Shared residential service

Service Description

Supported Residential Services (SRS) are privately operated businesses that provide accommodation and support or residents. SRS is for people who need a low to medium level of support and are suited to living in a shared living and shared support environment.

Each SRS determines the services it offers and its fee structure. For the TAC to consider paying for a client’s support within an SRS, the SRS setting must be registered with Social Services Regulator and comply with its regulations.

SRS settings vary widely in the support they provide, the quality of the accommodation and therefore the fees they charge. Staff at an SRS may provide care including assistance, supervision and/ prompting to complete showering, personal hygiene, toileting, dressing, meals and medication. Some SRS may also provide social, recreational and community access support. Depending on the SRS, there may be up to 60 people receiving housing and support in the one setting.

Eligibility

To be considered for approval, a client’s need for SRS must be:

Directly related to their transport accident, and
Due to the severity of the injuries/ impairment and the resultant need for high levels of care and/or accessible living environment.
The requested accommodation must be registered with the TAC and the appropriate government regulator as applicable.

What the TAC will pay for

The TAC will pay a reasonable fee in line with the residential and services agreement between the TAC, the client or their family member, and the owner of the facility.

The fees that can be paid by the TAC for SRS are:

A set daily or weekly fee as determined by the SRS and set out in the written residential and services agreement between the TAC client and the SRS. This fee includes the Daily Living Expense fee. The daily or weekly fee must be approved in writing by the TAC before the client takes up residence. The TAC may accept full or partial liability for the SRS fees.
Attendant Care in addition to support provided under the residential and services agreement, where clinically justified and considered reasonable by the TAC.

Fees payable by the client in an SRS are:

All TAC clients over the age of 18 years will be required to pay a contribution of towards their Daily Living Expenses (DLE) from 18 months post first discharge from hospital.
Extra service fees for upgrades or non-standard inclusions, where these are not covered by the residential and services agreement.

Daily Living Expenses (DLE). The SRS fee includes the DLE component associated with accommodation including food and household items, power, water and other utility services. The client will be required to pay a contribution towards their DLE from 18 months post hospital discharge. The client’s DLE contribution is Indexed by CPI each July.

Equipment. The TAC will consider paying for specific equipment in SRS for use by a particular client with the consent of the owner of the facility.

The TAC will only pay for SRS services provided by facilities registered with the Social Services Regulator. The services and care that a client should receive in a Supported Residential Services facility should be aligned to those in the Social Services Regulation Act 2021.

How the TAC pays for these services

Directly to the service provider, when the client has given the service their TAC claim number.
The client can pay for the service and then using myTAC, send a copy of their receipt to TAC for reimbursement.

What the TAC won’t pay for

The TAC won’t pay for services that:

Do not treat, or are not related to, a client’s transport accident injuries.
Are not reasonable, necessary or appropriate.
Are not clinically justified, safe and effective.
Supported accommodation providers that do not have the required accreditation/registration specific to Specialist Disability Accommodation.
Incidental items that may be provided to clients as part of their stay. This includes upgrading a standard room type and other services clients might request where there is no clinical need for the request that relates to the client’s transport accident injuries.
Supported accommodation services for a person other than the injured client.
Supported accommodation services for a condition that existed before a transport accident injury or that is not as a direct result of a transport accident injury.
Supported accommodation services that are not consistent with the level of care that a client requires as a result of their transport accident injury.
Supported accommodation services that do not have the required accreditation/registration specific to that setting type (as specified by the TAC in the guidelines).
Related costs such as rent, accommodation bonds and rates.
The physical building development or maintenance.
Room temperature controls/air-conditioning, unless deemed medically necessary and approved as reasonable by the TAC.
Capital expenses.
Extra services (i.e. dry-cleaning, hairdressing, paid TV, room upgrade).
Care provided to a client in the client's private home.
Care provided in hospital.
Additional attendant care services for the facilitation of community access and participation where approval has not been given by the TAC.
Supported accommodation services provided outside the Commonwealth of Australia.
Treatment or services provided more than two years prior to the request for funding except where the request for payment is made within three years of the transport accident. Refer to the Time Limit to Apply for the Payment of Medical and Like Expenses policy.

Also see general items the TAC cannot pay for.

Information required by the TAC

Providers of SRS properties must meet the TAC’s Shared Supported Accommodation Property Enrolment requirements for each SRS property in which shared support is provided AND recommended SRS must be registered with the Victorian Department of Families, Fairness and Housing (DFFH).

