Services
High intensity and complex care
The referrals others decline are our work.
Complex doesn't mean impossible.
It means the support has to be planned properly, delivered by people trained for it, and overseen clinically.
Our high intensity supports are overseen by a Registered Nurse who trains and signs off every worker. Our approach to behaviours of concern starts with understanding: what the behaviour is communicating, what triggers it and what helps. We implement the behaviour support plan written by the person's behaviour support practitioner, and we feed back the data they need to keep improving it.
What we're set up for.
High intensity supports
- Complex bowel care
- Enteral feeding (PEG) and management
- Severe dysphagia management
- Epilepsy and seizure management
- Urinary catheter management
- Subcutaneous injections
- Complex wound management
All high intensity supports except tracheostomy and ventilator management.
Complexity and risk
- Behaviours of concern
- Exit seeking
- Regulated restrictive practices, where authorised
- Active and inactive overnight support
- High falls risk
- Co-occurring psychosocial disability
- 2:1 support
Who it's for.
- People who have been declined by other providers
- People whose placement or home support has broken down
- Hospital patients whose behaviours or health needs are the barrier to discharge
- People living with Huntington's disease, frontotemporal dementia, Korsakoff syndrome or brain injury
- People who need 2:1 support
How it works.
Referral and a straight conversation.
We tell you on the first call what we can do.
We read everything and meet the person.
Reports, behaviour support plan, functional capacity assessment, risk assessments, and the people who know them best.
Plan and train.
Every worker trained on the person's own plans, high intensity competency signed off by a Registered Nurse, 2:1 where needed.
Deliver, record and review.
Detailed records every shift, data back to the behaviour support practitioner, and regular reviews with the team around the person.
Our training
Complex is our everyday.
Advanced Maybo training before the first shift, refreshers every two months, monthly clinical supervision with a clinical psychologist, and a Registered Nurse overseeing every high intensity support.
Why complex care needs a specialist.
| Area | Generalist provider | Dementia Care Queensland |
|---|---|---|
| Behaviours of concern | Often the reason to decline | Planned for with the behaviour support practitioner |
| Training | General disability induction | Dementia training, plus the person's own plans before the first shift |
| Clinical oversight | Varies | Registered Nurse oversight of every high intensity support |
| Progress notes | Written for billing | Written as evidence |
| Staffing | Whoever is available | A consistent team, 1:1 or 2:1 |
- Behaviours of concern
- Generalist providerOften the reason to decline
- Dementia Care QueenslandPlanned for with the behaviour support practitioner
- Training
- Generalist providerGeneral disability induction
- Dementia Care QueenslandDementia training, plus the person's own plans before the first shift
- Clinical oversight
- Generalist providerVaries
- Dementia Care QueenslandRegistered Nurse oversight of every high intensity support
- Progress notes
- Generalist providerWritten for billing
- Dementia Care QueenslandWritten as evidence
- Staffing
- Generalist providerWhoever is available
- Dementia Care QueenslandA consistent team, 1:1 or 2:1
Our standards
Our commitments. In writing.
- Same day
- Every referral answered
- 4 days
- A trained worker matched
- Before shift one
- Trained on the person's plans
- No charge
- Case conferences and MDTs
Where it's available.
High intensity and complex care is available across all of Queensland. Community nursing is available in Brisbane, Logan, Ipswich, the Sunshine Coast, the Gold Coast and Toowoomba.
How it's funded.
Support is funded from Core Supports in the person's NDIS plan, at high intensity price levels where the support meets the NDIS criteria. Regulated restrictive practices are only used where they are authorised under Queensland's authorisation process and included in the person's behaviour support plan, and they are reported as required.
“I've referred to a lot of NDIS providers over the years. Most of them mean well, but dementia is complex, and it shows quickly when a coordinator doesn't really understand it. With Dementia Care Queensland, I refer and I don't worry. Their coordinators understand progression. They understand the family dynamics. And they pick up the phone. That's rarer than it should be.”
Questions about high intensity and complex care
Too complex for others? Call us.
We'll tell you on the first call what we can do. Every referral answered the same business day.