Home' Australian Ageing Agenda : AAA Nov-Dec 2015 Contents Let us come to you and deliver our education at your workplace,
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Understanding quality review
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Understanding accreditation three-day
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Managing accreditation performance
one-day workshop (for residential
Information systems - keys to
delivering quality care one-day
workshop (for residential aged care)
Foundations for managing risk in
aged care one-day workshop (for
residential aged care)
Making the most of complaints
one-day workshop (for home care
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AT YOUR PLACE
VALUE OF SPECIAL
While some advocates have
argued for CALD seniors to lose
the special needs classification
under the Aged Care Act so
as to move their issues into
mainstream aged care policy,
Patetsos says such a position
would be risky and overestimates
the progress that has been made.
This position assumes CALD issues are front and centre in the
minds of service providers, when they are not, she says.
"The recognition in the Act is still very important. I still
think that we argue and fight it all the time. I go to meetings not
wearing a FECCA hat and certainly wearing a FECCA hat and
I can guarantee that I will be the only person that raises CALD
issues at those meetings still," she says.
Views in society that older CALD people 'should have
learned English by now', or 'they should just cope' persist, says
Patetsos. "I still think that people struggle with culture, race and
language," she says.
CDC AND ITS LIMITS
While Patetsos strongly supports the introduction of consumer
directed care in home care, she cautions that choice is ultimately
constrained by resources, knowledge and availability.
"Choices are real if you have resources you can use and the
choices you make are available." For example, for CALD seniors,
a choice of provider may be limited by the availability of bilingual
support workers, she says.
There is also an assumption made that people can make the
right choices, however often people need advice to help them
weigh up their options. "Older people when they are given choices,
they need someone to talk them through that. I wouldn't assume
that choice is something we all know how to exercise really well."
"[CDC] is still a confined
model of care but it is a better
one because it does empower
older people to recognise that
they are active participants
in the decision-making that
goes on in their lives as
opposed to passive. Choice
is a funny word. I accept that
the government is using it,
but I think this is an active
participatory model of care, which engages with older people
and says 'you're a partner in this and we work together', as
opposed to saying 'you are the recipient and you are dependent.'
And within that there is an element that is choice."
Patetsos, who is also a board director of ACH Group in South
Australia and a member of the Aged Care Financing Authority
(ACFA), says CALD seniors require extra support in the transition
to My Aged Care and CDC. She says the role of intermediaries, to
provide advice and support to older people, should also be explored.
Patetsos has drawn attention to the inequities that are created
for non-English speaking home care clients where interpreting
and translation costs must be taken out of a person's individual
budget, thereby diminishing the value of their care package for
direct care services relative to other clients.
In the move to a more market-driven aged care system,
Patetsos says ensuring adequate protections for the most
vulnerable will be an important priority to ensure that a two-
tiered aged care system does not emerge.
"What would be the worst outcome is if there's selectivity
along the way, so some providers pick the ones that they want
and some people are left behind. The market should protect the
most vulnerable and there is a role for government in making
sure that that happens." n
"I wouldn't assume that
choice is something older
people all know how to
exercise really well."
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