Elements and Performance Criteria
- Elements define the essential outcomes
- Evaluate and prioritise the needs of a person with complex support issues
- Identify and prioritise the needs of the person, taking into account the possibility of co-existing issues
- Identify specific problems, issues and challenges for the person in line with job role and organisation procedures
- Analyse and interpret data, with assistance from health professionals and other relevant personnel
- Recognise the impact of complex support issues on the persons family
- Establish priorities for support with the person and/or family and/or carer and/or relevant other
- Develop an individualised plan to achieve maximum quality of life
- Utilise best practice guidelines when developing strategies to address complex and/or special needs
- Liaise with relevant experts and/or health professionals when developing individualised plans
- Negotiate and establish goals with the person and/or family and/or carer and/or relevant other
- Access and negotiate resources in order to deliver identified services
- Access community support agencies to facilitate the achievement of established goals
- Coordinate the delivery of the individualised plan
- Ensure services and support activities are undertaken by appropriately skilled workers
- Recognise when a service and/or support worker is no longer able to provide the level of service required
- Support all stakeholder involved in the service provision to understand the individualised plan and their roles and responsibilities within that plan
- Coordinate the monitoring, evaluation and review of the individualised plan
- Seek feedback from all stakeholder when evaluating effectiveness of the individualised plan and re-prioritising support needs
- Seek feedback from the person and/or carer and/or relevant other when evaluating effectiveness of the individualised plan
- Seek advice and assistance when the person’s goals and needs are not being achieved
- Make necessary revisions to the individualised plan in line with role, organisation and/or program guidelines and in consultation with the person and/or family and/or carer and/or relevant other