‘It’s your problem, not mine’: does competence have anything to do with desire and aspiration to self-direct?

2013 ◽  
Vol 37 (5) ◽  
pp. 621 ◽  
Author(s):  
Michelle Crozier ◽  
Heidi Muenchberger
Keyword(s):  
Research Evidence ◽  
Disability Insurance ◽  
Evidence Base ◽  
Disability Policy ◽  
Insurance Scheme ◽  
Policy Paradigm ◽  
Fundamental Needs

The current disability policy paradigm operating across all states in Australia is self-direction. This central movement is closely linked to preparations for a National Disability Insurance Scheme called DisabilityCare. We provide one perspective in relation to self-direction in Australia including assumptions about aspirations to self-direct and the limited research evidence base that is available even though anecdotally self-direction practices have been occurring for many years. We conclude that by developing a funding platform, such as DisabilityCare, that empowers people with a disability to make decisions about their own fundamental needs and the fulfilment of them, it will lead to a society that supports people to access and achieve a ‘typical’ and desired life.

Disability Policy and Active Citizenship: The Case of Australia’s National Disability Insurance Scheme

2020 ◽  
pp. 104420732093227
Author(s):  
Timothy Earle ◽  
Normand Boucher
Keyword(s):  
People With Disabilities ◽  
Disability Insurance ◽  
Disability Policy ◽  
Active Citizenship ◽  
Direct Influence ◽  
Global Level ◽  
Insurance Scheme ◽  
Eligibility Criteria ◽  
Persons With Disabilities ◽  
The Welfare State

In this article, we illustrate how Australia’s new National Disability Insurance Scheme (NDIS) extends the active citizenship of people with disabilities. This is done by examining how the NDIS changes their relation between persons with disabilities and to the welfare state, and through an analysis of its eligibility criteria and needs assessment planning. The support provided and the way in which it is provided reproduce a particular understanding of disability that has a direct influence on the roles assigned to people with disabilities in society as well as on their opportunities to exercise their rights as active citizens. This is important because the implementation of NDIS in Australia is likely to influence the development of disability policy on a global level. Understanding how its mechanisms restricts or facilitates citizenship is therefore crucial.

Enabling choice, recovery and participation: evidence-based early intervention support for psychosocial disability in the National Disability Insurance Scheme

2018 ◽  
Vol 26 (6) ◽  
pp. 578-585 ◽  
Author(s):  
Laura Hayes ◽  
Lisa Brophy ◽  
Carol Harvey ◽  
Juan Jose Tellez ◽  
Helen Herrman ◽  
...  
Keyword(s):  
Early Intervention ◽  
Supported Employment ◽  
Disability Insurance ◽  
Skills Training ◽  
Evidence Base ◽  
Behavioural Therapy ◽  
Supported Housing ◽  
Evidence Based ◽  
Insurance Scheme ◽  
Psychosocial Disability

Objectives: The aim of this study was to identify the most effective interventions for early intervention in psychosocial disability in the National Disability Insurance Scheme (NDIS) through an evidence review. Methods: A series of rapid reviews were undertaken to establish possible interventions for psychosocial disability, to develop our understanding of early intervention criteria for the NDIS and to determine which interventions would meet these criteria. Results: Three interventions (social skills training, supported employment and supported housing) have a strong evidence base for effectiveness in early intervention in people with psychosocial disability, with the potential for adoption by the NDIS. They support personal choice and recovery outcomes. Illness self-management, cognitive remediation and cognitive behavioural therapy for psychosis demonstrate outcomes to mitigate impairment. The evidence for family psycho-education is also very strong. Conclusions: This review identified evidence-based, recovery-oriented approaches to early intervention in psychosocial disability. They meet the criteria for early intervention in the NDIS, are relevant to participants and consider their preferences. Early intervention has the potential to save costs by reducing participant reliance on the scheme.

scholarly journals Making every Australian count: challenges for the National Disability Insurance Scheme (NDIS) and the equal inclusion of homeless Aboriginal and Torres Strait Islander Peoples with neurocognitive disability

2018 ◽  
Vol 42 (2) ◽  
pp. 227 ◽  
Author(s):  
Clare Townsend ◽  
Paul White ◽  
Jennifer Cullen ◽  
Courtney J. Wright ◽  
Heidi Zeeman
Keyword(s):  
Research Methods ◽  
Torres Strait Islander ◽  
Disability Insurance ◽  
Evidence Base ◽  
Assessment Tools ◽  
Torres Strait Islander People ◽  
Insurance Scheme ◽  
Long Term Effect ◽  
Commonwealth Government ◽  
Torres Strait

This article highlights the dearth of accurate evidence available to inform the National Disability Insurance Scheme (NDIS) regarding the extent and nature of neurocognitive disability amongst homeless Aboriginal and Torres Strait Islander people. Without accurate prevalence rates of neurocognitive disability, homeless Aboriginal and Torres Strait Islander people are in danger of not being counted by the NDIS and not receiving supports to which they are entitled. Addressing this knowledge gap is challenged by a range of factors, including: (1) the long-term effect of profound intergenerational disenfranchisement of Aboriginal and Torres Strait Islander people; (2) Aboriginal and Torres Strait Islander cultural perspectives around disability; (3) the generally unrecognised and poorly understood nature of neurocognitive disability; (4) the use of research methods that are not culturally safe; (5) research logistics; and (6) the absence of culturally appropriate assessment tools to identify prevalence. It is argued that an accurate evidence base that is informed by culturally safe research methods and assessment tools is needed to accurately guide the Commonwealth government and the National Disability Insurance Agency about the expected level of need for the NDIS. Research within this framework will contribute to the realisation of a truly inclusive NDIS.

Who’s at risk of entering Social Security Disability Insurance? A comparison of application and allowance rates for groups of at-risk individuals

2020 ◽  
Vol 53 (3) ◽  
pp. 341-352 ◽  
Author(s):  
Kara Contreary ◽  
Todd Honeycutt
Keyword(s):  
At Risk ◽  
Social Security ◽  
Disability Insurance ◽  
Risk Groups ◽  
Evidence Base ◽  
Social Security Disability Insurance ◽  
Program Participation ◽  
Before And After ◽  
Social Security Disability ◽  
Employment Characteristics

BACKGROUND: The U.S. government has implemented several programs to reduce federal expenditures on Social Security Disability Insurance (DI) and help beneficiaries return to work, but the limited success of these efforts has raised interest in approaches that help workers with disabilities remain in the workforce. OBJECTIVE: This paper provides information on individuals at risk of applying for DI benefits to help build the evidence base for policies that provide workers with disabilities support to eliminate the need to apply for and receive DI benefits. METHODS: Using three panels of the Survey of Income and Program Participation matched to SSA administrative data, we describe the employment characteristics of seven groups at risk of applying for DI benefits before and after application, as well as the outcomes of their DI applications. RESULTS: New private disability insurance recipients were more likely to apply for and receive DI than members of other at-risk groups. However, individuals with high healthcare expenditures made up the largest proportion of successful applicants across the at-risk groups considered here. CONCLUSION: While it seems plausible that individuals within an at-risk group who are likely to apply for DI benefits can be identified and provided supports to help them maintain employment, focusing on a specific group to promote employment over DI benefits may have a limited effect on the DI program because applicants come from multiple groups.

Sign in / Sign up

Export Citation Format

Share Document