TASMANIAN CARER ACTION PLAN 2017 - 2020 - Department of ...
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TABLE OF CONTENTS Acronyms 2 Introduction 3 Acknowledgements 3 Definition of Carer 5 Actions 7 Objective 1: Increase the level of recognition of carers. 8 Objective 2: Improve the level of support and services to carers. 10 Objective 3: Involve carers in the development and evaluation of policies, programs and services that affect them and their caring role. 14 Implementation 17 Working Together 18 Consultation Summary 20 References 22 ACRONYMS CIRG Carer Issues Reference Group DHHS Department of Health and Human Services DoE Department of Education DPAC Department of Premier and Cabinet DSS Department of Social Services (Australian Government) MHADD Mental Health, Alcohol and Drug Directorate within DHHS MHCTas Mental Health Carers Tasmania MP Member of Parliament NDIA National Disability Insurance Agency NDIS National Disability Insurance Scheme SASS Sexual Assault Support Services 2 Tasmanian Carer Action Plan 2017 – 2020
INTRODUCTION The Tasmanian Carer Policy 2016 (Carer Policy) recognises the commitment of unpaid Tasmanian carers and supports them in their caring role, and their active participation in economic, social and community life for themselves and the people for whom they care. The Tasmanian Carer Action Plan (Action Plan) has been developed to implement the Carer Policy. The Action Plan includes actions the Tasmanian Government is already taking to recognise and support carers in their community and work settings, and through the way it is delivering services. The Action Plan takes account of consultations that included an online community survey, written submissions, face-to-face forums conducted by Carers Tasmania, and Government department consultations. The Actions in the Action Plan respond to issues identified during consultations and cover existing, ongoing and new actions. They fall under the three objectives of the Carer Policy. ACKNOWLEDGEMENTS The Government acknowledges the extensive work of Carers Tasmania in consulting a diverse range of carers across the State. The Sexual Assault Support Service and Mental Health Carers Tasmania (MHCTas) in consultation with its members, also provided written feedback. Tasmanian Carer Action Plan 2017 – 2020 3
DEFINITION OF CARER The Carer Policy defines a carer as: 1. A person who provides, in a non-contractual and unpaid capacity, ongoing care or assistance to another person who, because of disability, ageing conditions such as frailty, mental illness, chronic illness or pain, requires assistance with everyday tasks. 2. A grandparent who is a carer of his or her grandchild if: a) the child lives with the grandparent; and b) the grandparent is the primary caregiver and decision maker for the child. However, if a child’s parent or parents remain the primary caregivers and decision makers for the child, the child’s grandparent is not the child’s carer only because: a) the grandparent cares for the child while the child’s parent or parents are working; or b) the child, together with the child’s parents, lives with the grandparent. 3. For the purpose of this Policy, a person is not a carer: a) simply because they are the spouse, parent, guardian or relative of a person who requires care; or b) if the person provides care or assistance as a volunteer for a voluntary organisation. Tasmanian Carer Action Plan 2017 – 2020 5
OBJECTIVES ONE – INCREASE THE TWO – IMPROVE THE LEVEL THREE – INVOLVE CARERS LEVEL OF RECOGNITION OF OF SUPPORT AND SERVICES IN THE DEVELOPMENT AND CARERS TO CARERS EVALUATION OF POLICIES, PROGRAMS AND SERVICES While rewarding, caring for others In a long term study of the Australian THAT AFFECT THEM AND can be a demanding and difficult role Unity wellbeing index, the low levels THEIR CARING ROLE that has many challenges. Research of wellbeing among carers is noted as shows that carers have higher levels of a significant concern2. To care safely It can be difficult for carers to depression, financial strain and social and maintain their own physical and contribute to the development and isolation than the average Australian1. mental health and wellbeing, carers evaluation of policies, programs need information, support, respect and and services that affect them and Carers make a significant contribution recognition from the professionals with their caring role. Their busy caring to the health and wellbeing of whom they are in contact. Receiving responsibilities can make it difficult to Tasmanians in need of support and information, support, respect and attend forums or take part in surveys assistance. They deserve recognition recognition within their work and social that seek to hear their opinions and for what they do in our communities settings can be equally important. ideas. These responsibilities can also and the value they have in our society. make it difficult for them to keep pace Carers need support to balance their Carers are usually friends or family of with and respond to the changing work and caring roles or to return to the person in need and are often their nature of how services