The Active Service Model (ASM) is part of a wider initiative to build capacity in Victorian Home and Community Care (HACC) services and make them more person centred. The approach focuses on people’s strengths, not their deficits, and assumes everyone has some capacity to improve their own health and wellbeing.
ASM aims to help people live in the community as independently and autonomously as possible. Being independent means people can manage their daily activities, including social and community participation. Being autonomous means people can make their own decisions.
Active Service Model principles
The ASM approach is based on the principles that:
- people wish to remain autonomous
- people can improve their capacity
- people’s needs should be viewed holistically
- HACC services should be organised around the person and his or her carer - that is, the person should not be simply slotted into existing services
- a person’s needs are best met when there are strong partnerships and collaborative working relationships between the person, their carers and family, support workers and between service providers.
Active Service Model core components
The core components of ASM are:
- promoting a ‘wellness’ or ‘active ageing’ approach that emphasises optimal physical and mental health
- capacity building, restorative care and opportunities to improve social participation to maintain or promote a person’s capacity to live as independently as possible
- a holistic person centred approach to care, promoting wellness and active participation in goal setting and decision making
- timely and flexible services that respond to a person’s and their carer’s needs and circumstances
- collaborative relationships between providers to benefit people using services.
Practices and interventions that support an ASM approach include:
- strength based assessment and goal directed care planning
- timely access to occupational therapy, physiotherapy, dietetics
- retraining in daily living tasks and activities
- timely provision of aids and equipment
- community care worker support and mentoring to achieve goals
- encouragement to participate in local health promoting activities
- strengthening care relationships, family networks and social support.