Diversity planning and practice Presenter: Lisa Tribuzio, - - PowerPoint PPT Presentation
Commonwealth Home Support Programme (CHSP) and Home and Community Care Program for Younger People (HACC PYP) Diversity planning and practice Presenter: Lisa Tribuzio, Diversity Advisor The CHSP is funded by the Australian Government Department
Commonwealth Home Support Programme (CHSP) and Home and Community Care Program for Younger People (HACC PYP)
The CHSP is funded by the Australian Government Department of Health. The HACC PYP program is funded by the Victorian Government Department
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What is diversity planning? Why do diversity planning? How do we do diversity planning? Who is required to submit a diversity plan? Role of the Diversity Advisor National Aged Care Diversity Framework Step by step process to Diversity Planning: Simplified 7 step profile of planning Linking Plans to National Aged Care Diversity framework
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Diversity planning is a strategic population planning initiative that supports and encourages service delivery that is responsive and respectful of the specific characteristics of a person seeking services. These diversity characteristics (referred to as special needs groups) are outlined in the CHSP programme manual and HACC manual.
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People who identify as Aboriginal and Torres Strait Islander People from culturally and linguistically diverse backgrounds People who live in rural and remote areas People who are financially or socially disadvantaged People who are veterans of the Australian Defence Force or an allied defence force including the spouse, widow or widower of a veteran People who are homeless, or at risk of becoming homeless People who identify as Lesbian, Gay, Bisexual, Transgender and Intersex (LGBTI) People who are Care Leavers (which includes Forgotten Australian, Former Child Migrants and Stolen Generations) Parents separated from children by forced adoption or removal Diversity planning also includes other characteristics that may be a barrier to accessing services such as dementia, age, socioeconomic status, gender, faith or spirituality
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People from Aboriginal and Torres Strait Islander backgrounds People from culturally and linguistically diverse (CALD) backgrounds People with dementia People living in isolated and remote areas People experiencing financial disadvantage (including people who are homeless
Diversity planning also includes the characteristics within and across these groups and seeks to address other characteristics that may be a barrier to accessing services such as age, socioeconomic status, gender, faith, spirituality and those who identify as LGBTI
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To ensure the human rights of consumers are continuously protected, promoted and any limitations are justifiable when accessing services. To be respectful and responsive to a person’s diverse lifestyle, uniqueness and needs To achieve equitable access to services for those who face barriers to service access To strengthen the capacity of funded organisation to deliver high quality, inclusive services Leads to better client outcomes Annual requirement DoH & DHHS Links to the Home Care Standards Successful planning should involve all levels of the organization including board members, managers, coordinators, community care staff and volunteers
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HACC PYP providers CHSP providers funded under the former Victorian Home and Community Care program, this includes providers that transitioned in full to the CHSP CHSP providers that were not previous Victorian HACC providers are encouraged to participate in diversity planning however it is not a requirement.
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Understand our target population Understand our client population Compare our target & client populations Identify groups not accessing our services Identify the barriers to access Develop an action plan Link to National Aged Care Diversity Framework
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Key contact for providers regarding Diversity planning and practice Support providers in the development and implementation of their agency diversity plan Collate agency plans to identify regional themes, success and barriers, contributing to regional and state wide responses Work with regional Alliances and networks to facilitate networks, forums e.g. responding to identified regional themes
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Vision All older people experience a high quality aged care system that ensures equitable access and outcomes and embraces their diverse characteristics and life experiences.
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Outcome 1 Making Informed Choices 2 Adopting systematic approaches to planning and implementation 3 Accessible care and support 4 Supporting a proactive and flexible system 5 Respectful and inclusive services 6 Meeting the needs of the most vulnerable * Optional for HACC-PYP targeted activity
previous plan for success &
priorities
population data
client data
information
barriers
& actions based on gaps/barriers
with "outcomes" from National Diversity Framework
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Look back at the review of your previous plan Are there outstanding priorities that you weren’t able to complete? Are they still a priority or have things changed? What has worked previously, how can it be applied in other areas? How can you add to the successes of your previous plan?
