S41: SSCOT: A sustainable program to provide strengths based assessment, and implement coordinated wellness recovery action plans.

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By September 11, 2019 No Comments

Authors: Russell Roberts, Rowena McCauley, Matt Thomas, Rachel Rathbone, Marijka Brennan, Oliver Burmeister

Year: 2019

Event: 2019 TheMHS Conference

Subject: SSCOT: A sustainable program to provide strengths based assessment, and implement coordinated wellness recovery action plans.

Type of resource: Conference Presentations and Papers



Associate Professor Russell Roberts is the Editor in Chief of the Australian Journal of Rural Health, Chairs the Australian Rural Mental Health Symposium. He is the Director the Australian Equally Well project team. Russell has extensive experience as a clinician, academic and service director of a rural mental health of over 1,000 staff.

The Specialist Support Coordination Team (SSCOT) model provides a ‘step-in, step-out’ assessment, to inform the development of a Wellness and Recovery Action Plan. The Plan is developed in partnership with the consumers and carers. With a strong emphasis on combining consumers’ goals, with specialist psychology, social work, nursing, occupational and speech therapy assessments, the team develops a comprehensive individualised Wellness and Recovery Action Plan based around 13 domains of health (CDS, 2005). The final plan comprises a detailed day-to-day wellness and recovery program that can be implemented by carers, NGOs, community organisations and public health teams. A core function of SSCOT is effectively engaging local services to partner and commit to deliver the Plan in a way that is coordinated across services.

The evaluation method was co-designed by consumers, carers, service partners and the SSCOT staff. The evaluation revealed high levels of service satisfaction from consumers, carers and service partners, and consumers showed significant improvements on measures of mental health. This model appeared sustainable and generalisable. The key challenges centred on the ability of each partner to reliably deliver their part of the care package. This model would be particularly pertinent for people living with mental illness eligible for the NDIS.

Learning Objectives
Learning Objective 1: Participants will gain an understanding of how to integrate consumer goals and specialist assessment with a commitment of service partners to help deliver a detailed Wellness and Recovery Action Plan.
Learning Objective 2: The model provides examples of how comprehensive assessment and the development of practical and detailed Wellness and Recovery Action Plans can support partner services (who often don’t have the capacity or specialist staff) to provide the support that is desired, needed and cost effective.
Centre for Disability Studies [CDS]. (2005). I-CAN: Instrument to classify support needs of people with disability. Sydney: The Faculty of Health Sciences, University of Sydney.

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