Refer also to clause 6 – Service Linkages. 5.1.4 Health education/promotion The Provider will support the health and wellbeing of Service Users by providing health education services, advice on nutrition and physical activity and delivery or referral to relevant services such as smoking cessation. The Provider will work collaboratively with other agencies to develop and deliver appropriately prioritised health promotion initiatives within the Residence. 5.1.5 Intersectoral collaboration The Provider will work as part of a strong effective multi-disciplinary / multi-agency team to support both the Service User and effective discharge planning. This includes participation in multi-agency planning meetings and liaison with CYF staff, special education providers, and other relevant agencies as and when appropriate. 5.1.6 Discharge planning Prior to discharge the Provider will use its best endeavours to ensure appropriate health referrals are in place, and if discharged to the community that the Service User is linked back to a primary health care provider. As appropriate, the primary health care provider or the CYF Social Worker will be asked to follow up and encourage and assist the Service User to engage with any health service provider to which he/she has been referred. If the Service User does not have a primary health care provider, the CYF Social Worker will be asked to encourage the Service User to link back with a primary health care provider. The Provider will work collaboratively with staff in the residence to document discharge plans in the Service User’s Transition Plan, and these plans will also be recorded in the medical record in the Residence’s patient management system. The discharge plans will be sent to the Service User’s CYF social worker, the nominated Primary Care Provider, Prison Medical Officer and/or clinical staff in the subsequent residential placement. Staff will make themselves available to talk about the Service User with relevant staff in the new placement, and will be involved in a case conference, or facilitate this, when appropriate. 5.2 Settings Clinical services and coordination services (where possible) will be based within the Residence. Considerations in determining these settings should include (but are not limited to) accessibility, cultural appropriateness, workplace and physical safety of the practitioner and Service User, and the effective and efficient use of resources. Health services will be provided on site where this is able to be negotiated. When this is not possible, consultations / appointments will be made at offsite facilities. The Provider will request timely access for the appointment because of the limited time Service Users are in the Residence.
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- Fall '19
- service user, CYF, CYF Residence