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2018-2019 North Metro Diversity Profile http://www.hwpcp.org.au/home-page/resources-ihp/diversity-planning-
resources/
Local government profiles:
www.health.vic.gov.au/modelling/planning/lga.htm
City of Greater Dandenong:
www.greaterdandenong.com/document/18464/statistical-data-for-victorian- communities (refer to regional profile builder)
ABS table builder:
www.abs.gov.au/websitedbs/censushome.nsf/home/tablebuilder
Anecdotal information from community members and peak bodies Reports from peak diversity bodies
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The following are client demographic reports that can be created for HACC-PYP and CHSP programs
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Not all diversity areas are captured through FAC or DEX such as LGBTI, Care Leavers or parents separated from their children by forced adoption or removal. Therefore you may need to state that you are unaware of your client data for these area. You may have had clients provide this information, if so you can include a narrative that indicates this in the Client Population box
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The data in this profile aim to assist the North Metropolitan region (NMR) HACC and CHSP funded organisations in the development of their Diversity planning and practices Data in this document is to be considered as an indication and a guide for service planning
The data in this profile aim to assist the North Metropolitan region (NMR) HACC and CHSP funded organisations in the development of their Diversity planning and practices Data in this document is to be considered as an indication and a guide for service planning
Number of Aboriginal and Torres Strait Islander people living in NMR as identified in 2016 Census
Age
Hume Moreland Nillumbik Yarra Banyule Darebin Whittlesea Under 50 years 1246 679 179 305 563 934 1413 Over 50 Years 213 136 49 59 151 213 213 Total 1459 815 228 364 714 1147 1626
Number of Aboriginal and Torres Strait Islander people living in NMR disclosing they need assistance with daily activities 40% of people who identified as needing assistance from Aboriginal and Torres Strait Islander were aged between 10-19 years old
Age
Hume Moreland Nillumbik Yarra Banyule Darebin Whittlesea
Under 50 years
78 33 13 13 54 75
Over 50 years
38 14 5 18 19 34 33
Total
116 47 5 31 32 88 108
Top 20 Country of Birth in Number of persons by Age Top 20 languages spoken other than English in LGA aged 65+ years in Number of persons Top 20 Speaks other language and does not speak English well in LGA in number of persons Speaks other language and does not speak English well in LGA 65+ years arrived in the past
4.5 years
Religion (Number of Persons and Percentage of Population in LGA) by Age Number of Illegal Maritime Arrivals Bridging Visa E Holders: June 2017 (not by age) Birthplace of Illegal Maritime Arrivals Bridging Visa E Holders: June 2017 (not by age) HACC-PYP CALD clients by region and LGA, number of (non-English speaking) countries of
birth, 2016-17
Top 20 countries of birth of people with a disability in LGA all ages
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Country of Birth other than Australia: Iraq, India, Turkey, Lebanon, New
Zealand
Languages other than English over 65 years: Italian, Turkish, Arabic,
Greek, Maltese
Speaks other languages and does not speak English very well: Turkish,
Arabic, Assyrian, Chaldean, Italian
Speaks other languages and does not speak English very well and arrived in
last 4.5 years who are over 65 years: Arabic, Assyrian, Punjabi, Nepali, Turkish
Religion: Christianity, Islam, Hinduism, Buddhism (highest Muslim
community in the region)
Visa E holders: Iran, Sri Lanka, Afghanistan HACC-PYP data: highest in the region (938 clients): Iraq, Turkey, Lebanon, Countries of birth of people with a disability other than Australia:
Scotland, Croatia, Italian Lebanon
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Country of Birth other than Australia: China, England, Italy, India, New
Zealand
Languages other than English over 65 years: Italian, Greek, Macedonian,
Mandarin, Cantonese
Speaks other languages and does not speak English very well: Mandarin,
Italian, Greek, Cantonese, Arabic
Speaks other languages and does not speak English very well and arrived
in last 4.5 years who are over 65 years: Mandarin, Russian, Wu
Religion: Christianity, Islam, Hinduism, Buddhism Visa E holders: low numbers HACC-PYP data: second lowest in the region (217 clients): Somalia, Italy Countries of birth of people with a disability other than Australia: Italy,
