Disability Professional Services Adult Intervention Services
Autism Association of Western Australia
Disability Services Commission funded adult intervention program for individuals who are
eligible to receive specialist disability services. The Autism Association of Western
Australia specialise in providing services for individuals with an Autism Spectrum Disorder.
Contact details
Business hours: Monday to Friday 8.30am to 5pm
215 Stubbs Terrace (entrance via Selby Street)
Shenton Park
Phone: 9489 8900
Email: natalie.taylor@autism.org.au
Web: www.autism.org.au
For further information regarding eligibility please refer to the document Eligibility Policy for
Specialist Disability Services funded or provided by the Disability Services Commission
(www.disability.wa.gov.au > Services, supports and eligibility > Eligibility).
Service details
Disability group
The Autism Association provide services to adults with a diagnosis of Autism Spectrum
Disorder.
Age range
Individuals who are 18 years or older, or who are no longer in a secondary educational
placement. To be eligible for Commission funded services the person must be under the
age of 65 years when the disability manifests.
Geographical coverage and bases
The Autism Association of WA is based in Shenton Park and provides services to eligible
individuals living in the Perth metropolitan area.
Access to services
To access specialist disability services, a person must meet the Commission’s eligibility
criteria and the provider's service access criteria.
Access criteria
 Diagnosis of autism spectrum disorder
 Live permanently in the metropolitan area
 Is an Australian citizen or permanent resident of Australia or has a New Zealand
Visa subclass 444
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
Prioritisation based on level of need including:
o places available
o impact on family functioning, for example challenging behaviour
o independence, for example self-care, communication, activities of daily living
o family circumstances
o access to the community for the individual with Autism and their family
o supports accessed
Referral process
Referrals to the Autism Association of WA’s school age intervention program can be made
by:
 the person with Autism, their family and/or carers
 local area coordinators
 other disability service organisations
 other community service organisations
Referral forms can be accessed by contacting one of the family and clinical services team
on 9489 8900.
Referral Information required
Document
Diagnostic reports / Confirmation of
diagnosis (diagnostic letter)
When needed


Permanent address – recorded on client
form


Consent form– consent to obtain / release
information across services; consent to
share information across Autism
Association departments

diagnosis noted on referral form
by referring staff member.
documentation at commencement
of service.
noted on referral form by referring
staff member.
recorded in our database at
commencement of service.
as required for collaboration
across services and teams.
Service model
Professional services team profile
Each person registered with the Adult Intervention Program is assigned to a case
management consultant. Our case management consultants have backgrounds from
psychology, speech pathology, occupational therapy, nursing and social work.
Individual planning and self-directed outcomes
Central to the service model is the development of a thorough understanding of the
presenting needs and the impact on the person and the family. Presenting needs are
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identified in collaboration with the person, family, carers and other support services. They
will be supported to prioritise these needs, identify their own objectives and goals.
In partnership with the person, family and/or carer and other support services, the
Individual Plan will be developed to address some or all of the following:
 functional analysis of a presenting need, where relevant
 identification of skill development strategies in a variety of life domains including
communication, social interaction, self care, productivity and leisure to maximise
independence and personal autonomy
 identify post school goals and aspirations, current abilities and supports
 assess opportunities for community participation, work and enjoyment of life
 Identify opportunities for enhanced quality of life for the person and their family.
Achieving self-direction is valued as a fundamental goal for people with Autism and their
families. They will be supported to identify their own objectives, prioritise their own goals
and plan for lasting change. This will be done by providing information, resources and onsite coaching in settings of the person’s choosing. The person with Autism and their
families are encouraged to play an essential part in choosing the type of professional
involvement and intervention approach that recognises and addresses their unique and
specific needs and desires.
Individual needs assessment
The assessment of individual needs will include the use of functional assessment,
interviews with the person’s family and carers, other support services, observations, and
the administration of formal and informal assessments.
The difficulties experienced by people with autism increase their vulnerability to developing
behaviours that challenge. Challenging behaviour almost always means something and
understanding the behaviour helps us to make effective adaptions to the environment
around the individual, which contribute to the behaviour. Using a positive behaviour
Support approach there is a strong focus on Quality of Life gains as an intervention and
outcome. Therefore reduction in challenging behaviour becomes a side effect of the
intervention.
Also using a family systems approach there will be an assessment of the individual’s
family culture, the family values, the realities of home life, the emotional resources of the
family and the impact of interventions on relationships already under stress. There will also
be a mapping of the existing formal and informal support systems for the person and their
family and, if appropriate, an exploration of how these can be extended to further build the
capacity of the person and the family.
Further specialised assessment may be needed and will continue throughout the
implementation, monitoring and review phases as required.
Programs and Services offered
The service model is community-based and is designed to promote the independence and
participation of the person with autism by building upon the strengths of the person, their
family and the community. The service aims to achieve three overarching goals /
outcomes for people with Autism:
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



assist the person with Autism to develop and maintain skills and competencies to
participate in a good life
increase the person’s inclusion in the community and universal services
empower the person’s family, caregivers and other support services through
improved understanding of the person with autism including their unique skills and
behaviour.
support the young adult and their family towards planning a transition from school
into meaningful post school activities, including education, the workforce and the
development of social networks.
The emphasis of our practice is on promoting independence, participation and inclusion by
building on the individual’s strengths, developing and strengthening support networks, and
supporting them in situations where behavioural, communication and social difficulties may
result in community exclusion or otherwise reduce quality of life.
The service is provided in a range of environments including the person’s home and family
home, work or community settings. Case managers are sensitive to the personal and
cultural context of the person with Autism and their family, and to understand and work
within their preferred interactional style.
