The Care Guidance Wellbeing Program

Specialist Wellbeing Support
For Clients Who Need It

Care Guidance's Wellbeing Specialists work alongside your care team to address the emotional, social, legal and transitional needs your clients face every day. Reduce staff burden, improve outcomes and give your clients the holistic support they deserve.

5+ years specialist experience Hospitals, Support at Home & Residential 10,000+ hours per year
An older Australian and their carer sitting together on a bench, hands clasped in support
AASW
accredited
social workers
Referral Indicators

When to Refer a Client to the Wellbeing Program

These are the five most common presentations that prompt providers to refer. If your client meets one or more of these indicators, a wellbeing referral is appropriate.

Isolation & Loneliness
Social Withdrawal and Declining Engagement

The individual has little or no contact with family or friends, rarely engages and expresses feeling alone or withdrawn. Little or no contact with family or friends, rarely engages, expresses feeling alone or withdrawn.

Emotional Distress
Anxiety, Low Mood, or Grief Response

The individual is experiencing signs of anxiety, depression, grief, trauma, distress about behaviours, or struggling to adjust to care or changes in health and function. Signs of anxiety, depression, grief, trauma or difficulty adjusting to care or changes in health and function.

Cognitive Decline
Confusion, Difficult Behaviours, or New Diagnosis

The individual has received a Dementia or Alzheimer's diagnosis or suspected decline, increasing confusion, behavioural changes, or family distress related to cognitive change. New Dementia or Alzheimer's diagnosis, increasing confusion or behavioural changes.

Communication Challenges
Family Conflict or Breakdown in Communication

The individual struggles to communicate with staff, their family or other residents to express their needs and wants. This could be due to neurological or physical decline. Struggles to communicate due to neurological or physical decline, affecting their ability to express needs and wants.

Financial & Legal Support
Unaddressed Legal, Financial, or Planning Needs

The individual or their family need support with financial or legal matters (Power of Attorney, VCAT/TASCAT), elder abuse concerns, advance care planning, palliative care, or navigating services. Unaddressed POA, advance care planning, elder abuse concerns or financial entitlements, early intervention prevents crisis.

Complex & Intersecting Needs
Multiple Co-occurring Challenges Requiring Coordination

The client presents with multiple, intersecting support needs, medical, social, psychological, or financial, that are becoming increasingly difficult to manage within your existing care model. Specialist coordination and holistic support are required to prevent further decline. Multiple intersecting needs, medical, social, psychological, or financial, that exceed your existing care model.

What We Deliver

Four Areas of Specialist Support

What We Deliver

Four Areas of Specialist Support

Our Wellbeing Specialists support clients across four connected areas of specialist social work, adapting to each individual's needs and care setting.

Service Area 1 of 4

Transition Into Care

Moving into Aged Care, whether residential or a new home care arrangement, is one of the most significant transitions a person will ever face. Our social workers provide structured support to the individual and their family through this process, reducing distress and ensuring the client arrives engaged and ready to thrive.

Pre-admission adjustment support
Family education & orientation
Settling-in follow-up sessions
Grief and loss counselling
Expectation alignment

For providers: Clients who receive transition support are more likely to remain engaged with your service, reducing early exits and improving retention outcomes for your facility or program.

Service Area 2 of 4

Mental & Emotional Health

Many Aged Care clients are living with anxiety, depression, grief, trauma or the psychological effects of cognitive decline. Our AASW-accredited social workers provide evidence-informed emotional support, reducing the burden on your clinical staff and improving client quality of life in measurable ways.

Individual counselling sessions
Anxiety and depression support
Grief and bereavement support
Behaviour support liaison
Cognitive decline adjustment
Carer wellbeing support

For providers: Specialist social work support reduces the demand on nursing and care staff to manage complex emotional presentations, freeing your team to focus on direct clinical care.

Service Area 3 of 4

Coordinating Care

Effective care coordination is the difference between a client who is well-supported and one who falls through the gaps. Our social workers act as a single point of coordination, communicating across your care team, the client, their family and external service providers to ensure nothing is missed.

Care team liaison
Family communication support
External service referrals
Advocacy for client needs
Conflict resolution & mediation
Complaints navigation

For providers: Our coordination role complements your existing care team without duplicating effort. We take on the communication-intensive work, reducing administrative burden across your organisation.

Service Area 4 of 4

Legal & Planning Support

Legal and planning issues, from powers of attorney and advance care directives to access to entitlements and financial management, can become significant barriers to appropriate care if left unaddressed. Our social workers identify these needs early and connect clients and families with the right support before issues escalate.

Advance care planning support
Powers of attorney guidance
Financial entitlements support
Legal referral coordination
NDIS/My Aged Care navigation

For providers: Proactive legal and planning support reduces the risk of safeguarding concerns, funding gaps, and compliance issues, all of which create downstream risk for your organisation.

Older Australians enjoying a game together in a warm indoor setting
AASW Accredited
Who Delivers It

Care Guidance Wellbeing Specialists

Every Care Guidance Wellbeing Specialist is an experienced social worker with specialist expertise in Aged Care. They bring clinical discipline, genuine empathy and a deep understanding of the Aged Care system to every client relationship.

  • Bachelor of Social Work or Higher

    Every Care Guidance Wellbeing Specialist holds a Bachelor of Social Work or higher qualification. Bachelor of Social Work or higher qualification.

  • AASW Accredited

    All Care Guidance social workers are accredited by the Australian Association of Social Workers, meeting the profession's highest standards of practice and ethics. Accredited by the Australian Association of Social Workers.

  • 5+ Years Specialist Experience

    Our Wellbeing Specialists bring a minimum of five years' experience in Aged Care settings with deep knowledge of the challenges clients and families face. Minimum five years in residential, home care, and hospital settings.

  • Flexible Engagement Model

    We work in residential Aged Care, Support at Home and hospital settings, adapting our model to your organisation's needs and your client's care context. Residential, Support at Home, and hospital, one model, any setting.

What Happens Next

How the Referral Process Works

Making a referral takes minutes. From there, our social workers take over, keeping you informed and ensuring your client receives the support they need.

You Make a Referral

Submit a referral via our online form or call us on 1300 442 383. Include the client's name, care setting, and a brief description of their presenting needs.

We Contact the Client

Care Guidance reaches out to the client and organises a time for one of our social workers to meet them for a first session, working around their specific needs and schedule.

Wellbeing Sessions Begin

Our social worker conducts a needs assessment and begins structured, evidence-informed sessions tailored to the individual, whether in residential care, at home, or in hospital.

Ongoing Updates to Your Team

We keep your care team informed throughout the engagement, sharing progress, flagging concerns and coordinating with your staff to ensure a consistent, joined-up approach.

Ready to refer a client?

We respond to all referrals within one business day. Call us or submit online, whichever is easier for your team.

Make a Referral
In Practice

Trusted by Providers. Experienced by Residents.

From a Director of Operations to the residents themselves, what the Wellbeing Program looks like when it's working.