Using Telecare to enhance childrens outcomes in rural and remote - - PowerPoint PPT Presentation

using telecare to enhance children s outcomes in rural
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Using Telecare to enhance childrens outcomes in rural and remote - - PowerPoint PPT Presentation

Using Telecare to enhance childrens outcomes in rural and remote Australia The Royal Far West Story Katherine Burchfield, Health Director The problem Children who are developmentally vulnerable struggle to access the supports they need


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Using Telecare to enhance children’s

  • utcomes in rural and remote Australia

The Royal Far West Story

Katherine Burchfield, Health Director

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The problem

Children who are developmentally vulnerable struggle to access the supports they need in rural and remote Australia

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What is developmental vulnerability?

Source: Australian Early Development Census

Children with a significant delay in one or more of the developmental domains relative to peers

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Andy’s Story

Vulnerable children grow up to become vulnerable adults, with higher risk of:

  • poorer educational outcomes
  • higher levels of functional disability
  • chronic mental health problems
  • unemployment
  • difficulty with relationships
  • contact with the criminal justice system
  • higher risk of homelessness.
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About Royal Far West

Based in Sydney, solely dedicated to children in rural and remote communities for 94 years Specialist health, education and disability service provider for children with development issues and their families Leading provider of telecare (telehealth) for kids Significant focus on capacity building and advocacy alongside service provision “We go where the gaps are” - working closely with community and local providers

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Our Contribution-Telecare for Rural

Types of Support Focus Disciplines

  • Capacity building
  • Screening &

assessment

  • Therapy (direct,

indirect)

  • Speech, language

& comms

  • Behaviours
  • Mental health
  • Motor skills
  • Speech therapy
  • OT
  • Psychology
  • Paediatrics
  • Psychiatry
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RFW Telecare - reaching children nationally

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Telecare Service Development

2014 DoE

platform gives us our start 2016 Telecare Coordinators are born 2017 Multiple new models come

  • nline

2018 Building systems and embedding telecare

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Telecare Design Thinking:

Co-designing Telecare models that integrate into existing rural and remote communities and systems to meet their identified needs

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Telecare for Kids – School Partnership models

  • Government Schools
  • Catholic Schools
  • Virtual School Counselling
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Telemedicine - Paediatric Development Program

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Telecare Virtual Workforce Solutions

  • Primary Health Networks – Mental

health waiting lists

  • NDIS - RFW Windmill

Program (Tele-therapy)

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Marurra-U Partnership, Fitzroy Crossing, WA

  • Marninwarntikura Women’s Resource Centre & Royal Far West
  • Community led, family centred, mixed modality flexible models of

support & care focused on increasing support for children and families living with FASD and Trauma.

  • Telecare enables
  • 1. Capacity Building with local professionals and community
  • 2. Service Enhancement – remote Aboriginal community

schools

  • Evaluation of (2) underway but early findings are that Telecare

works in this environment with the right model design.

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www.royalfarwest.org.au

The Evidence is Growing

Access EI – Online Intervention for Conduct Disorder

  • UNSW (2014-2016); Sydney University (2016-2017).
  • Evaluated the benefits of a
  • Two RCTs were conducted to evaluate the efficacy of a

parenting program for child conduct problems. program delivered online vs. face-to-face. Conclusion: therapist-assisted online (telecare supported) parenting interventions for the treatment of conduct problems in children is equivalent to face-to-face intervention (Dadds, Thai, Mendoza-Diaz, Broderick, Moul, Tully et al, Unpublished)

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Future plans

  • Push the boundaries clinically – Ax

and Dx, parenting groups

  • Build new partnerships
  • Measure impact and build the

evidence

  • Advocate for funding and

connectivity

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www.royalfarwest.org.au

THANK YOU