For Health Professionals

The Young Adult Complex Disability Service (YACDS) was established as a pilot project in 2004-2005, and approved by DHS as an ongoing program in 2006 to help young adults with a complex physical disability, their families and carers, move into adult healthcare from children’s health services.

We help link those with a complex developmental disability who are transitioning from children’s health services into adult health services by, reviewing their current health status and working with them to manage their own health care. We also provide a consultative service for young adults who have already transitioned into adult health care whose needs require a multidisciplinary review.

We offer a multidisciplinary patient centred approach, with team assessment and review, and individual or combined allied health intervention, as indicated. 

Our Team

Our Team consists of:

  • Rehabilitation Physicians
  • Physiotherapists
  • Occupational Therapists
  • Social Worker
  • Orthotist
  • Speech Pathologist
  • Dietitian

We are also able to access other allied health, nursing, medical and surgical services available at St Vincent's.

Our Services

We help adults manage their own healthcare, through:

  • Specialist medical and allied health assessment and support
  • Referral to other specialist services, within and external to St Vincent’s
  • Goal-directed therapy
  • Equipment assessment and advice, including wheelchairs, orthotics and home modifications
  • Establishing links to GPs and local therapists

The primary goal of the service is to link individuals with local health services.

Key areas of expertise offered by the YACDS team:

Comprehensive team assessment:

  • Multidisciplinary initial and review appointments are completed with the patient and their family/carers. This involves assessment and goal setting according to individual need. A documented care plan is developed in consultation with the patient, who also receives a copy.  



  • Comprehensive medical assessment and management of disability related problems, such as; spasticity, pain, recurrent pressure areas, constipation, continence, progression of deformity, associated health conditions/needs. Referral to adult specialist services as required. Engagement with the general practitioner in long-term medical management.



  • Assessment and management of physical disability, including; postural management, prescription of specialised equipment such as wheelchairs, walking aids and standing frames, spasticity management, gait training.


Occupational Therapy:

  • Assessment and prescription of specialised equipment, pressure care management, assessment of the home environment and recommendations for modifications, and vehicle modifications. Equipment prescription covers all aspects of daily living, from wheelchairs to transfers and personal care.  


Social Work:

  • Psycho-social assessment, patient and carer support to manage care needs, future planning, transitioning to and navigating the adult service system. Individual advocacy to address funding gaps, linking/referral to adult based services.        



  • Assessment, review and prescription of orthoses and footwear. Equipment may be provided YACDS, or referred to a local provider. 

Speech Pathology:

  • Identifies swallowing, communication and oral care needs. Preliminary management of identified issues is provided through YACDS, with referral to an appropriate local speech pathology service for long term assessment and management. 



  • Nutritional assessment, management of complex disease states, management of enteral feeding, weight management.

Our Location

The service is based at St. Vincent’s Hospital, Fitzroy, with additional clinics operating regularly at St. George’s Hospital in Kew.      
Clinic appointments at Fitzroy are held on the ground floor of the Bolte Wing (Building F). At St George’s, the clinic appointments are held in the Community Rehabilitation Centre, ground floor (up one level from the underneath parking).

For further information please feel welcome to contact the service or follow the links to the St Vincent's maps and parking and transport pages.

  • YACDS Parking Information: Fitzroy
  • YACDS Parking Information: St Georges

Clinic Times

Multidisciplinary clinics run most Monday’s and alternate Thursdays between 9.00am – 4.00pm

Individual medical and allied health appointments can be arranged on other days.

The service operates on a part time basis.


Referral Information

Referral Forms and Guidelines

Refer to the SACS Referral Form area

  • Sacs Referral Form

Useful Links


Support Services



This site has information for young people, families and health professionals about adolescent transition.  It also has a large number of links and references to publications about transition.

Contact Us

Our service is a public outpatient service. Patients can self-refer, but for medical consultations we require a referral from a GP. We recommend patients speak to their GP or current treating specialist if referral to our clinic is thought to be beneficial.

Written referrals can be posted or faxed to:
Young Adult Complex Disability Service
St Vincent's Hospital
PO Box 2900
Fitzroy, Victoria 3065

Fax: (03) 9231 3808

For further information, please contact YACDS Team Leader on (03) 9231 4672 or, send an email through to


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