Approval in writing is required for all clients before they reside in SRS. The TAC requires an initial request for supported residential services from the client or the client's family/advocate, treating medical practitioner or health professional.

The TAC may request completion of one of the following reports from an appropriately qualified therapist/treating team before deciding whether to pay for SRS:

Transition allied health and support plan.
Occupational therapy review of capabilities.
Occupational therapy supported accommodation review of capabilities.
Letters of recommendation from relevant treating providers will also be considered.

The TAC will ask the proposed SRS provider for information about their services and fees before deciding whether the service can be approved. The Supported Residential Services (Private Providers) Act 2010 requires the SRS provider to enter into a written residential and services agreement with a resident about the items, services and fees applicable to the SRS. A copy of this agreement must be provided to the TAC.

Service oversight

Following a client’s move into supported accommodation, the TAC may contact the supported accommodation provider or treatment team to discuss the client’s progress or request an assessment, to make sure that:

The client has all the appropriate support they need.
They are getting proven, evidence-based treatment and not receiving treatment that isn't helping them recover.
They are moving towards getting their life back on track or being able to live as independently as possible.

Provider Guidelines

For the TAC to consider paying for a client’s support within an SRS, the SRS setting must be registered with Social Services Regulator and comply with its regulations.

All shared supported accommodation providers must meet and maintain the TAC’s disability provider registration requirements in order to deliver services to a client with disability.

SSA properties where shared support is delivered must also be enrolled with the TAC and meet the TAC’s Shared Supported Accommodation Property Enrolment requirements.

Supported accommodation services can support TAC clients with services that fulfil the following conditions:

Are required as a direct result of a transport accident injury (not for a pre-existing condition).
Are safe and effective.
Promote recovery, functional independence, or self-management.
Are reasonable.
Comply with all responsibilities relating to the profession or service.
Comply with all relevant legislative requirements, including the Transport Accident Act 1986, the Health Records Act 2001, the Disability Act 2006, the Income Tax Assessment Act 1997 and the Charter of Human Rights and Responsibilities 2006.

Specific registration requirements to be an eligible SRS provider are:

registered with DFFH
registered with Social Services Regulator and comply with its regulations.
registered with TAC for both – disability provider registration and supported accommodation property enrolment.

Conditions

The TAC can help pay the reasonable costs of support in SRS accommodation when the client’s need to live in this type of supported accommodation is related to a transport accident. The daily or weekly fee is determined by the SRS provider but must be approved in writing by the TAC before the client takes up residence. The TAC may accept full or partial liability.

Authorisation

Prior approval in writing is required for all clients before they reside in a TAC-funded SRS. The TAC requires an initial request for SRS from the client or the client's family, treating medical practitioner or health professional. The client and providers should be made aware of the quality and safety risks that can be associated with an SRS, and the TAC’s view that it is a last resort option.

The TAC may request completion of at least one of the following reports from an appropriately qualified provider before deciding whether to pay for SRS:

Occupational Therapy Review of Capabilities
Occupational Therapy Supported Accommodation Review of Capabilities
Transition Allied Health and Support Plan
Letters of recommendation/support from relevant treating providers

It is preferred that the recommending provider visits the SRS or has direct contact with the SRS to determine the supports included in the fees.

Once liability for SRS has been established, it is also recommended that the client visits the potential SRS prior to the funding decision being finalised. If the client does not have a support person to assist in exploring options, the TAC can fund support to assist the client such as a specialised housing case manager or occupational therapist.

If the request is urgent, such as due to a client crisis, consider what mainstream options are available to the client while TAC makes a liability and funding decision. Consider the future impact of rushed SRS decisions on TAC liability as it may be difficult to relocate a client once moved in.

Monitoring Requirements

Given the large variance in SRS environments, the TAC should ensure quality and safeguarding is considered. Claims staff are not solely responsible for the clients’ safety, however every effort should be made to optimise their quality and safety.

Examples include ensuring:

The client has informal or TAC funded supports to help explore alternative accommodation options
The client's needs and preferences are well known, and matched to the SRS
The client and support person(s) visit the SRS prior to committing to move in
A trial of the SRS is completed where possible
Regular communication is arranged between the SRS and the support team
External supports are in contact with the client and/or visiting regularly such as family, friends, providers
The TAC has regular contact with the client and planning is completed regularly
The client knows how to give feedback or make a complaint about the SRS.
The client may be provided with the Your Care brochure.

