implementing wellness, reablement and restorative support with older people
TRANSCRIPT
Implementing WellnessReablement and
Restorative Support with Older People
1 May 2023 1
Carrie Hayter Active Ageing Conference
29 October 2015Sydney
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Introduction • Why did wellness and reablement emerge?
– Clarify the language – Reflect on the research
• Opportunities and challenges for providers and older people– Seven key steps
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About Carrie Hayter Consulting
1 May 2023
Transforming Social Care – Public Speaking – Research & Evaluation – A Handbook for community care services, Empowering People, enhancing
independence, enriching lives with Alt Beatty Consulting for NSW Government
– Education & Training – Service Providers – Implementing Wellness and Reablement in Community Aged Care (managers
and support workers)– Implementing Consumer Directed Care (Managers and Support Workers)– Ageing and Sexuality (managers and front-line workers)– Service Users – Living Life my Way (Service Users)
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1 May 2023 4
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Source: https://www.adhc.nsw.gov.au/__data/assets/file/0003/233967/Better_Practice_Project_-_Mapping.pdf
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Technical Problems or an Adaptive Leadership Challenge?
Technical problems are well defined.
Their solutions are known and those with adequate expertise and organisational capacity can solve them.
(Heifetz & Linksy, 2002)
Adaptive leadership challenges are entirely different. The challenge is complex
and not so well defined; and the answers are not known in advance
Problems that require us to learn new ways (Heifetz & Linksy, 2002)
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Step One – Start a conversation and get everyone on the same page
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Wellness Reablement Restorative Consumer Directed Care
Building on the strengths • Right balance
between ‘doing with’ rather than ‘doing for’
• Builds community connections
• Identifies what a person can do and wants to do in the future
• Time –limited targeted interventions to regain function, confidence or capacity
• Evidence-based interventions led by allied health workers that allow a person to make a functional gain or improvement after a setback, or in order to avoid a preventable injury.
• Giving more power to people to determine the who, what, why and how supports are provided
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Step Two – Critically read research and
practice guides and share it with your team
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Evidence and Research • Research - UK, Australia and New Zealand
– Improved health and wellbeing for older people (Lewin at al, 2013, Parsons et al, 2013, Parsons et al, 2014)
– Reduces people’s dependence on paid supports (King & Parsons, et al 2012, Lewin & Alfonso 2013, Lewin & De San Miguel, 2013)
– Role of assessment is critical (Department of Family and Community Services, Ageing, Disability and Home Care, 2012)
• Further research– People with dementia (Alzheimer’s Australia NSW, 2014)– Engaging carers and service users in their reablement and wellness (Wilde &
Glendenning, 2012)• Australian changes
– Outcomes and benefits– Join the Australian Association of Gerontology – www.aag.asn.au
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Step Three – Engage Older People - Nothing
about me without me
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Source: Photo downloaded from Ageing Agendas
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Important to Important for
WWhat else do we need to learn or know?
What is important to a person is what they say through their own words and behaviours about what really matters to them (eg comfort, happiness).
What is important for people are the things that help people become or stay healthy and safe, whether it is important to them or not
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Coercing
Educating
Informing
Consulting
Engaging
Co-designing
Co-Producing
Co-delivery
Co-Ownership
Ladder of Participation
Doing for
Doing to
Doing With
Doing for themselves
Source: Think Public, 2015
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Watch the video https://www.youtube.com/watch?v=WXELgwHQ34o&feature=youtu.be
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www.wavertonhub.com.auwww.mychoicematters.org.au
Co-Ownership and Co-Design in Australia
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30 Day Challenge
Getting Traction and Translating into
Practice
Your Organisation/
Team
Shared understanding and
conversations
Where are we at?
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Step Four – Get behind your front-line staff
Step Five – Connect people into community
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Step Six – Form Partnerships
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Step Seven - Be curious and test ideas Be Curious I have no special
talents.
I am only PASSIONATELY
CURIOUS
ALBERT EINSTEIN Nothing about me without me www.carriehayter.com
More Information
Download the seven key steps to implement wellness, restorative and enablement
approaches www.carriehayter.com
Start a conversation @carriehayter
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