Other programs offered include parent support groups and friendship clubs:
 The iParent support group is facilitated by staff. Sessions include discussions and
presentations by experienced speakers on topics of interest including employment,
developing independence, coping with stress and navigating community support
more effectively.
 Friendship club for adults with autism provides structured program within a
supportive environment for adults with autism to learn new skills, socialise and have
fun with peers. The friendship club meets every month.
Review, evaluation and reporting on achievement of outcomes
Each individual plan outlines the person responsible for the implementation of strategies
and the timeframes for review. Individual plans are reviewed with the person and their
family/carer every 6 months and progress towards their goals is recorded. Informal reviews
also occur throughout the implementation phase to enable adjustments to the plan to be
made where necessary.
During the intervention stage and post intervention, measures are completed and
outcomes are discussed and reviewed with the client and the family/carer and/or other
support services. Where goals have been met and outcomes achieved, they are recorded
in the person’s individual plan, summarising the involvement, achievement and any
identified maintenance strategies. Where needs remain, additional goals may be set and
further supports agreed. Any barriers to the achievement of goals are identified, and
strategies are put in place to address these.
Observations and feedback from the people involved in the person’s individual plan will
also be used to evaluate the achievement of outcomes. As part of the Autism Association’s
outcomes measurement framework, a simple questionnaire will be administered to the
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person and/or their family/carer to evaluate their satisfaction with the process of providing
intervention, as well as their satisfaction with the results achieved from the intervention.
Other relevant services
School age therapy services - funded
Statewide consultancy services for individuals with autism, their families, disability
organisations and other community services to build awareness, educate and build
skills.
Post school options - funded
Disability employment service – funded
Community living - funded
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Ability Centre
Disability Services Commission funded adult intervention service for adults with any
disability type who are eligible to receive specialist disability services, including unique
services for children with cerebral palsy and like disorders.
Contact details
Business hours: Monday to Friday 8.30am to 4.30pm
106 Bradford Street Coolbinia
Phone: 9443 0211
Email: therapy@abilitycentre.com.au
Website: www.abilitycentre.com.au
For further information regarding eligibility please refer to the document Eligibility Policy for
Specialist Disability Services funded or provided by the Disability Services Commission
(www.disability.wa.gov.au > Services, supports and eligibility > Eligibility).
Service details
Disability group
Adults with any disability type who are eligible to receive specialist disability services,
including unique services for individuals with cerebral palsy and like disorders.
Age range
Individuals who are 18 years or older, or who are no longer in a secondary educational
placement. To be eligible for Commission funded services the person must be under the
age of 65 years when the disability manifests.
Geographical coverage and bases
Adults residing in the Perth Metropolitan area are eligible for services (service area
boundaries are in place). For those living just outside the service area boundary, a
modified service may be available.
Ability Centre has facilities in:
Coolbinia
Currambine
Canningvale (opening in August/September 2015)
Rockingham (satellite hub)
Midland (satellite hub)
Access to services
To access specialist disability services, a person must meet eligibility criteria and the
provider's service access criteria.
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Access criteria
Individuals who eligible to access specialist disability services funded by the Commission.
Referral process
Individuals can self-refer, or legal guardians can complete the adult disability professional
services referral form.
Referral form can be found at www.abilitycentre.com.au
Referral information required
Document
When needed
Completed application form
beginning of referral process
Diagnostic reports
beginning of referral process
Evidence of citizenship
beginning of referral process
Consent Forms
sent with Welcome Pack
Service model
Professional services team profile
Multidisciplinary team includes: manager, team leader, community liaison person, key
contact therapist, speech pathologists, occupational therapists, physiotherapists, social
workers, clinical psychologist, community inclusion workers, client liaison officer and other
administrative support.
Individual planning and self-directed outcomes
Empowerment, self-determination and participation are the service context within which all
Independent Living Program support is provided. All support seeks to actively search for
and facilitate the person’s gifts and capacities for their involvement in their home and
community life; and to strengthen the voice of individuals and those who know the person
best. All support is Person Centred with individualised planning and collaborative goal
setting to maximise the individual’s attainment of their own goals.
Ability Centre therapists work with individuals to learn ‘Your Story’ and to assist in the
development of ‘Your Plan’. Known as ‘Your Way’, this model is based on the principles of
person centred practice and self directed service provision.
A key contact therapist makes initial contact and a meeting is carried out to discuss
priorities for the individual and what they would like to achieve. These outcomes and
priorities are then documented in a written plan. The key contact also discusses strategies
and timelines to determine who will support the individual to achieve the overall outcomes.
The key contact therapist is the main source of contact for supporting, implementing and
coordinating the plan.
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The ‘Your Plan’ is able to be updated and reviewed on a ongoing basis. There is a need
for a new plan to be developed on an annual basis.
Individual needs assessment
A collaborative partnership approach between Individuals/families/carers and therapists
are utilised to identify the individual’s goals and priorities. The individual/family/carer has a
strong voice relating to different type of needs, goals, and strategies and supports to
address the needs and achieve the goals. Individuals/families/carers choose the
strategies and supports they require in conjunction with professional advice from the
therapists.
Programs and services offered
All individuals are able to access any of the services offered by the adult service to
address their life needs. These can be undertaken with a primary approach, working
directly with the individual; the secondary approach, working with families and support staff
in all environments in which the individual spends their time; and the tertiary approach,
focusing on building community capacity to promote the acceptance and inclusion of
people with disabilities. Supports and services are individually tailored to optimize the goal
achievement.
