Difference between revisions of "Disability/Caregiver Support/Theory of Change"

Latest revision as of 07:54, 2 April 2020

Click on each outcome in the Theory of Change to explore services, gaps and ideas.

To change anything in this page, feel free to contribute directly or to propose revisions and amendments in the Discussion page.

Theory of Change

Short-Term Outcomes(skills, knowledge, attitudes)		Mid-Term Outcomes(behaviours)		Long-Term Outcomes(impact)		Social Impact
Respite care options are accessible to caregivers	→	Caregivers can easily access respite care	→	Caregivers are in physical health and psychosocial well-being	→	Caregivers can sustainably care for disabled care recipients to the best of their capabilities and capacities
Real and perceived barriers to regular self-care are reduced	→	Caregivers can easily access respite care	→
		Caregivers have informal social support around them	→
		Caregivers have informal social support around them	→	Caregivers are equipped with information and skills at different steps of the care journey
		Caregivers acquire reliable information and training to perform care	→
Access to touch points is reasonably accommodated to caregivers' needs	→	Caregivers can easily access touch points for information and skills	→
		Caregivers do future care planning	→
		Caregivers can access financial support	→	Caregivers can bear the financial costs of care

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+__NOTOC__
 <big>Click on each outcome in the Theory of Change to explore services, gaps and ideas.</big>
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 !<big>Social Impact</big>
 |-
-! style="background: #F08080;" |
+! style="background: #F08080;" |[[Disability/Caregiver Support/Theory of Change#Respite care options are accessible to caregivers .E2.86.92 Caregivers can easily access respite care|<big>Respite care options are accessible to caregivers</big>]]
-! style="background: #F08080;" |<big>→</big>
-! style="background: #F08080;" |
 ! style="background: #F08080;" |<big>→</big>
-! rowspan="3" style="background: #F08080;" |<big>Early intervention is timely and effective</big>
+! rowspan="2" style="background: #F08080;" |<big>Caregivers can easily access respite care</big>
-! rowspan="3" style="background: #F08080;" |<big>→</big>
+! rowspan="2" style="background: #F08080;" |<big>→</big>
-! rowspan="3" style="background: #FFF8DC;" |
+! rowspan="3" style="background: #F08080;" |<big>[[Disability/Caregiver Support/Theory of Change#Caregivers are in physical health and psychosocial well-being .E2.86.92 Caregivers can sustainably care for disabled care recipients to the best of their capabilities and capacities|Caregivers are in physical health and psychosocial well-being]]</big>
+! rowspan="8" style="background: #F08080;" |<big>→</big>
+! rowspan="8" style="background: #FFF8DC;" |<big>Caregivers can sustainably care for disabled care recipients to the best of their capabilities and capacities</big>
 |-
-! style="background: #CEE0F2" |
+!<big>Real and perceived barriers to regular self-care are reduced</big>
-! style="background: #CEE0F2;" |<big>→</big>
+!<big>→</big>
-! rowspan="2" style="background: #CEE0F2;" |
-! rowspan="2" style="background: #CEE0F2;" |'''<big>→</big>'''
 |-
-! style="background: #CEE0F2;" |
+! rowspan="2" |
-! style="background: #CEE0F2;" |<big>→</big>
+! rowspan="2" |
-|}
+! rowspan="2" |<big>Caregivers have informal social support around them</big>
-=== '''Early intervention is timely and effective →'''  ===
+! rowspan="2" |<big>→</big>
-* '''While EIPIC serves around 3,200 children with mod-severe special needs, waitlists can extend from 6 months to 1 year.''' '''Further, early intervention professionals tend to have high turnover and quick burnout, due to unattractive remuneration compared to the private sector.'''
-{| class="wikitable"
 |-
-| style="width: 33.3%;" |'''<big>Programmes</big>'''
+! rowspan="4" |<big>Caregivers are equipped with information and skills at different steps of the care journey</big>
-| style="width: 33.3%;" |'''<big>Gaps</big>'''
-| style="width: 33.3%;" |'''<big>Ideas</big>'''
 |-
-|'''Diagnostic Touchpoints (e.g., hospitals)'''
+! style="background: #CEE0F2" |
-|
+! style="background: #CEE0F2;" |
-*For caregivers of children with ASD, touchpoints are poorly equipped in advising parents on where to obtain reliable help during the post-diagnostic phase
+! style="background: #CEE0F2;" |[[Disability/Caregiver Support/Theory of Change#Caregivers acquire reliable information and skills to perform care .E2.86.92 Caregivers are equipped with information and skills on caregiving|<big>Caregivers acquire reliable information and training to perform care</big>]]
-|
+! rowspan="2" style="background: #CEE0F2;" |'''<big>→</big>'''
-*Recommendations from EM3 that MSF will consider<ref name=":12">https://www.msf.gov.sg/policies/Disabilities-and-Special-Needs/Documents/Enabling%20Masterplan%203%20(revised%2013%20Jan%202017).pdf</ref>
-**Recommendation 3, Strategic Direction 1: Improve transition management
-***For newly-diagnosed cases, to set up an agency to provide case referral, care planning and advisory services, and to facilitate smooth handover of information to other agencies
