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November 2022

YPIRAC Factsheet

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Description:

There are 2,934 Australians with disability under 65 living in aged care. The government seems confident that its efforts to get them out will succeed, highlighting the 20% reduction in the number of YPIRAC in the past year. However, this falling number overlooks a grim reality: most YPIRAC do not leave aged care for a better housing situation.

 

The lower number of YPIRAC is mostly due to people either dying or remaining in aged care until they turn 65, and ‘ageing out’ of the cohort. Furthermore, over 30 younger people are still entering aged care every month. The inefficiencies at the health-disability interface mean it is still easier to discharge people from hospital to aged care than secure NDIS funding for housing.


October 2022

Achieving the YPIRAC Strategy

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Description:

The Federal Government’s Younger People in Residential Aged Care (YPIRAC) Strategy aims to address the systemic issues and barriers that continue to allow younger people (under 65) to enter and remain in RAC. Although progress under the YPIRAC Strategy has been made, systems change is needed to ensure younger people with complex needs have access to the long-term housing and supports they need to live well in the community. Achieving the YPIRAC Strategy requires commitment at all levels of government and the implementation of policy and operational measures that improve the disability/health/housing interface.


October 2022

Preventing and better protecting younger people with complex needs from experiencing violence, abuse, neglect and exploitation

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Description:

Summer Foundation report to the Disability Royal Commission
There are many younger people with complex needs living in inappropriate settings such as residential aged care (RAC) and hospitals. Recent government inquiries have provided opportunities for defining and measuring progress towards essential reforms. However, more still needs to be done to improve the experiences and outcomes of younger people with complex needs. To help ensure the Disability Royal Commission (DRC) is best placed to drive policy reform that will meaningfully improve outcomes for this cohort, this report summarises the key areas in need of action.


September 2022

Younger people in residential aged care – Progress towards Government targets

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Description:

A nursing home is no place for someone under 65 to live. The government’s focus on the issue of younger people in residential aged care (YPIRAC) is welcome, but the problem isn’t solved yet.

According to new data, there are still 3,163 younger people in aged care, and on average they’ve been stuck there for 4.9 years. Another 30 people under 65 enter each month. Two government targets aiming to solve the problem are due in December, but meeting them can’t be taken for granted.


August 2022

Summer Foundation – La Trobe University Research Program 2021/2022

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Description:

The Summer Foundation – La Trobe University Research Program is designed to understand the issue of young people in aged care. By researching the issues at each stage of the critical pathways that lead young people to aged care we can provide the evidence needed to create systems change that will solve this problem.


September 2021

Young people in residential aged care: Is Australia on track to meet its targets?

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Description:

Governments have long aimed to reduce admissions of young people to residential aged care (RAC), but in 2019, for the first time, the Australian Government adopted target dates for resolving the issue through the Younger People in Residential Aged Care Strategy. The targets include:

  • no people under the age of 65 entering residential aged care by 2022
  • no people under the age of 45 living in residential aged care by 2022
  • no people under the age of 65 living in residential aged care by 2025

This study drew on quarterly data from the National Aged Care Data Clearinghouse to examine progress toward these targets. It finds that significant progress was evident in terms of young people entering RAC, as admissions reduced each quarter between September 2018 and July 2020, halving over two years. However, no progress was evident in terms of young people leaving RAC for better arrangements, as the trend neither increased nor decreased. This paper discusses these trends and also prospects for achieving the Australian Government’s targets.


Citation:

Brown, M., Condi, A., Davis, E., Goodwin, I., Winkler, D., & Douglas, J. (2021). Young people in residential aged care: Is Australia on track to meet its targets? Australian Journal of Social Issues


Young People in Residential Aged Care report cover

March 2021

Young People in Residential Aged Care in Australia, 2019 – 2020

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Description:

This report utilises the available administrative data from the Australian Institute of Health and Welfare, and the NDIA to describe the characteristics and geographical distribution of young people in permanent residential aged care (RAC) in Australia in 2019-2020. It finds that as at 30 June 2020, 4,860 people under 65 years, including 130 people under 45 years, were living in permanent RAC. They accounted for 2.6% and 0.1%, respectively, of all residents in permanent RAC. The number of young people under 65 years residing in permanent RAC decreased by 13.3% compared to 12 months prior.


