Disability
Information
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Application
Application should be made through your local
social work team or other referring agent.
Applications are normally channelled through professional workers through the CARENAP system. Full Carenap and any additional supporting information should be sent to Mark Grierson, Day Services Manager, Health and Social Care, City Of Edinburgh Council, level 1:6 Waverley Court, 4 East Market Street, EH8 8BG.
Assessment
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On receipt of your application your case will be presented to the Intake Panel which meets monthly. The referrer will be contacted with the outcome. You may then be invited to spend a day
at the centre with our occupational
therapist. This should help in deciding
whether regular attendance would be desirable,
while also giving the centre a better idea of
the level of service required. Following this,
management and OT staff meet along with our
medical representative to make a decision
as to whether a place can be offered. You may also be given information regarding more appropriate services.
If appropriate the applicant is placed
on a waiting list. When space becomes available
the applicant is then invited to attend the
centres “new starts” group which normally would
last for around 6 weeks.
At a date, when space becomes available
clients are invited to attend the centre on a
regular basis, usually for two or three days
per week.
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Referral Guidelines
Centre management and Medical Advisors have
recently collaborated on a review of client
referrals to Firrhill Centre, a centre for adults with physical disability. In
order to assist potential referrers in their
task of advising clients, a set of guidelines
has been developed.
Fundamental indicators
The client should be aged 16 to 65
The client should have a measurable physical
impairment which
- cause significant disability and
- is related to a recognised disabling
medical condition and
- is supported by medical evidence
Example: Stroke, Brain Injury, Multiple
Sclerosis, Rheumatoid Arthritis etc.
Once these fundamental indicators are
established, priority is likely to be
determined as follows:
High Priority
Social isolation
Family need for a break from caring
Lack of opportunity to access other agencies to fulfil needs
Highly motivated individuals
Identifiable barriers to independent living
Potential to achieve greater independence
Low Priority
Significant existing community support / opportunities
Evidence of behaviour with risk to self or others
Mainly nursing care and support required
The following circumstances are unlikely to be considered appropriate:
Where principal needs relate to Learning
Disability.
Common conditions where impairment is
minimal, or presents intermittently e.g.
uncomplicated epilepsy, osteoarthritis, and
angina.
Where disability is related to medically
unexplained symptoms e.g. pain syndromes,
chronic fatigue syndromes, irritable bowel
syndromes.
Where disabilities relates mainly to mental
health issues e.g. schizophrenia or other
psychosis, somatisation / somatisation
disorder, personality disorder, active alcohol
/ drug dependency problems.
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