The TAC Safeguarding Specialists can provide support if concerns about client safety, abuse, neglect or exploitation exist.

Given the increased vulnerability of clients living in SRS, it is important that client contact and planning is completed regularly in line with TAC Work Practices. A My Plan and service review should be completed at least every 12 months.

Some SRS funding for particular clients has remained unchanged for many years. Claims staff are required to gather as much funding information as possible, to document what support is being funded. The above information in this Work Practice regarding determining reasonable fees can also be utilised for existing arrangements. A current funding approval is still required on these claims, and any funding increase requests should be reviewed. If a client is not contributing to their daily living expenses, reasonable attempts should be made to commence the client contribution.

The suitability of SRS for clients can change over time. It is important to ensure that a client’s accommodation is continually reviewed according to their needs, preferences and goals. Regular reviews by an Occupational Therapist or other provider may assist. It is important to review whether SRS continues to be the most suitable option for a client regarding their:

Age (Residential Aged Care is preferred for elderly clients due to higher quality and safety regulations)
Accommodation preferences and goals
Changing support needs or life circumstances
Other funding options such as NDIS SDA

Effort should also be made in facilitating regular and open communication between the SRS, TAC, client and other supports.

Any changes to the client’s accommodation should be promptly updated.

Reporting

The Social Services Regulation Act 2021 requires the SRS provider to enter into a written residential and services agreement with a resident about the items, services and fees applicable to the SRS. A copy of this agreement must be provided to the TAC as this document states what services are included in the fees charged.

Prior to the client signing this agreement, the TAC should determine what the SRS fees are and what these fees include. A claims manager may ask the SRS:

What is the weekly fee to be charged for support and accommodation?
What is the staff to resident ratio?
What support is included in this fee? (eg. how much support does each resident get, and what type of support is it)
Does this fee include daily living expenses (eg. meals, board, utilities)? If so, is it possible to differentiate the costs between these expenses and support?

How the TAC makes a decision

The TAC uses the following principles to make socially and economically responsible decisions in line with the Transport Accident Act 1986:

1. Entitled

A TAC client is entitled to supported accommodation if the TAC has accepted liability for the accident-related injury that relates to supported accommodation.

The client may be eligible to be considered for SRS:

Injuries/ impairments as result of transport accident, and
The request for accommodation is due to the severity of the injuries/ impairment and the resultant need for high levels of care and/or accessible living environment, and
The requested accommodation must be registered with the TAC and the appropriate government regulator.

2. Reasonable

When determining whether SRS is a reasonable cost in the circumstances, the TAC considers whether:

the provision of SRS is reasonable and necessary in the circumstances, and
reasonable costs, expenses or fees in relation to the SRS will produce the intended outcomes, and
is a reasonable cost.

Circumstances

Client unable to return to their pre-injury home, a family home or have the financial capacity to buy/ rent a home.
Client’s capacity to pay rent/ utilities/ associated costs
Client doesn’t have access to an attendant care program
Consideration of client preference, client family and social supports and accommodation goal
There is an unacceptable level of risk, due to motor vehicle accident impairment, to the client or others if they do not enter supported accommodation.

Support Needs

SRS will support community connection, social and workplace inclusion.
SRS will maintain or support the person’s ability to build capacity or develop independence skills
Client requires modifications or support needs that accommodation need cannot be met through mainstream housing options
Client or Accommodation Guardian (if applicable) have considered alternate options e.g. Home ownership, Public housing, priority housing NDIS SDA etc.

3. Clinical Justification

When deciding if a treatment or service is clinically justified, the TAC considers whether the following conditions are met:

SRS will empower the client to maximise their independence
The request considers the whole person and adopts biopsychosocial approach.
The request complies with the principles of the Clinical Framework in that it:
- results in a measurable benefit to the injured person
- reflects the adoption of a biopsychosocial approach
- empowers the client to maximise independence
- has goals focused on optimising function, participation and return to work and health.

4. Outcome Focused

When deciding if SRS request is outcome focused, the TAC considers whether it is progressing or achieving individualised goals that are meaningful to the client and part of the plan developed with the client to identify their long term accommodation goal, and services put in place to support the achievement of this goal.

The client plan should also outline the client’s participation goals to maximise their engagement and independence within the SRS.

