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8.6.1 The ADF Process

There are two distinct phases of activity regarding serving members who are severely injured, have multiple and complex needs and who may also be classified as 'high profile' cases.

Definitions:

  • A case will be high profile if:
  • the member/s injuries resulted from a highly publicised military event either on overseas operations/deployment or in Australia;
  • the incident involved one or more members that resulted in hospitalisation of two weeks or more of any of the involved members; and/or
  • the injuries occurred whilst members were on duty (ie work related) in Australia or on overseas operations/deployment.
  • A case will be complex if:
  • the incident resulted in more than one injury affecting multiple areas of the body and requires high level of care, either in the short or long term;
  • the incident resulted in hospitalisation of two weeks or more of any of the involved members; and
  • as a result of the injuries sustained the member is identified as 'likely to be medically discharged' from the ADF.

Phase One

ADF Action
  • The case/s is assessed and categorised as a 'high profile and or complex case', as per the above definitions, by the: Senior Medical Officer (SMO), Senior Health Officer (SHO), Director of Clinical Services, Directorate of (ADF) Rehabilitation Services (DRS), or the ADFRP Rehabilitation Coordinator.  In such cases an individual may make a full recovery without progressing to the next phase, that is, they do not require any service provision from DVA
    and / or they will not be progressing to a medical discharge.
  • The ADFRP Rehabilitation Coordinator will confirm with the Deputy Director - Operations (DDOPS), the Program Case Manager (PCM) and the SMO/SHO that the case will be managed as a 'high profile and or complex case'.
ADF - DVA Notification
  • The DRS will inform the Director General Garrison Health Operations (DGGHO) of the case and provide regular progress reports as directed.  The DGGHO will liaise with the Director General Defence Community Organisation (DGDCO) and the DVA National Manager, Rehabilitation, Compensation and System Support Group.  This is the first formal (high level) communication between ADF and DVA, which is the trigger point to managing these cases according to the High Profile Case Protocol and the case management framework described in this section of the Guide.
ADF - DVA Communication regarding Rehabilitation and Treatment Needs
  • The ADFRP Rehabilitation Coordinator confirms with the DVA National Director of Rehabilitation and Benefits, Rehabilitation Compensation and System Support Group, to advise DVA of the status of this 'high profile and or complex case'.  This is the next level of two way operational communication required between ADF and DVA.  The DVA National Director of Rehabilitation and Benefits will advise and confirm with ADFRP Rehabilitation Coordinator who in DVA will be assisting in the management and, if required, the transitioning of this case.
  • The ADFRP Rehabilitation Coordinator will provide the DVA contact with:
  • A report on the current assessed needs of the member, when the member's treating Medical Officer has determined and confirmed that the member is to be released from hospital (military or community);
  • Where the member is to be released to;
  • What has been recommended by home/ADL assessment;
  • What is being provided by other parties; and
  • what is being requested of DVA to provide.
  • Sound communication and regular reporting are essential for the management of these 'high profile / complex cases', especially during the early stages or key stages.  Any change in client's circumstances for example -, discharge from hospital to home, or commencing a Return to Work element of their rehabilitation program and of highest priority if the case progresses to the transitioning from the ADF phase.  Refer to Section 8.5 of this Chapter and 4.5 of Chapter 4 The ADF Rehabilitation Program, of the Rehabilitation Policy and Procedure Guide in the CLIK Rehabilitation Library, for information regarding what assistance DVA can provide to a serving member.
  • Case conferences are an excellent communication tool and should be conducted wherever appropriate to ensure all key stakeholders are kept informed of the case progress and provide opportunity for stakeholders to contribute to management strategies.
  • The ADFRP Rehabilitation Coordinator will provide regular progress reports to both the DDOPS and the SMO/SHO as directed by the DDOPS.  This is an internal ADF process.