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On the 29 September there was a story about consumer-directed care on ABC’s Lateline. Perhaps some of you saw the episode, but if not, you can watch it at this link
The episode is quite critical of certain aspects of case management in the consumer-directed care context. So::
– What are the issues that you identify as problematic?
Can you think of reasons why case management is needed in a system of consumer-directed funding packages?
Applying the Production of Welfare Approach This week’s task is a little different to other weeks. In this week’s lecture, we discuss the production of welfare approach, which is a systematic way of analysing the different components of a human service system. It can also be a useful tool if you are managing a human service agency or organisation.
And this is what I would like you to do, to get into the role of someone who might be managing a human service agency. I want you to design a ‘program logic’ for a residential care service for people with physical disabilities. Essentially I want you to design a service by addressing the following issues (which is an application of the production of welfare approach):
i) What inputs do you need for your service? – Where are you going to obtain funding? From gov ernment, private funds, fee for service, volunteer labour or some other source?
– What infrastructure is required for your service?
– What clients are you going to offer your service to — are you going to limit your service coverage, for example to only those people who are assessed as having ‘high needs’?
– What staff do you need— what are the types of skills you need and how will this influence the composition of your workforce?
ii) How are you going to organise the production process? – How will you organise the work to meet the needs of clients? What will the service look like? How will it operate?
Hi) What Outputs do you envisage for the service? Consider: – The types of services you will offer – The amount of services you will offer (for example will it be on a weekly basis, as-needs-basis and so on) – How are you going to monitor the services?
iv) What are the outcomes that you are you aiming to achieve.
You will soon discover that running this kind of service takes significant resources. The reality of the current policy environment is that services have to generally do ‘more with less’. So consider the following: – What efficiency measures can you put in place to make your service cost-effective?
Do these efficiency measures compromise the effectiveness of your service (that is achieving the desired result)?
– Do these efficiency measures compromise the equity of your service (that is ensuring that the service reaches those people who need it)?
look forward to looking over your designs.


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