Considerations

How can SRS enable the client to undertake activities that support participation in valued social and economic roles?
What is the client’s long term accommodation goal and how will the client’s current living situation support them to get their lives back on track.
How will the client’s transition to the SRS contribute to what they want to achieve and their current goals.
How can it be ensured that the SRS enables increased participation in activities of daily living and work that are important to the client.


Shared residential service Service Description Supported Residential Services (SRS) are privately operated businesses that provide accommodation and support or residents. SRS is for people who need a low to medium level of support and are suited to living in a shared living and shared support environment. Each SRS determines the services it offers and its fee structure. For the TAC to consider paying for a client’s support within an SRS, the SRS setting must be registered with Social Services Regulator and comply with its regulations. SRS settings vary widely in the support they provide, the quality of the accommodation and therefore the fees they charge. Staff at an SRS may provide care including assistance, supervision and/ prompting to complete showering, personal hygiene, toileting, dressing, meals and medication. Some SRS may also provide social, recreational and community access support. Depending on the SRS, there may be up to 60 people receiving housing and support in the one setting. Eligibility To be considered for approval, a client’s need for SRS must be: Directly related to their transport accident, and Due to the severity of the injuries/ impairment and the resultant need for high levels of care and/or accessible living environment. The requested accommodation must be registered with the TAC and the appropriate government regulator as applicable. What the TAC will pay for The TAC will pay a reasonable fee in line with the residential and services agreement between the TAC, the client or their family member, and the owner of the facility. The fees that can be paid by the TAC for SRS are: A set daily or weekly fee as determined by the SRS and set out in the written residential and services agreement between the TAC client and the SRS. This fee includes the Daily Living Expense fee. The daily or weekly fee must be approved in writing by the TAC before the client takes up residence. The TAC may accept full or partial liability for the SRS fees. Attendant Care in addition to support provided under the residential and services agreement, where clinically justified and considered reasonable by the TAC. Fees payable by the client in an SRS are: All TAC clients over the age of 18 years will be required to pay a contribution of towards their Daily Living Expenses (DLE) from 18 months post first discharge from hospital. Extra service fees for upgrades or non-standard inclusions, where these are not covered by the residential and services agreement. Daily Living Expenses (DLE). The SRS fee includes the DLE component associated with accommodation including food and household items, power, water and other utility services. The client will be required to pay a contribution towards their DLE from 18 months post hospital discharge. The client’s DLE contribution is Indexed by CPI each July. Equipment. The TAC will consider paying for specific equipment in SRS for use by a particular client with the consent of the owner of the facility. The TAC will only pay for SRS services provided by facilities registered with the Social Services Regulator. The services and care that a client should receive in a Supported Residential Services facility should be aligned to those in the Social Services Regulation Act 2021. How the TAC pays for these services Directly to the service provider, when the client has given the service their TAC claim number. The client can pay for the service and then using myTAC, send a copy of their receipt to TAC for reimbursement. What the TAC won’t pay for The TAC won’t pay for services that: Do not treat, or are not related to, a client’s transport accident injuries. Are not reasonable, necessary or appropriate. Are not clinically justified, safe and effective. Supported accommodation providers that do not have the required accreditation/registration specific to Specialist Disability Accommodation. Incidental items that may be provided to clients as part of their stay. This includes upgrading a standard room type and other services clients might request where there is no clinical need for the request that relates to the client’s transport accident injuries. Supported accommodation services for a person other than the injured client. Supported accommodation services for a condition that existed before a transport accident injury or that is not as a direct result of a transport accident injury. Supported accommodation services that are not consistent with the level of care that a client requires as a result of their transport accident injury. Supported accommodation services that do not have the required accreditation/registration specific to that setting type (as specified by the TAC in the guidelines). Related costs such as rent, accommodation bonds and rates. The physical building development or maintenance. Room temperature controls/air-conditioning, unless deemed medically necessary and approved as reasonable by the TAC. Capital expenses. Extra services (i.e. dry-cleaning, hairdressing, paid TV, room upgrade). Care provided to a client in the client's private home. Care provided in hospital. Additional attendant care services for the facilitation of community access and participation where approval has not been given by the TAC. Supported accommodation services provided outside the Commonwealth of Australia. Treatment or services provided more than two years prior to the request for funding except where the request for payment is made within three years of the transport accident. Refer to the Time Limit to Apply for the Payment of Medical and Like Expenses policy. Also see general items the TAC cannot pay for. Information required by the TAC Providers