Sunbury Community Health is committed to working with people/participants, 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.
People using our services are encouraged to:
- set their own 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’. It focuses on 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.
My Care Plan
Goal-directed care planning is where we work with people to set goals and develop ways to get positive results. We work with participants 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.
The My Care Plan helps to identify who needs to be involved, actions to achieve goals and timeframes. We review the plan with the person, as needed.
Some people may use many of our services at the one time or have complex needs. Sometimes we may ask for their consent for the different service providers to meet, altogether, to discuss their care plan. These meetings help us to work together and to share information about their care so that we can: better coordinate our services, reduce information we collect from them and recommend different ways to achieve their goals.