How well does the National Disability Insurance Scheme respond to the issues challenging Indigenous people with disability?

Abstract

INTRODUCTION:The participation rates of Indigenous Australians in disability services were significantly lower than the prevalence of disability in Indigenous communities. The Australia's National Disability Insurance Scheme (NDIS) promises changes to the lives of Australians with disability in general and particularly for the Indigenous population living with disability. This article presents research exploring how the NDIS takes into consideration the issues challenging Indigenous people's access to, and use of, disability services. METHODS:The theoretical underpinning of the research drew on the social model of disability and post-colonial theory, which informed a systematic review of disability services for Indigenous people, an analysis of the current policy-making process and current NDIS legislation. FINDINGS:The systematic literature review revealed the social, attitudinal, physical and communication barriers experienced by Indigenous people accessing and using disability services; however, the policy analysis of the NDIS indicates that the new legislation does not address these challenges faced by this multi-disadvantaged Australian population group. CONCLUSION:This research highlights the urgent need for disability policy improvements and promotes further design of culturally appropriate healthcare for Indigenous populations, who are still "disabled", not only by colonised histories but also through contemporary socio-economic marginalization.

Revisión sistemática sobre modelos de rehabilitación con víctimas de Minas Antipersonal (MAP), en el marco de conflictos armados y el enfoque comunitario

“…Diferentes modelos en relación a la situación de discapacidad se han identificado en la literatura, el modelo médico es el primer modelo que se creó, donde la discapacidad es abordada como un problema funcional o de anormalidad o una condición médica objetiva que necesita tratamiento y rehabilitación (Smart & Smart, 2006;Halacre & Jalil, 2017;Dirth & Branscombe, 2017) esta forma se hace necesario abordar los déficits relacionados con la situación laboral y corregirlos o adaptarlos de alguna manera (Lysaght, 2012). La discapacidad desde una perspectiva de salud desconocen las necesidades culturales (Ariotti, 1999;Farrelly & Lumby, 2008;Greenstein, Lowell, y Thomas, 2016a, 2016b)" (Do, 2017). Otros modelos se han visualizado desde una perspectiva ecológica o sistémica, una biopsicosocial, una aproximación a la Rehabilitación Basada en Comunidad (RBC) visto como un proceso integral, donde las capacidades físicas, sensoriales, o mentales son restauradas o desarrolladas abordando los componentes físicos y sociales.…”