Individuals are supported through:
 person centred planning for life goals
 clinical assessment of service user’s needs
 coordination of services
 individual therapeutic intervention:
o supporting service users to access their home, workplace, or community
o assisting with equipment and therapy, for example, for communication,
mobility, transfers, splinting, self-care, home tasks and mealtime
management
o assisting with relief of pain and stiffness
o support during life transitions, for example from school to adult life, moving
home, transition to work, and retirement
 group intervention:
o enabling and empowering service users to self-manage their disability
through group programs such as ‘Self Management’ and ‘Maintaining a
Healthy Lifestyle’
 education and training:
o safe manual task techniques
o home exercise programs for health and wellbeing
o alternative communication
o mealtime management
o use and maintenance of equipment
 information:
o provision of information and resources
o alternative therapy services
o recreation options
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
o local area coordinators
consultancy:
o service user, family or carer in the home, workplace, alternatives to
employment, and community
o advocacy for an individual with a disability
Review, evaluation and reporting on achievement of outcomes
Individual goals and achievements are reviewed through collaborative discussion and
evaluation with the individual/family/carer at goal completion or at an annual review. As
part of this review process individuals are asked to rate the achievement of the goals set in
the previous plan.
Other relevant services
Commission funded programs including alternatives to employment/post school
options, intensive family support, respite services, accommodation support and
community living
Hydrotherapy
Statewide consultancy services for eligible adults outside the metro region
Referrals to Ability Centre Clinics, eg, walker clinic (stepping out clinic), lower limb
clinic, upper limb clinic, meal time management clinic, gait analysis clinic, orthotics
clinic, spinal clinic
Referrals to targeted Services – CP Tech: assistive technology and equipment,
sleep solutions; health promotion: dental, orthotics, podiatry , neurology
Consultancy Services – private fee paying
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Disability Services Commission - Adult Therapy Program
Contact details
Business hours: Monday to Friday 9am to 5pm
Joondalup: 6 Davidson Terrace.
Phone: 9301 3895
Email: kaye.donec@dsc.wa.gov.au
Myaree: 71-73 Norma Road
Phone: 9329 2405
Email: michelle.lane@dsc.wa.gov.au
Website: www.disability.wa.gov.au
For further information regarding eligibility please refer to the document Eligibility Policy for
Specialist Disability Services funded or provided by the Disability Services Commission
(www.disability.wa.gov.au > Services, supports and eligibility > Eligibility).
Service details
Disability group
Adults with an intellectual disability who are eligible to receive specialist disability services
who live independently, with their family in the community or in supported community living
within the Perth metropolitan area.
Age range
18 years +
Geographical coverage and bases
Perth metropolitan area.
Access to services
To access specialist disability services, a person must meet the Commission’s eligibility
criteria and the provider's service access criteria.
Access criteria
The Adult Therapy program is available to adults with an intellectual disability who are
registered with the Commission and are eligible to receive specialist disability services.
Individuals must either live independently, with their family in the community or in
supported community living within the Perth metropolitan area.
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Referral process
Individuals can refer themselves or be referred by their parents/carers, local area
coordinator, Department of Health, medical practitioners or other allied health
professionals. The preferred referral process is a phone call to the team leader to ensure
the person is eligible for the service, that the service is able to provide the appropriate
intervention for the person and there is team capacity. This is followed up with a written
referral.
Referral form can be obtained from local area coordinators or via the team leader.
Referral Information required
Document
When needed
Transition/therapy plan
x
Parent/s’ consent
At point of referral
At point of referral
Other comments
Transition/therapy plan should include a meal time management plan (if one exists) and
equipment inventory.
Service model
Professional services team profile
The team is led by a program manager and team leaders. Members include occupational
therapists, physiotherapists, speech pathologists and a dietician.
Individual planning and self-directed outcomes
The team take a holistic, person centred approach, working closely with the person with
disability and their family/carers to ensure that therapy goals set are based on individual
circumstance and need.
Programs and services offered
The Adult Therapy program provides a comprehensive service for adults. The service
consists of the provision of a range of equipment including Augmentative Alternative
Communication (AAC), home modification and assessment for dysphagia along with meal
time management. Mobility, positioning, transfer and personal hygiene equipment is also
provided. Review of existing equipment, assessments for and prescription of new
equipment is almost exclusively conducted through home visits. Appointments can be
arranged at alternative venues if necessary.
The team also provides advice assessment and management of therapy programs related
to mobility, falls, manual handling, transport, self-regulation and communication. Speech
pathologists and dietician provide assessment, management and advice for adults about
eating and drinking (dysphagia), and diet and nutrition disorders.
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Equipment is purchased for the individual by accessing the Community Aids and
Equipment Program (CAEP).
Once intervention is completed, the individual is placed on a review list to ensure that
equipment is monitored, serviced and well maintained and that interventions/programs are
monitored to best meet the person’s needs.
Other relevant services:
Behaviour Support Program: This service provides positive behaviour support to
assist people living in the community who have a family member who is
experiencing challenging behaviour. Services are available only through referral.
local area coordinators along with other agencies and individuals can make a
referral for these services.
Accommodation Behaviour Support Program: This service provides positive
behaviour support to adults in supported community living. Services are
available only through referral. Local area supervisors/care staff can make a
referral for these services.
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Multiple Sclerosis Society WA (Inc)
Disability Services Commission funded adult intervention program for individuals who are
eligible to receive specialist disability services. We have a multi-disciplinary team including
occupational therapists, counsellors and physiotherapists specialising in multiple sclerosis
and other neurological conditions. Some sub-specialisation therapists are available
including a sleep advisor, sexual therapist and assistive technology.
Contact details
Business hours: Monday to Friday 8.30am to 4.30pm
29 Parkhill Way
Wilson 6152
Phone: 9365 4804 / 9365 4888
Email: Sandra.Wallace@mswa.org.au or Mark.Douglas@mswa.org.au
Web: www.mswa.org.au
For further information regarding eligibility please refer to the document Eligibility Policy for
Specialist Disability Services funded or provided by the Disability Services Commission
(www.disability.wa.gov.au > Services, supports and eligibility > Eligibility).