of SRS properties must meet the TAC’s Shared Supported Accommodation Property Enrolment requirements for each SRS property in which shared support is provided AND recommended SRS must be registered with the Victorian Department of Families, Fairness and Housing (DFFH). Approval in writing is required for all clients before they reside in SRS. The TAC requires an initial request for supported residential services from the client or the client's family/advocate, treating medical practitioner or health professional. The TAC may request completion of one of the following reports from an appropriately qualified therapist/treating team before deciding whether to pay for SRS: Transition allied health and support plan. Occupational therapy review of capabilities. Occupational therapy supported accommodation review of capabilities. Letters of recommendation from relevant treating providers will also be considered. The TAC will ask the proposed SRS provider for information about their services and fees before deciding whether the service can be approved. The Supported Residential Services (Private Providers) Act 2010 requires the SRS provider to enter into a written residential and services agreement with a resident about the items, services and fees applicable to the SRS. A copy of this agreement must be provided to the TAC. Service oversight Following a client’s move into supported accommodation, the TAC may contact the supported accommodation provider or treatment team to discuss the client’s progress or request an assessment, to make sure that: The client has all the appropriate support they need. They are getting proven, evidence-based treatment and not receiving treatment that isn't helping them recover. They are moving towards getting their life back on track or being able to live as independently as possible. Provider Guidelines For the TAC to consider paying for a client’s support within an SRS, the SRS setting must be registered with Social Services Regulator and comply with its regulations. All shared supported accommodation providers must meet and maintain the TAC’s disability provider registration requirements in order to deliver services to a client with disability. SSA properties where shared support is delivered must also be enrolled with the TAC and meet the TAC’s Shared Supported Accommodation Property Enrolment requirements. Supported accommodation services can support TAC clients with services that fulfil the following conditions: Are required as a direct result of a transport accident injury (not for a pre-existing condition). Are safe and effective. Promote recovery, functional independence, or self-management. Are reasonable. Comply with all responsibilities relating to the profession or service. Comply with all relevant legislative requirements, including the Transport Accident Act 1986, the Health Records Act 2001, the Disability Act 2006, the Income Tax Assessment Act 1997 and the Charter of Human Rights and Responsibilities 2006. Specific registration requirements to be an eligible SRS provider are: registered with DFFH registered with Social Services Regulator and comply with its regulations. registered with TAC for both – disability provider registration and supported accommodation property enrolment. Conditions The TAC can help pay the reasonable costs of support in SRS accommodation when the client’s need to live in this type of supported accommodation is related to a transport accident. The daily or weekly fee is determined by the SRS provider but must be approved in writing by the TAC before the client takes up residence. The TAC may accept full or partial liability. Authorisation Prior approval in writing is required for all clients before they reside in a TAC-funded SRS. The TAC requires an initial request for SRS from the client or the client's family, treating medical practitioner or health professional. The client and providers should be made aware of the quality and safety risks that can be associated with an SRS, and the TAC’s view that it is a last resort option. The TAC may request completion of at least *one* of the following reports from an appropriately qualified provider before deciding whether to pay for SRS: Occupational Therapy Review of Capabilities Occupational Therapy Supported Accommodation Review of Capabilities Transition Allied Health and Support Plan Letters of recommendation/support from relevant treating providers It is preferred that the recommending provider visits the SRS or has direct contact with the SRS to determine the supports included in the fees. Once liability for SRS has been established, it is also recommended that the client visits the potential SRS prior to the funding decision being finalised. If the client does not have a support person to assist in exploring options, the TAC can fund support to assist the client such as a specialised housing case manager or occupational therapist. If the request is urgent, such as due to a client crisis, consider what mainstream options are available to the client while TAC makes a liability and funding decision. Consider the future impact of rushed SRS decisions on TAC liability as it may be difficult to relocate a client once moved in. Monitoring Requirements Given the large variance in SRS environments, the TAC should ensure quality and safeguarding is considered. Claims staff are not solely responsible for the clients’ safety, however every effort should be made to optimise their quality and safety. Examples include ensuring: The client has informal or TAC funded supports to help explore alternative accommodation options The client's needs and preferences are well known, and matched to the SRS The client and support person(s) visit the SRS prior to committing to move in A trial of the SRS is completed where possible Regular communication is arranged between the SRS and the support team External supports are in contact with the client and/or visiting regularly such as family, friends, providers The TAC has regular contact with the client and planning is completed regularly The client knows how to give feedback or make a complaint about the SRS. The client may be provided with the