15 years of services to people with ABI

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VAADA Annual Conference 2005
2005 15 years of services to people with
ABI Older but not forgotten
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VAADA Annual Conference 2005
VAADA - Older but not forgotten?
arbias services
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VAADA Annual Conference 2005
VAADA - Older but not forgotten?
arbias services Service user profile
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VAADA Annual Conference 2005
VAADA - Older but not forgotten?
arbias services Service user profile
Challenges for the AD ABI sector
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VAADA Annual Conference 2005
VAADA - Older but not forgotten?
arbias services Service user profile
Challenges for the AD ABI sector Future
directions for arbias
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VAADA Annual Conference 2005
arbias services
Established in 1990 Alcohol and substance
related acquired brain injury
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VAADA Annual Conference 2005
arbias services
Range of services for people with AD ABI
Neuropsychological Assessments
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VAADA Annual Conference 2005
arbias services
Range of services for people with AD ABI
Neuropsychological Assessments Consultancy and
Case Management Services
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VAADA Annual Conference 2005
arbias services
Range of services for people with AD ABI
Neuropsychological Assessments Consultancy and
Case Management Services Accommodation and
Attendant Care
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VAADA Annual Conference 2005
arbias services
Range of services for people with AD ABI
Neuropsychological Assessments Consultancy and
Case Management Services Accommodation and
Attendant Care Information Services
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VAADA Annual Conference 2005
arbias services
Range of services for people with AD ABI
Neuropsychological Assessments Consultancy and
Case Management Services Accommodation and
Attendant Care Information Services
Recreation Services
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VAADA Annual Conference 2005
service users
Male (80)
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VAADA Annual Conference 2005
service users
Male (80) 35 to 55 years
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VAADA Annual Conference 2005
service users
Male (80) 35 to 55 years English speaking
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VAADA Annual Conference 2005
service users
Male (80) 35 to 55 years English
speaking Alcohol Related Brain Injury (ARBI)
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VAADA Annual Conference 2005
service users
Male (80) 35 to 55 years English
speaking Alcohol Related Brain Injury (ARBI)
Dual diagnosis (42) - depression, psychiatric
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VAADA Annual Conference 2005
service users
Male (80) 35 to 55 years English
speaking Alcohol Related Brain Injury (ARBI)
Dual diagnosis (42) - depression, psychiatric
Active drug and substance issues (70)
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VAADA Annual Conference 2005
service users
Male (80) 35 to 55 years English
speaking Alcohol Related Brain Injury (ARBI)
Dual diagnosis (42) - depression, psychiatric
Active drug and substance issues (70) Contact
with criminal justice system (25)
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VAADA Annual Conference 2005
service users
Male (80) 35 to 55 years English
speaking Alcohol Related Brain Injury (ARBI)
Dual diagnosis (42) - depression, psychiatric
Active drug and substance issues (70) Contact
with criminal justice system (25) Living
situation Public Housing (30), SRSs (25),
Private (22)
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VAADA Annual Conference 2005
referring agencies
Health services - hospitals, community health
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VAADA Annual Conference 2005
referring agencies
Health services - hospitals, community health
Welfare services - salvation army, RDNS
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VAADA Annual Conference 2005
referring agencies
Health services - hospitals, community health
Welfare services - salvation army,
RDNS  Accommodation services
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VAADA Annual Conference 2005
referring agencies
Health services - hospitals, community health
Welfare services - salvation army,
RDNS  Accommodation services Criminal justice
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VAADA Annual Conference 2005
service users
Older but not forgotten? arbias clients
contradict the myth that if you are an English
speaking, white, male and aged between 35-55 you
automatically belong to a privileged group.