and programs work if they have lost employment main care-givers. They may not be are provided to them as carers and to due to caring. After their caring easily identifiable, and therefore may the person for whom they care. responsibilities have ended, carers not be known to carer agencies and may need help to rebuild a life of In client-centred service delivery, services, or receive support for their their own and reconnect with other decisions about the support provided caring role. family members, education, work or to the client can affect their carer, and Children and young people who are a social life. often require the carer’s support and carers can be at particular risk of cooperation. The involvement of the Demographic trends and modelling not being recognised and treated as carer can benefit the service provider, show the demand for informal care people who are providing care. as carers have a unique insight and is increasing at a faster rate than first-hand knowledge of the needs its supply3. Being responsive to the and requirements of the person needs of carers and care recipients receiving care. In turn, the person alike will be important to help receiving services can benefit from address this, including offering greater having their carer as part of a strong, flexibility in working arrangements trusting and well-informed care team. to accommodate workers’ caring This outcome is at its best when the responsibilities and employment individual needs and circumstances preferences, and encouraging use and of both the client and the carer are awareness of carer support services respected and taken into account. that alleviate the impact of caring4. 1 Ranmuthugala 2009, cited in Deloitte Access Economics, 2015, p27. 2 Australian Unity, p18. 3 Deloitte Access Economics, p28. 4 See also The Statement for Australia’s Carers, containing ten key principles that set out how carers should be treated and considered in policy, program and delivery settings. The Statement forms part of the Carer Recognition Act 2010. Tasmanian Carer Action Plan 2017 – 2020 7
Objective One INCREASE THE LEVEL OF RECOGNITION OF CARERS What the consultation mental illness and build their capacity As the employer of one of the largest to participate and advocate. This workforces in the state, the Tasmanian told us: Government funding also supports State Service’s Diversity and Inclusion • Carers want greater awareness MHCTas’ systemic advocacy roles, Policy and Framework applies to all and recognition of who they are including engaging family/carer Tasmanian State Service employees and what they do, the reality of representatives in mental health and officers. The Framework provides the caring role, and the diversity initiatives and committees. The Mental contemporary resources and support of caring roles and requirements: Health, Alcohol and Drug Directorate for employees and officers who are o across government (MHADD) in DHHS promotes carer carers, and those who work with (departments and Members organisations to its staff, and to clinical and supervise them. This work is of Parliament (MP)); services within its areas of responsibility undertaken by DPAC’s State Service (Mental Health Services, Alcohol and Management Office (SSMO). o in the community; Drug Services, Forensic Mental Health o in the community sector; Government departments that Services and Correctional Primary work directly with carer clients o by employers of carers; Health). This is done through the undertake activities to promote o in hospitals and health services; Senior Consumer and Carer Liaison carer awareness and recognition. and Consultant role, and by family/carer The Department of Education (DoE) representatives engaged within services. o in schools. helps to raise awareness within its Government departments actively organisation and the community of • Some carers are concerned the promote support available to carers the needs and priorities of student definition of carer in the current to their staff. This includes induction carers. It produces brochures and Carer Policy is worded in a way packages, staff newsletters, and website material containing relevant that is confusing and leaves them management training to ensure that information such as contact details feeling excluded and unrecognised. managers and colleagues are aware of for support organisations. Following their rights as carers, responsibilities of the implementation of the Education What we are currently employees with caring responsibilities Act 2016, DoE has developed an and where to find resources to Attendance Policy and Process that doing: support them. directs schools to contact parents and/ Through the Department of Premier or independent students following a Several departments take part in and Cabinet (DPAC), the Government student’s unexplained absence from Carers Week to promote carer funds Carers Tasmania to promote school. This may identify that caring awareness and recognition, and are awareness and recognition of carers, responsibilities are the reason for proactive in expanding the scope and and to provide support services the absence, and allow the school to nature of these activities. For example, for carers. provide appropriate supports for the DHHS is developing case studies of student to minimise absences and Through the Department of Health employees and clients with caring enable regular attendance at school. and Human Services (DHHS), the responsibilities to raise awareness of Government funds MHCTas to provide the role of carers and the support information to carers of people with available to them in the workplace. 8 Tasmanian Carer Action Plan 2017 – 2020
