Adjusting to Consumer Directed Care : the experience of Brotherhood of St Laurence community aged care service users
Contributor(s): Kimberley, Helen | McColl Jones, NickyPublisher: Fitzroy, Vic. Brotherhood of St Laurence 2016Description: vi, 22 p. PDFSubject(s): Older People Services For | Older People Care | Community Care | Consumer directed care | Service Provision | Brotherhood of St LaurenceDDC classification: 362.6 SIM Online Resources: DOWNLOAD PDF
Bibliography : p. 21-22
Australia’s approach to aged care provision to support people living in their own home has recently undergone radical change. At the core of the reform is the concept of self-directed care, which offers aged care clients individual choice and control of their government-subsidised Home Care Packages. The framework for the changes is Consumer Directed Care (CDC), which is defined as: ... a way of delivering services that allows consumers to have greater control over their own lives by allowing them to make choices about the types of care and services they access and the delivery of those services, including who will deliver the services and when (DSS 2014, p. 7). The transition to CDC commenced on 1 August 2013. All new Home Care Packages were mandated for delivery under the CDC framework from 1 July 2014, and all existing packages from 1 July 2015. A proprietary BSL model was developed for the delivery of services under the CDC framework. The model offers consumers a choice of three levels of autonomy, which define the amount of consumer self-management and which influence the total amount of money available to purchase services. A formative evaluation of the BSL model and the BSL transition to CDC was conducted by the BSL Research and Policy Centre Inclusive Ageing team using an action research approach that tracked the challenges faced during the transition and their resolution. This report focuses on the CDC experience of BSL Home Care Package consumers and their adjustment to the new model of service delivery under the Consumer Directed Care framework. Interviews with consumers and carers explored their understanding of CDC and the BSL model of delivery, the suitability and adequacy of information provided to them, the impact of the new arrangements on the services they received and activities they accessed, and their attitudes to the introduction of individual budgets and monthly financial statements.