Service details
Disability group
Adults with physical and or cognitive impairment due to multiple sclerosis or other
neurological conditions.
Age range
Individuals who are 18 years or older. To be eligible for Commission funded services the
person must be under the age of 65 years when the disability manifests.
Geographical coverage and bases
MSWA offers coverage across the metropolitan area and in the southwest and great
southern regions. We have bases in Wilson, Rockingham, Beechboro, Wangara, Bunbury,
Busselton and Albany. Many clients are seen and assessed in their home particularly for
occupational therapy.
Access to services
To access specialist disability services, a person must meet eligibility criteria s and the
provider's service access criteria.
Access criteria
Clients must be eligible for Disability Services Commission / WA NDIS My Way funded
services and supports.
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Referral process
Referrals can be received from My Way Coordinators, Local Area Coordinator’s, other
providers and self-referral.
Referral form can be emailed by contacting Sandra.Wallace@mswa.org.au
or Mark.Douglas@mswa.org.au
Referral Information required
Document
Diagnostic reports
Other consent form
When needed
Confirmation of diagnosis
To be completed when registering
with MSWA
Service model
Professional services team profile
Our team is comprised of occupational therapists, physiotherapists, counsellors, welfare
officer, speech therapist, community nurses and therapy assistants.
Individual planning and self-directed outcomes
Individual planning and thorough assessment are pivotal to identifying the therapy goals
and desired outcomes.
Individual needs assessment
Therapists use a variety of assessment tools and clinical indicators to assess the
individual. Based on evaluation of the results, therapy goals and the program or
intervention strategies are identified.
Programs and services offered
Waitlist times are indicated to the individual; depending on the circumstances some
resources or information may be provided as an interim. Communication is through various
means including face to face, phone calls, email and skype where appropriate. MSWA
staff work across the health, community and disability sector, with collaborative
relationships with treating physicians and hospital teams.
Review, evaluation and reporting on achievement of outcomes
Depending on the individual circumstances reviews, evaluations and reporting are
completed within designated timeframes. Planned reviews of strategies and interventions
for the achievement of outcomes are proposed, and documentation completed as
evidence.
Other relevant services
MSWA provide a range of Disability Services Commission services including Community
Access, Intensive Family Support, residential respite, in home accommodation support,
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recreation, high support accommodation and community living. In addition we have nonCommission funded services including support groups and recreational opportunities for
clients, carers groups and educational forums.
Hydrotherapy Fee paying
Statewide consultancy services for MS
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Adult Intervention Services
Nulsen Disability Services
Disability Services Commission funded intervention program for adults with any disability
type and their families who are eligible to receive specialist disability services.
Contact details
Business hours: Monday to Friday 8.30am to 4.30pm
28 Burton Street Cannington, 6107
Phone: 6253 4700
Email: care@nulsen.com.au
Web: www.nulsen.com.au
For further information regarding eligibility please refer to the document Eligibility Policy for
Specialist Disability Services funded or provided by the Disability Services Commission
(www.disability.wa.gov.au > Services, supports and eligibility > Eligibility).
Service details
Disability group
Adults with any disability type who are eligible to receive specialist disability services,
particularly those with complex disability.
Age range
Aged 18 – 65 years
Geographical coverage and bases
Perth metropolitan area.
Access to services
To access specialist disability services, a person must meet the Commission’s eligibility
criteria and the provider's service access criteria.
Access criteria
Adults with disability, particularly those with complex needs.
Referral process
Referrals can be provided by families, carers, LACs, other service providers.
Referral Information required
Document
When needed
Diagnostic reports
Transition/therapy plan
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Consent for release of information form
Individual goals
Therapy procedures
Service model
Professional services team profile
The Nulsen health services team includes speech pathologists, occupational therapists,
physiotherapists, psychologists, and nurses.
Individual planning and self-directed outcomes
Nulsen adopts a person-centred or family and child-centred approach dependent upon the
age group. All individuals have a personal program tailored to discover their interests,
skills and goals to promote independence and participation in their community.
Individual needs assessment
Clinical assessments are completed with the individual and their family and/or carers
where applicable.
Programs and services offered
Services are provided in a team approach, with the person (and their family where
relevant) at the centre of this team. All decisions related to therapy services are made in
conjunction with the person, as well as relevant others such as family and/or other service
providers. Therapy goals are directly linked to the person’s specific goals.
Review, evaluation and reporting on achievement of outcomes
Formal reviews are completed annually to assess outcomes and determine new goals.
Ongoing reviews of individual outcomes are completed to adjust programs to suit each
individual’s needs. Reporting is provided both on a needs basis, and through annual
Individual Service Planning reports.
Other relevant services
Adult intervention - therapy services - funded
Hydrotherapy – may attract a fee
Alternatives to Employment – varies according to an individual’s funding
Post School Options - varies according to an individual’s funding
Accommodation support - varies according to an individual’s funding
Person Centred Planning - varies according to an individual’s funding
Targeted services eg assistive technology - varies according to an individual’s
funding
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Rocky Bay
Disability Services Commission funded adult intervention program for adults with disability
who are eligible for specialist disability services. This program also includes an expertise
focus for people with muscular dystrophy.
Contact details
Business hours: Monday to Friday 8.30am to 5pm
Manager Therapy Professional Services
13 Baling Street, Cockburn, 6164
Office Phone: 6399 4111
Direct Phone: 6399 4120
Email: clinserv@rockybay.org.au
Web: www.rockybay.org.au
For further information regarding eligibility please refer to the ‘Eligibility for Specialist
Disability Services’ funded or provided by the Disability Services Commission
(www.disability.wa.gov.au > Services, supports and eligibility > Eligibility).