Caring is an isolating role, you lose track of family, friends, and the rest of the community. – attendee at National Carers Week 2016 Forum, Tasmania Actions: No. Action Agency 1.1 Support Carers Tasmania and MHCTas to raise DPAC and community awareness of carers, including the valuable DHHS contribution they make and the challenges they face. 1.2 Organise annual Department sponsored events DHHS during Carers Week to recognise employees who have caring responsibilities and celebrate the carers in the community. 1.3 Promote Carers Week on the DPAC website and DPAC encourage other departments to also promote Carers Week. 1.4 Implement the DoE Attendance Policy and Process to DoE help schools identify when caring responsibilities are the reason for a student’s unexplained absence from school. 1.5 Review the definition of carer in the Carer Policy, DPAC in consultation with key agencies and community organisations, so all carers affected by the Carer Policy see themselves and their role in the definition. 1.6 As part of the Diversity and Inclusion Policy and DPAC Framework, monitor activities that promote awareness of caring responsibilities Tasmanian State Service employees and officers may have. 1.7 Work with frontline Government services that DPAC engage with carers to explore how they can embed awareness of carer needs, and how these differ across diverse groups of carers. Tasmanian Carer Action Plan 2017 – 2020 9
Objective Two IMPROVE THE LEVEL OF SUPPORT AND SERVICES TO CARERS What the consultation may be able to negotiate flexible activities has increased steadily over the work arrangements. A State Service past five years from – 180 new cards told us: employee who is providing support in 2012-13 to 290 new cards in 2016-17. Carers expressed a need for more to a person who is a member of Much of the increase can be attributed specific support services, independent the employee’s immediate family or to improved awareness of the program of those for whom they care. In household and who is, or has been, and the introduction of the National particular, carers said they would like experiencing family violence, may also Disability Insurance Scheme (NDIS), more information about and access be granted personal leave. which has increased funding to enable to respite and opportunities to spend more participation in community The State Service has an Employee time with other carers. events by people with lifelong disability. Assistance Program that offers Carers also felt that mainstream confidential counselling sessions for In addition to its work promoting carer services they engage with could better employees and officers regarding awareness and recognition, MHADD in understand and be more responsive personal, family or work related issues. DHHS continues to deliver a number to their needs by considering them, This work is led by DPAC’s SSMO. of initiatives to strengthen and improve offering them support, information, the delivery of carer supports and DPAC administers the Tasmanian and referral to services. services, including: Companion Card Program, which entitles eligible people with life- • providing overarching policy and long disability who need a carer to training to public mental health What we are currently participate in community activities to a services to work effectively with doing: free ticket for their companion carer carers of people with a mental to participating venues and events. illness (implementation of A In acknowledging that many of the key Government cultural events and Practical Guide for Working with payments and services provided to venues, like the Tasmanian Museum Carers of People with a Mental carers are delivered by the Australian and Art Gallery and events held by Illness 2016); Government and the community Arts Tasmania and Screen Tasmania sector, the Tasmanian Government • supporting clinical services to also encourage and support the use of will continue to work collaboratively work in partnership with family the Companion Card. The Companion to improve outcomes for Tasmanian members and carers in clinical Card program is increasingly doing carers and those for whom they care. practice, policy, planning and on-site assessments, providing a more evaluation; and As an employer, the Tasmanian accessible face-to-face approach for State Service is committed to applicants seeking acceptance to • providing ongoing funding to the having a diverse workforce and to the program, particularly regional National Mental Health Consumer building inclusive workplaces where applicants. and Carer Forum to provide state all employees feel welcomed, safe representation from a mental The number of new Companion Cards and supported. Tasmanian State health carer lived experience into issued to Tasmanians with lifelong Service employees have access national systemic advocacy and disability who require a companion to leave provisions to assist with policy development carer to participate in community caring responsibilities. Employees (www.nmhccf.org.au). 10 Tasmanian Carer Action Plan 2017 – 2020
