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Empowering Independence: The RCS Co-Design Model for a Seamless Transition from Hospital to Supported Independent Living (SIL)

Writer's picture: RCS HeroRCS Hero

Transitioning from hospital to Supported Independent Living (SIL) is a crucial step toward regaining independence and quality of life. At Real Community Services (RCS), we believe in a co-design model that ensures participants are actively involved in shaping their support structure. Our approach fosters collaboration, inclusivity, and flexibility, ensuring a smooth and empowering transition.


Core Principles of the Co-Design Model

The RCS co-design model is built on key principles that prioritize the participant’s needs, preferences, and aspirations:

  • Participant-Centered Approach – Participants are at the core of every decision, as they are the experts in their own lives.

  • Collaboration and Partnership – We involve participants, families, support coordinators, allied health professionals, and RCS team members in co-creating a personalized SIL plan.

  • Inclusivity and Accessibility – Information is provided in accessible formats, ensuring participants can engage meaningfully in the process.

  • Flexibility – The approach adapts to each participant’s evolving needs and preferences.

  • Continuous Feedback and Adaptation – Ongoing feedback ensures continuous improvement and refinement of the transition process.


Steps in the Co-Design Process

1. Discovery and Relationship Building

  • Initial Assessment – Conduct in-depth assessments of the participant’s needs, goals, and preferences through consultations.

  • Establishing Trust – Build rapport by understanding the participant’s personal journey and aspirations.

  • Support Network Engagement – Engage family, friends, and key professionals to gain holistic insights into the participant’s lifestyle and care needs.

2. Collaborative Planning

  • Co-Creation of a SIL Plan – Develop a plan covering daily living preferences, support needs, personal goals, and community engagement.

  • Choice of Accommodation – Explore housing options based on location, accessibility, and household composition.

  • Trial Periods – Offer trial stays to allow participants to experience the environment before finalizing their decision.

3. Individualized Support Development

  • Tailored Support Plans – Create personalized support structures, from 24/7 care to specific support at key times.

  • Integration of Allied Health and Therapeutic Supports – Incorporate services like occupational therapy, nursing, and mental health support.

  • Peer Support – Facilitate connections with current SIL participants for shared experiences and relationship-building.

4. Transition Implementation

  • Transition Coordinator Assignment – Appoint a dedicated facilitator to oversee and support the transition process.

  • Gradual Transition Options – Provide phased approaches to ease participants into their new living arrangements.

  • Training for Support Workers – Ensure support workers are trained in the participant’s specific needs and preferences.

5. Continuous Review and Adaptation

  • Regular Check-ins – Conduct ongoing assessments to monitor progress and adjust support plans as needed.

  • Feedback Loop – Encourage participants and families to share experiences to refine the co-design process.

  • Long-Term Support Plan Review – Ensure evolving needs are met through periodic evaluations of support structures.


Measuring Success

RCS evaluates the effectiveness of the co-design model using the following measures:

  • Participant Satisfaction – Regular feedback surveys and discussions.

  • Achievement of Personal Goals – Monitoring progress toward independence and well-being.

  • Engagement and Well-Being – Tracking community participation and overall quality of life.

  • Reduction in Crisis Situations – Assessing the decrease in unplanned exits or crisis interventions.


The RCS co-design model empowers participants to shape their own transition journey, ensuring they move into SIL with confidence and support. Through active collaboration, personalized planning, and continuous adaptation, we create a seamless and successful transition experience that enhances independence, dignity, and long-term well-being.

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