The TRC Difference
This Model of Care (MOC) document outlines the principles, practices, and ethical frameworks that guide our multidisciplinary collective of practitioners providing Service Delivery to clients.
It is not designed to replace organisational procedures or policies, but articulate into them to provide background context for the scaffolding and underpinning of principles, ethics, practice guidelines and considerations that guide how we work with you, our valued clients. Our aim is to deliver high-quality, ethical, and culturally competent holistic psychological and spiritual wellbeing services. This model is rooted in a commitment to human rights, dignity, and respect, as reflected in the Universal Declaration of Human Rights, the Australian Association of Social Workers (AASW) Practice Standards and Code of Ethics, and the best practice guidelines for the provision of spiritual care services in professional contexts developed by Spiritual Health Australia.
Guiding Principles
The guiding principles which underpin the rest of the MOC are:
Respect for persons: recognising and valuing the inherent dignity and individuality of each client.
Privacy and confidentiality. We take your privacy extremely seriously. All your data is used and stored in accordance with our Privacy Policy which you can access here.
Empowerment: supporting clients in identifying their strengths and facilitating their self-determination as the ground zero for their therapeutic work.
Social justice: committing to social equity and advocating for the rights of all individuals and communities. Our approach is deliberately inclusive, focussed on decolonising the human mind, body and soul, and committed to anti-capitalist approaches to the value of a human soul. Furthermore, the TRC is committed to the end of systematic dismantling of internalised oppressive mechanisms including white supremacy, transphobia, homophobia, misandry and misogyny.
Professional integrity: upholding ethical practice and accountability in all professional service delivery.
Collaboration: working collaboratively with clients, families, and other care-providers to achieve optimal outcomes.
The deliberate cultivation of a therapeutic community with a non-hierarchical structure. We take a deliberately unique approach to how we manage Dual or Multiple Relationships. You can read our Dual Relationships Policy here.
Ethical Practice Standards
The MOC is further underpinned by the AASW Practice Standards and Code of Ethics. These elements form the scaffold and structure for Service Delivery and should be returned to periodically, especially when there are clear tensions to be managed:
Professional integrity: committing to transparency and accountability in professional conduct.
Cultural and spiritual competence: awareness and respect for the diverse backgrounds of clients, adapting practices to meet unique cultural and spiritual needs.
Client-centred practice: involving clients in their treatment decisions, respecting their autonomy, fostering their own awareness of their sovereignty and working at their pace.
Cultivating a deliberate awareness of power imbalances in the client’s personal circumstances and directly naming and addressing them as such.
What to Expect from Intake, Triage, Assessment, and Care Planning
At the point of first contact, our team will engage with you in a supportive manner that respects your preferences and abilities. Methods of communication are designed to support your preferences and may include:
Text messages via clinic management software
Phone calls from our landline and/or private number
Email correspondence
You will be triaged based on your needs which you are welcome to communicate to the Practice Manager, then they will be addressed further in the intake session with your clinician.
You may be provided with some initial assessments, particularly if you have presented with some mental health symptoms which you would like us to support you to resolve. We use the NovoPsych platform for this. You can access the NovoPsych Privacy Policy here.
Your clinician will use a co-learning and co-planning approach to care planning with you. This process can be organic and evolve as the therapeutic alliance deepens and strengthens your own capacity to stretch into your own inner work. The care planning should take into account an eco-map of your own personal resources, community ties and relationships, stability of your primary relationships, housing and food security, cultural and spiritual considerations, and should be undertaken in a trauma-informed, client-lead, non-violent manner. Care planning will involve a careful analysis of the various facets of your life and core relationships in order to tailor an approach which strengthens your existing capacities, and provides education and support around the elements you may need input with. At this stage, it would be likely that we will ask you to tell us about any or all of the following topics: (But its important to note that you do not have to disclose anything you don’t feel comfortable with.)
Physical, emotional, sexual, spiritual or psychological safety which are impacting your ability to flourish
Food and housing security
Eco-mapping of your existing support systems, including family of origin, core relationships, dimensions of cultural, spiritual, and sexual identities
Existing relationships to other care providers (we will ask you to sign a Consent to Release Information form if you want us to communicate with anyone except the GP who referred you)
Your health and wellbeing history including medical, psychiatric, forensic, custodial issues, disabilities, co-morbidities, addictions and any other relevant information
Mapping your strengths, gifts, abilities, passions and inner capacities
Collation of relevant reports, GP communications, previous diagnoses, and other investigations which the client may have had done before presenting for intake and assessment at TRC
All biological causes of imbalance in mood, affect or energy level will be addressed first where possible and practicable. This may include referring you for further testing with their other health care providers including GPs, functional medicine practitioners, naturopaths etc. Testing may include blood tests, thyroid function, hair analysis, gut health / stool samples to rule out parasites or fungal infections, checking on mineral, vitamin, hormone imbalances.
