Regaining your independence

To help improve your independence and confidence at the end of a hospital stay, the Transition Care Program provides short term support and assistance.

The Transition Care Program is goal oriented, time-limited and therapy focused care which can be delivered in your own home or in a home-like ‘live-in’ setting, which may be an aged care home.

To be eligible for transition care, you must be an in-patient of a hospital and have been assessed by the Aged Care Assessment Team (ACAT).

Transition care can be provided for a period of up to 12 weeks, with a possibility to extend to 18 weeks if assessed as requiring an extra period of therapeutic care. Seven weeks is the expected average period of support.

Services

Transition care is delivered by approved providers who will offer a package of services including a range of low intensity therapy services and nursing support and/or personal care services.

Low intensity therapy services may include: and social work  Dietetics

Occupational therapy

Personal care services may include:

Help with showering and dressing

Assistance with eating and eating aids

Managing incontinence

Transition Care

The organisations below can provide you with more information about the Transition Care Program.