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Advocacy Referral & Information Form

PLEASE READ THIS CAREFULLY BEFORE REFERRING A PERSON

Below is an advocacy referral form for Disability Advocacy NSW. This form is designed to be used by organisations and service providers wishing to refer a person with a disability to the service. Individuals with a disability and carers can still seek the assistance of an advocate by contacting us directly. The aim of this referral system is to ensure that we assist clients with the most urgent needs first.

After a referral is received we will prioritise the matter based on the severity of the issue, the severity of the person’s disability, and the person’s access to other supports and will contact the client and the referrer giving an indication of how long it will be before advocacy can begin. Average waiting time is approximately 2-4 weeks.

It will help us a great deal if you can complete the attached referral form and add any additional information that will help us to quickly understand the issues involved. If you have any questions feel free to contact our advocates 1300 365 085 or try our web site www.da.org.au .

Who is the Advocacy Service for?

For people with any type of disability or mental illness.

Areas Covered:

Hunter, New England and Mid North Coast regions of NSW Australia.

INDIVIDUAL ADVOCACY

  • Directly advocating on behalf of a person or providing information and advice so that a person can advocate for themselves (see examples next page).
  • Linking a person with other relevant services (eg helping a person get help from a solicitor, financial counsellor, tenant advocate, court support worker).
  • Supporting an individual to take formal action on matters related to disability discrimination or making a complaint against a service provider.

THINGS AN ADVOCATE CANNOT DO

  • Provide casework services (e.g. finding accommodation, applying for services, managing services, etc).
  • Provide advocacy services when a government disability caseworker can provide advocacy support and they do not have a conflict of interest (e.g. help a person with a disability with a pension problem if the disability caseworker works for the state government).
  • Provide advocacy for a person when a more appropriate service is available (e.g. debt matters where a financial counsellor is available, representation at a tenancy tribunal when a tenants advocacy service is available, provide court support when a suitable court support program is available).
  • Provide advocacy for a person who wishes to take out an apprehended personal violence order against a neighbour or workmate if appropriate mediation has not been attempted to resolve the dispute.

General examples of how a Disability Advocate can assist people with a disability:

  • Accommodation (Housing) e.g. assist client with tenancy issues, negotiate for more appropriate accommodation for young people in nursing homes.
  • Access (Physical access) -- e.g. assist a client to seek improved access to a building, on behalf of clients work with local council to improve physical access to existing facilities.
  • Children (custody and child protection matters) -- e.g. support parents with an intellectual disability in care proceedings.
  • Compensation & Insurance (accidents and injury) e.g. independently assist client to claim insurance from an accident or deal with compensation payout.
  • Consumers & Contracts (consumer protection) e.g. assist a client unfairly treated in product purchase.
  • Decision making e.g. support a client at a guardianship tribunal hearing, help client to consider and understand all options in a major decision.
  •  Disputes e.g. assist a client to participate and understand a dispute mediation procedure.
  • Discrimination e.g. assist a client to take a disability discrimination complaint to Australian Human Rights Commission or NSW Anti Discrimination Board).
  • Education e.g. assist a client who may have been excluded from a training course, assist a carer to negotiate with a school about improving the support for a child with a disability.
  • Employment e.g. assist a client in dispute with work place.
  • Equipment e.g. assist client who has been unfairly treated by equipment supply service.
  • Finances (debt, credit, pensions, benefits, superannuation) -- e.g. assist a client to challenge a pension debt.
  • Health (health consumer rights) e.g. assist client to question a medical decision or raise a complaint about treatment for a mental illness
  • Offences & infringements (crime, sexual and drug offences, traffic offences) e.g. assist a client to deal with a charge of parking infringement or assault.
  • Relationships (marriage, divorce, de facto relationships, parenting, adoption, domestic violence) e.g. assist a client to participate in family court mediation.
  • Services (Disability) (specialist disability service providers) -- e.g. assist a client to raise a complaint with a day program, or assist a client to access Home Care services.
  • Transport e.g. assist a client unable to get access to disabled taxis.
  • Wills & estates e.g. assist a carer to get advice and support to provide for client in the future or assist client to challenge a will.

TO CHECK IF YOUR REFERRAL MEETS OUR REFERRAL CRITERIA

Phone1300 365 085 to discuss before completing this form.

Has the person you are referring used the service before

Yes     No

Clients surname

Clients first name

Phone

Email

Fax

Address (including post code)

Date of Birth

(dd/mm/yyyy)

What type of disability does the person have?

Cultural background? (eg. Non-English speaking background, Aboriginal, English speaking background)

Contact person/Carer? (If applicable, is there a family member, friend, carer that the service should know about?)

Has the client given permission for DA to contact them

Yes    No

Referring person/Agency? (Referring person & agency's name, address, phone, fax and email)

Summarise the main issues (List any information that the service needs to know to assist the client? The more relevant information we know the quicker the referral can be dealt with)

What outcome does the client want? (How would they like an advocate to help?)

How urgent is the matter? (Is there upcoming events that the service needs to know about eg legal proceedings, eviction, appointments, deadlines etc?)


 

 

 

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