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Assessment of Indigenous Older Peoples’ Needs for Home and Community Care in Remote Central Australia

Abstract

The Home and Community Care (HACC) program in Australia provides services which supports older people to live at home. Individual HACC organisations are generally responsible for initial assessment of eligibility and need of clients presenting for services. This paper reports on a project which aimed to develop an understanding of the various approaches to assessment of client needs in Central Australia. The majority of clients in this geographical area are indigenous. The project was initiated in recognition of the primary importance of assessment in determining service access and service delivery and of the particular challenges faced by service providers in remote areas. This paper discusses key project findings including the client group and services provided, initial needs assessment and care planning processes. Evident inconsistencies in practice reflect a variety of complex contextual factors. Staff in remote areas have an inadequate knowledge base to draw upon to assist them with assessment and care planning decisions, and further research and professional development is required.

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Notes

  1. A ‘sorry camp’ is a meeting of relatives and other community members associated with a deceased person. It is part of the traditional funeral and mourning process, and certain people are expected to attend. These camps are generally located at special places some distance away from usual living areas, and length of stay can vary in length (Byard and Chivell 2005), often up to several days.

References

  • Australian Government Department of Health and Ageing (2002). National program guidelines for the Home and Community Care program. Canberra: Commonwealth of Australia.

    Google Scholar 

  • Byard, R. W., & Chivell, W. C. (2005). The interaction of death, sorcery and coronial/forensic practices within traditional indigenous communities. Journal of Clinical Forensic Medicine, 12, 242–244.

    Article  Google Scholar 

  • Commonwealth Department of Health and Aged Care (1998). The home and community care national standards: instruments and guidelines. Canberra: Commonwealth of Australia.

    Google Scholar 

  • Commonwealth Department of Health and Family Services (2004). National framework for comprehensive assessment in the HACC program. Resource kit. Canberra: Commonwealth of Australia.

    Google Scholar 

  • Fitzgerald, M. H., Williamson, P., Russell, C., & Manor, D. (2005). Doubling the cloak of (in)competence in client/therapist interactions. Medical Anthropology Quarterly, 19(3), 331–347.

    Article  Google Scholar 

  • Harrison, J. (1997). Social policy and aboriginal people. In A. Borowski, S. Encel, & E. Ozanne (Eds.), Ageing and social policy in Australia. Melbourne: Cambridge University Press.

    Google Scholar 

  • HK Training and Consultancy (2002). Indigenous employment in the Northern Territory aged care sector. Darwin: Department of Employment and Workplace Relations.

    Google Scholar 

  • Hobson, J. (1990). Current distribution of central Australian languages. Alice Springs: Institute of Aboriginal Development.

    Google Scholar 

  • Hughes, B. (1995). Older people and community care. Critical theory and practice. Buckingham: Open University Press.

    Google Scholar 

  • Lincoln Gerontology Centre (1998). National framework for comprehensive assessment in the HACC program. Canberra: Commonwealth Department of Health and Family Services.

    Google Scholar 

  • Lindeman, M. A., & Newman, V. (2006). Addressing training needs for community care assessment in remote indigenous communities. Geriaction, 24(4), 15–21.

    Google Scholar 

  • Lindeman, M. A, Ozanne, E., & Beckett, D. (2004). Assessment staff in home and community care: issues of learning and professional identity. Paper presented at the International Federation on Ageing 7th Global Conference, Singapore.

  • McGrath, P., Patton, M. A., McGrath, Z., Olgivie, K., Rayner, R., & Holewa, H. (2006). It’s very difficult to get respite out here at the moment: Australian findings on end-of-life care for indigenous people. Health and Social Care in the Community, 14(2), 147–155.

    Article  Google Scholar 

  • NT Department of Health and Community Services (2003). HACC PACK. An induction manual for HACC providers in the Northern Territory. Darwin.

  • Richards, S. (2000). Bridging the divide: elders and the assessment process. British Journal of Social Work, 30, 37–49.

    Article  Google Scholar 

  • Vernon, S., Ross, F., & Gould, M. (2000). Assessment of older people: politics and practice in primary care. Journal of Advanced Nursing, 31, 282–287.

    Article  Google Scholar 

  • Wilson, J. (2002). Social work practice and indigenous Australians. In P. A. Swain (Ed.), In the shadow of the law. The legal context of social work practice (2nd ed.). Sydney: The Federation Press.

    Google Scholar 

  • Woods, P. A., & Baldwin, S. (1998). Assessment of need and case management: an evolving concept. In S. Baldwin (Ed.)Needs assessment and community care: clinical practice and policy making (pp. 25–42). Oxford: Butterworth-Heinemann.

    Google Scholar 

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Acknowledgements

This project was funded by the Northern Territory Department of Heath and Community Services with a HACC “Innovative Project” grant. The authors would like to thank Ms Tahnia Edwards (Indigenous Academic, Centre for Remote Health, Alice Springs), for reviewing the final draft of this paper.

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Correspondence to Melissa A. Lindeman.

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Lindeman, M.A., Pedler, R.P. Assessment of Indigenous Older Peoples’ Needs for Home and Community Care in Remote Central Australia. J Cross Cult Gerontol 23, 85–95 (2008). https://doi.org/10.1007/s10823-007-9053-3

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  • DOI: https://doi.org/10.1007/s10823-007-9053-3

Keywords

  • Indigenous older people
  • Client assessment
  • Remote communities
  • Home and community care