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The NDIS explained START COURSE DETAILS Image of CPSP Empower Project logo This training is an introductory module designed to provide mental health professionals with a broad overview of the National Disability Insurance Scheme (the NDIS, 'the scheme'), and how it can help support people with a psychosocial disability. It is suitable for people providing community mental health support, allied health and/or clinical services. Subsequent training modules will address specific aspects of the NDIS in greater detail. User Guide: Navigating this training module To begin this training module, click the 'Start Course' button located below the course title. Alternatively, you can navigate the course by scrolling down to each lesson heading. Please note that the lessons must be completed sequentially, starting from the first heading titled 'Training Objectives.' It's essential to follow the chronological order of the lesson headings within the module. You cannot skip ahead to later lessons using the menu. Completion of all lessons is necessary to receive the Certificate of Completion. Duration: Approximately 30 minutes (you can close the training module and pick up where you left off at a later date). Module Disclaimer The information in this module is general in nature. Every organisation does things differently and has different policies and procedures, so please interpret the content in this module with your organisation in mind and discuss any discrepancies with your line manager. Content and links in this training were correct at the time of publication. We check these regularly. However, if you find broken links or errors please contact cpspempower@flinders.edu.au(opens in a new tab). Last updated: February 2024
Training objectives Lesson 1 of 7 Training objectives Image of a keyboard with two yellow post it notes on a desk By the end of this training you will understand: • what the NDIS is • how the NDIS works • how the NDIS supports individuals and communities • what the NDIS means for people with a psychosocial disability. Assumed knowledge Image of an open book This module is an introduction to the NDIS. No prior knowledge is required. Resources Image of many books stacked on top of each other Content in this training is based on information available on the NDIS website. Links to this and other helpful resources will be provided throughout. CONTINUE
What is the NDIS? Lesson 2 of 7 Background Image of a street sign reading time for change The National Disability Insurance Scheme (NDIS) is the most significant social reform in Australia since the introduction of Medicare in the 1970s. The NDIS is changing the way disability services are funded and delivered across Australia. It was introduced after a government inquiry in 2011, which highlighted the serious inadequacies of Australia’s existing disability support system, describing it as underfunded, unfair, fragmented and inefficient, giving people with disability, their families and carers little choice and no certainty of access to appropriate supports (see Productivity Commission Report). Timeline of events March 2013 The NDIS legislation was passed The NDIS Act 2013 was created, along with the scheme and the National Disability Insurance Agency (NDIA). Image of a gavel July 2013 to July 2016 NDIS trial period started The NDIS began in 2013 as a trial in various locations around Australia. The trials assisted over 25,000 NDIS eligible Australians to live more independently, providing them with the supports and equipment they needed. Image of a road with street sign reading success ahead July 2016 to present The full scheme began rolling out across Australia The scheme was introduced progressively around Australia (hence the term- roll out). The roll out started in July 2016, became available Australia wide by June 2019 and continues to grow. As of 30 September 2023, 631,529 Australians were accessing the NDIS. Find out more about the NDIS in each state and territory on the NDIS website. Image of map of Australia click on the icons in the image below to find out some interesting facts about the NDIS Image of Picture of people in heart shape 1. Participants and providers As of30 September 2023, the NDIA reported 631,529 active participants being supported by 20,340 providers across all support categories, disabilities and age groups. 412,697 people had not received supports before. See the NDIS website for more data insights. 2. Funding investment In the three months prior to 30 September 2023, the NDIA committed $10.1 billion in supports for the NDIS participants. It is worth noting the NDIS is an insurance scheme. This means the Government funding commitment is not capped. It is based on the support needs of participants. 3. Psychosocial disability summary People with primary psychosocial disability are the fourth largest disability group in the NDIS, representing 10% of total participants as of 30 September 2023 (data from the NDIS 2023/2-24 Q1 quarterly report). 4. Social and economic participation A key aim of the NDIS is to support people to increase their social and economic participation. The NDIS participant employment strategy requires the NDIA to create opportunities for 30% of NDIS participants of working age to achieve meaningful employment by 30 June 2023. As of 10 May 2022, the NDIA had 19.1% of its employees living with disability. What does National Disability Insurance Scheme mean? 1 of 3 Front of card National Click to flip The NDIS is available in all Australian states and territories and provides a nationally consistent approach to supporting people with a disability. 2 of 3 Front of card Disability Click to flip The NDIS provides support to eligible Australians, who have permanent and significant intellectual, physical, sensory, cognitive or psychosocial disability. 3 of 3 Front of card Insurance Scheme Click to flip The NDIS is not a welfare system. It is a social insurance scheme, providing funding based on the reasonable and necessary support needs of participants. The NDIS takes a lifetime approach by investing in people early to build capacity over time and improve outcomes later in life. What is the aim of the NDIS? The main objective of the NDIS is to provide eligible Australians with the reasonable and necessary supports they need to live an ordinary life. The NDIS also aims to: • enhance the independence, and social and economic participation of people with disability and their carers • provide people with a disability the choice and control to use their funding on the supports and services that will help them to meet their goals • facilitate a nationally consistent approach to disability supports and services • give people with disability better access to personalised, high quality and innovative supports and services • raise awareness and knowledge in the community of how to support people with a disability, to create more inclusive communities. The legislation and people responsible The National Disability Insurance Scheme Act 2013 (The NDIS Act) The NDIS Act is the