❓ Hon Barbara Scott asks about wait times for paediatric assessments and therapeutic interventions for children aged 0-6 in WA's regional health districts. The Minister provides detailed wait time data for various services across different health services and regions.
AnsweredQoN 1082Legislative Council
QuestionView source ↗
(1) What is the wait time for children aged from zero to six years to see a paediatrician to be assessed for therapeutic interventions e.g. speech therapy or occupational therapy, in each of the regional health districts?
(2) Will the Minister table the most recent report prepared on waiting times for therapy for children aged from zero to six years i.e. waiting times for a first clinical appointment in each discipline, in each of the health districts?
(3) What are the measures the Government is planning to reduce the waiting times for the early therapeutic interventions for this age group of children in each of the health districts?
(2) Will the Minister table the most recent report prepared on waiting times for therapy for children aged from zero to six years i.e. waiting times for a first clinical appointment in each discipline, in each of the health districts?
(3) What are the measures the Government is planning to reduce the waiting times for the early therapeutic interventions for this age group of children in each of the health districts?
AnswerView source ↗
Answered
18 May 2005
Responded by
Parliamentary Secretary representing the Minister for Health
Response time
20 days
WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) All allied health services at PMH are provided via referrals from PMH medical practitioners. The current waiting list for initial outpatient appointments are: - Occupational Therapy: Early Intervention Team intake meetings (chaired by Dr Jane Valentine) assesses patients and based on their referral criteria, provide initial outpatient appointments in six weeks, although appointments may be made for urgent cases within three weeks. - Speech Pathology: there is a 1-3 month wait list for new assessment outpatient appointments - Physiotherapy: a 2-3 weeks wait list on average for initial outpatient appointments, however there is a longer wait list for specific diagnoses due to availability of equipment and resources - Nutrition and Dietetics: there is a 2-month wait list for initial assessment outpatient appointments - Spasticity Management Clinic: 9-12 month waiting list - Children referred with general neurological disability may wait 3-4 months to see a paediatrician, and will then go onto an allied health wait list above for therapeutic services The spasticity management clinic deals with children with that specific neurological disability. It involves the use of Botox and other measures which are time and resource intensive. It therefore has a longer wait time. Other neurological disabilities are first assessed by a paediatrician. The wait time for this appointment is 3-4 months. If part of the treatment plan arising from that clinic includes allied health therapy, the patient will then wait for those allied health services in accordance with the particular allied health waiting times as indicated elsewhere in the reply. - Social Work does not have a waiting list and endeavour to see patients within a week. SOUTH METROPOLITAN HEALTH SERVICE Paediatricians in the South Metropolitan Area Health Service do not see children for assessment for therapeutic interventions. An intake process allocates children to the appropriate professional, with paediatricians seeing children for medical issues. Community Health Services in the South Metropolitan Health Service organise its services according to four age-based programs, so wait- times are presented according to the first two age-based programs. Wait times for children to have their first appointment with medical and allied health professionals were as follows, as at February 05. EARLY START - 0-3 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 99 days 2 months 20.5 weeks Nil Child Medical Officer NA NA 8 weeks 55 days Speech Pathology 301 days 6-9 months 9 weeks 188 days Occupational Therapy 137 days 6 months 12 weeks 136 days Physiotherapy 11 days 1-2 months 9 weeks 35 days Social Work 57 days 1 month 13 weeks 72 days Clinical Psychologist 30 days 5 months Nil 208 days Audiologist 105 days (Area-wide service) Dietician 21 days NA NA NA Podiatrist 139 days NA NA NA TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