Greece, England, Vietnam
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Country of Birth other than Australia: Italy, China, India, Greece, England,
Vietnam
Languages other than English over 65 years: Italian, Greek, Macedonian,
Arabic, Mandarin
Speaks other languages and does not speak English very well: Italian,
Greece, Mandarin, Vietnamese, Arabic
Speaks other languages and does not speak English very well and arrived
in last 4.5 years who are over 65 years: Mandarin, Cantonese, Indonesian, Punjabi, Greek
Religion: Christianity Visa E holders: low numbers HACC-PYP data: second lowest in the region (279 clients): Greece,
Lebanon, Italy
Countries of birth of people with a disability other than Australia: Italy,
Greece
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Country of Birth other than Australia: Italy, New Zealand, China, Germany,
South Africa
Languages other than English over 65 years: Italian, Greek, German,
Macedonian
Speaks other languages and does not speak English very well: Italian,
Greek, Mandarin, Arabic
Speaks other languages and does not speak English very well and arrived in
last 4.5 years who are over 65 years: Mandarin
Religion: Christianity Visa E holders: low numbers HACC-PYP data: lowest in the region (25 clients) Countries of birth of people with a disability other than Australia: England,
Italy, Greece, Egypt
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Country of Birth other than Australia: England, New Zealand, Vietnam,
China, Greece
Languages other than English over 65 years: Greek, Italian, Vietnamese,
Mandarin, Cantonese
Speaks other languages and does not speak English very well: Greek,
Cantonese, Mandarin, Italian, Hakka
Speaks other languages and does not speak English very well and arrived in
last 4.5 years who are over 65 years: Mandarin, Vietnamese, Arabic
Religion: Christianity, Islam, Buddhism Visa E holders: low numbers HACC-PYP data: 335 clients: Vietnam, East Timor, China Countries of birth of people with a disability other than Australia: Greece,
China, Vietnam, Italy, Syria
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Country of Birth other than Australia: India, Italy, the former Yugoslav
republic of Macedonia, Greece, China
Languages other than English over 65 years: Italian, Greek, Vietnamese,
Arabic, Mandarin
Speaks other languages and does not speak English very well: Italian,
Greek, Vietnamese, Arabic, Mandarin
Speaks other languages and does not speak English very well and arrived in
last 4.5 years who are over 65 years: Mandarin, Punjabi, Arabic, Hindi, Samoan, Malayam, Greek
Religion: Christianity, Islam, Hinduism (highest number of Hinduism across
the 7 LGAs)
Visa E holders: high numbers (1103)L Iran, Sri Lanka, Afghanistan HACC-PYP data: 597 clients: Former Yugoslav republic of Macedonia, Italy,
Iraq, Greece, Lebanon, Turkey, Vietnam, India, Egypt, Iran
Countries of birth of people with a disability other than Australia: Italy,
Greece, Macedonia, Scotland
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Country of Birth other than Australia: Italy, India, Greece, England,
Pakistan
Languages other than English over 65 years: Italian, Greek, Arabic,
Maltese, Turkish
Speaks other languages and does not speak English very well: Italian,
Greek, Arabic, Turkish, Mandarin
Speaks other languages and does not speak English very well and arrived in
last 4.5 years who are over 65 years: Mandarin, Arabic, Malayalam, Nepali, Urdu
Religion: Christianity, Islam, Hinduism, Buddhism Visa E holders: 373: Iran, Afghanistan, Sri Lanka HACC-PYP data: 385 clients: Lebanon, Italy, Turkey, Iraq Countries of birth of people with a disability other than Australia: Italy,
Greece, Lebanon, Croatia
Hazaraghi 40 Krio 45 Dari 45 Amharic 50 Pashto 54 Oromo 57 Bari 63 Acholi 64 Yoruba 64 Shilluk 65 Igbo 66 Tetum 66 Madi 66 Bengali 66 Dan (Gio-Dan) 66 Sindhi 67 Tok Pisin (Neomelanesian) 67 Nepali 67 Harari 67 Urdu 68
In ascending order of literacy rate in first language
A person who was in institutional care or other form of out-of-home care, including foster care, as a child or youth (or both) at some time during the 20th
people from the Stolen Generation. It is estimated that 500,000 children have experienced life in an orphanage, Children’s Home, gaol, training school, adult psychiatric (asylum) hospital, or in foster care and other forms of out-of-home care in the 20th century in Australia.
