Building capacity to deliver reablement in regional communities: What are the benefits and challenges

Marguerite Bramble, Steven Campbell, Hazel Maxwell, Annette Marlow, Anne Heath, Sarah Prior

Research output: Other contribution to conferencePresentation only

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Abstract

Research question: What are the benefits and challenges of a reablement teaching program for support workers in a regional community?
Rationale: This pilot project aims to deliver and evaluate a reablement teaching program for staff at all levels of the organisation known as Family Based Care (FBC), which provides services to clients across the lifespan in regional Tasmania. The teaching program, developed in consultation with staff at FBC, is being delivered between March and June 2018. The program aims to enhance staff understanding of the concept and practice of reablement, to increase their capability by developing skills to stand back, observe and assess clients’ potential to gain greater independence, then work collaboratively with each client to identify individual goals. In particular the program uses video recordings of support workers demonstrating real life examples of reablement in action.
Existing Literature: As a relatively new concept in Australia, this multidisciplinary, multi-component, person-centred model relies on the development of a qualified workforce. In community care services the reablement paradigm challenges the traditional carer goals of 'maintenance' and 'support', shifting the organisational philosophy from reactive home services to a proactive and restorative approach to care. As restructuring to community care services continues across Australia it will be expected that Commonwealth Home Support Program (CHSP) providers will adopt best practice approaches to wellness and reablement. International studies to date show positive outcomes for clients, such as shorter episodes of hospital care and fewer hospital admissions. However, there is little evidence of the benefits of reablement in regional areas.
Study Design: Staff from FBC are taking part in two, two-hour reablement training sessions. Data is being collected from staff pre and post training using two survey instruments. The first survey focuses on ‘Activities of Daily Living’ and asks the staff member to assess their perception of their capacity to apply reablement to each activity. The second is designed to assess the extent to which each member of staff feels attuned or not with the reablement initiative. In addition, 8 – 12 staff and one or two of each of their clients are being asked to reflect on their experience of reablement following the intervention.
Study Participants: Study participants are staff management and clients at FBC.
Collaborators or other types of input from the network: We are seeking input from researchers and health service providers in other regional areas who are developing reablement frameworks for implementation.
Original languageEnglish
Publication statusPublished - 16 Aug 2018

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