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Active Service Model

Page content: Background | Principles underpinning ASM | Contact


The HACC Program in Victoria is implementing three key initiatives; Active Service Model (ASM), the Assessment framework and Diversity planning and practice (LINK) in order to refocus HACC services to a more capacity-building, person centred approach.

The goal of the Active Service Model is to assist people in the HACC target group to live in the community as independently and autonomously as possible. In this context, independence refers to the capacity of people to self-manage the activities of their daily life, including social and community participation. Autonomy refers to making decisions about one’s life.

Not all HACC clients will be able to live in the community without some form of assistance. The goal of this initiative is to enable clients to

  • gain the greatest level of independence they can achieve, and
  • be as actively involved in decion making decisions as they can.

The Victorian HACC active service model is based on the premise that all clients have the potential to make gains in their wellbeing and that HACC services can support people to make these gains. The ASM initiative aims to strengthen good practice and build service providers’ capacity using a quality improvement approach.

The ASM in Victoria has been developed as a result of similar work in the UK, New Zealand and Western Australia.

The approach is relevant for all HACC clients from those who can benefit from short term, early intervention to those with more complex needs who require continuing support.

Principles underpinning the Active Service Model

The principles underpinning the Active Service Model are that:

  • people wish to remain autonomous
  • people have the potential to improve their capacity
  • people’s needs should be viewed in an holistic way
  • HACC services should be organised around the person and his or her carer, that is, the person should not be simply slotted into existing services
  • a person’s needs are best met where there are strong partnerships and collaborative working relationships between the person, their carers and family, support workers and between service providers.

What are the core components of the Active Service Model?

The core components of ASM are:

  • promoting a ‘wellness’ or ‘active ageing’ approach that emphasises optimal physical and mental health
  • capacity building, restorative care and opportunities to improve social participation to maintain or promote a person’s capacity to live as independently as possible
  • a holistic person-centred approach to care, promoting wellness and active participation in goal setting and decision making
  • timely and flexible services that respond to a person and their carer’s needs and circumstances in order to maximise an independence and support the care relationship
  • collaborative relationships between providers, for the benefit of people using services.
Practices and interventions that support an active service model approach include:
  • strength based assessment and goal directed care planning
  • timely access to occupational therapy, physiotherapy, dietetics
  • retraining in daily living tasks and activities
  • timely provision of aids and equipment
  • community care worker support and mentoring to achieve goals
  • encouragement to participate in local health promoting activities
  • strengthening care relationships, family networks and social support.

The defining characteristic is a focus on people’s strengths rather than their deficits, and the idea that everyone has some capacity to improve their health and wellbeing.

The HACC Program Manual (2013) Part 3 outlines the Victorian approach to care: the active service model. The description of each HACC funded activity in the manual describes how services can be provided to people with an active service approach.

Resources and supports for agencies

A range of resources to assist agencies to implement the Active Service Model approach are available from the following page: Active service model resources.



For more information about the Active Service Model initiative contact Kath Paine (613) 9096 2163 or




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Last updated: 24 February, 2015
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