legislation underpinning the scheme. The NDIS Act outlines the objectives and principles under which the NDIS operates and specifies the rules and regulations for participants, service providers, and the NDIA when accessing and implementing the scheme. Importantly, the Act formalises in law that people who access the scheme will have access to the scheme for as long as they need, regardless of changes to government policy. It also establishes the: • National Disability Insurance Scheme • National Disability Insurance Scheme Launch Transition Agency (known as the National Disability Insurance Agency or the NDIA) • NDIS Quality and Safeguards Commission. The National Disability Insurance Scheme Rules 2018 (The NDIS Rules) The NDIS rules are legislative instruments (i.e. law) also made under the NDIS Act. They provide details in relation to the operation of the NDIS and should be used alongside the NDIS Act. The National Disability Insurance Agency (the NDIA) The NDIA is an independent Commonwealth government agency responsible for implementing the NDIS. The main functions of the NDIA are to: • deliver the scheme, manage funding and ensure it is financially sustainable • raise community awareness and encourage greater inclusion of people with a disability and their access to community and mainstream services • provide information, referrals and links to services and activities • determine who is eligible for the scheme and develop and monitor individual participant plans. For more information visit the NDIS website. The NDIS Quality and Safeguards Commission (The NDIS Commission) The NDIS Commission is an independent government agency, established to improve the quality and safety of NDIS supports and services. The NDIS Commission is separate to, and does not regulate, the NDIA. The main functions of the NDIS Commission are to oversee: • provider regulation and registration • compliance with the NDIS practice standards and Code of Conduct • complaints about NDIS services and supports • reportable incidents, including abuse and neglect of a participant • behaviour support and the use of restrictive practices • nationally consistent NDIS worker screening. For more information visit the NDIS Commission website.
Lesson 3 of 7 The NDIS and psychosocial disability Background to psychosocial disability in the NDIS Image of footsteps in the sand Click through the slides to see some of the key events in the journey of psychosocial disability and the NDIS so far. START Step 1 2011 - Productivity Commission Enquiry In 2011, stakeholders from across the mental health sector (including carers, consumers, peak bodies and service providers) were invited to provide feedback on the development of the NDIS. The feedback endorsed the inclusion of people with a psychosocial disability in the scheme. Feedback was also used to determine how the scheme would be implemented, including the types of supports that would be funded, and the responsibilities of community and mainstream services. Click here to read the full report. Step 2 2014 - National Mental Health Sector Reference Group formed In 2014, the National Mental Health Sector Reference Group was formed in order to develop strong working relationships between the mental health sector and the NDIA, to ensure the NDIS best meets the needs of people with a psychosocial disability. Membership includes consumers, carers, peak associations and government representatives. Step 3 2015 - present - Ongoing sector development and support Over the past few years there have been a number of funded projects and activities to help ensure that the NDIS meets the needs of people with psychosocial disability. You can find out more about these activities, including a range of mental health specific resources on the NDIS and mental health section of the NDIS website. START AGAIN Frequently asked questions click on the questions below to view some of the frequently asked questions about the NDIS and psychosocial disability. Can people with a psychosocial disability apply for the NDIS? Yes, people with a psychosocial disability can access the NDIS. To do this, the person needs to show that they have a likely permanent psychosocial disability that significantly impacts their day-to-day life (reduced functional capacity). You can learn more here about how the NDIS supports people with a psychosocial disability on the NDIS website. See also our 'NDIS access and psychosocial disability' training module. What does the NDIS fund for people with a psychosocial disability? Most NDIS participants with a psychosocial disability need support from the mainstream health and mental health system as well as the NDIS. The NDIS funds supports that assist with daily living (such as capacity building for independent living), engaging in community activities, planning and decision making and supports coordination. It will not fund services that are the responsibility of the mental health system; this includes all medical and clinical services associated with diagnosis and treatment of the mental health conditions (e.g., psychiatry services). Visit the NDIS website for more information on the NDIS and other Government services. See also our 'Reasonable and necessary in the NDIS' training module. Is the NDIS recovery oriented? Yes, the NDIS fits within a recovery framework and provides funding for services and supports based on a person's goals and aspirations for daily living. It also emphasises individual choice and control regarding the services and supports that are needed. Furthermore, the NDIS maximises the capacity of people with a disability to participate in the community. More information about the relationship between recovery oriented practice and the NDIS is available on the NDIS website. See also our 'Recovery and the NDIS' training module. How does the NDIS support carers? The NDIS provides information, referral and linkages to ensure families and carers are able to access supports in the community to assist them in their roles. People with NDIS plans may also use their plans to facilitate carer respite (e.g., by arranging for additional supports to help at home or in the community). Further information on how carers are involved in the NDIS is available on the NDIS website. What if someone isn't eligible for the NDIS, or chooses not to apply? People who do not meet the access criteria to become an NDIS participant, or who choose not to apply for the NDIS, can still benefit from the NDIS the local area coordination partners who can help link people to support available in the community. People with severe mental illness who are not best funded through the NDIS may be eligible to receive support through a range of Australian Government psychosocial support services. These services aim to support people to increase their ability to do everyday activities through a range of non-clinical community based support. Mainstream health services, e.g., community mental health, remain available to support all Australians. For more information on mental health supports outside the NDIS visit the Department of Health website.