LGA
2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2058
Banyule
2,570 2,596 2,620 2,655 2,693 2,743 2,797 2,854 2,912 2,983 6,063
Darebin
2,811 2,815 2,818 2,829 2,844 2,863 2,887 2,917 2,954 2,990 6,960
Hume
2,132 2,256 2,374 2,507 2,646 2,798 2,967 3,126 3,300 3,477 11,967
Moreland
3,094 3,087 3,087 3,088 3,099 3,108 3,109 3,123 3,145 3,167 7,061
Nillumbik
799 846 890 934 979 1,032 1,093 1,150 1,209 1,266 2,734
Whittlesea
2,517 2,656 2,794 2,946 3,104 3,270 3,454 3,644 3,842 4,040 13,614
Yarra
1,053 1,079 1,113 1,147 1,189 1,234 1,278 1,332 1,381 1,438 4,379
Total North Metro LGA
14,976 15,335 15,695 16,107 16,555 17,046 17,586 18,147 18,742 19,361 52,777
Dementia Prevalence Estimates 2016-2058 by Local Government Areas, North Metropolitan
Total Personal Income weekly by Age 65+ years Measures: Total weekly income for people over 65 years under $400 (in 5 year
age groups) eg: 65-69, 70-74, 75-79 etc
Themes for the North Metro Region: Hume and Whittlesea have the highest number of people over 65 years who
earn $400 or less per week
Moreland and Darebin have the highest number of people between 80-89
years who earn $400 or less per week
HUME
65-69 years 70-74 years 75- 79 years 80-84 years 85-89 years 90-94 years 95-99 years 100 years and over Total Personal Income (weekly) Negative income 44 20 19 8 7 5 Nil income 551 302 180 132 73 12 6 $1-$149 ($1-$7,799) 234 139 89 47 38 20 $150-$299 ($7,800-$15,599) 795 660 422 283 110 39 $300-$399 ($15,600-$20,799) 1670 1485 1081 655 319 86 16 3 Total 3291 2609 1796 1119 545 161 32 5
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MORELAND
65-69 years 70-74 years 75-79 years 80-84 years 85-89 years 90-94 years 95-99 years 100 year s and
Total Personal Income (weekly) Negative income 24 14 19 14 9 5 Nil income 321 235 204 172 103 40 3 6 $1-$149 ($1-$7,799) 162 119 121 116 58 20 $150-$299 ($7,800-$15,599) 566 543 615 532 293 77 9 $300-$399 ($15,600-$20,799) 1028 1151 1286 1078 655 220 50 7 Total 2095 2061 2245 1915 1121 358 65 12
Source: ABS Census 2016
BANYULE
65-69 years 70-74 years 75-79 years 80-84 years 85-89 years 90-94 years 95-99 years 100 years and
Total Personal Income (weekly) Negative income 24 20 12 5 4 5 Nil income 318 212 137 100 58 28 $1-$149 ($1-$7,799) 220 121 72 68 46 23 $150-$299 ($7,800-$15,599) 523 452 330 254 150 51 5 $300-$399 ($15,600-$20,799) 865 888 798 576 375 135 26 4 Total 1950 1695 1346 1006 632 240 38 9
Source: ABS Census 2016
NILLUMBIK
65-69 years 70-74 years 75-79 years 80-84 years 85-89 years 90-94 years 95-99 years 100 years and over Total Personal Income (weekly) Negative income 5 7 3 4 6 Nil income 189 84 43 17 11 $1-$149 ($1-$7,799) 110 70 25 20 12 $150-$299 ($7,800-$15,599) 222 178 128 53 36 12 $300-$399 ($15,600-$20,799) 334 325 258 157 81 31 7 Total 857 669 463 256 140 48 11
Source: ABS Census 2016
YARRA
65-69 years 70-74 years 75-79 years 80-84 years 85-89 years 90-94 years 95-99 years 100 years and over Total Personal Income (weekly) Negative income 8 6 8 6 Nil income 122 71 56 47 29 15 4 $150-$299 ($7,800-$15,599) 198 162 172 148 86 27 4 $300-$399 ($15,600-$20,799) 333 327 315 266 143 67 8 Total 668 572 548 471 260 104 15
DAREBIN
65-69 years 70-74 years 75-79 years 80-84 years 85-89 years 90-94 years 95-99 years 100 years and over Total Personal Income (weekly) Negative income 16 24 17 18 11 3 Nil income 303 190 189 143 97 21 13 $1-$149 ($1-$7,799) 180 157 134 98 72 35 7 4 $150-$299 ($7,800-$15,599) 547 544 533 487 238 61 16 4 $300-$399 ($15,600-$20,799) 1087 1087 1231 1029 571 169 28 Total 2131 2005 2104 1779 994 296 61 6
WHITTLESEA
