Transitional Care Service
“…time-limited, goal-directed care for older people who need additional support to remain in, or return to, their own homes, and avoid premature or inappropriate entry to permanent residential aged care care or hospital”

30 residential beds and 20 Community Home Care packages.

Carinya of Bicton was the successful applicant to “pilot” transitional care for the South Metropolitan Health Service in 2004.
The “pilot” met all expected outcomes and developed a close relationship with the acute hospitals, State and Commonwealth Departments. The funding is jointly funded by the Commonwealth and State Health Department. We now have a two year contract to continue to provide the service that was so successful during the “pilot”

The initiative was designed to provide short term flexible care options for the frail elderly at the interface of the acute/sub acute and residential aged care sector. The program is goal orientated therapy/treatment based programs with the aim to reduce inappropriate extended hospital lengths of stay and reduce premature admission to residential aged care. The clients are medically ready for discharge, but are assessed as having potential and motivation to maintain or improve their level of functioning. The target time frame is up to 12 weeks.

Care Awaiting Placement

“…time-limited, transition care for frail aged people who are waiting for permanent residential care.”

Care awaiting placement is funded by the State Health department, and we have been proving this service under the direction of the Health Department since 2001. Frail aged people receive the appropriate care needed while they wait for placement in a residential care facility. Relatives should be actively seeking 1-3 preferred places in a residential aged care facility when they are aware of discharge planning at the acute hospital. The target time frame is up to 12 weeks.