1. Active Service Model in practise -Introduce self
-Brief overview of LGA OT role and what this has involved so far
-LGA OT available to support with putting ASM into practise.
You can contact me to talk about a client, or I can come out and see them with you.
SO lets briefly recap some of the ASM principles, and then look at some real clients and how this has worked for them, and I’ll get you all to give some suggestions

2. Person centred Flexible
ASM PRINCIPLES
Person centred Flexible
This really applies to all clients that we see.
Talk about person centred care: not a new concept, something we do all the time, by listening to the client and what they want to get from the service.
Flexibility comes in when we then make changes to the service we provide to meet the clients needs. Can anyone think of examples?
(moving shower from morning to night as that is clients preference, changing home care day so doesn’t clash with shopping…)

3. ASM PRINCIPLES Holistic
This is about seeing the client as a whole person, instead of just seeing the one area that we are working with them on.
Example: Client in Bridgewater, seems quite fit and independent so council were unsure that she really needed home care. It turned out she could mop her floor and vaccuum the carpet if she did it in little bits, but it would take her so long and cause so much pain that she didn’t get to do anything else.
Once the home care was put in place this client was able to do her shopping and carry in the bags without pain, she participated in volunteer work, checked on other elderly neighbours and did all her other cleaning tasks.
So it wasn’t just about doing that task on its own, but about all the other things that she would be able to do with those cleaning tasks off the table.
Any examples from you??

4. Encourage autonomy Independence Participation
ASM PRINCIPLES
Encourage autonomy Independence Participation
Explain terms.
Involving clients in activities, in any small way, gives ownership back to the client and helps give them back some control.
Example: Elderly lady with dementia living alone. Gets shopping assistance, but was becoming very distressed when shopping as she would want to buy things she already had and the carer would try to talk her out of it. She was ending up with 3 orange juices and 4 milks etc…
It was suggested to write out a list of her usual shopping, laminate it, then go through it with her before leaving the house and cross off things not needed. She could then be directed to this when in the shop.
The council added 15min to her time to allow the carer to do this. She has since become much less distressed during the shopping and isn’t getting items she doesn’t need.
Any other examples?

5. Capacity building Restorative care
ASM PRINCIPLES
Capacity building Restorative care
Capacity building- providing people with new skills, or re educating old skills to allow someone to do tasks for themselves.
Restorative care- providing a ‘leg up’ to get someone back on track, then withdrawing services until needed again. Moving away from putting clients on the books and keeping them there forever. For people familiar with TCP, it is a similar to the idea behind that.
Examples: putting in short term services post hospital.
had once client who is happy to use clotheshorse in winter and can do this on her own, however in summer she likes the clothes on the line but can’t reach.
Any examples from CCWs?

6. ASM PRINCIPLES Collaboration of services LGA OT!!
Other allied health. DNS…

7. ASM PRINCIPLES
- Person centred - Holistic - Encourage autonomy/ownership/doing with - Capacity building/Restorative care - Collaboration of services
Split into 5 groups. Each group allocated a principle. Ask for CCWs to give examples from clients they have worked with.
Your turn!!