Service details
Age range
From 18 years and over or youth under 18 who have left school
Geographical coverage and bases
 Perth Metropolitan Area for people with any disability who are eligible for
Specialised Disability services.
 Perth metropolitan area for People with neuromuscular conditions
 State-wide consultancy for people with neuromuscular conditions (whole of WA)
Access to services
To access specialist disability services, a person must meet eligibility criteria AND the
provider's service access criteria.
Access criteria
We offer comprehensive service within adult services.
We also offer statewide consultancy (for neuromuscular conditions) and fee for service (eg
NDIS, Better Start, PITS, and private fee for service)
Referral process
Referrals can be directly from the individual
Where referrals are sent in by others (such as family, specialist, or GP) where ever
possible we need to have written consent from the person the referral is for.
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All referrals to the adult program are subject to program eligibility and access criteria.
There are intake processes and waitlist management strategies which allow us to provide
services flexibly to those people in most need. Parents/carers are contacted by client
liaison officers (CLOs) to confirm eligibility, gather information, discuss what supports they
are seeking and determine need and priority. Priority to access services is given to those
who have complex needs (complex physical needs, dysphagia, and/or complex
communication needs), and then to individuals/families/carers who have reduced capacity
to self-direct or self-advocate.
Referral form can be found at www.rockybay.org.au/services/therapyprofessional
Referral information required
Document
When needed
Diagnostic reports
Transition/therapy plan
Other Consent form
Service model
Professional services team profile
Social work, psychologist, physiotherapist, occupational therapist, speech pathologist,
therapy assistant, client liaison officer, fitness officer
Individual planning and self-directed outcomes
Rocky Bay acknowledges that all individuals, regardless of their support needs, gender,
race, ethnicity, religion or nationality, have the right to opportunities which will enable them
to enhance, fulfil and demonstrate a valued role in their community. Rocky Bay is
committed to supporting people with disability to develop and maintain skills to participate
in the same recreational, work, social and learning opportunities that are valued and
accessed by the community.
Rocky Bay’s youth and adult program works collaboratively with families/carers, children,
educational organisations, local area coordinators, hospitals, alternatives to employment
providers, employment providers and other relevant services. Therapists support
individuals to identify their goals and then discuss and negotiate how therapy services can
be utilised to enable them to achieve their goals. Documentation of what has been agreed
to and timelines and review dates is an essential benchmark, enabling staff to check that
actions are completed. The program is flexible and adaptable in meeting the individuals
changing needs and circumstances, and other supports are engaged where required.
Rocky Bay aims to assist individuals and their support networks to build skills for life and
work with them for as long as required.
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Adult Intervention Services
We are a community based service and use a person centered approach within the life
needs service delivery model to maximize independence and community participation
especially across major life transitions. Rocky Bay is unique, offering services across the
life span
We have initial discussions with individuals to clarify each party’s expectations and we
partner with the person and their support network to work towards achieving their goals.
Individual needs assessment
Rocky Bay uses a strengths based, holistic, goal orientated approach to planning and
“assessment”. We acknowledge that people’s goals and needs can do change across a
lifespan.
Because of this we use a variety of methods to determine a person’s goals and needs.
These include:
 initial planning meetings focusing on dreams and aspirations. We may use ecomaps to
identify people’s formal and informal support networks. These meetings vary in location
and length as directed by the person.
 with consent: gathering medical and other information that will inform the impact of the
person’s health and disability on their life.
 clinical specific standard and informal assessments, reviews and appropriate
interventions as required (e.g. dysphagia assessment, sensory profiling)
 reviewing and documenting changes to provide longitudinal information about a
person’s development and needs (e.g. monitoring lung function and physical functional
capacity of people)
 opportunities for planned and unplanned review of goals and needs as required
 ongoing rehabilitation opportunities based on the principle of neuroplasticity.
Programs and services offered
Individuals are given an outline of service features with explanation to ensure they have
realistic expectations. During this discussion if there are any anomalies these can be
discussed and resolved ensuring services are delivered in an efficient and smooth
manner. Pathways of service have been developed for individuals. Strategies within
pathways may include:
 individualised planning and service agreements as required
 responsive individualised intervention based on service agreements.
 dynamic response (short term, goal specific intervention)
 team around the person with a nominated key contact to provide one point of contact
and a coordination role for Rocky Bay services (e.g. therapy, respite, employment,
and/or accommodation services)
 transition planning and support for recognised life stages (e.g. leaving school) or life
events (e.g. changes in family circumstances)
 parent/client information sessions – these are developed in response to needs and
demand and can include topics such as Autism, transitional points, behaviour
management strategies. Sessions are delivered in a variety of forums including
fathers’ forums and coffee mornings. They are also provided in a number of locations.
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information provision through Rocky Bay website, targeted and generic fact sheets,
newsletters and emailing/sending relevant community and disability specific
information.
groups – can be generic groups offered and are not individualised (e.g. women’s
health) or targeted to a specific objective (e.g. cooking skills).
phone/email contact – individuals are encouraged to inform Rocky Bay of any changes
in needs which may impact on their services, supports and goals. Staff also keep in
contact to monitor needs of the person through planned contact as agreed (example:
annual servicing of equipment)
managing expectations and negotiations at the beginning of the partnership.
training of staff to ensure they utilise self-directed techniques to empower
families/carers to be independent. This includes listening, planning and use of local
community resources.
developing community links by educating community groups as required
Rocky Bay maintains regular contact with key networks that support youth and adults with
disabilities eg. local area coordinators; sport and recreation networks; parent support
networks and school personnel, Translation services, advocacy services i.e. Ethnic
Disability Advocacy Centre (EDAC) and People With Disability (PWD) to promote and
ensure positive working relationships. These networks can assist with the development of
mechanisms to support the participation individuals with disability in community activities.
