Objective: People with intellectual disability (ID) frequently have multiple co-morbidities requiring a complex network of supports. Integrated care is essential to optimize outcomes and minimize adverse events such as unnecessary hospitalisation, but access to specialized expertise can be particularly challenging for underserved and rural/remote regions. The goal of the MRID network project is to pilot an innovative service model that would leverage existing resources to improve access to coordinated specialist health services for children, adolescents and adults with ID in regional areas of New South Wales (NSW), Australia.
Methods:The MRID network project was funded by the NSW Government's Ministry of Health. We adopted a partnership approach including local needs analysis and ongoing formative evaluation to ensure the co-production of a specialist service model meeting the changing needs of consumers, carers, and local government, non-government, health, disability, mental health, and education services. A hub-and-spoke service model was combined with telemedicine support. Key features included:• A multidisciplinary team of paediatric, medical, psychiatric, specialist nursing and allied health staff providing access to range of specialised services• A co-design model engaging local stakeholders from government and non-government sectors to provide readily accessed, client-centred, holistic, coordinated care complemented by family and carer support• Capacity building of local services through provision of educational resources, specialist support and networking World Congress on Integrated Care 2014, Sydney, November 23-26, 2014.
Objective: Children and young people with an intellectual disability (ID) have complex needs which are best addressed through strong partnerships between the family and carers, health, education, disability services and other agencies. The SchoolKit® Clinic project is an initiative of the Metro-Regional Intellectual Disability Network (MRID.net) based on nearly three decades of provision of multidisciplinary 'clinics' conducted in the school setting. The SchoolKit® Clinic model provides interagency assessment and care planning in the naturalistic setting of the school optimising trust, open communication and collaborative processes, and allowing observation and involvement of the student in a familiar environment with minimal disruption to their routine. The SchoolKit® web-based multimedia resource toolkit provides the guiding principles, tools and resources for anyone who wishes to develop and establish SchoolKit Clinics in their community. This presentation will outline the model and introduce the online resource.
Methods:The SchoolKit® Clinic model was based on the longstanding collaboration between the Kogarah Developmental Assessment Service (NSW Health) and Cairnsfoot Special School (NSW Department of Education and Communities) in the running of school-based health clinics. A collaborative, partnership approach with families, the school, specialist service providers and other government and non-government services was used to inform all aspects of current practise. Key features of the model were:• Multidisciplinary, interagency assessment and care planning meetings held at, and facilitated by, a child's school to support children and adolescents with disability and complex health and educational needs World Congress on Integrated Care 2014, Sydney, November 23-26, 2014.
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