Citation:

Bishop, G.M., Mulherin, P., Winkler, D. (2021)


September 2020

A scoping review to explore the experiences and outcomes of younger people with disabilities in residential aged care facilities

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Description:

This review maps the literature on the experiences and outcomes of young people with disability who are placed in aged care, and highlights the negative outcomes young people experience while living in aged care.


Citation:

Oliver, S., Gosden-Kaye, E., Jarman. H,, Winkler. D,, and Douglas. J, (2020). Brain Injury, 34(11): 1446-1460.


September 2020

Young people in residential aged care (2018-2019): A snapshot

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Description:

This report utilises available administrative data to describe the characteristics and geographical distribution of young people in permanent residential aged care (RAC) in Australia in 2018-2019.


Citation:

Bishop, G., Rinehart, N., and Winkler, D. (2020). Summer Foundation.


July 2020

Young people in Australian residential aged care: Evaluating trends from 2008 to 2018

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Description:

This paper reports trends in the number of young people entering and exiting aged care. Many more young people are admitted to aged care each year than return to community living, with no sustained change between 2008 and 2018 at the national level.


Citation:

Brown, M., Bishop, G., Winkler, D., and Douglas, J. (2020). Australian Health Review.


August 2019

Young People in Residential Aged Care (2017-2018): A Snapshot

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Description:

This report utilises available administrative data to describe the characteristics and geographical distribution of young people in permanent residential aged care (RAC) in Australia in 2017-2018.


Citation:

Bishop, G., Zail, J., Bo’sher, L., Winkler, D. (2019). Summer Foundation.


June 2012

The Victorian younger people in residential aged care initiative: Evaluation of quality of life outcomes

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Description:

This evaluation of quality of life outcomes for Victorian YPIRAC participants demonstrated improvements in quality of life for the majority of service users as well as their family members. This evaluation involved interviews with 68 people with disabilities who had received YPIRAC services.


Citation:

Winkler, D., Holgate, N., Sloan, S., and Callaway, L. (2012). Summer Foundation.


August 2011

Young people in aged care: Progress of the current national program

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Description:

This paper examines the progress and effect of the current 5-year $244 million national Young People in Residential Aged Care program on the reduction of young people in aged care. It highlights the challenges of achieving a long-term reduction in the number of young people in residential aged care, including the challenge of achieving systemic change to prevent new admissions.


Citation:

Winkler, D., Farnworth, L., Sloan, S., and Brown, T. (2011). Australian Health Review 35: 320-326.


December 2010

People under 50 with acquired brain injury living in residential aged care

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Description:

The aim of this article is to describe the characteristics, needs and preferences of people under 50 with an acquired brain injury living in residential aged care in Victoria and examine implications for service development.


Citation:

Winkler, D., Sloan, S., and Callaway, L. (2010). Brain Impairment 11(3): 299-312.


January 2007

Younger people in residential aged care: Support needs, preferences and future directions

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Description:

As part of the my future my choice initiative in Victoria, people less than 50 years of age living in RAC were offered an individualised planning and assessment process to assist them and their family or key others to consider their specific healthcare and accommodation needs, aspirations and other important lifestyle factors. It provided an opportunity to explore options and consider models of care to best meet each individual’s needs and preferences.


Citation:

Winkler, D., Sloan, S., and Callaway, L. (2007). Summer Foundation.


February 2006

People under 60 living in aged care facilities in Victoria

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Description:

This article describes the characteristics of people under 60 years of age living in residential aged care in Victoria and examines the occupational participation of younger residents in aged care facilities by measuring their social contact, participation in recreation and community access.


Citation:

Winkler, D., Farnworth, L., Sloan, S. (2006). Australian Health Review 30: 100-108.