All allied health services at PMH are provided via referrals from PMH medical practitioners. The current waiting list for initial outpatient appointments are: - Occupational Therapy: Early Intervention Team intake meetings (chaired by Dr Jane Valentine) assesses patients and based on their referral criteria, provide initial outpatient appointments in six weeks, although appointments may be made for urgent cases within three weeks. - Speech Pathology: there is a 1-3 month wait list for new assessment outpatient appointments - Physiotherapy: a 2-3 weeks wait list on average for initial outpatient appointments, however there is a longer wait list for specific diagnoses due to availability of equipment and resources - Nutrition and Dietetics: there is a 2-month wait list for initial assessment outpatient appointments - Spasticity Management Clinic: 9-12 month waiting list - Children referred with general neurological disability may wait 3-4 months to see a paediatrician, and will then go onto an allied health wait list above for therapeutic services The spasticity management clinic deals with children with that specific neurological disability. It involves the use of Botox and other measures which are time and resource intensive. It therefore has a longer wait time. Other neurological disabilities are first assessed by a paediatrician. The wait time for this appointment is 3-4 months. If part of the treatment plan arising from that clinic includes allied health therapy, the patient will then wait for those allied health services in accordance with the particular allied health waiting times as indicated elsewhere in the reply. - Social Work does not have a waiting list and endeavour to see patients within a week. SOUTH METROPOLITAN HEALTH SERVICE Paediatricians in the South Metropolitan Area Health Service do not see children for assessment for therapeutic interventions. An intake process allocates children to the appropriate professional, with paediatricians seeing children for medical issues. Community Health Services in the South Metropolitan Health Service organise its services according to four age-based programs, so wait- times are presented according to the first two age-based programs. Wait times for children to have their first appointment with medical and allied health professionals were as follows, as at February 05. EARLY START - 0-3 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 99 days 2 months 20.5 weeks Nil Child Medical Officer NA NA 8 weeks 55 days Speech Pathology 301 days 6-9 months 9 weeks 188 days Occupational Therapy 137 days 6 months 12 weeks 136 days Physiotherapy 11 days 1-2 months 9 weeks 35 days Social Work 57 days 1 month 13 weeks 72 days Clinical Psychologist 30 days 5 months Nil 208 days Audiologist 105 days (Area-wide service) Dietician 21 days NA NA NA Podiatrist 139 days NA NA NA TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
- Occupational Therapy: Early Intervention Team intake meetings (chaired by Dr Jane Valentine) assesses patients and based on their referral criteria, provide initial outpatient appointments in six weeks, although appointments may be made for urgent cases within three weeks. - Speech Pathology: there is a 1-3 month wait list for new assessment outpatient appointments - Physiotherapy: a 2-3 weeks wait list on average for initial outpatient appointments, however there is a longer wait list for specific diagnoses due to availability of equipment and resources - Nutrition and Dietetics: there is a 2-month wait list for initial assessment outpatient appointments - Spasticity Management Clinic: 9-12 month waiting list - Children referred with general neurological disability may wait 3-4 months to see a paediatrician, and will then go onto an allied health wait list above for therapeutic services The spasticity management clinic deals with children with that specific neurological disability. It involves the use of Botox and other measures which are time and resource intensive. It therefore has a longer wait time. Other neurological disabilities are first assessed by a paediatrician. The wait time for this appointment is 3-4 months. If part of the treatment plan arising from that clinic includes allied health therapy, the patient will then wait for those allied health services in accordance with the particular allied health waiting times as indicated elsewhere in the reply. - Social Work does not have a waiting list and endeavour to see patients within a week. SOUTH METROPOLITAN HEALTH SERVICE Paediatricians in the South Metropolitan Area Health Service do not see children for assessment for therapeutic interventions. An intake process allocates children to the appropriate professional, with paediatricians seeing children for medical issues. Community Health Services in the South Metropolitan Health Service organise its services according to four age-based programs, so wait- times are presented according to the first two age-based programs. Wait times for children to have their first appointment with medical and allied health professionals were as follows, as at February 05. EARLY START - 0-3 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 99 days 2 months 20.5 weeks Nil Child Medical Officer NA NA 8 weeks 55 days Speech Pathology 301 days 6-9 months 9 weeks 188 days Occupational Therapy 137 days 6 months 12 weeks 136 days Physiotherapy 11 days 1-2 months 9 weeks 35 days Social Work 57 days 1 month 13 weeks 72 days Clinical Psychologist 30 days 5 months Nil 208 days Audiologist 105 days (Area-wide service) Dietician 21 days NA NA NA Podiatrist 139 days NA NA NA TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