-***Includes developing a standardised case management tool between primary support agency and other service providers
-**Recommendation 4, Strategic Direction 4: Enhance network of touchpoints to ensure timely and effective detection of developmental needs
-***To make information and training more available to touchpoints (e.g., family, hospitals, polyclinics, family medicine practitioners, community partners) such as using electronic platforms, training primary care practitioners
 |-
-|[https://www.sgenable.sg/pages/content.aspx?path=/for-children/development-support/ '''Development Support (DS) & Learning Support (LS)''']
+!<big>Access to touch points is reasonably accommodated to caregivers' needs</big>
-*For pre-school children with mild developmental needs '''[total number of such children?]'''
+!<big>→</big>
-*Support and intervention in areas such as speech and language, social skills, motor skills, behaviour and literacy
+!<big>Caregivers can easily access touch points for information and skills</big>
-*Rolled out to > 300 preschools, > 2,000 children and families, caa December 2015<ref>https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf</ref>
-*'''[outcomes information on how DS/LS has fared?]'''
-|
-|
 |-
-|[https://www.sgenable.sg/pages/content.aspx?path=/for-children/early-intervention-programme-for-infants-children-eipic/ '''Early Intervention Programme for Infants & Children (EIPIC)''']
+!
-*Therapy and educational support services for children below 6 years with special needs at risk of moderate to severe developmental delays '''[total number of such children?]'''
+!
-*21 EIPIC Centres, caa July 2018<ref>https://www.sgenable.sg/uploads/EIPIC%20Service%20Matrix.pdf</ref>
+![[Disability/Caregiver Support/Theory of Change#Caregivers do future care planning .E2.86.92 Caregivers are equipped with information and skills at different steps of the care journey|<big>Caregivers do future care planning</big>]]
-*Currently serving about 2,600 children<ref>http://lienfoundation.org/sites/default/files/Inclusive%20Survey%20Part%202%20-%20Press%20Release%20Lien%20Fdn%20Final%5B1%5D.pdf</ref>, projected to grow to 3,200 places by 2018<ref>https://www.msf.gov.sg/policies/International-Conventions/Documents/Singapore%20CRPD%20Report%20-%20final.pdf</ref><ref>https://www.msf.gov.sg/media-room/Pages/Clarifications-on-EIPIC.aspx</ref>
+!<big>→</big>
-*[https://www.sgenable.sg/pages/content.aspx?path=/schemes/intervention-programmes/enhanced-pilot-for-private-intervention-providers/ Enhanced Pilot for Private Intervention Providers] to subsidise selected Private Intervention Centres
-*SPD - Building Bridges @ EIPIC Centres are at Tiong Bahru, Jurong, Tampines & Bedok served a total of 465 children in FY16/17<ref>http://www.spd.org.sg/upload/SPD%20FY1617%20Annual%20Report.pdf</ref> - 41 graduated, 27 progressing to mainstream primary and the rest to SPED
-|
-*EIPIC Centres have long waiting lists (up to six months<ref name=":0">National Volunteer and Philanthropy Centre (NVPC). (2017). Issues faced by people with disabilities in Singapore. Retrieved from <nowiki>https://www.nvpc.org.sg/resources/report-on-issues-faced-by-people-with-disabilities-in-singapore</nowiki></ref> or a year<ref name=":1">https://www.todayonline.com/singapore/big-read-special-needs-children-pre-school-not-given-0</ref>)
-*Early Intervention Professionals face quick burnout, unattractive salaries/benefits relative to the private sector and shortage of manpower<ref name=":2">Lien Foundation Study on Early Intervention Professionals. http://www.lienfoundation.org/sites/default/files/LF%20Early%20Intervention%20Survey%20Findings.pdf</ref><ref name=":3">https://www.straitstimes.com/singapore/survey-unveils-challenges-faced-by-professionals-working-alongside-special-needs-children</ref>
-|
-*Long waiting lists at EIPIC Centres - (1) If disproportionately high at certain EIPIC Centres, to educate and counsel parents on their choice of centre or (2) scale up vacancies
 |-
-|'''[https://www.sgenable.sg/pages/content.aspx?path=/for-children/therapy-for-young-children/ Community Educational Support Services]'''
+! style="background: #CEE0F2;" |
-*[https://www.awwa.org.sg/services-for-children-and-youth/community-integration-service/ AWWA Community Integration Service]
+! style="background: #CEE0F2;" |
-*[http://www.carecorner.org.sg/ets.html Care Corner Educational Therapy Service]
+![[Disability/Caregiver Support/Theory of Change#Caregivers can access financial support .E2.86.92 Caregivers can bear the financial costs of care|<big>Caregivers can access financial support</big>]]
-*[http://cpas.org.sg/ Cerebral Palsy Alliance Singapore (CPAS)]
+!<big>→</big>
-*[http://downsyndrome-singapore.org/post/view/8/24 Down Syndrome Association's Children Education Services]
+!<big>Caregivers can bear the financial costs of care</big>
-*Handicaps Welfare Association (HWA) '''[confirmation required]'''
-*[http://ic2.com.sg/services/early-intervention/ iC2 PrepHouse]
-*[http://www.shine.org.sg/educational-psychology-service/ SHINE Educational Psychology Service]
-*Singapore Association for the Deaf (SADeaf)
-*Singapore Association of the Visually Handicapped (SAVH)
-*SPD
-*St Andrew’s Community Hospital
-*THK Children’s Therapy Centre
-|
-|
 |}
+*
 <references />