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VAADA Annual Conference 2005
Victorian drug statistics (2003) correlating data
Alcohol remains the most commonly reported
drug used by Victorians (82)
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VAADA Annual Conference 2005
Victorian drug statistics (2003) correlating data
Alcohol remains the most commonly reported
drug used by Victorians (82) A survey of 75
AD specialist services reported that alcohol
accounted for 67 of drug-related problems
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VAADA Annual Conference 2005
Victorian drug statistics (2003) correlating data
Alcohol remains the most commonly reported
drug used by Victorians (82) A survey of 75
AD specialist services reported that alcohol
accounted for 67 of drug-related problems The
majority of these clients were male Australian
born
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VAADA Annual Conference 2005
Victorian drug statistics (2003) correlating data
Alcohol remains the most commonly reported
drug used by Victorians (82) A survey of 75
AD specialist services reported that alcohol
accounted for 67 of drug-related problems The
majority of these clients were male Australian
born 50 were unemployed
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VAADA Annual Conference 2005
Victorian drug statistics (2003) correlating data
Alcohol remains the most commonly reported
drug used by Victorians (82) A survey of 75
AD specialist services reported that alcohol
accounted for 67 of drug-related problems The
majority of these clients were male Australian
born 50 were unemployed The majority (72)
resided within the Melbourne metropolitan
regions
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VAADA Annual Conference 2005
Victorian drug statistics (2003) correlating data
Alcohol remains the most commonly reported
drug used by Victorians (82) A survey of 75
AD specialist services reported that alcohol
accounted for 67 of drug-related problems The
majority of these clients were male Australian
born 50 were unemployed The majority (72)
resided within the Melbourne metropolitan
regions The most frequent request for services
was counselling and case management support
(46)
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VAADA Annual Conference 2005
Victorian drug statistics (2003) correlating data
Tobacco (41,000) and Alcohol (12,500) were
responsible for more hospitalisations than
illicit drugs combined
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VAADA Annual Conference 2005
Victorian drug statistics (2003) correlating data
Tobacco (41,000) and Alcohol (12,500) were
responsible for more hospitalisations than
illicit drugs combined Two-thirds of all
alcohol related hospitalisations and hospital
bed days are men
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VAADA Annual Conference 2005
Victorian drug statistics (2003) correlating data
Tobacco (41,000) and Alcohol (12,500) were
responsible for more hospitalisations than
illicit drugs combined Two-thirds of all
alcohol related hospitalisations and hospital
bed days are men Ambulance attendance records
indicate that alcohol accounted for 31 of all
drug related attendances
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VAADA Annual Conference 2005
Victorian drug statistics (2003) correlating data
Tobacco (41,000) and Alcohol (12,500) were
responsible for more hospitalisations than
illicit drugs combined Two-thirds of all
alcohol related hospitalisations and hospital
bed days are men Ambulance attendance records
indicate that alcohol accounted for 31 of all
drug related attendances The majority of these
cases were male (70) and the average age was
39
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VAADA Annual Conference 2005
Victorian drug statistics (2003) correlating data
Tobacco (41,000) and Alcohol (12,500) were
responsible for more hospitalisations than
illicit drugs combined Two-thirds of all
alcohol related hospitalisations and hospital
bed days are men Ambulance attendance records
indicate that alcohol accounted for 31 of all
drug related attendances The majority of these
cases were male (70) and the average age was
39 There were an estimated 723 alcohol related
deaths in Victoria during 2003 with 74
occurring among men
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
AIHW study suggests 2,714 people in Australia
diagnosed with ARBI - compared to 338,700 with
ABI (2 of population) (1999)
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
AIHW study suggests 2,714 people in Australia
diagnosed with ARBI - compared to 338,700 with
ABI (2 of population) (1999) More than
likely to be a severe underestimation with a
minor number of people diagnosed with ARBI
before death
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
AIHW study suggests 2,714 people in Australia
diagnosed with ARBI - compared to 338,700 with
ABI (2 of population) (1999) More than
likely to be a severe underestimation with a
minor number of people diagnosed with ARBI
before death The stigma associated with being
diagnosed with ARBI may result in people who
are less willing to be identified
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
The challenges The perception that AD ABI is a
self inflicted disability
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
The challenges The lack of evidence based
research into AD ABI including - arbias
client group - a true reflection of AD ABI?
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
The challenges The lack of evidence based
research into AD ABI including - arbias
client group - a true reflection of AD ABI? -
Genetics?