Your Care brochure. The TAC Safeguarding Specialists can provide support if concerns about client safety, abuse, neglect or exploitation exist. Given the increased vulnerability of clients living in SRS, it is important that client contact and planning is completed regularly in line with TAC Work Practices. A My Plan and service review should be completed at least every 12 months. Some SRS funding for particular clients has remained unchanged for many years. Claims staff are required to gather as much funding information as possible, to document what support is being funded. The above information in this Work Practice regarding determining reasonable fees can also be utilised for existing arrangements. A current funding approval is still required on these claims, and any funding increase requests should be reviewed. If a client is not contributing to their daily living expenses, reasonable attempts should be made to commence the client contribution. The suitability of SRS for clients can change over time. It is important to ensure that a client’s accommodation is continually reviewed according to their needs, preferences and goals. Regular reviews by an Occupational Therapist or other provider may assist. It is important to review whether SRS continues to be the most suitable option for a client regarding their: Age (Residential Aged Care is preferred for elderly clients due to higher quality and safety regulations) Accommodation preferences and goals Changing support needs or life circumstances Other funding options such as NDIS SDA Effort should also be made in facilitating regular and open communication between the SRS, TAC, client and other supports. Any changes to the client’s accommodation should be promptly updated. Reporting The Social Services Regulation Act 2021 requires the SRS provider to enter into a written residential and services agreement with a resident about the items, services and fees applicable to the SRS. A copy of this agreement must be provided to the TAC as this document states what services are included in the fees charged. Prior to the client signing this agreement, the TAC should determine what the SRS fees are and what these fees include. A claims manager may ask the SRS: What is the weekly fee to be charged for support and accommodation? What is the staff to resident ratio? What support is included in this fee? (eg. how much support does each resident get, and what type of support is it) Does this fee include daily living expenses (eg. meals, board, utilities)? If so, is it possible to differentiate the costs between these expenses and support? How the TAC makes a decision The TAC uses the following principles to make socially and economically responsible decisions in line with the Transport Accident Act 1986: 1. Entitled A TAC client is entitled to supported accommodation if the TAC has accepted liability for the accident-related injury that relates to supported accommodation. The client may be eligible to be considered for SRS: Injuries/ impairments as result of transport accident, and The request for accommodation is due to the severity of the injuries/ impairment and the resultant need for high levels of care and/or accessible living environment, and The requested accommodation must be registered with the TAC and the appropriate government regulator. 2. Reasonable When determining whether SRS is a reasonable cost in the circumstances, the TAC considers whether: the provision of SRS is reasonable and necessary in the circumstances, and reasonable costs, expenses or fees in relation to the SRS will produce the intended outcomes, and is a reasonable cost. Circumstances Client unable to return to their pre-injury home, a family home or have the financial capacity to buy/ rent a home. Client’s capacity to pay rent/ utilities/ associated costs Client doesn’t have access to an attendant care program Consideration of client preference, client family and social supports and accommodation goal There is an unacceptable level of risk, due to motor vehicle accident impairment, to the client or others if they do not enter supported accommodation. Support Needs SRS will support community connection, social and workplace inclusion. SRS will maintain or support the person’s ability to build capacity or develop independence skills Client requires modifications or support needs that accommodation need cannot be met through mainstream housing options Client or Accommodation Guardian (if applicable) have considered alternate options e.g. Home ownership, Public housing, priority housing NDIS SDA etc. 3. Clinical Justification When deciding if a treatment or service is clinically justified, the TAC considers whether the following conditions are met: SRS will empower the client to maximise their independence The request considers the whole person and adopts biopsychosocial approach. The request complies with the principles of the Clinical Framework in that it: results in a measurable benefit to the injured person reflects the adoption of a biopsychosocial approach empowers the client to maximise independence has goals focused on optimising function, participation and return to work and health. 4. Outcome Focused When deciding if SRS request is outcome focused, the TAC considers whether it is progressing or achieving individualised goals that are meaningful to the client and part of the plan developed with the client to identify their long term accommodation goal, and services put in place to support the achievement of this goal. The client plan should also outline the client’s participation goals to maximise their engagement and independence within the SRS. Considerations How can SRS enable the client to undertake activities that support participation in valued social and economic roles? What is the client’s long term accommodation goal and how will the client’s current living situation support them to get their lives back on track. How will the client’s transition to the SRS contribute to what they want to achieve and their current goals. How can it be ensured that the SRS enables increased participation in activities of daily living and work that are important to the client.