SOUTH METROPOLITAN HEALTH SERVICE Paediatricians in the South Metropolitan Area Health Service do not see children for assessment for therapeutic interventions. An intake process allocates children to the appropriate professional, with paediatricians seeing children for medical issues. Community Health Services in the South Metropolitan Health Service organise its services according to four age-based programs, so wait- times are presented according to the first two age-based programs. Wait times for children to have their first appointment with medical and allied health professionals were as follows, as at February 05. EARLY START - 0-3 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 99 days 2 months 20.5 weeks Nil Child Medical Officer NA NA 8 weeks 55 days Speech Pathology 301 days 6-9 months 9 weeks 188 days Occupational Therapy 137 days 6 months 12 weeks 136 days Physiotherapy 11 days 1-2 months 9 weeks 35 days Social Work 57 days 1 month 13 weeks 72 days Clinical Psychologist 30 days 5 months Nil 208 days Audiologist 105 days (Area-wide service) Dietician 21 days NA NA NA Podiatrist 139 days NA NA NA TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Paediatricians in the South Metropolitan Area Health Service do not see children for assessment for therapeutic interventions. An intake process allocates children to the appropriate professional, with paediatricians seeing children for medical issues. Community Health Services in the South Metropolitan Health Service organise its services according to four age-based programs, so wait- times are presented according to the first two age-based programs. Wait times for children to have their first appointment with medical and allied health professionals were as follows, as at February 05. EARLY START - 0-3 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 99 days 2 months 20.5 weeks Nil Child Medical Officer NA NA 8 weeks 55 days Speech Pathology 301 days 6-9 months 9 weeks 188 days Occupational Therapy 137 days 6 months 12 weeks 136 days Physiotherapy 11 days 1-2 months 9 weeks 35 days Social Work 57 days 1 month 13 weeks 72 days Clinical Psychologist 30 days 5 months Nil 208 days Audiologist 105 days (Area-wide service) Dietician 21 days NA NA NA Podiatrist 139 days NA NA NA TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Community Health Services in the South Metropolitan Health Service organise its services according to four age-based programs, so wait- times are presented according to the first two age-based programs. Wait times for children to have their first appointment with medical and allied health professionals were as follows, as at February 05. EARLY START - 0-3 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 99 days 2 months 20.5 weeks Nil Child Medical Officer NA NA 8 weeks 55 days Speech Pathology 301 days 6-9 months 9 weeks 188 days Occupational Therapy 137 days 6 months 12 weeks 136 days Physiotherapy 11 days 1-2 months 9 weeks 35 days Social Work 57 days 1 month 13 weeks 72 days Clinical Psychologist 30 days 5 months Nil 208 days Audiologist 105 days (Area-wide service) Dietician 21 days NA NA NA Podiatrist 139 days NA NA NA TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
EARLY START - 0-3 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 99 days 2 months 20.5 weeks Nil Child Medical Officer NA NA 8 weeks 55 days Speech Pathology 301 days 6-9 months 9 weeks 188 days Occupational Therapy 137 days 6 months 12 weeks 136 days Physiotherapy 11 days 1-2 months 9 weeks 35 days Social Work 57 days 1 month 13 weeks 72 days Clinical Psychologist 30 days 5 months Nil 208 days Audiologist 105 days (Area-wide service) Dietician 21 days NA NA NA Podiatrist 139 days NA NA NA TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 99 days 2 months 20.5 weeks Nil Child Medical Officer NA NA 8 weeks 55 days Speech Pathology 301 days 6-9 months 9 weeks 188 days Occupational Therapy 137 days 6 months 12 weeks 136 days Physiotherapy 11 days 1-2 months 9 weeks 35 days Social Work 57 days 1 month 13 weeks 72 days Clinical Psychologist 30 days 5 months Nil 208 days Audiologist 105 days (Area-wide service) Dietician 21 days NA NA NA Podiatrist 139 days NA NA NA TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
* Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Screening and Early intervention to reduce the burden of care further down the track.
