Wheelchair and Seating Service
The Wheelchair and Seating Service is a Department for Communities and Social Inclusion (DCSI) funded specialist service providing support for the provision of complex wheelchair and seating services predominantly for adult clients of the DCSI Equipment Program.
The service includes a team of specialised clinicians and technicians, bringing expertise in the assessment and prescription of seating and mobility solutions for individuals, and experience in manual and powered wheelchair builds, customised modifications and seating manufacture.
The team at the Service can provide consultation, impartial evidence-based assessment and identification of client-centred outcomes for manual wheelchairs, powered wheelchairs and mobile shower commode chair prescription. Solutions range from off the shelf basic options to highly customised and individualised assistive technologies.
Location and Facilities
The Wheelchair and Seating Service operates its main clinic from Woodville. The service also operates clinics on a fortnightly basis at Highgate Park and Gilles Plains. The Woodville facility has assessment rooms, equipment to support safe client transfers and assessment, and an onsite workshop for completion of all wheelchair builds and modifications.
Where country clients are unable to travel to Adelaide, country outreach trips are scheduled approximately twice per year to each of 3 areas: Riverland, South East (covering Murray Bridge and south to Mt Gambier), and North West (covering Mid North, Yorke and Eyre Peninsulas).
Consultancy and Support
Primary clinicians seeking to confer on specific scenarios can contact one of the Wheelchair and Seating clinicians to discuss possible referrals and to provide consultation on wheelchair and seating issues.
Accessing the Service
The Wheelchair and Seating Service is able to provide services to any client over the age of 18 who is eligible for DCSI Equipment Program.
A primary therapist (from a community service) completes an initial assessment with the client. If a need for a wheelchair, or seating is identified, then the therapist can submit the paperwork to request an appointment with the Wheelchair and Seating Service. This is done via a prescription form identifying what equipment is needed and an indication that a specialist appointment is needed. On receipt of the prescription form, DES forwards this to the Seating Service where it is then treated as a referral. When resources are available, contact will then be made with the primary therapist to arrange an appointment. Once coordinated, a confirmation letter will be sent to the client featuring details of how to locate the service.
- Wheelchair Initial Specification Form (DOC 1.7 MB)
- Accessing a Wheelchair and Seating Clinic (DOC 401.0 KB)
- How to complete the scooter and wheelchair specification form (DOC 120.0 KB)
What to expect when you come to an appointment
Prior to attendance at an appointment, it is an expectation that the primary therapist has completed a thorough assessment of the client's goals and needs and their home environment. Therefore, it is important that the primary therapist attends the appointment with as much relevant information as possible about the client's previous function, home environment, methods of current use of the chair (if the client already has a mobility device).
An assessment form can be used as a supporting document to ensure all areas of the initial assessment have been covered:
- Wheelchair Initial Assessment Form (DOC 1.1 MB)
- Plinth (MAT) Assessment Form (PDF 1.4 MB)
- Wheelchair and Plinth Mat Assessment Clinical Considerations for Prescribers (DOC 180.0 KB)
- Indicators for medical clearance of powered mobility devices (DOC 136.0 KB)
- Mobile Shower Commode Chair Assessment Form (DOCX 532.3 KB)
The specialist clinician will initially discuss with the client and the primary therapist the issues that have been identified and establish clear goals regarding future direction for the prescription, using a client centred framework.
Following the initial discussion and goal setting, with client consent a full seating assessment will be completed when required, to determine what the client's physical capacity is for future seating and mobility options. This may including:
- an assessment of the client's current seating system and posture in their current mobility device (if applicable)
- a full evaluation involving a supine and sitting assessment on the plinth
From this comprehensive assessment a mobility and seating plan will be discussed and recommendations for the prescription outlined. A written initial assessment summary will be provided, where applicable, to the primary therapist. It is expected that the primary therapist will also take their own case notes for initial assessment and any subsequent appointments.Once the collaborative mobility and/or seating plan is established and agreed
upon by the client, carers and the primary clinician, the specialist clinician will design and source any required seating, parts and mobility devices. The technicians will complete the necessary build or modification once all parts are available, and a follow up appointment will be booked with the client via the primary therapist.
At the time of the client taking the new seating and/or mobility device home for trial it is the responsibility of the primary therapist to follow up with the client and feedback to the service if further follow up is required or if the referral can be closed.