Delivering Comprehensive Clinical Services to Young People in Out of Home Care

1. Delivering Comprehensive Clinical Services to Young People in Out of Home Care Vanessa Clift1, Katie Morgan2,3, Terence Yoong2,3, Miranda Shaw1, Tania May2 and Voula Kougelos1

2. Model of Care

3. January 2008 – review of Youth Health Services • 2009 - data for two consecutive years was analysis • August 2009 – Implemented the Model of Care

4. Priority Groups • OOHC • Homeless young people • Aboriginal young people • Young parents • Young carers • GLBT • Newly arrived and refugee young people • High needs Culturally and Linguistically Diverse Communities • Experiencing economic disadvantage • Young people in other department care

5. Priority Health Issues • Chronic Illness and Disability • Drug, Tobacco and Alcohol • Harm and Injury • Sexual Health • Mental Health • Nutrition and Physical Activity • Oral Health

7. Key Priority Group - OOHC 2008 data • 34,069 children and young people within Australia • NSW 14,667 • Within SSWAHS 2,148 • Indigenous children and young person are over represented in OOHC

8. Multidisciplinary Clinic • NSW CAAH Youth Health Better Practice Framework • NSW Youth Health Policy 2010-2015 (Draft ) • Area wide service using existing four Youth Health Service

9. What was the Focus • Comprehensive Medical Assessment • OOHC young people referred = 174 • Offered an appointment within 30 days of receiving the referral = 100% • Full medical assessment = 100% • Counselling = 69% • Oral Health = 80% • Additional Specialist Services = 34% • FTA/Cancellations = 39%

10. What We Have Done • Centralised intake • Electronic data collection system • Assessment forms • Client case management • Multidisciplinary case review • Defined roles • Work force development

12. Health Issues Identified Young people in OOHC have high rates of health problems • Emotional and behavioural • Developmental • Physical Often have unrecognised health issues Often health needs are not meet

13. Challenges • Human resources • Slow uptake by Community Services (CS) case workers • FTA • Rescheduling • Different groups of clients • Young people in Support accommodation

14. Review • Establish Clinical Services • Review data • Intake • Clinic processes • CS referral pathway • Key client contact points • Forms

16. Reduce FTA • Clinical Nurse Consultant • OOHC coordinator • Increase referral rate • Obtaining comparative data • Improve uptake of counselling services • Significant numbers of OOHC >18yrs referred by supported accommodation • Expand clinical sessions