All allied health services at PMH are provided via referrals from PMH medical practitioners. The current waiting list for initial outpatient appointments are: - Occupational Therapy: Early Intervention Team intake meetings (chaired by Dr Jane Valentine) assesses patients and based on their referral criteria, provide initial outpatient appointments in six weeks, although appointments may be made for urgent cases within three weeks. - Speech Pathology: there is a 1-3 month wait list for new assessment outpatient appointments - Physiotherapy: a 2-3 weeks wait list on average for initial outpatient appointments, however there is a longer wait list for specific diagnoses due to availability of equipment and resources - Nutrition and Dietetics: there is a 2-month wait list for initial assessment outpatient appointments - Spasticity Management Clinic: 9-12 month waiting list - Children referred with general neurological disability may wait 3-4 months to see a paediatrician, and will then go onto an allied health wait list above for therapeutic services The spasticity management clinic deals with children with that specific neurological disability. It involves the use of Botox and other measures which are time and resource intensive. It therefore has a longer wait time. Other neurological disabilities are first assessed by a paediatrician. The wait time for this appointment is 3-4 months. If part of the treatment plan arising from that clinic includes allied health therapy, the patient will then wait for those allied health services in accordance with the particular allied health waiting times as indicated elsewhere in the reply. - Social Work does not have a waiting list and endeavour to see patients within a week. SOUTH METROPOLITAN HEALTH SERVICE Paediatricians in the South Metropolitan Area Health Service do not see children for assessment for therapeutic interventions. An intake process allocates children to the appropriate professional, with paediatricians seeing children for medical issues. Community Health Services in the South Metropolitan Health Service organise its services according to four age-based programs, so wait- times are presented according to the first two age-based programs. Wait times for children to have their first appointment with medical and allied health professionals were as follows, as at February 05. EARLY START - 0-3 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 99 days 2 months 20.5 weeks Nil Child Medical Officer NA NA 8 weeks 55 days Speech Pathology 301 days 6-9 months 9 weeks 188 days Occupational Therapy 137 days 6 months 12 weeks 136 days Physiotherapy 11 days 1-2 months 9 weeks 35 days Social Work 57 days 1 month 13 weeks 72 days Clinical Psychologist 30 days 5 months Nil 208 days Audiologist 105 days (Area-wide service) Dietician 21 days NA NA NA Podiatrist 139 days NA NA NA TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
- Occupational Therapy: Early Intervention Team intake meetings (chaired by Dr Jane Valentine) assesses patients and based on their referral criteria, provide initial outpatient appointments in six weeks, although appointments may be made for urgent cases within three weeks. - Speech Pathology: there is a 1-3 month wait list for new assessment outpatient appointments - Physiotherapy: a 2-3 weeks wait list on average for initial outpatient appointments, however there is a longer wait list for specific diagnoses due to availability of equipment and resources - Nutrition and Dietetics: there is a 2-month wait list for initial assessment outpatient appointments - Spasticity Management Clinic: 9-12 month waiting list - Children referred with general neurological disability may wait 3-4 months to see a paediatrician, and will then go onto an allied health wait list above for therapeutic services The spasticity management clinic deals with children with that specific neurological disability. It involves the use of Botox and other measures which are time and resource intensive. It therefore has a longer wait time. Other neurological disabilities are first assessed by a paediatrician. The wait time for this appointment is 3-4 months. If part of the treatment plan arising from that clinic includes allied health therapy, the patient will then wait for those allied health services in accordance with the particular allied health waiting times as indicated elsewhere in the reply. - Social Work does not have a waiting list and endeavour to see patients within a week. SOUTH METROPOLITAN HEALTH SERVICE Paediatricians in the South Metropolitan Area Health Service do not see children for assessment for therapeutic interventions. An intake process allocates children to the appropriate professional, with paediatricians seeing children for medical issues. Community Health Services in the South Metropolitan Health Service organise its services according to four age-based programs, so wait- times are presented according to the first two age-based programs. Wait times for children to have their first appointment with medical and allied health professionals were as follows, as at February 05. EARLY START - 0-3 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 99 days 2 months 20.5 weeks Nil Child Medical Officer NA NA 8 weeks 55 days Speech Pathology 301 days 6-9 months 9 weeks 188 days Occupational Therapy 137 days 6 months 12 weeks 136 days Physiotherapy 11 days 1-2 months 9 weeks 35 days Social Work 57 days 1 month 13 weeks 72 days Clinical Psychologist 30 days 5 months Nil 208 days Audiologist 105 days (Area-wide service) Dietician 21 days NA NA NA Podiatrist 139 days NA NA NA TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
