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High risk individuals need a systemic approach

Evie carries trauma, grief, gender dysphoria and mental health issues, on top of her disabilities.

Evie* identifies as female and is in her early twenties. During Evie’s childhood she had multiple admissions to domestic violence shelters, and she suffered the trauma of witnessing her mother die as a result of domestic violence injuries. Evie has an acquired brain injury, a speech impediment, gender dysphoria, mental health issues and possibly Autism Spectrum Disorder. Evie’s communication and memory are limited, which made it difficult for SECCA to obtain a full clinical history. There were no comprehensive medical reports available to assist our assessment of the best possible interventions and supports for Evie.

We are continuing to work with Evie, who sees SECCA as a trusted service. We are using an inter-agency approach that includes other health professionals. We have found that inter-agency dialogue is essential to providing the best possible service for Evie.

Due to her limited capacity, it is necessary for a consistent and long term support plan. Evie’s application for NDIS funding was unsuccessful, and the decision is currently being appealed. This demonstrates the need for a systemic approach to providing services to high-risk individuals.

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