- SELF STUDY MODULES
- 1. Intro to TBI
- 2. Communication
- 3. Skills for independence
- 4. Cognitive changes
- 5. Behaviour changes
- 6. Sexuality
- 7. Case management (BIR)
- 8. No longer available
- 9. Mobility & motor control
- 10. Mental health & TBI:
- 11. Mental health problems
and TBI: diagnosis
- 12. Working with Families
after Traumatic Injury:
- 13. Goal setting
- 13.0 Aims
- 13.0A Take the PRE-Test
- PART A:
- 13.A1 Goal setting in rehabilitation
- 13.A2 Goals, steps and action plans
- 13.A3 Goal setting in Person centred care
- 13.A4 Person centred/directed planning & goals
- 13.A5 Participation
focus & goals
- 13.A6 Effective Goals
- 13.A7 SMARTAAR Goals: Characteristics
- 13.A8 Tips for Funders and Services
- 13.A9 Take home messages
- PART B: TEAMS &
- PART C: WORKSHEETS
- PART D:
13.A8 Tips for funders and services
- (i) Funders
- (ii) Goals &
Meeting funding requirements
- (iii) Questions
- (iv) Funders &
the SMARTAAR Goal Worksheet
The term ‘funder’ is used to mean those who approve the funding of services.
Funders are also commonly known as ‘insurers’.
Funders and service providers both work with client goals.
A greater understanding of the role and use of goals in rehabilitation can facilitate communication between services and funders by providing a common approach to communicating goals.
Funders approve services, not the goals the client has identified.
Services need approval by funders.
Benefits of goal setting for Funders
Increasingly, funders of services require information regarding how the client will benefit from the services provided.
Rehabilitation goals can provide useful information to describe the level of change expected in the client as a result of the services provided or anticipated change when additional services are requested.
Meeting funding requirements
Funding bodies use the description of the goals, in conjunction with the description of the client’s impairments and functional status, to determine whether the requested services meet funding criteria and are considered reasonable and necessary.
In funding requests its important to show how requested services will help the client to achieve their goals and minimise the impact of their injuries.
Funding for services is provided when requests for funding demonstrate that the services:
- are related to the client’s injury
- directly benefit the client
- meet additional scheme specific criteria, e.g. reasonable and necessary, and LTCSA TRAC (treatment, rehabilitation and care) criteria and within the scope of relevant legislation. These criteria refer to the requested services and equipment, not to the goal itself.
goals show the benefit to the client.
Ideally, goals should be achievable but challenging.
There is a balance that needs to be aimed for when setting a goal so that it is sufficiently achievable so as not to be intimidating, yet challenging enough to be motivating.
However, in some situations you may want to document the client’s goal, even when it is unrealistic. The ‘gap’ between the current action plan and the client’s goal may need to be explained to funders and can inform ongoing discussions with clients to support the development of insight, particularly if progress towards goal achievement is much slower than the client anticipated.
It can also be useful to document unrealistic goals to highlight service gaps where services are unavailable or inadequate.
Questions for funders
1. How do you determine the extent to which goals submitted in reports are meaningful and motivating for the client?
2. Would you give feedback to service providers about whether the goals submitted in reports and plans are meaningful and motivating for the client?
3. What questions do you ask service providers when this is unclear?
4. What support for goal setting can you offer ‘virtual’ teams made up of sole practitioners or clinicians from different services?
Funders and the SMARTAAR Goal Worksheet
The SMARTAAR Goal Worksheet can be used to develop, review and refine SMART goals that are focused on client participation and support clinical reasoning in rehabilitation.
Funders can use the Worksheet to review goals and provide specific feedback to clinicians and service providers.
This feedback could include what further information is required to understand what the client wants to achieve and will be able to achieve from the requested intervention.
Funders can use SMARTAAR Goal Worksheet to consider what additional information is needed to help them understand how the client will benefit from the services requested.