What divide

1
What divide?
2
Whats the divide

• Health condition not disability
• mental illness, ABI parallels
• Attitudes
• plwha resistance
• Service provider barriers
• costs?
• Homophobia
• Fear of infection/ exposure
• Privacy/ disclosure fears
• Lack of information and training
• Diagnostic service access criteria

3
Why is it there

• Early do it ourselves gay community response-
  CSN, BGF
• Disability services designed around needs of
  people with intellectual, physical and sensory
  impairments.
• Stereotype of well funded HIV services
• Focus on carers, non recognition of partners
• Impairments are hidden, episodic
• Yet more disclosure
• Awkwardness about gay culture
• Judgements and values
• Reluctance to use mainstream services by people
  with HIV
• Conservative OHS risk management

4
Why bridge it?- the DDA

• The DDA Definition of disability
• disability, in relation to a person, means
• (a) total or partial loss of the person's bodily
  or mental functions or
• (b) total or partial loss of a part of the body
  or
• (c) the presence in the body of organisms causing
  disease or illness or
• (d) the presence in the body of organisms capable
  of causing disease or illness or
• (e) the malfunction, malformation or
  disfigurement of a part of the person's body or
• (f) a disorder or malfunction that results in the
  person learning differently from a person without
  the disorder or malfunction or
• (g) a disorder, illness or disease that affects a
  person's thought processes, perception of
  reality, emotions or judgment or that results in
  disturbed behaviour
• and includes a disability that
• (h) presently exists or
• (i) previously existed but no longer exists or
• (j) may exist in the future or
• (k) is imputed to a person

5
Why bridge it?

• 5th National Strategy
• NSW Strategy
• Resource changes
• Geographical spread
• Demand
• Sustainable services
• Limits on volunteer based service models
• Build on work on service barriers for Aboriginal
  and CALD background clients,including those with
  HIV
• Flexible, person centred services is a common
  goal
• HIV services face similar challenges, including
  ageing clients

6
How?

• Its been done before
• Its being done now.
• Identify good practice
• Identify good practitioners
• Engage with networks, peaks and interagencies
• Build on current work, don't keep stopping and
  starting

7
Whats in the way?

• Resistance on both sides
• Other priorities
• Funding, service level limits
• Who's not here today?
• Why?

8
What are the chances?

• New service models
• Brokered services
• Cooperative arrangements, shared approach,
  particularly to training
• Demands on services to build cultural capacity
• What can we bring to the table.

9
Strategising.

• Work with peaks, NCOSS, Aged Care
• Build awareness about Strategy objectives
• Encourage, don't force
• Share- resources, techniques, training
  opportunities, volunteers?
• Work from a positive approach.
• Establish some strategic partnerships with
  regional orgs, particularly DADHC, HACC
  Development Officers, Aged Care sector
• Document it