SOUTH METROPOLITAN HEALTH SERVICE Paediatricians in the South Metropolitan Area Health Service do not see children for assessment for therapeutic interventions. An intake process allocates children to the appropriate professional, with paediatricians seeing children for medical issues. Community Health Services in the South Metropolitan Health Service organise its services according to four age-based programs, so wait- times are presented according to the first two age-based programs. Wait times for children to have their first appointment with medical and allied health professionals were as follows, as at February 05. EARLY START - 0-3 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 99 days 2 months 20.5 weeks Nil Child Medical Officer NA NA 8 weeks 55 days Speech Pathology 301 days 6-9 months 9 weeks 188 days Occupational Therapy 137 days 6 months 12 weeks 136 days Physiotherapy 11 days 1-2 months 9 weeks 35 days Social Work 57 days 1 month 13 weeks 72 days Clinical Psychologist 30 days 5 months Nil 208 days Audiologist 105 days (Area-wide service) Dietician 21 days NA NA NA Podiatrist 139 days NA NA NA TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Paediatricians in the South Metropolitan Area Health Service do not see children for assessment for therapeutic interventions. An intake process allocates children to the appropriate professional, with paediatricians seeing children for medical issues. Community Health Services in the South Metropolitan Health Service organise its services according to four age-based programs, so wait- times are presented according to the first two age-based programs. Wait times for children to have their first appointment with medical and allied health professionals were as follows, as at February 05. EARLY START - 0-3 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 99 days 2 months 20.5 weeks Nil Child Medical Officer NA NA 8 weeks 55 days Speech Pathology 301 days 6-9 months 9 weeks 188 days Occupational Therapy 137 days 6 months 12 weeks 136 days Physiotherapy 11 days 1-2 months 9 weeks 35 days Social Work 57 days 1 month 13 weeks 72 days Clinical Psychologist 30 days 5 months Nil 208 days Audiologist 105 days (Area-wide service) Dietician 21 days NA NA NA Podiatrist 139 days NA NA NA TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Community Health Services in the South Metropolitan Health Service organise its services according to four age-based programs, so wait- times are presented according to the first two age-based programs. Wait times for children to have their first appointment with medical and allied health professionals were as follows, as at February 05. EARLY START - 0-3 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 99 days 2 months 20.5 weeks Nil Child Medical Officer NA NA 8 weeks 55 days Speech Pathology 301 days 6-9 months 9 weeks 188 days Occupational Therapy 137 days 6 months 12 weeks 136 days Physiotherapy 11 days 1-2 months 9 weeks 35 days Social Work 57 days 1 month 13 weeks 72 days Clinical Psychologist 30 days 5 months Nil 208 days Audiologist 105 days (Area-wide service) Dietician 21 days NA NA NA Podiatrist 139 days NA NA NA TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
EARLY START - 0-3 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 99 days 2 months 20.5 weeks Nil Child Medical Officer NA NA 8 weeks 55 days Speech Pathology 301 days 6-9 months 9 weeks 188 days Occupational Therapy 137 days 6 months 12 weeks 136 days Physiotherapy 11 days 1-2 months 9 weeks 35 days Social Work 57 days 1 month 13 weeks 72 days Clinical Psychologist 30 days 5 months Nil 208 days Audiologist 105 days (Area-wide service) Dietician 21 days NA NA NA Podiatrist 139 days NA NA NA TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 99 days 2 months 20.5 weeks Nil Child Medical Officer NA NA 8 weeks 55 days Speech Pathology 301 days 6-9 months 9 weeks 188 days Occupational Therapy 137 days 6 months 12 weeks 136 days Physiotherapy 11 days 1-2 months 9 weeks 35 days Social Work 57 days 1 month 13 weeks 72 days Clinical Psychologist 30 days 5 months Nil 208 days Audiologist 105 days (Area-wide service) Dietician 21 days NA NA NA Podiatrist 139 days NA NA NA TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
TRANSITION TO SCHOOL - 4-9 YEARS PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
PROFESSIONAL GROUP ARMADALE REGION BENTLEY REGION FREMANTLE REGION PEEL/RK REGION Paediatrician 136 days 5 months 30 weeks 326 days Child Medical Officer NA NA 6 weeks Nil Speech Pathology 208 days 9-12 months 9 weeks 365 days Occupational Therapy 106 days 12 months 39 weeks 622 days Physiotherapy 13 days 3 months 51 weeks Nil Social Work 35 days 1 month Nil 90 days Clinical Psychologist 311 days 6.5 22.2 weeks 205 days Audiologist 158 days (Area-wide service) Dietician 56 days NA NA NA * NA = Not Applicable as the region does not provide this service WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
WA COUNTRY HEALTH SERVICE There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
There is no requirement in any of the regions of the WA Country Health Service for children to be assessed by a paediatrician prior to accessing therapeutic services. Referrals to the services are by a range of avenues - GP's, community nurses, other allied health professionals and directly by the general public i.e. parents and guardians. The only proviso is that parent/guardian consent needs to be gained prior to treatment. Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Kimberley - Paediatrician clinics operate on a 2-6 weekly basis. The elective waiting time to see the Paediatrician ranges between 0-6 weeks with an average of 2-3 weeks across the region. Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Pilbara Gascoyne - Paediatrician clinics operate on a 2-8 weekly basis. The elective waiting time to see the Paediatrician is up to 3 months. Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Midwest Murchison - The elective waiting time to access the visiting paediatric service is up to 10 weeks. Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Goldfields South East - There is a 5-6 week elective waiting time to see the Paediatrician. Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Wheatbelt - There is a monthly visiting paediatric service specifically provided for Aboriginal children in the Eastern Wheatbelt. All other children requiring referral to a Paediatrician are seen in the metropolitan area at the Women's and Children's Health Service or are seen privately. Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Great Southern - There is a 6-8 week elective waiting time to see the Paediatrician NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