Sleep hygiene and quality
Circadian rhythm, quality of nutrition, time spent in ‘green’ and ‘blue’ spaces (relationship with natural environment and exposure to nature) and body movement will be looked at. Your care plan will likely include movement, rest, nutrition, sunlight, connection to nature, reducing screens / scrolling / blue light where possible.
Service Delivery Model
The ‘Service Delivery’ part of the MOC comes when the above considerations have all been taken into account, mapped out, informed consent has been given and you are ready to begin work. What happens next is likely to look like this:
5.1 Assessment and Diagnosis
After we have conducted comprehensive assessments to inform clinical formulations and individualised treatment plans, we will discuss what we think the best way forward is, and give you the opportunity to provide input into how you want to move forward. If you have been referred by your GP, we will write them a letter after your sixth appointment to give them an update on how you are progressing.
5.2 Treatment and Intervention
We will provide evidence-based therapeutic interventions tailored to your individual needs. We use a mix of CBT, DBT, narrative therapy, schema work, phenomenological approaches, depth psychology, solutions focused brief therapy, psycho-education, mindfulness and nervous system integration.
5.3 Review and Feedback
It’s important to us that if something isn’t working, you tell us as soon as possible so we can change our approach. It’s normal to have to change the approach several times before we find the one that is the best fit for you. You are encouraged to provide your clinician with regular, ongoing feedback to assess the efficacy of treatment. We will promote a feedback culture where you feel encouraged to share your experiences to ensure you are getting what you need out of each session.
5.5 Advocacy
We will advocate for systemic changes where necessary to improve your access to mental health services and support you to understand and exercise your rights. Where appropriate and necessary reports, in-person advocacy for legal or custodial matters, support letters and other kinds of advocacy can be provided to you as part of your therapeutic intervention. There will be extra charges for this service to prepare for and write reports, your clinician will discuss these charges with you beforehand. No reports will be issued to third party recipients without your approval, we will get your input into the report writing at each stage. Our guideline is ‘nothing about me without me’.
5.6 Integration of Soul Care
We founded The Rewilding Collective to offer holistic care which encompasses a ‘whole of person’ approach and is designed to be different to the medical therapeutic care model. As such, your clinicians engage in continuous professional development and study around the interconnectedness of psychological, physical, and spiritual health. If you would like to include quantum or spiritual dimensions to your care planning, this can be incorporated as long as the considerations around ethics, practice standards, safety, informed consent and readiness for the work have been met and that it is not contra-indicated in any way. Your clinician will advise you if they feel its appropriate to include spiritual work as part of your therapeutic process. Please note, that spiritual services are not covered by Medicare. Spiritual interventions are offered in the style and manner which you identify with, at the pace that you are ready for, and built into the documented care plan where appropriate. TRC clinicians offering to support you in this way are trained to occupy an objective, neutral, safe, grounded, non-religious grounding in their own spiritual body in order to safely meet and hold you inside theirs. Your clinician’s own spiritual belief system and / or worldview should be completely ‘invisible’ to you, you should be able to experience the clinician as a clear mirror, a vessel, a neutral and non-violent space from which you are free to explore and expand into your own spiritual identity.
Scope and Limits of Service
If at any moment in the therapeutic process you become physically or clinically unsafe (you are at risk of harm to self or others) your care will be escalated immediately to a clinical service (e.g., hospital or psych ward). We will walk you through this process, and if you want to know how we handle these moments, you can refer to our Closure of Service Policy by clicking here. TRC is not insured, coded or set up to offer critical, urgent, life saving, primary care in acute crisis, as a private, community based practice. If we need to discharge you to a clinical service, we will write to both you, and the relevant clinicians, and be there to support you when you are discharged from the clinical service, should you want to continue the work you were doing with us before we needed to escalate your care.
Summary
This Model of Care is designed to ensure service deliverables, therapeutic interventions and any case management or triage work undertaken support you to heal and move through the goals you set for your own work.
The aim is to provide meaningful outcomes for you to restore your own sense of personal sovereignty and empowerment, and give you the right tools to use to become your own best advocate and healer. TRC exists to provide one-of-a-kind holistic wellbeing services incorporating a whole-of-person approach.
We look forward to serving you.
Best,
Cate Vose
Director