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
The challenges The lack of evidence based
research into AD ABI including - arbias
client group - a true reflection of AD ABI? -
Genetics? - People with AD ABI who are under
18 and over 65
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
The challenges The lack of evidence based
research into AD ABI including - arbias
client group - a true reflection of AD ABI? -
Genetics? - People with AD ABI who are under
18 and over 65 - Relationship between ARBI and
SRBI and dual disability
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
The challenges The lack of evidence based
research into AD ABI including - arbias
client group - a true reflection of AD ABI? -
Genetics? - People with AD ABI who are under
18 and over 65 - Relationship between ARBI and
SRBI and dual disability - Gender
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
The challenges Fragmented service system -
ARBI/SRBI and homelessness - ARBI/SRBI and
mental health - ARBI/SRBI and an aging
population
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
The challenges - service users People with ARBI
tend not to enter treatment as there is an
unwillingness to cease alcohol or drug use as it
has been a constant for so long
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
The challenges - service users People with ARBI
tend not to enter treatment as there is an
unwillingness to cease alcohol or drug use as it
has been a constant for so long ARBI may
take up to 10 years to develop
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
The challenges - service users People with ARBI
tend not to enter treatment as there is an
unwillingness to cease alcohol or drug use as it
has been a constant for so long ARBI may
take up to 10 years to develop Service Access
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
Older clients 10 clients referred to arbias
Consultancy Services were aged 65
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
Older clients 10 clients referred to arbias
Consultancy Services were aged 65 Most are
retired or unemployed
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VAADA Annual Conference 2005
alcohol related brain injury (ARBI) in Australia
Older clients 10 clients referred to arbias
Consultancy Services were aged 65 Most are
retired or unemployed Many experience
relationship problems or breakdowns
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VAADA Annual Conference 2005
older and complex clients - case example
Joe is a 60 year old male with a history of
alcohol abuse
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VAADA Annual Conference 2005
older and complex clients - case example
Joe is a 60 year old male with a history of
alcohol abuse Unstable diabetes, liver disease,
left side stroke and heart disease
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VAADA Annual Conference 2005
older and complex clients - case example
Joe is a 60 year old male with a history of
alcohol abuse Unstable diabetes, liver disease,
left side stroke and heart disease
Depression and several suicide attempts
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VAADA Annual Conference 2005
older and complex clients - case example
Joe is a 60 year old male with a history of
alcohol abuse Unstable diabetes, liver disease,
left side stroke and heart disease
Depression and several suicide attempts Severe
alcohol related brain injury
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VAADA Annual Conference 2005
older and complex clients - case example
Joe is a 60 year old male with a history of
alcohol abuse Unstable diabetes, liver disease,
left side stroke and heart disease
Depression and several suicide attempts Severe
alcohol related brain injury Mental illness
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VAADA Annual Conference 2005
older and complex clients - case example
Transient accommodation
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VAADA Annual Conference 2005
older and complex clients - case example
Transient accommodation Divorced and limited
family contact
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VAADA Annual Conference 2005
older and complex clients - case example
Transient accommodation Divorced and limited
family contact Evicted from several
rooming/boarding houses
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VAADA Annual Conference 2005
older and complex clients - case example
Transient accommodation Divorced and limited
family contact Evicted from several
rooming/boarding houses High hospital
admissions
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VAADA Annual Conference 2005
older and complex clients - case example
Transient accommodation Divorced and limited
family contact Evicted from several
rooming/boarding houses High hospital
admissions Requires 11 supervision
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VAADA Annual Conference 2005
older and complex clients - case example
Transient accommodation Divorced and limited
family contact Evicted from several
rooming/boarding houses High hospital
admissions Requires 11 supervision Substance
abuse, stealing and begging/physical
aggression
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VAADA Annual Conference 2005
older and complex clients - case example
Support needs are unlikely to diminish
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VAADA Annual Conference 2005
older and complex clients - case example
Support needs are unlikely to diminish Range
of services involved
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VAADA Annual Conference 2005
older and complex clients - case example
Support needs are unlikely to diminish Range
of services involved Intensive and life time
case management support
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VAADA Annual Conference 2005
arbias future direction
Research and Policy Development into AD ABI
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VAADA Annual Conference 2005
arbias future direction
Research and Policy Development into AD ABI
Case Management Services - consultancy, crisis
intervention and life time support
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VAADA Annual Conference 2005
arbias future direction
Research and Policy Development into AD ABI
Case Management Services - consultancy, crisis
intervention and life time support Information
and Training Services
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VAADA Annual Conference 2005
arbias future direction
Research and Policy Development into AD ABI
Case Management Services - consultancy, crisis
intervention and life time support Information
and Training Services Accommodation
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VAADA Annual Conference 2005
arbias future direction
Research and Policy Development into AD ABI
Case Management Services - consultancy, crisis
intervention and life time support Information
and Training Services Accommodation Community
Access Programs
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VAADA Annual Conference 2005
acknowledgements

• Mr Glen Hardy
• - Manager Assessment and Consultancy Services -
  arbias
• Ms Beppie Hedditch
• Consultancy Services - arbias
• Dr Richard Cash
• - ABI AD Clinician Consultant - Turning Point

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VAADA Annual Conference 2005
2005 15 years of services to people with
ABI Older but not forgotten