NORTH METROPOLITAN HEALTH SERVICE Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Children do not routinely see a paediatrician prior to receiving early therapeutic interventions from speech pathologists, occupational therapists or other allied health professionals although a paediatrician is sometimes the first point of contact, especially for complex or global development delay. Referrals are allocated at intake meetings to the most appropriate health professional or multi-disciplinary team based on referral information received. Intake meetings are held weekly at each centre. All disciplines are represented. All referral letters are discussed. According to the information in the letter the child is allocated to a particular discipline (speech, OT etc) for assessment and is placed on the waitlist. Complex cases will go initially to the paediatrician. The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
The waiting time for initial assessment by a paediatrician varies based on several factors including the age of the child at referral and the extent of the delay. Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Child Development Centre Assessment waiting time in months Joondalup 9-12 months Koondoola 9-12 months Midland 3 -18 months Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Wait times to see a paediatrician at the above centres as of 31st March 2005. There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
There are currently no paediatrician services at Clarkson, Lockridge or High Wycombe. SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
SOUTH WEST AREA HEALTH SERVICE SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
SWAHS does not employ a paediatrician to assess outpatients for therapeutic interventions. Referrals to allied health services are by a range of avenues including private paediatricians, private therapists, GPs, child health nurses and school nurses. Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Children are assessed for therapeutic interventions by the appropriate allied health discipline. Wait times for these disciplines within SWAHS are as follows: Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Speech Pathology Services: 0-2yrs: 6-8 weeks for initial assessment (Note - all children born are engaged by child health staff, standard assessments are provided and referrals to specialists as per identified need.) 3yrs olds: 4 weeks 4-5yr olds: 6-8 weeks 5-6 yr olds: 12 weeks Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Occupational Therapy Services: 0-3 yrs: >4 weeks 3-6yrs: 8-12 weeks Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Physiotherapy Services: Urgent (pain/post op) 1 week Gross motor 6-8 weeks Lower limb 3-4 weeks 2. Reports on Wait Times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) N/A SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service commenced a quarterly reporting process as of the second (Oct to Dec) quarter of the 04/05 financial year. Bentley became part of the organisation in December 04, so has not yet commenced this process. The relevant components of the reports replicate the information provided, above, and can be supplied, if required. WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
WA COUNTRY HEALTH SERVICE Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Kimberley: Speech - 0-2 months, Physio - 0-8 weeks, Occupational - 0-8 weeks. Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Pilbara Gascoyne: Speech - 0-6 months, Physio - 0-2 months, Occupational -0-2 months. Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Midwest Murchison: Speech - 0-6 weeks, Physio - 0-4 weeks, Occupational - 0-12 weeks. Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Goldfields South East: Speech - 6 months, Physio - 0-6 months of age = 2 weeks, 0.5-6 years = 6 months, Occupational - 0-6 months of age = 2 weeks, 0.5-6 years of age = 6 months. Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Wheatbelt: Speech - 3 - 8 weeks, Physio - within 1 month, Occupational - within 2 months. Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Great Southern: Speech - 4-6 weeks, Physio - 2-6 months, Occupational - 4-6 weeks. NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
NORTH METROPOLITAN HEALTH SERVICE Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Median Waiting Time in Months as at 31st December 2004 CDC Speech Pathology Occupational Therapy Social Work Clinical Psychology Physiotherapy Play and Learning Clarkson 8.3 7 3 10 7* 3 Joondalup 8 4 2 8 8* 3 Koondoola 6 8 4 9 12* 3 Midland 5 8 1 2 1 Lockridge 3 7 1 Service from Midland 1 High Wycombe 2 21 No service No service No service * Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
* Please note that a very significant amount of the physiotherapist time is spent treating torticollis & plagiocephaly in infants as a priority. SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
SOUTH WEST AREA HEALTH SERVICE As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
As above. 3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
3. Measures to reduce wait times WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
