2.63 The committee
recommends that the NDIS Act is reviewed to assess the permanency provisions in
Section 24 (1) (b) and the appropriateness of the reference to 'psychiatric
condition' in 24 (1) (a).
2.64 The committee
recommends that a review of the NDIS (Becoming a Participant) Rules 2016 should
be considered to assess the appropriateness and effectiveness of:
- Including the
principle of recovery-oriented practice for psychosocial disability, and
- Clarifying that
Rule 5.4 which dictates that a condition is, or is likely to be permanent,
does not apply to psychosocial disability, to
reflect that people with mental conditions will receive ongoing treatments to
2.65 The committee
recommends that the Australian Government ensures young people with mental
ill-health who are not participants of the Scheme, have access to adequate
early intervention services.
2.66 The committee
recommends the NDIA, in conjunction with the mental health sector, develops and
adopts a validated fit-for-purpose assessment tool to assess the eligibility of
people with psychosocial disability that focuses on their functional capacity
for social and economic participation.
2.67 The committee
recommends the NDIA monitors eligibility rates for people with psychosocial
disability to, a) understand the reasons for a higher rejection rate compared
to other disabilities; and b) to build a clearer picture of the size and needs
of the people who have been found ineligible for NDIS services.
2.68 The committee recommends clients currently receiving
mental health services, including services under Commonwealth programs
transitioning to the NDIS, namely Partners in Recovery (PIR), Personal Helpers
and Mentors (PHaMs), Day to Day Living (D2DL, and Mental Health Respite: Carer
Support (MHR:CS), should not have to apply for the NDIS to have guarantee of
continuity of supports and access services.
3.82 The committee
recommends the NDIA develops and proactively markets resources and training for
primary health care professionals about the NDIS, especially in regards to
access and planning processes.
3.83 The committee
recommends the Department of Social Services and the NDIA collaboratively
develop a plan outlining how advocacy and assertive outreach services will be
delivered beyond the transition arrangements to ensure people with a
psychosocial disability and those who are hard-to-reach can effectively engage
with the NDIS and/or other support programs.
3.84 The committee
recommends the NDIA, in conjunction with the mental health sector, creates a
specialised team of NDIS planners trained and experienced in working with
people who have a mental health condition as their primary disability.
3.85 The committee
recommends the NDIA develops an approach to build flexibility in plans to
respond to the fluctuating needs of participants with a psychosocial
disability, including allowing minor adjustments to be made without the need
for a full plan review.
3.86 The committee
recommends the NDIA reports on the level of engagement of carers in the
3.87 The committee
recommends the NDIA publishes the results of its participants and providers
pathways review, particularly in the areas related to mental health, and
strategies in place to achieve improved outcomes, as well as updates on
progress against targets in its Quarterly Reports.
Continuity of Support
4.67 The committee
recommend the Australian, state and territory governments clarify and make
public how they will provide services for people with a psychosocial disability
who are not participants in the NDIS.
4.68 The committee
recommends the Council of Australian Governments (COAG) conduct an audit of all
Australian, state and territory services, programs and associated funding
available for mental health.
4.69 The committee
recommends the National Mental Health Commission be appointed in an oversight
role to monitor and report on all Australian, state and territory mental health
programs and associated funding, including those delivered through the primary
4.70 The committee
recommends the Department of Social Services and the NDIA develop an approach
to ensure continuity of support is provided for carers of people with a
psychosocial disability, both within and outside the NDIS.
4.71 The committee
recommends the NDIA in collaboration with the Australian, state and territory
governments develops a strategy to address the service gaps that exist for
rural and remote communities.
4.72 The committee
recommends the NDIA provides details how it is ensuring a provider of last
resort is available for all NDIS participants unable to find a suitable service
provider, regardless of their location, circumstances and types of approved
Information, Linkages and Capacity
4.73 The committee
recommends the NDIA monitors the psychosocial disability supports, activities
and services that are awarded funding through the ILC grant process to be able
to identify and address any emerging service gaps as they may arise.
4.74 The committee
recommends the NDIA undertakes a review of the effectiveness to date of the ILC
program in improving outcomes for people with a psychosocial disability.
4.75 The committee
recommends NDIA considers allocating specific funding for the provision of
mental health services through the ILC.
Forensic disability services
5.50 The committee
recommends the NDIA urgently clarifies what approved supports are available to
NDIS participants in custody and how it monitors and ensures NDIS participants
access the supports they are entitled to while in custody.
5.51 The committee
recommends the NDIA establishes an NDIA unit specialising in the interaction of
the Scheme with the criminal justice system.
5.52 The committee
recommends the NDIA develops a specific strategy to deliver culturally
appropriate services for Aboriginal and Torres Strait Islander people with
disabilities who are in the criminal justice system.
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