ISSN 1320 8632A REGULAR UPDATE FROM SOCIAL ACTION AND RESEARCHNovember2003In their own homesChallenges of caring for low-income older AustraliansHealth and aged care services culture that that they were community infrastructure so thatare attracting increased attention comfortable with and that had older Australians can live in theiras governments consider the enabled them to live independently own homes and communities asimpacts of the ageing of the for many years, often in spite of they age. Disappointingly, it doesAustralian population. In 2002, poor health, dislocation and not acknowledge that some low-The Myer Foundation released addiction. They resisted HACC income older people live in insecure2020: A vision for aged care in services especially because of the and sub-standard accommodation.Australia, which paints a picture requirement to prove incapacity Supporting increasingly frail olderof the aged care system that is to a service provider in order to people with complex care needs thought to be necessary to meet qualify for services. Unfortunately, to remain living in the communitydemand for services by 2020 there was little incentive for service is not realistic, unless their housingand includes a five-point plan to providers to address this issue, as situation is addressed. Suitableachieve this vision. Of particular demand already exceeded supply. accommodation for marginalisedinterest to the Brotherhood of older people is a pre-requisite ...
and ‘hotel’ (living) component especially of marginalised older peopl A e lan Gruner, BSL Residential be separated from the care who fear loss of independence. Aged Care Manager, describes component. Boradly, the individual how hostel residents have been would be primarily responsible Philippa Angley encouraged to claim greater for accommodation, with the (03) 9483 1377 independence: public purse subsidising the care pangley@bsl.org.au component, whether provided Sumner House, a low care residential in a residential facility or in the References aged care facility in Fitzroy in Melbourne, community. While subsidised Brotherhood of St Laurence (BSL) 2 I 0 s 03, caters particularly for marginalised the value placed on independence a barrier to accomnemoddationcoinntriensuiedetnotibaleHACC services for financially disadvantaged apnedopplree.Tvihoeuirslcifheasllteylnegsinhgabveehraevsiuolutresdcare e s to older people , ? BSL, Melbourne. raevsaoiluarcblees,fionrdipveioduplaelswwithhofcew The Myer Foundation 200 2 2 0 , 20: A vision iisnolsaotmedeabnedcohmeisnitganqtuittoerseoscpioalnlydto an for aged care in Austr , a l T ia he Myer afford to should contribute more Foundation, Melbourne. opportunities to have some control to accommodation costs. This over their lives or to exercise some recommendation could make the choice of activities. current care system more equitable, but only if the needs of low-income In order to maximise resident older people with limited assets can independence, Sumner staff developed be adequately addressed. the Wellness Program. This included a Sharing Day when residents took The final point concerns industry over many of the facility’s operational planning, particularly ensuring that functions for the day, such as answering there will be sufficient well-trained telephones, assisting in the laundry and workers. While this is vital, the organising activities including meals. current focus of service providers A Wellness Day came next, with on incapacity, which is a barrier residents inviting local health providers to marginalised older people using to make presentations on how people support services, needs to be can live healthier lives. Finally Being reviewed. Findings from the Alive, an ongoing project, has been Brotherhood study suggest launched: residents have taken on the changes to both assessment planning and management of several processes and service delivery, events, including the performance of with emphasis on the maintenance a large-scale play. of independence, are required if we are to increase service usage The Wellness Program has shown by marginalised older people. how even older residents with complex needs can rediscover the Resource constraints have resulted enjoyment of voluntary involvement in an aged care system that struggles in activities which assist them to to meet the needs of more vulnerable increase their independence. people. Reforms to aged care must improve the flexibility of services Alan Gruner and focus more closely on the needs (03) 9483 1303 and preferences of individuals, agruner@bsl.org.au
Brotherhood Comment is published three times a year by the Social A P c u t b i l o is n hed in November 2003 by and Research Division of the Brotherhood of St Laurence. Brotherhood of St Laurence 67 Brunswick Street The Brotherhood of St Laurence works for the well-being of Australian F s i tzroy, Victoria, 3065 Australia on low incomes to improve their economic, social and personal circumstances. ABN 24 603 467 024 Itthdeouensetmhipslobyyepdroavnidditnhgeaagweiaddl.seoIrtraensgeearocfhseesrtvhiceecsaaunsdesaocftivpiotiveesrtfyo,rfam Te i l l e i p e h s o , ne: (03) 9483 1183 Facsimile: (03) 9417 2691 undertakes commituyneducation and lobbies government for a better deal E -mail: publications@bsl.org.au for people on low incomes.