Rocky Bay currently offer services to people from Aboriginal and Culturally and
Linguistically Diverse (CaLD) backgrounds through a range of comprehensive models and
services. These include (but not limited to):
 Translating and Interpreting Services
 Ethnic Disability Advocacy Centre (EDAC) to support effective communication with
clients and family members.
 Member of the Culturally and Linguistically Diverse Network Group
 A culturally and language diverse staff group who assist with a variety of language and
cultural translations
Review, evaluation and reporting on achievement of outcomes
Rocky Bay uses the following strategies to assess service outcomes and quality:
 Individual Service Plans – these are reviewed at least annually and provide a forum for
the person to identify what has worked and what didn’t. It also provides a formal
opportunity for people to provide feedback on the service. Goals are reviewed and
outcomes identified and documented.
 We maintain client records which store completed assessments, video, photos,
programs, funding applications etc. This can be used in a variety of ways to: monitor a
person’s development (improvements in participation and independence) or
deterioration (eg. people with muscular dystrophy).
 We have procedures to track timeliness of equipment provision. This is used to identify
blocks in the process for which we can adjust our procedure or advocate where
external issues impact on the process (eg: accessibility of parts from overseas)
 Client Surveys – these are offered annually. They can remain anonymous if desired
and provide feedback on the service and identify opportunities for improvements.
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Actively seeking feedback at every opportunity (eg. during group sessions, during
intervention sessions) and also members of the management team audit stakeholders
on a minimum quarterly basis (eg. randomised phone survey).
Self-Assessment and the Quality Management Framework audits – these provide a
formal structure, as well as an independent evaluation of the service.
Staff surveys and supervision – staff are encouraged to provide feedback on the
success or need for change to the service. Supervision provides the opportunity for
staff to discuss concerns both generic and specific to a client.
Business improvement manager has been employed whose job purpose is to facilitate
and advocate continuous improvement across the organisation
Information technology (IT) system – Rocky Bay is currently reviewing its IT system
and planning for upgrades to include built in auditing points to enable service delivery
to be monitored easily while providing direct feedback and reminders to staff, ensuring
services are delivered in a timely manner
Commitment and procedures for recording and responding to all feedback – people are
encouraged to email or phone through feedback to managers in the forms of ‘Wows’
and ‘Woes’. These are recorded and acted upon in accordance with our procedures.
Social media – Rocky Bay has a Facebook page, which assists in monitoring services
Other relevant services
School age therapy services
Hydrotherapy
Adult therapy services
SARP: skills acquisition rehabilitation program
State-wide consultancy services for neuromuscular conditions
Better Start
Posture Tech
Community refurbished equipment
Independence and leisure (post school options, school holiday programmes, shared
management)
Home and community ( family support, guest houses, home support)
Training and employment
Private fee for service
Community nursing (consultation and education)
Individual fitness and community participation program
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Adult Intervention Services
Senses Australia
Disability Services Commission funded adult intervention program for adults with any
disability type who are eligible to receive specialist disability services.
Contact details
Business hours: Monday to Friday 8.30am to 5pm
11 Kitchener Avenue, Burswood, WA, 6100
Phone: 9473 5458 or 9473 5419
Email: kelly.gurr@senses.org.au or holly.coopes@senses.org.au
Web: www.senses.org.au
For further information regarding eligibility please refer to the document Eligibility Policy for
Specialist Disability Services funded or provided by the Disability Services Commission
(www.disability.wa.gov.au > Services, supports and eligibility > Eligibility).
Service details
Disability group
Senses Australia provides services to adults with a range of disabilities including physical,
sensory and motor difficulties and intellectual disabilities.
Age range
From 18 years and over OR youth under 18 who have left school.
To be eligible for Commission funded services the person must be under the age of 65
years when the disability manifests.
Geographical coverage and bases
Perth Metropolitan Area
Access to services
To access specialist disability services, a person must meet the Commission’s eligibility
criteria and the provider's service access criteria.
Access criteria
Adults 18 years and older who are eligible for adult therapy services should have a current
DSC registration or meet the DSC eligibility criteria. Any specialists’ reports or previous
information from service providers can be helpful when determining eligibility.
Once eligibility has been determined, access to services is prioritised based on relative
need including safety and risk (e.g. dysphagia), equipment, family needs/support. Each
referral is considered based on the relative needs of the individual.
Referral process
Please find the referral form on our website www.senses.org.au or alternatively contact
Holly Coopes (adult services coordinator) on 9473 5419 to arrange to have it mailed or
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faxed to you. Once the form is completed, please include any documentation which
supports the person’s diagnosis and return by post, e-mail, or fax. The referral will be
processed and the individual will be informed accordingly.
Referrals can be accepted from any source including self, parents, local area coordinators,
My Way coordinators and other allied health professionals.
Referral form can be found at: www.senses.org.au
Referral information required
Document
When needed
Diagnostic reports
at Referral
Transition/therapy plan
if available, when offered place
Other Consent form
at referral
Proof of Australian residency
at referral
Additional reports (therapy reports,
medical history)
at referral or when offered place
Service model
Professional services team profile
The service offers occupational therapy, speech pathology, physiotherapy, psychology,
positive behaviour support and social work within the community and in people’s homes.
Our therapy staff work collaboratively with individuals, families and support workers to
maximise quality of life and independence. Our team has a broad range of skills with
varied clinical experience in both the disability and health systems. Specifically we have
therapists trained in wheelchair positioning and seating, communication technology, falls
prevention, Bobath, manutention (manual handling) and dysphagia management.
