Support planning with people with intellectual disability and complex support needs in the Australian National Disability Insurance Scheme

Collings, Susan; Dew, Angela; Dowse, Leanne

doi:10.3109/13668250.2016.1151864

Cited by 68 publications

(72 citation statements)

References 14 publications

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“…In total, approximately 460,000 individuals are expected to participate in the scheme as of 2019 located across Australia (including urban, rural and remote localities) (Australian Productivity Commission ; Collings et al . ). Based on an insurance model, the NDIS will provide no‐fault insurance cover for Australians who are born with or acquire a disability, and more recently, includes people experiencing forms of mental illness (Australian Productivity Commission ; Collings et al .…”

Section: The Australian National Disability Insurance Schemementioning

confidence: 97%

“…The NDIS represents a shift from a complex mix disability services (where individuals were able to access variable types and quality of services), to a personalized model whereby individuals are given ‘funding packages’ determined by their level of need and self‐defined goals (Australian Productivity Commission ; Collings et al . ).…”

Section: The Australian National Disability Insurance Schemementioning

confidence: 97%

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The Vexed Question of Market Stewardship in the Public Sector: Examining Equity and the Social Contract through the Australian National Disability Insurance Scheme

et al. 2017

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Personalized care and market-based approaches to public service provision have gained prominence in a range of Organisation for Economic Co-operation and Development countries. Australia has recently joined this trend, launching a complex and expansive programme of individualized care funding for disability through the National Disability Insurance Scheme. Public sector markets (i.e. where governments either directly fund a market by way of competitive tendering, or through personal budgets) have been embraced by actors at different points of the political spectrum and for a range of reasons, including efficacy and efficiency gains, empowerment of citizens and efforts to cater for diversity. Despite the growing dominance of public sector markets and individualized funding, many questions about the role and responsibility of governments in managing and regulating these markets remain unanswered. In this article we outline different roles governments might assume in the creation and management of public sector markets, based on the types of risks governments are willing to take responsibility for. We argue that to fulfil the social contract between government and citizens, governments need to ensure that markets are properly stewarded and embedded in broader social safety nets. This, we contend, can ensure citizens receive the gains of market models while being protected from market failures or market-produced inequities.

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Section: The Australian National Disability Insurance Schemementioning

confidence: 97%

Section: The Australian National Disability Insurance Schemementioning

confidence: 97%

The Vexed Question of Market Stewardship in the Public Sector: Examining Equity and the Social Contract through the Australian National Disability Insurance Scheme

et al. 2017

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“…supports which are not provided by existing social systems, but does not replace the role of the health system (Collings, Dew, & Dowse, 2016). This means that IDD nurses who have, for decades, worked as part of the disability service system face a new future where their role under the NDIS is thus far limited to providing health education to support workers and people with all types of disability.…”

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confidence: 99%

Nurses working in intellectual disability‐specific settings talk about the uniqueness of their role: A qualitative study

Wilson

Wiese

Lewis

et al. 2019

Journal of Advanced Nursing

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Aims To explore the perceptions of Australian nurses working in disability‐specific settings and/or roles, about: (a) nursing people with intellectual and developmental disability living in Sydney; and (b) the utility and applicability of professional practice standards designed specifically for intellectual and developmental disability nursing. Design A qualitative research design was used to guide the study and our analysis utilized the constant comparative approach to thematic data analyses. Methods Individual in‐person interviews were conducted with 18 nurses working in intellectual and developmental disability‐specific settings and/or roles across the state of New South Wales between July – December, 2017. Participants described what it is that sets intellectual and developmental disability nursing apart from other nursing specialties, and the rewards and challenges of their role. Questions were also asked about professional practice standards in general and more specifically intellectual and developmental disability professional practice standards. Data were analysed thematically. Findings Three themes reflected intellectual and developmental disability nurses’ perceptions: (a) a unique investment in the nurse/patient dyad; (b) a bridge between disparate systems; and (c) an ambiguous future. Nurses reported variable understanding of professional practice standards designed for intellectual and developmental disability nursing, but also a belief in their importance. Conclusion The intellectual and developmental disability nurses’ experience of care accounts for the specific needs of patients with intellectual and developmental disability and suggests the importance of professional practice standards which acknowledge the changing landscape of care in Australia prompted by the implementation of the National Disability Insurance Scheme.

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“…Positive relationships with people like family members, friends, support staff, and advocates can be a determining factor toward people's ability to exercise choice and control (Williams & Porter, ), negotiate the service and funding system (Mitchell, ), and participate in community life (Hammel et al., ). In contrast, people with disability who do not have access to supportive interpersonal relationships may not fare as well within these service and funding arrangements, particularly if they have high and/or complex needs (Collings, Dew, & Dowse, ). This emerging evidence reflects a much broader scholarly trend toward understanding human beings as relational beings.…”

Section: Introductionmentioning

confidence: 99%

Opportunities to enhance relational wellbeing through the National Disability Insurance Scheme: Implications from research on relationships and a content analysis of NDIS documentation

Meltzer

Davy²

2019

Aust J Public Adm

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Interpersonal relationships are critically important to ensuring that people with disability can access the benefits of individual funding models such as the National Disability Insurance Scheme (NDIS). The NDIS aims to enhance participants’ self‐determination of supports and social and economic participation, but the emerging evidence indicates that achieving these policy outcomes requires stronger recognition of participants’ relational context, even in a system focused on individual choice and control. This paper reports on a content analysis of the NDIS Act, NDIS Rules, Operational Guidelines, and Price Guide to examine the extent to which the scheme's conceptual foundations and funded supports in individual plans enable it to support relationships. Implications are drawn from this analysis and theory and evidence about the importance of relationships for disability policy and practice. The paper outlines three areas where the approach of the NDIS to relationships is limited and can be improved: first, by conceptualizing relationships as relationships rather than simply sources of informal support; second, through provisions to actively support relationships; and third, by considering the relational appropriateness of support provided by family, carers, and friends. It concludes with suggestions for how relational considerations can be enhanced, including implications for government in administering the scheme.

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Support planning with people with intellectual disability and complex support needs in the Australian National Disability Insurance Scheme

Cited by 68 publications

References 14 publications

The Vexed Question of Market Stewardship in the Public Sector: Examining Equity and the Social Contract through the Australian National Disability Insurance Scheme

The Vexed Question of Market Stewardship in the Public Sector: Examining Equity and the Social Contract through the Australian National Disability Insurance Scheme

Nurses working in intellectual disability‐specific settings talk about the uniqueness of their role: A qualitative study

Opportunities to enhance relational wellbeing through the National Disability Insurance Scheme: Implications from research on relationships and a content analysis of NDIS documentation

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