Active+ provide collaborative healthcare services in the wider community through a variety of contracts that we hold:
The ACC-funded Pain Rehabilitation contract involves a multi-disciplinary team approach to tailor individual programmes to clients to improve their pain management. Through assessment the team work with the client to identify what the client wants to achieve, and from there create a plan of treatment services to achieve this outcome.
Depending on the client’s needs, the service might include input from:
Training for independence programmes focus on: Restoring clients independence in daily activities, community integration, alleviating any risk to client’s wellbeing and reducing the need for further rehabilitation.
There are four types of TI contracts:
B- Therapeutic intervention for adults with Brain Injury
C- TI for Children- Under 18 years of age. This includes rehabilitation for children with TBI.
E- Improvement of function and independence in daily activities for adults with other injuries e.g. Musculoskeletal injuries.
D- Rehabilitation Services for Adults with sensitive claims.
A TI can involve a single discipline or be an Integrated Rehabilitation program involving multiple disciplines. When multiple disciplines are involved a Key worker is identified so that all stake holders in community and team are kept informed and a smooth integrated service is provided.
Clinicians who can deliver services under a TI include:
Duration of a TI varies
The services can be provided over 3 months; or 6 months in case of clients with serious injury.
TI Advisory service (Short term) - This is a short term TI where 6 hours of input is provided in 6 weeks. Only 1 discipline is involved.
TI Advisory service (Wellbeing) - This is a long term TI where 14 hours of input is provided in 12 months. Only 1 discipline is involved and this is for complex clients who require monitoring over a long period of time.
Concussion service (CS) or Active+ Concussion Clinic is an interdisciplinary service for clients with Mild to Moderate Brain injury. The services provided include Triage, Assessments and Therapeutic input tailored to suit the individual clients need and facilitate early intervention and recovery, prevention of long term sequela of TBI and Return to daily activities including work/study.
A GP, Medical practitioner from DHB or an Allied Health professional acting on behalf of a medical personnel can refer to the Concussion service by sending a referral on ACC883 form to the closest ACC branch.
Team members - Concussion clinic
The purpose of vocational rehabilitation services is to help a client maintain employment, obtain employment or acquire vocational independence after injury.
The Work Ready service is for clients who have been working, have sustained an injury and are not able to return to the type of work they were previously doing. The service prepares the client for a return to the workforce in a new type of employment that will be sustainable from a medical perspective.
The service can involve:
Clinicians who can deliver services under a WR include:
This service is for clients who have lost their job due to injury and are ready to go out and find work. The aim of the service is to work with the client in any way possible to help them find employment.
Clinicians who can deliver services include:
There are 2 types of Occupational Assessments:
The Initial Occupational Assessment (IOA) is for claimants who have been working, have sustained an injury and are now limited in their ability to work due to their injury, and are receiving weekly compensation. The outcome is a report which documents types of work that the client can do, based on their work experience, education and training, transferable skills and work preferences, but not taking into account their injury or medical matters.
Often we will also provide a CV as part of the Initial Occupational Assessment.
The Vocational Independence Occupational Assessment (VIOA) is very similar to the IOA, however is for clients who have been through an Occupational Assessment and may be nearing the end of their rehabilitation journey. Like the IOA, the purpose is to identify types of work the client can do with respect to the work history, education and training, transferable skills and types of work they are interested in. The outcome is a report.
Clinicians who can provide Initial and Vocational Independence Occupational Assessments are:
The ACC funded Psychological Services contract is administered by New Zealand Registered Psychologists. The purpose is to provide a short term and targeted intervention which would identify and address issues impacting a client’s ability to function, return to work and overall quality of life. With the client’s input, goals are set and a plan is designed to reflect the client’s particular circumstances and needs. Outcomes and client satisfaction are very important and thus, they are closely monitored. This service can be provided concurrently as part of a multidisciplinary intervention.
The ACC funded Integrated Services for Sensitive Claims (ISSC) contract is a client-centred service which was created to assist survivors of sexual assault. The purpose is to provide supportive services which can be multidisciplinary in nature such as utilizing a psychiatrist, psychologist, counsellor, social worker, or cultural advisor. There are a variety of ways to access this service such as self-referral or GP referral. Attempts are made to also locate practitioners and specialists who are geographically in the same region to improve access. Plans are developed with the client and they are tailored to reflect their individual needs. Good outcomes and client satisfaction are important aspects of this program.
Neuropsychology is the study of the relationship between brain and behaviour. Neuropsychologists have completed specialized training in this area which then allows them to conduct these complex assessments. Active+ is able to offer neuropsychological assessments for a wide range of ages: childhood through to elderly populations. The results of these assessments lead to differential diagnoses, the development of treatment plans and recommendations regarding appropriate interventions. Initially, the findings result in establishing a baseline. However, the goal is to develop tailored programs, reflecting the individual needs of the clients, to improve their rehabilitation outcomes.
The IRA is carried out to identify to identify a client’s rehabilitation needs. The assessment allows for a broad overview to be taken; an objective snapshot of the client’s situation at that point in time: as observed, reported and on the basis of referral information read at the time if referral.
The IRA uses a template which includes client history; social, medical and their capacity to function in the following areas and which can be reported upon dependent on the client’s needs.
It gives -
The assessment can specifically focus on a need for support in the home e.g. home help, personal care and childcare but overall it focus on identifying natural supports, strategies and the need for any equipment to give optimum independence to maintain function so that as much as is practicable and safe the client can maintain their usual activities, lifestyle and routines as to do so supports wellbeing and recovery.
The IRA considers –
The assessment also identifies non- injury related needs and how these may impact on recovery from an injury.
Goals for recovery and the cessation of any supports identified as required are proposed commensurate with treatment recovery guidelines and in the context of a person’s age and pre-injury function. The assessment is carried out by a registered nurse or an occupational therapist and sometimes by a physiotherapist dependent on the needs of the client as identified in the referral.
The SDA also utilises a template (and is likely to be merged with the IRA in the near future) to identify a client’s need for support in a specific area.
It allows for an overview to be gained of the same areas covered by the IRA but is more focused on gathering information in relation the specific area of the need identified in the referral e.g. Mobility.
The assessment is carried out by a therapist who is specifically skilled or experienced in the area needing assessment. The assessment can as per the IRA assessor also make suggestions with regard to other needs. Options, strategies, natural supports and goals remain relevant. Trial of equipment for specialised equipment would be anticipated as needed when undertaking an SDA
Keeping your body & mind A+
PO Box 96 246, Balmoral,
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