease, Motivational Interviewing, Risk Management, Falls<br />

Prevention, Needle exchange and Oxygen Equipment and<br />

safety issues.<br />

<strong>Report</strong> on Operations<br />

During the year, client outcomes for several exercise programs<br />

were reviewed, including balance and mobility, cardiac<br />

rehabilitation and pulmonary rehabilitation. Positive results and<br />

feedback were noted for most clients, in all aspects of health<br />

(emotional, social and physical).<br />

Australian Therapy Outcome Measures (AusTOMS) have been<br />

introduced and completed for selected clients of<br />

Physiotherapy, Occupational Therapy and Speech Pathology<br />

services, which will assist with the review of client outcomes<br />

and therapy techniques. Care plans are also being conducted<br />

with all clients, to ensure client consent and participation in<br />

their therapy goals and treatment.<br />

A service coordination model was introduced for paediatric<br />

clients, in order to ensure that their needs are being met by all<br />

services. In this model, family meetings and case coordination<br />

meetings are held between the Maternal and Child Health<br />

Nurse, Family Support workers and Allied Health therapists.<br />

A multidisciplinary project is being completed to better<br />

manage inpatients with dysphagia (swallowing) difficulties. It<br />

involves Speech Pathology, Dietetics, Catering and Nursing<br />

staff and the focus to date has been on menu plans,<br />

documentation and client communication.<br />

The equipment loan system has been reviewed and<br />

improvements made to the storage and maintenance of<br />

equipment. Equipment loans are now recorded electronically,<br />

increasing the efficiency and effectiveness of tracking loan<br />

equipment.<br />

The podiatry and occupational therapy services are currently<br />

(<strong>2006</strong>-07) under review, in order to provide an increased<br />

service to clients in need. Policies and procedures continue to<br />

be developed and reviewed throughout the department, to<br />

provide standardised and quality care to all clients.<br />

Staff members are regularly completing professional<br />

development and training. Monthly in-services have been<br />

introduced, with each staff member responsible for providing<br />

an in-service once or twice per year.<br />

Allied Health<br />

During the year, the Allied Health team has continued to<br />

provide the following services to residents of the local<br />

community:<br />

■<br />

■<br />

■<br />

■<br />

■<br />

■<br />

physiotherapy,<br />

occupational therapy,<br />

speech pathology,<br />

dietetics,<br />

podiatry and<br />

personal alarm assessment<br />

These services are provided to residents of St Elmo’s Nursing<br />

Home and Crossley House; acute, rehabilitation, and geriatric<br />

evaluation and management inpatients, and community clients,<br />

of varying ages and abilities.<br />

Practicing our listening and fine motor skills, in the Early<br />

Years Language Group pictured with Gabrielle Diplock,<br />

Speech Pathologist.<br />

Yarram and District Health Service <strong>Annual</strong> <strong>Report</strong> <strong>2006</strong><br />

9

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