Implementing Wellness, Reablement and Restorative Support with Older People

Implementing WellnessReablement and

Restorative Support with Older People

1 May 2023 1

Carrie Hayter Active Ageing Conference

29 October 2015Sydney

Nothing about me without me www.carriehayter.com

Introduction • Why did wellness and reablement emerge?

– Clarify the language – Reflect on the research

• Opportunities and challenges for providers and older people– Seven key steps

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About Carrie Hayter Consulting

1 May 2023

Transforming Social Care – Public Speaking – Research & Evaluation – A Handbook for community care services, Empowering People, enhancing

independence, enriching lives with Alt Beatty Consulting for NSW Government

– Education & Training – Service Providers – Implementing Wellness and Reablement in Community Aged Care (managers

and support workers)– Implementing Consumer Directed Care (Managers and Support Workers)– Ageing and Sexuality (managers and front-line workers)– Service Users – Living Life my Way (Service Users)

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Source: https://www.adhc.nsw.gov.au/__data/assets/file/0003/233967/Better_Practice_Project_-_Mapping.pdf

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Technical Problems or an Adaptive Leadership Challenge?

Technical problems are well defined.

Their solutions are known and those with adequate expertise and organisational capacity can solve them.

(Heifetz & Linksy, 2002)

Adaptive leadership challenges are entirely different. The challenge is complex

and not so well defined; and the answers are not known in advance

Problems that require us to learn new ways (Heifetz & Linksy, 2002)


6Nothing about me without me www.carriehayter.com

Step One – Start a conversation and get everyone on the same page


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Wellness Reablement Restorative Consumer Directed Care

Building on the strengths • Right balance

between ‘doing with’ rather than ‘doing for’

• Builds community connections

• Identifies what a person can do and wants to do in the future

• Time –limited targeted interventions to regain function, confidence or capacity

• Evidence-based interventions led by allied health workers that allow a person to make a functional gain or improvement after a setback, or in order to avoid a preventable injury.

• Giving more power to people to determine the who, what, why and how supports are provided


Step Two – Critically read research and

practice guides and share it with your team


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Evidence and Research • Research - UK, Australia and New Zealand

– Improved health and wellbeing for older people (Lewin at al, 2013, Parsons et al, 2013, Parsons et al, 2014)

– Reduces people’s dependence on paid supports (King & Parsons, et al 2012, Lewin & Alfonso 2013, Lewin & De San Miguel, 2013)

– Role of assessment is critical (Department of Family and Community Services, Ageing, Disability and Home Care, 2012)

• Further research– People with dementia (Alzheimer’s Australia NSW, 2014)– Engaging carers and service users in their reablement and wellness (Wilde &

Glendenning, 2012)• Australian changes

– Outcomes and benefits– Join the Australian Association of Gerontology – www.aag.asn.au


Step Three – Engage Older People - Nothing

about me without me


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Source: Photo downloaded from Ageing Agendas



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Important to Important for

WWhat else do we need to learn or know?

What is important to a person is what they say through their own words and behaviours about what really matters to them (eg comfort, happiness).

What is important for people are the things that help people become or stay healthy and safe, whether it is important to them or not


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Coercing

Educating

Informing

Consulting

Engaging

Co-designing

Co-Producing

Co-delivery

Co-Ownership

Ladder of Participation

Doing for

Doing to

Doing With

Doing for themselves

Source: Think Public, 2015


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Watch the video https://www.youtube.com/watch?v=WXELgwHQ34o&feature=youtu.be


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www.wavertonhub.com.auwww.mychoicematters.org.au

Co-Ownership and Co-Design in Australia


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30 Day Challenge

Getting Traction and Translating into

Practice

Your Organisation/

Team

Shared understanding and

conversations

Where are we at?


Step Four – Get behind your front-line staff

Step Five – Connect people into community


Step Six – Form Partnerships


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Step Seven - Be curious and test ideas Be Curious I have no special

talents.

I am only PASSIONATELY

CURIOUS

ALBERT EINSTEIN Nothing about me without me www.carriehayter.com

More Information

Download the seven key steps to implement wellness, restorative and enablement

approaches www.carriehayter.com

Start a conversation @carriehayter


http://www.carriehayter.com/

Government & Nonprofit

Implementing Wellness, Reablement and Restorative Support with Older People