With the transition of the HACC Program to the Commonwealth Home Support Programme (CHSP) and the introduction of the National Disability Insurance Scheme (NDIS) service providers continue to operate within the broader global move towards person centred approaches. The CHSP describes service provision from a wellness, reablement or restorative care approach, all underpinned with the principles associated with person centred care.
 
A wellness approach takes the view that as people age and their needs change, community care services can 'work with' individuals  to  assist  them to undertake a task or activity themselves, or with less assistance, and to increase satisfaction with any gains made.  It underpins all assessment and service provision, whether the need for assistance is episodic, fluctuates in intensity or type over time or is of an ongoing nature. 

Like wellness, reablement aims to assist people to reach their goals and maximise their independence. However, reablement involves time-limited interventions that are more targeted towards a person’s specific goal or desired outcome to adapt to some functional loss or regain confidence and capacity to resume activities. Supports could include training in a new skill or relearning a lost skill, modification to a person’s home environment or having access to equipment or assistive technology.  Reablement is targeted to CHSP clients who are motivated to continue to undertake activities of daily living for whom time-limited supports can achieve an increase in independence.
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In the CHSP, reablement is embedded within the assessment, referral and service pathway.  It will be overseen by Regional Assessment Services that will identify opportunities for clients to be as independent as is practical, potentially reducing the need for ongoing and/or higher levels of service delivery.

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The Department of Health  supports funded agencies to implement Wellness and Reablement, previously known as the Active Service Model (ASM) approach in Victoria, by having dedicated Wellness and Reablement Consultants across Victoria.The role of Wellness and Reablement consultants  is to:

• Act as the key communication point for Wellness and Reablement developments and information within the Eastern Metropolitan region of Melbourne
• Support funded servicew providers to gain a consistent understanding of Wellness and Reablement and its implications for practice and systems
• Provide practical operational support to service providers to embed Wellness and Reablement into practice as a broad sustainable change management strategy
• Assist in the broader implementation of the Wellness and Reablement initiative by sharing information on barriers, enablers and practice learnings and developments at a local and statewide level

For further information, please see the Commonwealth Home Support Programme- Program manual 2018 and the  Living Well at Home Good Practice Guide 
You can also contact the Wellness and Reablement Consultants:

Lisa Dean, lisa.dean@each.com.au, 0455 051 447

Joanna Parlapiano, joanna.parlapiano@each.com.au, 0419 391.189




Also, visit our resources page to access resources developed by the Eastern Sector Development Team (ESDT) or to link to external resources.