65-69 years 70-74 years 75-79 years 80-84 years 85-89 years 90-94 years 95-99 years 100 years and over Total Personal Income (weekly) Negative income 39 38 28 11 3 Nil income 657 380 203 157 112 33 11 $1-$149 ($1-$7,799) 254 143 106 58 21 12 5 $150-$299 ($7,800-$15,599) 964 750 596 438 168 47 12 $300-$399 ($15,600-$20,799) 1973 1686 1357 899 370 97 7 8 Total 3893 2996 2281 1557 680 179 38 10
Hume
861 916 55 6.4
Darebin
989 972
Banyule
461 326
Moreland
785 771
Whittlesea
455 630 175 38.5
Yarra
844 838
Nillumbik
77 67
Estimated Number of Homeless Persons: 2011 2016
Change in Number Change (%) Population Homeless as % of population
City of Whittlesea has had the highest increase of homeless persons with a 38.5% increase from 2011 to 2016 census
In the past, adoption of children of unwed mothers was common. While separation by adoption continues, approximately 250,000 adoptions occurred during the peak period
married, had little or no choice about what would happen to their babies. Some couples were provided with housing on the condition they relinquish a child or children for adoption. Adoptions were arranged without willing or informed consent, were unethical, dishonest and in many cases illegal and are therefore considered “forced”. A Senate Committee investigated forced adoption policies and practices in Australia. Senate Community Affairs References Committee Report, Commonwealth Contribution to Former Forced Adoption Policies and Practices, February 2012.
Needs for Assistance with Core Activities All Ages by Gender Living alone 65+ years by gender Needs Assistance with Core Activities and is living alone all ages by gender Food security SIEFA index Indicators of Health and Wellbeing Older Persons Themes for the North Metro region: There are more women needs assistance in all 7 LGAs Women over 65 years are more likely to be living alone in all 7 LGAs Hume has a SIEFA index placing it amongst the most disadvantaged 15% of municipalities in the state Hume and Whittlesea have the highest food insecurity in the region
In 2015, the Commissioner for Senior Victorians investigated the issue of social isolation and loneliness among Victorian seniors. In his report of that investigation, Ageing is everyone’s business: a report on isolation and loneliness among senior Victorians, the Commissioner has identified a significant issue for
The Commissioner found that at least ten percent of Victoria’s older population experiences loneliness at any one time. The causes can be related to ‘trigger’ events in later life, such as leaving the workforce, death of a partner, living alone or moving to a new location.
LGA Net total DVA clients Total Veterans Total Depend ants Disability Pensioners War Widows Service pensioners SS Age Pensioners Gold card holder s White card holders Total percentage
population (over 20years) for that LGA
Hume
850 486 365 237 174 330 11 350 191 0.6%
Moreland
797 345 454 151 298 262 4 436 113 0.6%
Darebin
803 350 457 150 281 303 10 427 96 0.4%
Yarra
373 229 144 63 59 162 Under 4 118 69 0.5%
Banyule
1523 789 739 433 441 462 12 783 217 1.6%
Nillumbik
419 264 156 152 82 113 7 191 128 0.9%
Whittlesea
910 537 373 258 161 383 6 344 222 0.6%
City of Banyule has the highest number
Veteran’s Affairs clients
Disability by Age and Sex Lone Persons by Disability Status by Sex and Age Themes for the North Metro region: Hume, Moreland, Whittlesea and Darebin have the highest percentage of people with a disability in the region Moreland and Darebin have the highest number of people with a disability living alone There are more women with a disability living alone than men in all 7 LGAs
North Metro Melbourne does not have any remote or very remote areas according to the Accessibility remoteness index of Australia 2006. However there may be some areas where people are experiencing barriers to accessing services due to being in Peri-urban areas (Hume and Whittlesea) and Green wedge areas (Nillumbik).
