Situations›Coming out of hospital
Going home from hospital with support already in place.
For adults leaving a psychiatric unit, a medical ward or rehab, and for the social workers, case managers and families planning the discharge. We start before the day where we can, so there's someone ready when the person leaves.
How we approach it
Discharge dates can be set before anyone has lined up support at home. We talk with the person, their family and the ward team early, so the first day, the first week and the first month are planned.
Coming out of hospital
Before the day, and in the weeks after
Somewhere to liveHelp finding and keeping a home if going back to the old one isn't an option. Housing takes time, so the earlier we start the better.
The NDIS planHelping the person use their plan, and helping the plan reflect what's changed, including a review if one is needed.
Getting started
How it starts
You don't need everything sorted. Send what you have.
Call us, or ask the ward to
A social worker, nurse, case manager or family member can call. Tell us the expected discharge date if there is one.
We plan together
We talk with the person, their family and the ward team about what needs to be in place, and agree the first few things to do.
Support starts
You'll have a main contact from the first meeting. We start before discharge where we can. If something changes, you call them directly.
Questions
Things people ask us
Can a hospital social worker or nurse refer?
Yes. Send what you have and flag the gaps. We won't contact the person until consent is in place.
What if there's no NDIS plan yet?
To start funded supports, the person needs a plan or to be eligible for one. We'll talk you through what the NDIS looks for, and tell you if a Local Area Coordinator is the better first call.
What if the person has nowhere to go?
Call us today, or ask the social worker to. Housing takes time, so the earlier we start the better.
Do you provide clinical care?
No. We don't provide psychiatry, psychology, nursing or allied health. We connect people to it and help keep it going.
What we do
Where to go next
Support work
Support at home
Personal care, help around the house and medication prompts.
Coordination
Support coordination
Helping you use your plan, with providers, the NDIS, Centrelink and housing.
Housing
Housing and supported independent living
Help finding and keeping a home, and 24/7 shared support for people with SIL funding.
Talk to a person today
Call Monday to Friday, 9 am to 5 pm, or send a message any time. A person replies within 24 hours.