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HealthInfo Canterbury

CREST

What is CREST?

CREST stands for Community Rehabilitation Enablement and Support Team. This is a service for people aged over 65 who would benefit from a short period of rehabilitation in their own home for up to six weeks. For example, people who have recently experienced an acute illness or injury but who don't need hospital treatment.

The aim of CREST is to enable older adults to live well at home and in their community.

How does CREST work?

  1. Health professionals can arrange referral to the CREST service. For example, referral can be from Christchurch or Burwood Hospital, an after hours surgery, or a general practice. In the hospital, CREST liaison workers help to identify people who would benefit from the service, and arrange referral.
  2. A case manager is allocated to each CREST client. The case manager creates a tailored rehabilitation programme, including goals and a care plan.
  3. Community providers (registered nurses or trained support workers) visit clients at home, to deliver these rehabilitation programmes. CREST provides up to four visits a day, seven days a week.
  4. CREST monitors each client's care and progress to make sure goals are being met.

As this is still a relatively new service, a quality improvement process is in place. This involves peer review, case review, and an analysis of the results.

Currently, CREST can have up to 190 active clients at any one time. Some clients who have experienced the CREST service have commented on improved mobility and independence.

What does CREST cost?

CREST is free to those eligible for the service.

Written by HealthInfo clinical advisers. Updated September 2016.

Page reference: 49484

Review key: HISSO-48278