Choose at least 3 diversity characteristics Work together to fill out as much as you can in the Diversity Population
template
30 minutes
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The priority is the focus area of your work. It describes the issue or challenge that you want to address. Your actions: Are you outlining what you will be doing to address or progress the priority. Are your actions tangible and contribute to achieving the identified priority? Your measures of success: What indicators do you have to demonstrate that the action has been completed and what difference it made?
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Optional for HACC-PYP targeted activity
Making informed choices To increase enagement with new and emerging communities from
Arabic speaking backgrounds to receive My Aged Care information in an accessible format Partner with ECCV Speak my language ethnic radio program and incorporate Arabic podcasts into social support groups, train home care workers to inform of this radio show to Arabic speaking clients people from culturally and linguistically diverse (CALD) backgrounds Older People (CHSP only) All home care workers are made aware of the Speak my language radio program, at least 70% of Arabic speaking seniors reported to have listened to the program, at least 70% of those who have listened to the program report an increase in knowledge in My Aged Care and how to access support 4-6 months Aged Care Program Manager
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Outcome for Consumer * Optional for HACC-PYP targeted activity Objective to deliver against the outcome identified What are the actions/strategie s for achieving the objective Focus Area Age cohort action will impact Younger (HACC-PYP)/ Older (CHSP)/ both age groups) How will you measure the success of this strategy? Time frame in months Short (< 3) Medium (4-6) Long (7+)\ Who is responsible for this action?
Making informed choices To increase engagement with new and emerging communities from Arabic speaking backgrounds to receive My Aged Care information in an accessible format Partner with ECCV Speak my language ethnic radio program and incorporate Arabic podcasts into social support groups, train home care workers to inform of this radio show to Arabic speaking clients people from culturall y and linguisti cally diverse (CALD) backgro unds Older People (CHSP only) All home care workers are made aware of the Speak my language radio program, at least 70% of Arabic speaking seniors reported to have listened to the program, at least 70% of those who have listened to the program report an increase in knowledge in My Aged Care and how to access support 4-6 months Aged Care Manager Marketing and Communications
Older people have easily accessible information about the
aged care system
Action: Providing information in an appropriate format
and in a language the consumer understands
e.g. My Aged Care information provided on Ethnic radio
stations
Partnership: ECCV Speak my Language radio program
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Older people are active partners in the planning and
implementation of the aged care system
Action: Engage consumers in a culturally safe and
supportive environment that enables them to be active partners and articulate their needs
e.g. LGBTI Aged Care Diversity consumer led
advisory group
Partnership: Val’s Café
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Older people have access to services that supports their
diverse characteristics and life experiences
Action: Collaborate with stakeholders to identify and
e.g.: Staff training for Care Leavers/Working with
assessors to understand barriers to data collection for Care Leavers
Partnership: Open Place and Connecting Home
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A proactive and flexible aged care system that responds to the needs of existing
and emerging groups, including an increasingly diverse aged care workforce
Action: Engage with local community and stakeholders to identify emerging needs
and how service delivery model can be adapted to embrace those needs
e.g. AAC clinic i.e.: Arabic, Assyrian Chaldean Allied Drop In Health Clinic,
speak Arabic, Assyrian, Chaldean in the waiting room to help gather clients needs
e.g: Developing a flexible recruitment strategy to attract, recruit and retain a
diverse workforce with skills in working with CALD communities and employing staff who speak other languages or have experience and understanding of other cultures
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Services effectively meet the specific needs of older people with diverse characteristics and life experiences, their families, carers and representatives in a respectful and inclusive way
Action: Seek out, develop and use tools, training and information that support delivery of care that is inclusive of diverse characteristics and life experiences
e.g. Dementia friendly training to all community care staff, Dementia friendly checklist and spaces are developed in all CHSP and HACC-PYP social support programs / embed diversity into staff performance appraisals and regular supervision and team meetings
Partnership: Dementia Australia
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Older people can access high quality and culturally safe aged care services
and supports that meet their needs irrespective of their personal, social or economic vulnerability
Action: Provide Inclusive models to address the needs of the most vulnerable,
and work with other stakeholders to ensure the full spectrum of needs are met
e.g. Cultural Safety Inclusive Service Policy Partnership: Centre for Cultural Ethnicity and Ageing
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For further information contact Lisa Tribuzio for further support or questions on 0417 372 031 or lisat@hwpcp.org.au
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