MHADD supported the 2017 Tasmanian Home and Community • DoE uses data to identify possible International Initiative on Mental Health Care (HACC) work with carer peak student disengagement early and Leadership (IIMHL) Exchange, with bodies to identify gaps in services; to initiate prompt restorative the Directorate’s Senior Consumer plan services and programs; and fund action through successful re- and Carer Liaison Consultant hosting services that: engagement programs and flexible an international leadership exchange learning opportunities. • provide information and in Launceston. Delegates explored counselling Through the Government’s policy for the concept of Family and Carer to carers; training and workforce development, Leadership in Mental Health and Investing in Skills for Growth, the presented a synopsis of the exchange • provide respite for carers; and Department of State Growth works to the IIMHL Conference in Sydney. • enable carers to escort family with vulnerable Tasmanians to The Disability and Community members using HACC community participate in the workforce and build Services Branch in DHHS continues transport. their employability skills. This includes to fund services that support offering work readiness programs grandparents (or relative carers) DoE recognises the impact that that target skills development to who are the primary carers for their wellbeing has on the success of real needs of workplaces and create grandchildren. These services are Tasmania’s children and young people pathways through to qualifications for provided via funding agreements with as learners. While support staff, Tasmanians facing barriers to training community partners Baptcare and targeted programs and flexible learning and employment. Mission Australia. opportunities can benefit all students, they provide valuable support to The Training and Work Pathways Activities related to this program student carers: Program funds innovative projects include: that enhance vocational education and • DoE has established the Child training and employment options for • brief intervention or short term and Student Wellbeing Unit and disadvantaged Tasmanians, and expand support to assist adjusting to the has allocated $1.6 million over and sustain learning opportunities. role of being a primary carer; four years to improve wellbeing These projects can include training, and educational outcomes for research related to vocational • providing information, advice children and young people in pathways, and brokering partnerships and referral, especially during the Tasmanian Government schools. between community organisations, initial period during which they As a priority it will deliver a Child industry, employers and training have taken on the role of primary and Student Wellbeing Strategy organisations to meet the needs carer; to identify actions to address of Tasmanians facing barriers. • providing access to family support gaps and improve wellbeing services, where required, to through primary prevention, early Tasmanians with caring responsibilities enable brief intervention and intervention and targeted support. are an identified target group within episodic support to address family this program. • In Tasmanian Government schools, conflict and other interpersonal support staff include support tensions; teachers, school psychologists, • managing brokerage funds that speech and language pathologists, grandparent or relative carers are and social workers who can able to access to cover the cost help to identify and support of essential items and support specific needs (e.g. emotional and activities; and developmental) and may also refer students to other professional • providing a range of group based supports if required. activities or information sessions. Tasmanian Carer Action Plan 2017 – 2020 11
Actions: No. Action Agency The paradox of 2.1 On an annual basis, continue to work with Carers DPAC and Tasmania and other key carer support organisations DHHS being: when you to find ways to ensure carers know about available supports and services. most need to 2.2 Ensure Tasmanian State Service employees/officers DPAC engage with external with caring responsibilities and their colleagues have access to contemporary and relevant resources that support, you have support flexible workplaces. the least internal 2.3 Develop a Carers’ Toolkit for Tasmanian State Service DPAC employees, officers and managers that provides resources to do so. guidance about work arrangements and support. 2.4 Work with the CIRG to identify gaps and avenues for DPAC – mental health carer better promotion of supports that are available to carers. 