WOMENS AND CHILDRENS HEALTH SERVICE (KEMH/PMH) Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Paediatrician and allied health resources are allocated to achieve optimum access to clinical resources, according to clinical need. SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
SOUTH METROPOLITAN HEALTH SERVICE Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Community Health Services in the South Metropolitan Health Service have recently adopted the following area-wide strategies to reduce wait-times, comprising: § Prioritisation of referrals by age and the nature / severity of the problem, with a focus on a rapid response to referrals of children aged 0-3 to reduce the long-term impact of the issue on the child's development. § Agreed targets in Speech Pathology for waiting times for specific age groups, to ensure that the identified priorities are met. The age groups are 0-3 years, 4-5 years, and 6+ years, with the target wait time being shortest for the youngest age-group. § Providing information/advice sessions to groups of children and their families who are on the wait-list for Speech Pathology and Occupational Therapy, so that general strategies can be implemented by the families whilst awaiting individual assessment. § A standardised approach to the use of both group and individual interventions in Speech Pathology, supported by a set of criteria for allocation of child to an individual or group model. This aims to increase the use and effectiveness of group-based interventions. § Standard definitions of Speech Pathology diagnosis and ratings for severity. Strategies implemented in Peel and Rockingham/Kwinana Health Service (PARK): · In January 2005, the Speech Pathology section introduced a process where every therapist was booked new assessments each week. This replaced a system whereby there were assessment blocks every 5 weeks. · A 'rapid response' system was introduced in January 2005 to support referred children aged 0-3 years. This involves a parent advice session followed by one group therapy session. These sessions provide families with the capacity to work on the issue at home, while waiting for a more thorough assessment. · Group interventions will be introduced in May. The strategies implemented in January have reduced the time families of children aged 0-3 years have had to wait for a first appointment, though this cannot be meaningfully measured, at this early stage. It is expected that the introduction of group interventions will further reduce the wait time for all referred children. Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Strategies implemented in FREMANTLE: Fremantle has been successfully involved in working with other agencies, both to more effectively manage referred children and to prevent delay or disorder in children. This includes: § Capacity building work with teachers within the school system, so that the developmental needs of groups of children can be addressed in the classroom environment with allied health professionals acting as consultants; § A number of interagency playgroups and intervention programs such as: - 'Play, Talk and Learn' and 'Play and Learn' - multidisciplinary playgroup programs run in partnership with Local Government; and - Caralee School's Early Years Strategy - a mulitidisciplinary preschool program which is a collaboration between Community Health, the Department of Education and Training and Local Government. WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
WA COUNTRY HEALTH SERVICE The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
The WA Country Health Service has implemented a number of strategies to improve access and treatment for children. There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
There has been an increase in the number of salaried paediatricians, an increase in the number of allied health professionals, the training and increased utilisation of allied health therapies assistants, a move to increased interactive group therapies practice, the use of telehealth initiatives and improved travel options to allow better access to allied health therapies. NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
NORTH METROPOLITAN HEALTH SERVICE The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
The Services have implemented a number of strategies to try and facilitate earlier interventions for children including: · The WILSTAAR program screens children at 8 months of age for expressive and receptive language delay and provides an early home visiting service for those children identified with a deficit in either or both areas. This can only be offered in certain suburbs, but is targeted to low socio-economic areas. · Assessment and development of home based programs · Play and Learning Program to support parents in promoting skill development through play (only available at some centres). · Group therapy for children with mild to moderate problems and similar therapy needs. · Applying strict clinical criteria to those children who are seen for more than one block of therapy. · Parent information sessions for phonology, stuttering and early language referrals. · Prioritisation of individual waiting lists according to age, disorder and severity. · Individual therapy restrictions - individual therapy offered to moderate - severe cases only. SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
SOUTH WEST AREA HEALTH SERVICE Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Group programs - this is an effective and efficient way to deliver a service to a larger group of clients. Screening and Early intervention to reduce the burden of care further down the track.
Screening and Early intervention to reduce the burden of care further down the track.
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