Mental illness and the National Disability Insurance Scheme: Lessons from Europe

Salvador‐Carulla, Luis; Einfeld, Stewart

doi:10.1177/0004867414531833

Cited by 7 publications

(6 citation statements)

References 7 publications

(7 reference statements)

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“… NDIS: National Disability Insurance Scheme; NDIA: National Disability Insurance Agency; PSD: psychosocial disability. † Numbers listed in this column refer to the following publications: 1, Aitken et al (2019); 2, Barclay et al (2020); 3, Cashin (2014); 4, Dickinson and Carey (2017); 5, Diminic et al (2019); 6, Furst et al (2018); 7, Gillieatt et al (2018); 8, Hancock et al (2017); 9, Hayes et al (2018); 10, Horsfall et al (2018); 11, Isaacs et al (2018); 12, Kay and Kendall (2017); 13, Maker et al (2017); 14, Malbon et al (2019); 15, McGorry and Hamilton (2016); 16, Mellifont (2017); 17, Mulder (2017); 18, New South Wales Nurses’ Association (2019); 19, Pereira et al (2020); 20, Reppermund et al (2018); 21, Rosenberg (2017); 22, Rosenberg et al (2019); 23, Salvador-Carulla and Einfeld (2014); 24, Schweizer et al (2018); 25, Simpson et al (2016); 26, Stewart et al (2018); 27, Trollor (2014); 28, Williams and Smith (2014). …”

Section: Resultsmentioning

confidence: 99%

The National Disability Insurance Scheme and people with severe and persistent mental illness/psychosocial disability: A review, analysis and synthesis of published literature

Hamilton

Hancock

Scanlan

et al. 2020

Aust N Z J Psychiatry

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Objectives: The aim of this scoping review was to map and synthesise peer-reviewed literature reporting on the Australian National Disability Insurance Scheme and psychosocial disability. Method: The review followed the rigorous and systematic protocol of Arksey and O’Malley. Five databases were searched and, using strict inclusion and exclusion criteria, publications were identified for inclusion. Data were extracted from publications, tabulated and graphically presented. A qualitative analysis was also completed. Results: Twenty-eight publications were included. While a wide range of issues were covered across this literature, only eight publications specifically focused on the National Disability Insurance Scheme. Almost half of publications were only author commentary without analysis of external data. There were no evaluations and a paucity of publications documenting the lived experiences of people with psychosocial disability or their families. Qualitative analysis identified 59 separate themes. These were grouped using a modified strengths, weakness, opportunities and threats framework. While it was acknowledged that the Scheme has the capacity to enrich people’s lives and enhance service integration, themes relating to weakness and threats dominated within this literature. These included a variety of existing or predicted problems such as poor integration of a recovery philosophy into the National Disability Insurance Scheme, complex application processes creating barriers to access, concern for those ineligible or not accessing the National Disability Insurance Scheme, the need to ensure National Disability Insurance Scheme plans address specific, changing participant needs and that services will be available to provide required supports. Conclusion: Given the significant impact of the National Disability Insurance Scheme on the lives of individuals and the wider mental health service system, there continues to be surprisingly limited peer-reviewed literature reporting on experiences and outcomes of the Scheme for people living with psychosocial disability. Future research examining outcomes and shedding light on National Disability Insurance Scheme experiences of people with psychosocial disability and their families are particularly important for ongoing development and evaluation of the Scheme.

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Section: Resultsmentioning

confidence: 99%

The National Disability Insurance Scheme and people with severe and persistent mental illness/psychosocial disability: A review, analysis and synthesis of published literature

Hamilton

Hancock

Scanlan

et al. 2020

Aust N Z J Psychiatry

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“…Problems with eligibility for people with psychosocial disability are not unprecedented: in Germany and Spain, the complexity of assessment of mental illness in comparison with other disabilities has hampered attempts to rely on a common evaluation system. 10 There is an urgent need for a fit for purpose assessment tool. 11 Of particular concern in the absence of a clear approach to hard to reach groups is the impending phasing out of Partners in Recovery, which provides outreach to people with severe mental illness.…”

Section: Discussionmentioning

confidence: 99%

Organisational impact of the National Disability Insurance Scheme transition on mental health care providers: the experience in the Australian Capital Territory

Furst

Salinas-Pérez

Salvador‐Carulla

2018

Australas Psychiatry

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he provision of support for people with psychosocial disability related to a mental health condition was a late addition to the National Disability Insurance Scheme (NDIS). Key NDIS concepts of access, choice and control 1 are relevant to people with mental illness whose ability to fully participate in life is impaired by the economic and social consequences of their illness. Access to appropriate and integrated care at all levels of need in a 'stepped care' approach are central to the Fifth National Mental Health and Suicide Prevention Plan. 2 However, core differences between mental illness and physical disabilities in the course of illness and type of supports required have raised doubts about the appropriateness of the NDIS for this population. 3 As a pilot site, and the first jurisdiction to accept all eligible residents across all age groups into the NDIS, the Australian Capital Territory (ACT) is well placed to provide valuable feedback and unique insight. The geographically small size and comparatively well educated and affluent population of this national capital should enable relative ease of implementation. However, inter

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“…Australian & New Zealand Journal of Psychiatry,57(6) variability: the less urban areas to the north experiencing less socioeconomic disadvantage than the more urban, but also socially fragmented, areas in the south. WS, too, has seen increased rates of psychological distress and mental health disorder prevalence between 2014/2015and 2017.…”

Section: Methodsmentioning

confidence: 99%

Regional evolution of psychosocial services in Australia before and after the implementation of the National Disability Insurance Scheme

Salvador‐Carulla

Furst

Gillespie

et al. 2022

Aust N Z J Psychiatry

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Objectives: This paper compares the evolution of the psychosocial sector in two Australian regions pre and post introduction of the National Disability Insurance Scheme – a major reform to the financing, planning and provision of disability services in Australia, intended to create greater competition and efficiency in the market, and more choice for service users. Methods: We used a standardised service classification instrument based on a health ecosystems approach to assess service availability and diversity of psychosocial services provided by non-government organisations in two Primary Health Network regions. Results: We identified very different evolutionary pathways in the two regions. Service availability increased in Western Sydney but decreased in the Australian Capital Territory. The diversity of services available did not increase in either Primary Health Network 4 years after the reform. Many services were experiencing ongoing funding uncertainty. Conclusion: Assumptions of increased efficiency through organisational scaling up, and a greater diversity in range of service availability were not borne out. Implications: This study shows the urgent need for evaluation of the effects of the NDIS on the provision of psychosocial care in Australia. Four years after the implementation of the NDIS at vast expense key objectives not been met for consumers or for the system as a whole, and an environment of uncertainty has been created for providers. It demonstrates the importance of standardised service mapping to monitor the effects of major reforms on mental health care as well as the need for a focus at the local level.

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Mental illness and the National Disability Insurance Scheme: Lessons from Europe

Cited by 7 publications

References 7 publications

The National Disability Insurance Scheme and people with severe and persistent mental illness/psychosocial disability: A review, analysis and synthesis of published literature

The National Disability Insurance Scheme and people with severe and persistent mental illness/psychosocial disability: A review, analysis and synthesis of published literature

Organisational impact of the National Disability Insurance Scheme transition on mental health care providers: the experience in the Australian Capital Territory

Regional evolution of psychosocial services in Australia before and after the implementation of the National Disability Insurance Scheme

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