Individual planning and self-directed outcomes
Senses Australia adopts a person centred approach where therapists work with the
individual, their families/carers and/or support staff to achieve identified meaningful goals
which support a person’s quality of life and their independence. These are written into an
Individual Plan. We recognise the needs of the individual, their relationships with family
and support workers, and the importance of the many environments in which a person
works and enjoys leisure activities.
Senses Australia encourages individuals to be self-directed, to set their own goals, decide
how best to achieve these, and measure the outcomes within designated time frames.
Individual needs assessment
Assessment information is gathered from previous sources and any reports provided at
referral. Information from the individual, their family and care staff is invaluable, and greatly
contributes to the assessment. Therapists conduct formal and informal assessments within
an individual’s home and community settings to obtain information regarding their
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strengths and needs, and then use this information to work with the client to decide how
best to deliver therapy services which achieve the individual’s goals.
Programs and services offered
 Therapy support is provided based on the goals determined by the individual, their
family/carers and support staff on their Individual Plan.
 Individual therapy sessions can be based at home or within the community, including
the workplace
 Therapy programs may be implemented with the assistance of support workers, thus
allowing for long term continuation of effective programs
 The newsletter ‘In Touch’ provides individuals and families with information regarding
recent and upcoming events.
Review, evaluation and reporting on achievement of outcomes
Therapy outcomes are evaluated within a timeframe decided on by the individual and
therapist, but are reviewed at least once every 12 months. Outcomes are discussed with
the individual and any others who the individual would like to involve and then these are
reported on the individual’s plan. The individual can choose to work ongoing on some
goals should they chose to; or to change goals as their interests and needs change.
Other relevant services
Deafblind services (funded for adults receiving adult therapy services)
Early childhood services
School age services
Accommodation support (for adults with individual funding)
Alternatives to employment
Respite
Individual funding
Fee for service
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July 2015
Adult Intervention Services
Therapy Focus
Disability Services Commission funded adult intervention program for individuals who are
eligible to receive specialist disability services.
Contact details
Business hours: Monday to Friday 8am to 5pm
5/1140 Albany Highway, Bentley, 6102
Phone: 9478 9500
Email: enquiries@therapyfocus.org.au
Web: www.therapyfocus.org.au
For further information regarding eligibility please refer to the document Eligibility Policy for
Specialist Disability Services funded or provided by the Disability Services Commission
(www.disability.wa.gov.au > Services, supports and eligibility > Eligibility).
Service details
Disability Group
Adults with any disability type who are eligible to receive specialist disability services.
Age range
18 years of age and over.
Geographical coverage and bases
Perth metropolitan area and Peel-Waroona region.
Therapy Focus currently has twelve office bases located at:
 Armadale
 Bassendean
 Bentley
 Carson Street School
 Durham Road School
 Ellenbrook
 Gladys Newton School
 Goollelal Primary School
 Joondalup
 Maddington
 Mandurah
 Mirrabooka
Services are offered in the home, community or any location as appropriate to the
individual and family. We may offer clinic based appointments on occasion.
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Access to services
To access specialist disability services, a person must meet the Commission’s eligibility
criteria and the provider's service access criteria.
Access criteria
1. Permanent Australian resident or Citizen
2. Living within the Perth metropolitan or Peel-Waroona region
3. With a disability
4. And experiencing issues with day-to-day activities, as a result of the disability.
The person does not need to be registered with or have an eligibility letter from the
Disability Services Commission to be eligible for services.
When a ‘place’ becomes available, services will be offered to the person based on:
a) assessed priority and
b) date registered on the waitlist.
The priority categories are as follows:
4
Priority
Category
Urgent and critical need
3
High need
2
Moderate need
1
Low need
0
Life threatening or existing
injury to client / carer
Significant injury risk to
client / carer or deterioration
in health status.
Issues identified, functional
impact identified, quality of
life impacted.
Issues identified, however
minimal functional impact
(not reported to be
impacting on quality of life).
Inappropriate referral
Referral process
Referrals may be accepted from any source, providing consent from the individual or legal
guardian is attached. For example: we will consider referrals from:
 any person with a disability
 parents or family members
 family doctor
 medical specialists
 local area or My Way coordinators
Referral form can be downloaded at www.therapyfocus.org.au
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Referral information required
Document
When needed
Diagnostic reports
with referral form
Evidence of Australian Permanent Residency (such as
Australian Birth Certificate, Passport or Visa)
with referral form
Evidence of permanently residing in Western Australia
(such as a phone bill, electricity bill, car registration)
with referral form
Optional – evidence of health and behaviour
with referral form
Options – evidence of help and supervision
with referral form
Service model
Professional services team profile
 speech pathology
 occupational therapy
 physiotherapy
 psychology
 social work
 family connect worker
Individual planning and self-directed outcomes
We are guided by a set of five principles to ensure we deliver high quality therapy services:
1. Family-Centred Practice
Family is central to our therapy. Families bring knowledge and expertise to help us
identify the person’s needs and develop goals and strategies for every day life. We
see family as our respected partner not a service user; and our role as supporting
families to achieve their goals.
2. Working Together
We work with the person, their family, therapists, medical practitioners and other
organisations for a synergy of ideas, resources and therapy services.
3. Learning Everywhere
Therapy is most effective when it is conducted in the person’s natural environment.
We use every opportunity in their routines and environment to develop skills.
4. Working Transdisciplinary
Our therapy team consists of Speech Pathologists, Occupational Therapists,
Physiotherapists, Social Workers and Psychologists. We work as a team sharing
strategies to meet the needs of our clients.
5. Increase Participation
Our therapy practice builds on a person’s individual skills to increase participation in
everyday activities.
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Individual needs assessment
Our therapy team will work together with the person, family and other stakeholders as
appropriate to identify opportunities for independence and participation. Assessment of the
person’s skills, and the support offered by their environment and the people around them,
occurs in order to identify strengths and areas for development through the therapy
service. A therapy service plan is developed in collaboration with the person, their family,
outlining therapy goals, intervention strategies, roles and responsibilities of key partners
and timeframes.
