4.1.4 The ADF Rehabilitation Case Management Pathway

The following diagram illustrates the ADFRP Rehabilitation Case Management Pathway for serving members. Note: the diagram has been made available below as an image and in plain text.

Plain text version of the above diagram

Main Heading: ADFRP Rehabilitation Case Management Pathway

Starting point: Injury or Disease Occurs

PATHWAY 1: Member seeks treatment from ADF treating Medical Officer (MO) or displays behaviours which indicate treatment may be required

Step 1 (a): Rehabilitation Assessment triggered by or when a:

• treating Medical Officer (MO) considers an assessment is necessary
• member has been on sick leave or restricted duties or convalescing for greater than 28 days
• member self refers for an assessment
• member’s Commanding Officer (CO) requests that an assessment be undertaken
• MRCC delegate, based on outcomes of a completed neds assessment
• mandatory referral for Members with a mental health condition which is not short term or self limiting

Step 1 (b): Rehabilitation assessment is undertaken:

• occurs at the earliest possible time
• identifies the member’s suitability to undertake rehabilitation
• is work-place based (if possible); and
• is structured to identify one of three possible goals

Step 1 (c): Rehabilitation Program developed and implemented around one of three possible goals

• Goal 1: Member is fit for pre-injury duty/status
• Goal 2: Member is fit for duty in a different position and or service
• Goal 3: Member is stabilised and supported out of the ADF with an optimal level of functioning
• A member’s rehabilitation program is developed around providing individually tailored services to achieve one of the above goals. Service provision and liaison is managed/coordinated by the Rehabilitation Consultant with ADF and other medical and allied health practitioners, the members Chain of Command, if applicable, Defence Community Organisations, CTAS, MRCC etc.

Step 1 (d): Rehabilitation Program Closed

• Goal 1 or 2: Member reintegrated back into the ADF structure in some capacity.
• Goal 3 - Member provided with assistance to transition them through the medical discharge process.
• Goal 3 - Member with an accepted DRCA/MRCA claim becomes responsibility of DVA. New Needs Assessment undertaken at point of discharge or on receipt of discharge date.
• Goal 3 - Member discharging on medical grounds without an accepted claim is directed to community health and support agencies for further assistance to address needs.

PATHWAY 2: Member Submits Compensation Claim to DVA, following MO/CO recommendations

Step 2 (a): Needs Assessment undertaken by MRCC Delegate - ADFRP provided with notification of identified rehabilitation needs

Step 2 (b): Member’s claim determined by MRCC Delegate - Member and ADF Health Services provided with notification of decision

Step 2 (c): Pathway may then lead to either of the previous steps 1 (a) or 1 (c)

PATHWAY 3: Member seeks treatment independently of the ADF health system