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The PEP worker was able to review and adapt the content and structure of many of the groups run with Lyndon's residential programs, making them more suitable for people with a cognitive impairment. The project highlighted simple changes that staff could make to assist people with cognitive impairment to participate in treatment programs.

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What cost-effective strategies could you recommend? The Lyndon Community has taken on an approach of universal design. This is where programs, treatment and resources are designed to be appropriate for people with cognitive impairment as well as others. With this approach there doesn't have to be a separate program or special testing or treatment for people with cognitive impairment - programs are already suitable.

What are your strategies for the long-term implementation of the gains made? The universal design principles are a long-term strategy for the organisation to support people with cognitive impairment. What recommendations do you have for services considering becoming complex needs capable? A key finding for the Lyndon Community was the lack of staff knowledge about cognitive impairment, its impact and ways to address it. A staff survey found that only staff trained in the disability sector had any knowledge of cognitive impairment causes and effects. Staff skills and knowledge are critical to the way client needs are addressed.

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