Doutta Galla Community Health
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Mission Statement

Doutta Galla provides high quality, culturally appropriate and accessible primary, community and mental health services with a particular focus on the most vulnerable and disadvantaged in the cities of Melbourne and Moonee Valley.
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Care Planning and Client Review meetings

Evidence shows the assessment process alone is insufficient to improve a client’s health outcome or to make appropriate behavioural change. It must be followed by goals, actions and interventions to address the issues identified. This is commonly referred to as care planning.

The Victorian Service Coordination Practice Manual describes three types of care planning based on a client’s complexity:
1. Service specific care planning
2. Intra-agency care planning
Download My Care Plan Tool [DOC 113KB]
3.Inter-agency care planning
Download Service Coordination Care Plan Tool [DOC 31.4KB]

All three types of care planning are undertaken at Doutta Galla. Care coordination is available to clients who have complex needs who would benefit from this support, and is provided by workers who have a designated care coordination role i.e.Care Coordinators, Key workers and Mental Health Key Workers.
An excellent assessment and care planning resource tool is the HACC Strengthening Assessment and Care Planning Guidelines Download HACC strengthening assessment and care planning guidelines [PDF 1.03MB]
Go to care planning policy (for internal staff only)
Go to client review meeting/case conferencing policy (for internal staff only)

DGCH care plan

All clients with chronic conditions should have a documented care plan that is:

  • based on a comprehensive assessment
  • Is developed collaboratively with individual(s) with chronic disease, their support system(s) and interdisciplinary team members
  • Identifies issues/problems, risk profile and develops appropriate strategies to address including:
  • appropriate treatment regime and education interventions according to best practice guidelines
  • Encourages and supports self care strategies
  • Identifies appropriate follow up and review
  • Documents individual's progress, including goals and achievement of them

Victorian Healthcare Association Best Practice Care Planning Indicators.
Best practice for a care plan should contain all of the nine indicators below:

  • Client stated/agreed issues/problems
  • Client stated/agreed objectives/goals
  • Nominated review date of care plan
  • Timeframe for goal attainment
  • Responsibilities for action identified
  • Participants on development of care plan identified
  • Consumer acknowledgement
  • Date care plan developed
  • Goal/objective attained recorded

Client Review Meetings/Case Conferencing

Client review meeting

A client review meeting is where healthcare staff will talk about your health needs and goals. The reason for this is to help you get the services that you need and help you take control over your health. The healthcare staff will talk about:

  • your assessment findings
  • your health care goals and progress made towards your goals
  • ways of helping you reach your goals that had not been thought of
  • your progress with self-management and behaviour change support
  • any issues which may make it hard for you to self management
  • Healthcare staff that is not providing your treatment may be present at that meeting which is confidential. Written information from that meeting is added to your electronic health care record for use by treating healthcare staff.

Client review meeting tools

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