Programs and services offered
 speech pathology
 occupational therapy
 physiotherapy
 behaviour support team (psychology and social work) – work with the person, their
family, and other key people within the person’s current and new environments, to
work through any difficulties they may experience in times of transition.
 family connect team – work alongside therapists and other like-minded agencies to
provide direct support, information, advocacy and referral to a range of community
activities.
 waitlist management strategy – Therapy Focus has collaborated with Disability
Services Commission and other service providers to develop a waitlist management
strategy, where 10 hours of funding per child is used by each organisation to
provide access to resources and activities that will benefit the person and/or family
whilst waiting for services.
 our focus is on the service program rather than discipline e.g. behaviour support,
assistive augmentative communication (AAC), daily living and independence skills,
disability education and advice, etc.
Review, evaluation and reporting on achievement of outcomes
The therapy team collaborates with key stakeholders including the person, family, and
education environments where appropriate, to review progress against the identified goals
in the therapy service plan. The therapy team will meet with the family regularly to discuss
progress and outcomes achieved, and provide a Therapy Service Summary which
documents the outcomes achieved.
Other relevant services
State-wide continence program funded by Disability Services Commission
Speech pathology, occupational therapy and physiotherapy services on a fee for
service basis, available through The Complete Advantage
Autism diagnostic assessment on a fee for service basis, available through The
Complete Advantage
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Adult Intervention Services
VisAbility, formerly the Association for the Blind in WA
Disability Services Commission funded adult intervention program for individuals who are
eligible to receive specialist disability services. VisAbility specialise in providing services
for individuals who are vision impaired.
Contact details
Business Hours: Monday to Friday 8.30am to 5pm
61 Kitchener Avenue, Victoria Park, 6100
Phone: 9311 8202
Email: louise.gray@visability.com.au
Web: www.visability.com.au
For further information regarding eligibility please refer to the document Eligibility Policy for
Specialist Disability Services funded or provided by the Disability Services Commission
(www.disability.wa.gov.au > Services, supports and eligibility > Eligibility).
Service details
Disability group
Adults with any disability type who are eligible to receive specialist disability services with
special focus on unique services for individuals with vision impairment/blindness.
Age Range
18 years – 25 years
Geographical coverage and bases
Perth metropolitan area
Access to services
To access specialist disability services, a person must meet the Commission’s eligibility
criteria and the provider's service access criteria.
Access criteria
Eligibility criteria includes adults with a vision impairment/blindness as the primary
disability type who require more than one form of allied health intervention.
Priority is given to younger adults transitioning from children services to adult services.
Referral process
Initial referrals are made either by the individual, their previous service coordinator in
children and youth Services, or other service providers. If the individual meets the
eligibility criteria the referral is then made to the gateway, which is the primary service
contact point at VisAbility to allocate a service coordinator. If not eligible or they are added
to the wait list they are provided with information, and/or allocated to either the targeted
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services or other VisAbility services that are not funded by DSC, as part of our
comprehensive client services strategy.
Referral Information required
Document
When needed
Diagnostic reports
At initial referral
Service model
Professional services team profile
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social workers (who act as the key worker/service coordinator)
youth worker
orthoptists (low vision clinics)
occupational therapists
orientation and mobility instructors.
Individual planning and self-directed outcomes
The service coordinator (key worker) ensures that the individual is provided with
information about the services and supports that are available (inside the organisation and
externally). Other staff may be involved, depending on the needs that are identified. Goal
setting is based on what the individual participant identifies as important to enhance their
lives in the community. Other considerations include ensuring that the goals are functional
and relate to an individual’s participation and independence in the home and community
(for example, further education and training, employment, leisure options etc.)
Individual needs assessment
The service coordinator (key worker) and the individual work together to determine needs.
This process may also include other stakeholders as identified and requested by the
individual. The planning explores the individual’s strengths and routines across
environments (home and in the community). Areas for support are identified and together
a plan based on individual needs is formed.
Programs and services offered
 The individual is provided with a choice about how services are delivered. The
service coordinator (key worker) is available to support the individual in this
decision. This may be ongoing contact with the key worker or less frequent contact
with a particular discipline (e.g. occupational therapy). This approach is used
because some individuals identify lots of goals, whereas others identify a lesser
number of goals and needs for service support.
 We understand that individuals have different preferences for the location of service
delivery. To promote consumer choice services are offered from the Perron Centre
(office based), in the home, or in the community.
 VisAbility’s multidisciplinary team approach ensures that services are well
coordinated, comprehensive and relevant to each person’s needs. The Adult
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Intervention program provides therapeutic intervention to develop and maintain
functional skills required to participate in activities at home, in education,
employment and in the community.
Review, evaluation and reporting on achievement of outcomes
The Service Coordinator ensures that ongoing reviews and evaluations are undertaken in
conjunction with each individual throughout their service delivery so that goals remain
relevant and flexible. Goals and the achievement of outcomes are included in the
individual’s case notes and reports.
Other relevant services
VisAbility has one of the largest collections of online books in the world and also a range of
library resources for children including tactile books, story boxes and audio books.
Families are also able to access VisAbility’s Better Start program, where they can
purchase additional therapy and resources.
Early intervention services
School age intervention services
Statewide consultancy services for individuals who are vision impaired
Access to all other services provided by VisAbility that are not funded by DSC.
Including, but not limited to, our library services, community activity centre, social
support, sport and recreation services, and assistive technology services.
Employment support and advice
Employment support and advice
Retail services and supply of Low Vision aids
Guide Dog Program
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Adult Intervention Services