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5.4.1 Gymnasium-Pool Membership for therapeutic exercise programs
The only circumstances under which an individual gymnasium/pool membership could be considered would be as a short-term (no more than 3 months), one-off activity under a rehabilitation plan.
The intention of providing initial, time-limited support to purchase a 3 month gymnasium/pool membership through a psychosocial or vocational rehabilitation plan would be to provide clients with an opportunity to establish a pattern of exercise as part of learning to self-manage their ongoing health issues and reach their rehabilitation goals. This support may also help a person to introduce structure and positive routines back into their lives, build resilience and start to build work readiness or work fitness.
There is no intention that the department will continue to pay for costs associated with ongoing gymnasium/pool memberships. Rather, time-limited support provides an opportunity to provide targeted support to assist a client to overcome barriers to their rehabilitation. After the initial 3 month period, the client has the option to move to paying from their own membership if they choose to do so, or alternately to move to a home exercise program with simple equipment provided by the department. This approach would enable a client to continue to exercise and self-manage their health conditions at home, if they felt this was most suitable for their circumstances. Further information about home exercise equipment can be found in section 10.7.6 of this Guide.
Delegates should consider approaching an Injury Management Advisor before approving a gymnasium/pool membership to ensure that these activities are suitable for the client's accepted conditions and will not create a risk of further injury. DVA Rehabilitation Coordinators can find information about the DVA Health Advisers on the rehabilitation pages of the Rehabilitation and Compensation support site under "Adviser Work Order Information".
Gym/pool memberships cannot be regarded as treatment
Legislative changes associated with the introduction of the White Card for SRCA clients in December 2013 removed the option for gymnasium/pool memberships to be regarded as treatment. To ensure consistency of approach, a policy decision was made to apply the same approach for MRCA clients. There is therefore now no basis for paying for gymnasium/pool memberships as treatment for any DVA clients.
Other alternatives should be considered before deciding on the best option for a client. These may include the client working with an exercise physiologist (EP) or physiotherapist who will develop an individually tailored, supervised exercise program, provided through the client's DVA Health Card. In order to access these services, the client will need to visit their GP or Local Medical Officer (LMO) and they will need to refer the client to an EP or physiotherapist. If attendance at a gymnasium, pool or other similar facility is required, the cost of this is covered by the EP or physiotherapist as part of the fee paid to them by DVA. The aim of these individual tailored programs is to teach clients safe exercise techniques that they can manage themselves without the need for costly gym equipment.
To ensure consistency and a whole of department approach, referral to an EP or physiotherapist should be considered as a viable alternative to funding a time limited gymnasium/pool membership as an activity under a rehabilitation plan.
Support with travel costs
The policy intention behind the gymnasium/pool membership guidelines is that the department will provide short-term targeted support for a finite period, and that the client will then become self-sufficient in managing their own exercise routines. Therefore, as a general rule, if DVA is paying for a short-term membership as part of a rehabilitation plan, clients are expected to cover the costs of travelling to and from the gymnasium or pool. If a DVA Rehabilitation Coordinator is concerned that a different approach may be required because of the client’s individual needs and circumstances, they are encouraged to contact the Rehabilitation Policy Section for advice by contacting firstname.lastname@example.org . Any policy advice received must be uploaded as an attachment to the client's R&C ISH case.
Alternatively, if the client is undertaking an individually tailored program, supervised by a physiotherapist or EP, through their DVA Health Card, then the travel for treatment policy guidelines apply. These guidelines can be found in section 18.104.22.168 of the MRCA Policy Manual or section 90.4 of the SRCA General Handbook.