2.5 Continue to administer and expand the Companion DPAC Card program. 2.6 Develop a Child and Student Wellbeing Strategy for DoE release in 2018. 2.7 Provide additional professional support staff (14.8 DoE additional Full Time Equivalents over four years) to support the health, wellbeing and learning needs of Tasmanian students, including student carers. This includes $6.9 million over four years for additional speech and language pathologists, school psychologists, and social workers in Tasmanian Government schools. 2.8 Build and extend successful student re-engagement DoE programs delivered by DoE. $5 million is allocated over four years. 2.9 Seek advice from the CIRG on how information that DPAC is timely, simple and free of jargon can reach carers. 2.10 Through Tasmania’s Active Ageing Plan 2017-2022 DPAC fund the Council on the Ageing Tasmania to deliver initiatives to improve digital inclusion for older Tasmanians. 2.11 Continue to recognise carers as a target group within State the Training and Work Pathways Program, which Growth aims to expand and sustain learning opportunities and employment options for disadvantaged Tasmanians. 12 Tasmanian Carer Action Plan 2017 – 2020
Tasmanian Carer Action Plan 2017 – 2020 13
Objective Three INVOLVE CARERS IN THE DEVELOPMENT AND EVALUATION OF POLICIES, PROGRAMS AND SERVICES THAT AFFECT THEM AND THEIR CARING ROLE What the consultation The Tasmanian Government actively Health Services and Correctional consults carers and carer support Primary Health about working in told us: organisations on specific projects, and partnership with carers. Throughout the community seeks their representation on working The Australian Government delivers consultations, carers expressed groups and committees. For example, many programs and services to carers. a desire to engage more with MHADD has consulted with Carers It is leading the implementation of government departments and decision Tasmania and MHCTas to implement national reforms that affect carers, makers. Carers wanted engagement the Rethink Mental Health Strategy, including the NDIS, My Aged Care to be meaningful, genuine, flexible and a long-term plan for better mental and changes to the delivery of carer accessible. Carers also wanted to have health in Tasmania. It has also convened support services. Therefore, it is their voices heard in their own right, the Autism Advisory Panel, which important the Tasmanian Government not just in regards to the person they includes carer representatives. The understands how these reforms impact care for. Panel provides recommendations to Tasmania carers. the Minister for Human Services on a long term strategy for Autism to give Through the CIRG established What we are currently consideration to awareness, education in August 2017, the Tasmanian and practical help Government has committed to doing: for carers. collaborating and sharing information The Government engages with carers with Australian Government Carer representatives sit on the through a number of mechanisms. departments responsible for Premier’s Disability Advisory Council The Government supports Carers supporting carers, the National (PDAC) and the Minister’s Disability Tasmania and MHCTas to represent Disability Insurance Agency (NDIA) Advisory Council (MDAC), and present the views of carers on an ongoing as well as Carers Tasmania and their views and perspectives on issues basis. A key component of the funding MHCTas which represent the views affecting people with disability for provided to these organisations is of carers. DHHS, through Disability whom they care. to consult with carers and inform and Community Services, also engages government on how services are The Government also acknowledges closely with the NDIA over transition provided and policies are developed the value of lived experience, to the NDIS, and its impact on people and implemented. These organisations with MHADD employing a Senior with disability and their carers. are building the capacity of carers to Consumer and Carer Liaison engage directly with government and Consultant with lived experience to service providers. They are assisting provide ongoing support and advice to government to communicate with public Mental Health Services, Alcohol people who can provide input into and Drugs Services, Forensic Mental relevant policy, project and service development. 14 Tasmanian Carer Action Plan 2017 – 2020
Actions: No. Action Agency 3.1 Continue to fund and work with community sector organisations to build carer capacity and opportunities DPAC and To feel important for carers to engage with government (departments DHHS enough to be and Ministers/MPs). 3.2 Coordinate the CIRG to ensure that the Tasmanian DPAC listened to with the and Australian Governments, and key carer support wisdom we have and advocacy bodies, can share information and respond collaboratively to key issues affecting learnt over the years Tasmanian carers. 3.3 Audit how government engages with carers, to DPAC being a Carer identify opportunities to better promote the – mental health carer accessibility of existing engagement mechanisms, and highlight areas that require more engagement. 3.4 Coordinate the PDAC and the MDAC with ongoing DPAC membership from carer representatives. and DHHS Tasmanian Carer Action Plan 2017 – 2020 15
