The Southern Integrated Services Program (SISP) is a new initiative aimed at building capacity in working with people who have complex needs and challenging behaviour. The clients identified for this support are adults with multiple and complex needs, and severe challenging behaviour. They may have a mixture of intellectual disability, brain injury, mental illness or psychosocial factors.
The Southern Integrated Services Program (SISP) will work with up to four clients at any given time who have a lead agency involved in their support. Referrals can be received from any organisation for clients that meet the eligibility criteria. Eligible clients can receive support through the SISP for a maximum of 12 months.
The SISP clinician will work with support staff and organisations to provide a range of time limited services, including:
• Comprehensive assessments, including risk assessments and other relevant assessments, to provide recommendations on the current and future supports for the person;
• Review of current support & service documentation such as risk profiles, behaviour support plans and other relevant documents;
• Work with clinicians and other key stakeholders to consider how supports for the person can be improved. This may include training where appropriate;
• Seek advice from ISP Support Services team (i.e. Visiting Medical Officer, Senior Psychologists etc) in relation to a range of clinical matters;
• Establish links with other agencies such as Housing NSW and NSW Ministry of Health as appropriate to improve access to relevant supports for the person.
For a person to be considered for SISP support, they must be a permanent resident of Australia and residing in the Southern Region (or have strong links to the Region prior to their most recent period of institutionalisation). A person must satisfy all the eligibility criteria outlined below which includes confirmation of mental health diagnosis or intellectual disability and evidence of challenging and/or offending behaviour. Recommendations regarding a person’s eligibility and priority for services will be considered by the SISP Panel.
Criterion 1: Age - A person is 18 years of age or over, or will be 18 years of age on the closing date of the nomination round.
Criterion 2: Southern Region - The person resides in ADHC’s Southern Region, including the areas of Wollongong, Goulburn, Queanbeyan, Cooma-Monaro, Snowy River and Bega Valley, and/or has resided in the Region for at least 12 months prior to a period of institutionalisation.
Criterion 3: Challenging Behaviour - The person displays at least one behaviour, as guided by the Overt Behaviour Scale (OBS) and outlined below. This behaviour must be of such intensity, frequency or duration that it has a significant impact on the individual or the community.
1. Verbal aggression.
2. Physical aggression against objects, including; fire setting.
3. Physical acts against self, including; self harm or threatening or attempting to take their own life.
4. Physical aggression against other people.
5. Inappropriate sexual behaviour, including; sexual talk, exhibitionism, coercive sexual behaviour.
6. Perseveration / repetitive behaviour, including; repeating the same statement/question multiple times or the same action.
7. Wandering / absconding.
8. Inappropriate social behaviour including; non compliance/ oppositional, petty crime or unlawful and offending behaviour, addiction/substance abuse and solicitation.
9. Lack of initiation, motivation or interest in day to day activities.
10. Or other behaviours as identified by the referrer which impact on the individual, and are not outlined above.
Criterion 4: One or More Diagnoses or Disability - The person has one or more diagnoses or disabilities, which includes; intellectual disability / borderline intellectual disability, mental illness, mental disorder, acquired brain injury, alcohol or drug misuse, and/or a diagnosis or disability that significantly impacts on their ability to function in the community.
Criterion 5: Lead agency - The person has a lead agency providing case management or case co-ordination.
Criterion 6: Manageable Risk - The person does not represent an unreasonably high risk to the safety of staff, clients or the community in the context of the type of support services that are able to be provided by this Initiative.