Support for clients with complex needs
The Department of Health and Human Services (the department) leads several programs that seek to support the efforts of local areas to establish innovative, localised and timely responses for individuals with complex support and coordination needs.
Complex needs service responses include the Multiple and Complex Needs Initiative (MACNI), Support for High Risk Tenancies (SfHRT) program and broader Complex Needs responses.
The Multiple and Complex Needs Initiative
The Multiple and Complex Needs Initiative (MACNI) is a time-limited specialist service for people 16 years and older, who have been identified as having multiple and complex needs. This includes people with combinations of:
- Mental illness
- Substance abuse issues
- Intellectual impairment
- Acquired brain injury
- Forensic issues.
Often these individuals pose a risk to themselves and to the community.
MACNI's primary purpose is to facilitate better coordination of supports and services to people with complex needs, deliver holistic care and prevent further escalation of need. Participation in MACNI is voluntary.
MACNI is underpinned by the Human Services (Complex Needs) Act 2009. See the Victorian Legislation and Parliamentary Documents website for more information on the Act.
MACNI is a shared service across the Department of Health and Human Services (DHHS) in partnership with the Department of Justice and Community Safety.
Support for High Risk Tenancies
The Support for High Risk Tenancies (SfHRT) program strengthens the service system response to public housing tenants with complex needs through the integration and coordination of services to sustain tenancies that are at risk.
SfHRT is a local area-based program providing a point for coordination, advocacy, brokerage and consultation to public housing teams and/or referrers.
SfHRT aims to:
- stabilise housing, health, social connection and safety issues
- provide a platform for long-term engagement in the service system
- develop a greater understanding of the needs of high-risk tenants and service response options to promote learnings and develop good practice
- identify gaps and service development opportunities and develop a strategic approach to address these gaps to improve service responses to tenant need.
Complex Needs Coordinators and the central team
Complex Needs Coordinators have operational responsibility at the area level for coordinating service responses for people with complex support and service coordination needs. Services are delivered through the collaboration of government, Aboriginal community-controlled organisations and community service organisations.
Complex Needs Coordinators are supported by the Disability and Complex Clients Practice Advice and Support team in central office who are focused on strengthening the overall service response by providing oversight, policy direction and practice guidance.
Complex Needs service responses are not
- a direct client contact service
- an emergency or crisis service
- a housing service
- the Office of Housing
- a case management service
- able to pay client debts
- designed to replace existing supports.
Service provision framework: Complex needs
The Service provision framework: Complex Needs March 2020 provides practice guidance to ensure the consistent and high quality delivery of Complex Needs services across Victoria, including MACNI and SfHRT.
The frame work is effective from March 2020 and will be reviewed annually to reflect continuous improvement developments in complex needs service responses.
A suite of forms and templates that support the framework's implementation can be provided by your local Complex Needs Coordinator (see Contacts).
Care plan coordination: A guide for service providers on the Multiple and Complex Needs Initiative
Care plan coordination is a critical component of Multiple and Complex Needs Initiative.
The appointment of a care plan coordinator aims to address existing concerns that service responses to people with multiple and complex needs are often crisis-driven, unplanned and uncoordinated. The specific focus of the coordination role is on improving cross-sector coordination, planning and collaboration for the multiple and complex needs target group
Disability and Complex Clients Practice Advice and Support