From: How do case managers spend time on their functions and activities?
CACP program –comparative to low residential care (since 1992) | EACH program-comparative to high residential care (since 2002) | EACHD program-comparative to high residential care (since 2006) |
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CACP clients | EACH clients | EACHD clients |
1) Frail older people aged 70 and over (50 and over if indigenous) 2) Preferring & being able to live in the community 3) Assessed as eligible for low residential care 4) Complex care needs resulting from physical, social & psychological conditions 5) Needing comprehensive care management & ongoing monitoring and review of their changing care needs. | 1) Similar characteristics of CACP clients 2) High care needs & assessed as eligible for high residential care. | 1) Similar characteristics of EACH clients 2) Behavioural & psychological symptoms of dementia (BPSD). |
CACP services | EACH services | EACHD services |
1) Personal care (such as bathing & dressing) 2) Domestic care (such as housework, shopping, meal preparation & gardening) 3) Social support 4) Transport to appointments. | 1) CACP services 2) Carer support 3) Allied health 4) Clinical nursing care 5) Certain mobility equipment 6) Continence consumables. | 1) EACH services 2) Special care services (such as dementia care) for addressing clients’ BPSD problems. |
Case management support, functions and activities | ||
Typical case management support: 1) Needs assessment 2) Care planning 3) Identifying services that will best meet clients’ needs 4) Arranging additional services through brokerage (brokering/purchasing services from external agencies or persons) or advocacy 5) Monitoring ongoing needs & service delivery 6) Staff management related to clients (excluding rostering) 7) Liaising with family members & other professionals such as general practitioners 8) Administering packages, including leave, collection of fees & suspension of services and case closure if necessary. Typical case management functions/activities: 1) Developing, monitoring & formally reviewing care plans 2) Coordinating & negotiating services provided by internal & external aged care organisations 3) Providing assistance for clients and carers, e.g. understanding and managing situations, behaviours and relationships; providing emotional support; assisting individuals to access and use general community services/facilities (advocacy); providing one-to-one training or advice 4) Communicating with & providing information (such as available services) to clients’ carers/family members. |