What the service offers
The Transition Care Program provides up to 12 weeks of rehabilitation to eligible older people in their home following a hospital stay. The in-home program helps you restore your independence and maintain your health.
There is a range of services that could be provided to you in your home. Services could include:
- occupational therapy
- personal care
- domestic assistance
Who can access the service
To be eligible for the Transition Care program an older person needs to be:
- in hospital and with an imminent discharge date.
- motivated to engage in the rehabilitation process
- willing to have an assessment by the Aged Care Assessment Team (ACAT) to see if they are eligible to be part of the Transition Care Program.
Steps on how to access the service
If an older person feels they would benefit from a potential Transition Care Program following their hospital stay, they are encouraged to discuss this with the hospital discharge staff. Discharge staff will need to organise for an ACAT assessment to take place to confirm eligibility.