Accommodation alternatives

The demand for acute and sub-acute mental health beds is putting pressure on our emergency departments and medical wards. Appropriate care for these patients can also be provided outside of our hospitals through non-government organisations and other providers. We should pilot new models of clinical care and funding that involve a) utilising leased space to accommodate these patients and b) collaboration with NGOs to provide daily services.

Why the contribution is important

Alternatives to hospital accommodation for people no longer requiring hospital care is critical to helping to address our demand issues.

by Kay_Toshach_MetroSouthHealth on May 15, 2019 at 04:27PM

Current Rating

4.8
Average score : 4.8
Based on : 15 votes

Comments

  • Posted by fivefamilyfitness May 15, 2019 at 17:25

    By working with local community care companies & myaged care/NDIA for special needs accommodation & housing for several people at a time after assessment of needs 24/7 benefits with online specialist contacts on hand. Currently, training needs overhauling eith aging population & mentsl health. Housing Commission cooperation with Government approval & quality standards of care requires appropriate planning & working along side with Care Service providers can adapt their services as required until patients have recovered.
  • Posted by Kathy May 15, 2019 at 20:40

    as a past patient who has been in hospital waiting for home supports, I would have preferred the chance to stay somewhere else while my home was being modified. that is as long as I also received the care I needed. My experience has shown me that hospital isn't necessarily the best place to be while you are recovering.
  • Posted by jonesra May 17, 2019 at 06:17

    Q- Health and the Qld Government should be negotiating with NDIS to get interim care measures. NDIS should be funding an interim care option, plus carers and equipment hire if the barrier to discharge is NDIS related, ie waiting for home mods or equipment. The interim accommodation should be on top of the funded yearly amount and NDIS need to reconsider some things that they recognise as 'a health matter' so that patients can access appropriate services ie catheter changes in the community.
  • Posted by lmcurran May 17, 2019 at 07:32

    I agree with Kathy's post . Whilst waiting for modifications or other requirements, and able to have hospital-in-the-home type care, many patients would benefit from alternate housing that facilitates their recovery out of hospital, at far less cost than a hospital bed.
  • Posted by Reaveym May 17, 2019 at 08:11

    I work on inpatient unit and find a great barrier to discharge is finding suitable timely accommodation for patient waiting for NDIS packages. Some times there is no one or no place for these patients to go that is suitable or safe. NGO support in accommodation forthe interim would free up many beds in Metro South.
  • Posted by leere May 17, 2019 at 09:48

    I agree that "appropriate care for these patients can also be provided outside of our hospitals through non-government organisations and other providers". However in my 10yrs+ experience as homeless worker on the MH inpatient unit, I can confirm that the barrier to discharge is mainly the lack of money to pay for accommodation, at the time of discharge.
    When we do discharge a homeless person to accommodation, there is often representation to ED or loss of accommodation, as the NGO services have not had the capacity to assist the patient, in a timely manner, with their psychosocial stressors.
    I have been involved in many models of clinical care and funding to utilise leased spaces and they have been very useful and successful, however the funding goes away. Our team is constantly negotiating new pathways to accommodation providers and would be very interested in joining any working party or future discussions regarding this matter.
    Look forward to any support that can be provided around this topic :)
     
  • Posted by rhiannon May 21, 2019 at 11:27

    I think better use of Support Residential Accomodation should be used. They offer 24/7 support, all meals, medication administration and social support.
    On top of this you can receive nursing care, personal care, and community engagement from either external or internal providers.

    They can help you get on the NDIS or myagedcare

    It is a great solution that is heavily under-utilised by most of the community but fills a very important gap in the current market.
  • Posted by di May 23, 2019 at 12:09

    I agree with Rhiannon in that alternative accommodation is needed. For our patient cohort, supervised accommodation is required as the prepare for investigations at the hospital and then after discharge because they have had an anaesthetic. For people with no support, this is currently necessitating a hospital admission for 2 nights. Medi hotel type accommodation would be very appropriate and save beds.
  • Posted by Burleysi May 25, 2019 at 10:31

    I agree with Kathy, inpatients in acute hospital beds waiting NDIS plans or reviews are increasing and partnering with NGO's to find innovative short term accommodation options is becoming critical. NGOs are teaming with developers to build new accommodation options for NDIS participants and Metro South health should partner with these NGO's to transition medically stable patients back into community whilst awaiting long term housing options.
  • Posted by kathygrud May 28, 2019 at 15:27

    I agree with the above. We do have some patients for whom no accommodation can be found. they include very aggressive patients, and people who are prisoners but who have acquired age related disability. Secure options with trained staff are needed.
  • Posted by Sceptical May 28, 2019 at 22:07

    Unfortunately the advent of the NDIS seems to have increased the siloed approach of Health VS Disability rather than much talked about collaboration. While collaboration between Health and NGO’s is clearly necessary and beneficial, the concept that all HHS problems related to the NDIS can be solved by NGOs is, I believe, flawed. Health and HHS need to take more responsibility for finding solutions for people with disability in the health system.
  • Posted by SutherJu May 31, 2019 at 12:27

    Add provision of hospice facilities to accommodate slow stream care and skilled care for people coming to the end of their life. We definitely lack hospices in Qld.
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