Person-centred Care

Sunbury Community Health is committed to working together, with clients, to achieve their goals.

Person-centred care places the person, at the centre of our service to make sure our systems are working to support them.

Clients are encouraged to:

  • set their own priorities and goals
  • be involved in making decisions
  • provide feedback on our programs and services.

Our services aim to:

  • use and build on peoples strengths
  • provide our expertise, information and support to help people to make informed decisions about their care
  • work together to achieve goals.

Some of the ways we achieve person-centred care is through:

  • Active Service Model
  • My Care Plan
  • Complex client review meetings.

Active Service Model

The Active Service Model (ASM) is all about shifting our thinking  from ‘doing for’ to ‘doing with’, but recognising that people may still need the services that ‘do for’. ASM promotes peoples abilities to live independently and make their own decisions. It encourages people to be in control of their life; doing as much as possible for themselves.

Click here for more information about ASM.

My Care Plan

Goal-directed care planning is where we work with clients to set goals and priorities and develop ways to achieve positive results. We work with clients and where appropriate, with their carers, families, friends, community groups, doctor and other health professionals to develop a meaningful care plan. The tool we use is called My Care Plan. When developing a care plan we start by exploring:

  • what they can do for themselves
  • what they need help with, to stay safe and well at home
  • what they want to be able to do or keep doing.

We then make a My Care Plan. The My Care Plan helps to identify who needs to be involved, actions to achieve client goals and time frames. We review the plan with clients, as needed.

Click here (349 KB) to view the My Care Plan template.

Complex client review meetings

Some clients may access several services at the one time or have complex needs. Sometimes we may ask for clients’ consent for the service providers to meet, altogether, to discuss their care plan. These meetings enable us to work together and to share information about their care so that we can: better coordinate our services, reduce information we collect from clients and recommend different ways to achieve their goals.

Click here (192KB) for more information about complex client review meetings.