The aim of our service is to provide effective and coordinated care for people experiencing high and complex needs when they need it.

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High & Complex Needs service

• Do you have a client, or know of a person, with complex needs who might benefit from intensive case coordination?
• Did they have past assistance but become disengaged from supports and services?
• Have they exhausted all available services?
• Could the coordination and communication between workers and all parties be improved?
• Are the person’s needs so challenging that workers don’t want them as part of their case loads?
• Put simply, is this a case for the too hard basket?

EACH’s High and Complex Needs (HACN) service might be able to assist. The HACN coordinator works closely with you and your client to systematically link them to services and ensure everyone works together to achieve agreed goals. The coordinator shares the responsibility of supporting client and workers by providing intensive support for up to 18 months.

In some cases, the parents/carers and other family members might be involved and share the benefits.

Aim

The overall aim of the service is to provide effective and coordinated care so that people experiencing high and complex needs are linked to services that provide:

• What they need
• Cross service boundaries
• A continuum of care when they need it

The keys to HACN

• Targeted support for people assessed as having high and complex needs.
• A key worker who develops a stable and consistent relationship with the client and coordinates their services.
• Skill development that helps the client develop existing skills, strengths, and capacity for personal growth.
• Participation. Working together with the client to develop and manage their individual program plan.
• A flexible and responsive service that is consumer - centred and takes accounts of individual needs.
• Access to - clinical and psychosocial rehabilitation programs, community health, GPs and community services; and appropriate accommodation.
• Connectedness and inclusion. Encouraging links with the community through interests, study, training, recreation and employment based on individual passion, need and goals.
• A harm minimisation approach to drug and alcohol use, and prompt response to episodes of mental illness.

Eligibility

• Eligible clients present with a number of complex needs that place them or their family at risk of homelessness, incarceration, or harm to self and others.
• Existing services have not been able to meet their needs.
• The client could benefit from care plan coordination because of the complexity of issues or number of services involved.

Referral

one

Agencies can identify clients and call either the HACN coordinator at EACH or the regional coordinator of Complex Care (Department of Human Services) for a phone consultation regarding their client.

two

The client must also be referred to the DHS Complex Care Program by contacting the Regional Coordinator.

three

If the client is suitable for intensive case coordination, the DHS regional coordinator will contact the HACN coordinator at EACH to discuss the referral.