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IMPLEMENTATION Governance: Implementation and Monitoring and The Premier, as Minister with reporting: evaluation: responsibility for the carers portfolio, oversees the Carer Policy and the The Action Plan is a living document. During the implementation of Action Plan. DPAC will coordinate The Tasmanian Government will take the Action Plan, the Tasmanian and monitor implementation of this a flexible and contemporary approach Government will continue to consult Action Plan. to implementing actions over time with Carers Tasmania, MHCTas and to ensure that they respond to the the sector to understand how it is The Tasmanian Government recognises the key role of the best available evidence, particularly in contributing to positive outcomes Australian Government in delivering a time of rapid change for the social for Tasmanian carers. carer support services and leading services sector, at state and Australian the implementation of key national Government levels. reforms affecting carers. The CIRG will help inform responses The CIRG will provide the platform to emerging issues and opportunities to communicate and collaborate affecting the Action Plan’s objectives. with Australian Government representatives throughout the DPAC will prepare an annual implementation of the Action Plan. implementation/progress report to the Premier, outlining achievements and identifying next steps. DPAC will publish this report on its website and promote it through the CIRG. Tasmanian Carer Action Plan 2017 – 2020 17
WORKING TOGETHER Many unpaid carers are caring Department of Social • flexible respite and support within a service framework such as options for carers of people with disability support services and aged Services severe mental illness/psychiatric care. However, much of the informal The Australian Government’s disability and carers of people with caring happens in the community and Department of Social Services (DSS) an intellectual disability; and is underpinned by informal support works to improve the independence • specialist information, advice and networks. While it is important and participation of carers in assistance for carers. that the formal or organisational community and economic life by care system responds to the needs providing targeted supports and A number of DSS programs will of carers and those they care for, services for people with disability and transition to the NDIS as it rolls out it is equally important to build and carers. Almost 2.7 million Australians across Australia. maintain communities and informal care for someone with disability, a networks of care that are also medical condition, mental illness or Department of Health responsive as well as resilient and someone who is frail due to age. sustainable. When both the formal The Australian Government’s The Australian Government and informal systems recognise the Department of Health has a diverse helps carers to be engaged in role carers have and their value to set of responsibilities, but throughout the community, participate in the the community, they can help carers there is a common purpose, which workforce and stay healthy while under stress, provide support early is reflected in the Department’s vision continuing their caring role. before vulnerability leads to isolation statement: Better health and wellbeing or loss of support, help carers to find A new Integrated Plan for Carer for all Australians, now and for future balance in their lives, and be resilient Support Services is being developed generations. against crisis situations. to better recognise, support and The Department aims to achieve sustain the vital work of unpaid While the State Government has a this vision through strengthening carers. The first stage of this plan role to play in providing support to evidence-based policy advice, was the establishment of Carer carers, the Australian Government improving program management, Gateway, a new national website and provides all carer payments and research, regulation and partnerships phone service to help carers access allowances, and either directly with other government departments, information and support. delivers or funds the delivery of a consumers and stakeholders. wide range of carer support services. DSS offers a number of programs The Department provides The community sector also supports specifically for carers including: information, tools and resources carers through services and advocacy. • respite and information services to support the aged care sector for young carers up to 25 years of through evidence-based policy, age; well targeted programs, and best practice regulation. • immediate and short term respite for carers of young people with a severe or profound disability; 18 Tasmanian Carer Action Plan 2017 – 2020
It manages My Aged Care (www. Mental Health Carers National Disability myagedcare.gov.au), which is the main entry point to the aged care system in Tasmania Insurance Agency Australia. My Aged Care aims to make MHCTas promotes and improves the The NDIS is ensuring that people with it easier for older people, their families wellbeing of carers of people affected disability are given every opportunity and carers to access information on by mental ill health by providing to make their own decisions and ageing and aged care, have their needs support, advocacy and education. exercise choice and control. assessed and be supported to find and access services. MHCTas provides systemic advocacy The NDIA recognises that the role of from a carer/family perspective families and carers is often essential Carers Tasmania drawing upon lived experience and in supporting people with disability to Carers Tasmania is dedicated to champions the needs and aspirations realise their goals and is including them improving the quality of life of the of mental health carers. in discussions about supports. estimated 84,000 family carers living MHCTas provides input into state and The NDIS is providing information, in Tasmania. national research, policy review and referral and linkage to ensure families Carers Tasmania provides a statewide development with the aim of improving and carers are able to access supports service to carers in Tasmania through mental health services and the well- in the community to assist them in a freecall information and advisory being of carers. MHCTas represents their role. telephone line, as well as counselling the views and experience of mental Families and carers are partners in the services, therapeutic groups and health carers to state mental health support for people with disability and education and training to assist carers services, including at the policy level. provide help and support that cannot in their caring role. MHCTas also provides links to be provided by formal services or paid As part of a national network of organisations which provide support support workers. One of the core Carer Associations, Carers Tasmania and services for carers of people aims of the NDIS is to better support works to raise awareness and affected by mental ill health: advocacy, families and carers in their caring role. understanding of carer needs and counselling, clinical care, education issues with both decision makers and and training, outreach service, peer the general public – with carers being support, suicide bereavement, at the forefront of everything they do. recreational programs, and residential care and respite. Tasmanian Carer Action Plan 2017 – 2020 19
CONSULTATION SUMMARY Carers Tasmania Face to providing care in the community members do not feel comfortable and to some of Tasmania’s most identifying as a carer. Reasons cited Face Consultations vulnerable people. included stigma, mistrust of service A consistent theme through providers, and not wanting the person Carers know there can be challenges conversations and consultations they care for to feel uncomfortable or in this, particularly when the person held with carers across Tasmania ashamed of their need for their care. they care for feels a strong need for is that carers feel that the general One carer explained that separating privacy; does not acknowledge or community, and those in decision people into the carer and person understand the significant role the making roles, have limited being cared for suggests an unequal carer is performing; and does not understanding of a carer’s day to relationship. give consent for their involvement day experience and how hard this when asked. While having full respect While understanding in the can be. Feedback suggests a carer’s and understanding for the challenges community was definitely seen as experience needs to be heard in a this can pose, carers would still like a need, most carers thought that carer’s own words. Suggestions for mechanisms for working together increasing understanding within the best ways to achieve this were with Government services for the Government was a good first diverse and ranged from those in benefit of the person who they goal, and that this would flow onto decision making roles having face to care for. Carers would like respect the community. Carers saw an face contact with carers, through and understanding for their role opportunity for Government to to carer participation at all levels of regardless, and an understanding of lead by example, by ensuring routine government service provision. the consequences providing such care and consistent procedures across Discussions with carers considered can have on the carer. Government departments for the meaning of ‘awareness’ and identifying and supporting carers. Carers reported that their needs and ‘recognition’. Carers understood those of the person they care for are Throughout the consultation ‘awareness’ to be that the majority inextricably linked. Often a carer’s carers generally expressed a strong of the community would have a first thought when asked about their desire to connect and be heard general understanding about what needs, is that if the person they care by Government. They felt that it meant to be an unpaid carer. for was well supported, their needs information and opportunities for Most carers felt that ‘recognition’ would be minimal. That said, carers input were limited. was not a matter of wanting a ‘pat indicated they would ideally like on the back’, because that is not a Carers would like to contribute Government departments to respond carer’s motivation in providing care. to decision making in all areas of to a carer’s needs separate from the Carers saw ‘recognition’ as meaning Government that affect them, and needs of the person they care for in that the community and Government would like carer involvement to be order to sustain them in their roles. departments would routinely mandated on representative bodies, The need for more respite services identify them. Once identified, carers groups or committees that are was mentioned in every consultation. then want acknowledgement for convened on matters impacting on the role they play, and inclusion as There were some comments carers. Many carers who attended said an important member of a team from carers that many community they would be interested, willing and 20 Tasmanian Carer Action Plan 2017 – 2020
comfortable to participate on working in Government departments and Sexual Assault Support Service groups, with the caveat that they face services for how to engage with, treat transport and respite barriers that and involve carers in decision making. The SASS submission focused may require Government support. MHCTas reported that mental health primarily on the needs of carers wanted to see engagement and grandparents who are the primary Written Submissions carers for their grandchildren, as the service approaches that were flexible, Submissions were received, from not ‘one size fits all’ models; and that group of carers with whom SASS has MHCTas, and SASS. many people want to talk face to face most interaction. SASS highlighted with staff if they need assistance. They that grandchildren in the care of Mental Health Carers Tasmania their grandparents can often be in felt staff needed to be easily accessible MHCTas undertook consultations and able to respond to any issue with their care due to a range of complex with members and presented a experience, sensitivity, confidentially, factors including parental drug or submission outlining the challenges and when they didn’t have the alcohol issues, child neglect, sexual facing mental health carers and answers – make the time to find out. abuse, parent’s mental illness and recommending government action family violence – which can lead to MHCTas recommends that trauma issues for the children. to address the issues identified Government give consideration to during consultations. SASS recommended that grandparent ensuring that adequate resources Mental health carers wanted to see an are allocated to carer organisations carers need help, support and increase in awareness of mental health and broader government service resources to identify and manage and mental health carers in schools, systems that carers frequently access. the signs of trauma, and resultant hospitals and the broader community. It also recommended that more problematic behaviour. The They felt that a cultural change is resources be provided to address submission also highlighted that needed in Government around the needs frequently identified in the grandparent carers are now facing value of carers and what they can mental health carer community, such challenges associated with online bring to the table in contributing to as education and training, capacity safety and technology abuse, and may better outcomes for the people who building for carers to engage with need additional and tailored support receive their care. They suggested government, and support for carers and education in how to engage with that formal protocols be put in place to gain employment. technology and social media. Tasmanian Carer Action Plan 2017 – 2020 21
REFERENCES 1. Australian Unity and Deakin University, 2015. What makes us happy? 3rd ed. Australian Unity. Available at: www.australianunity.com.au/~/media/corporate/ documents/other/what%20makes%20us%20happy%202015.ashx [Accessed 6 November 2017]. 2. Carer Recognition Act 2010. Available at: www.legislation.gov.au/Details/ C2010A00123 [Accessed 6 November 2017]. 3. Deloitte Access Economics, 2015. The economic value of informal care in Australia in 2015, Carers Australia. Available at: www.carersaustralia.com.au/ storage/Access%20Economics%20Report.pdf [Accessed 6 November 2017]. 22 Tasmanian Carer Action Plan 2017 – 2020
Department of Premier and Cabinet Communities, Sport and Recreation 15 Murray St HOBART TAS 7000 Phone: 1300 135 513 Email: csr@dpac.tas.gov.au Visit: www.dpac.tas.gov.au If you are deaf, hearing impaired or speech impaired, you can contact us through the National Relay Service TTY users phone 133 677 then ask for 03 6232 7133 Speak and Listen users phone 1300 555 727 then ask for 03 6232 7133 Internet relay users connect to the NRS www.relayservice.com.au then ask for 03 6232 7133 Published December 2017 ISBN 978 0 7246 5737 1 Copyright State of Tasmania 2017 170842
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