Lesson 4 of 7 How does the NDIS support individuals and the community? How does the NDIS work with existing support systems? A key principle of the NDIS is that people with a disability have the same rights as all Australians to access community and mainstream services, determine their best interests, and exercise choice and control in decisions that affect their lives. The NDIS is not designed to duplicate or replace existing mainstream services or community supports. The NDIS achieves its aims and objectives through two different funding activities: • information, linkages and capacity building - activities that ensure communities become more accessible and inclusive of people with disability. • individual NDIS plans - supports and services for individuals. Community and informal supports Image of three people holding coffees Community and informal supports are 'unpaid supports' including supports from family, friends and community groups e.g., churches. The NDIA aims to sustain and strengthen these existing supports, not to replace them. This is considered in detail when developing a participant's individual NDIS plan. Mainstream services Image of silhouettes near a service sign For more information on the NDIS and other government services see the NDIS website. Mainstream services are government-funded public services that are available to all Australians. These include health services (e.g., Medicare and dental, hospital and mental health) employment services (e.g., Centrelink), housing and more. The NDIS works with other government systems as part of the government’s overall strategy to improve the response of mainstream services for people with a disability. The NDIS assists people with a disability to access mainstream services through their Information, Linkages and Capacity Building (ILC) program. Information, linkages and capacity building (ILC) What does ILC do? ILC is an integral part of the NDIS. It will work alongside the individualised funding (NDIS plans) to build individual and community capacity and ensure the sustainability of the scheme. Click right to learn more about ILC... START Step 1 ILC is delivered by Local Area Coordination organisations Image of many faces The NDIA provides grants to organisations to deliver ILC activities. The NDIA awarded 198 ILC grants totalling $239 million through the first rounds of the four programs of the ILC Investment Strategy (data from the NDIS 2023/2024 Q1 quarterly report). More information is available at the DSS ILC grants page. Step 2 ILC is about community inclusion Image of many hands joining together in the middle ILC is about community inclusion. It supports people with a disability, their carers and families to become more connected to their communities and available services. It also supports communities and services to become more accessible and inclusive. Step 3 ILC is for people with and without NDIS plans Image of a large rope tied in a knot The ILC activities do NOT duplicate services that can be purchased through an individual NDIS plan. They strengthen community and mainstream services, improve access to information and referrals, and support individuals to build their knowledge, confidence and skills to achieve their goals. Anyone with a disability, their families and carers can therefore benefit from the broader work of ILC. Step 4 ILC focuses on the bigger picture Image of person holding a magnifying glass The individual funding component of the scheme focuses on meeting individual support needs, whilst ILC looks at the bigger picture i.e., creating more inclusive communities. Visit the NDIS website for more information on ILC. START AGAIN ILC provides grants to organisations under four complementary programs: scroll through the flipcards below for more information 1 of 4 Front of card Individual capacity building program Click to flip This program aims to build the skills of people with disability and their carers, through access to services such as peer support and mentoring. 2 of 4 Front of card National information program Click to flip The program focuses on information sharing. This means making sure people with disability, their families and carers have current, accurate and relevant information on supports and services available in the community. 3 of 4 Front of card Economic and community participation program Click to flip This program funds activities that increase the economic and community participation of people with a disability by: • connecting them to community and employment activities, supports and opportunities • working with communities and employers to promote inclusivity and understand people's needs. 4 of 4 Front of card Mainstream capacity building program Click to flip This program funds activities that work with mainstream services e.g. health and justice, to improve access to and use of these services for people with disability. NDIS Partners in the Community are also part of the ILC strategy. These partners are community organisations appointed by the NDIA to deliver Local Area Coordination Services (L.A.C.) and Early Childhood Early Intervention Services (E.C.E.I.). L.A.C. Partners in the Community L.A.C. partners deliver services to people with a disability aged 7 and above. L.A.C.s • help people understand the NDIS and support access to the NDIS • conduct planning and review meetings for NDIS participants • assist in plan implementation once a participant has a plan • link people to community and mainstream supports • work with community and mainstream services to be more inclusive of people with a disability. You can learn more about the NDIS approach to L.A.C. services on the NDIS website. Early Childhood Early Intervention (ECEI) Early childhood partners deliver early childhood intervention to children aged 0-6 years with a developmental delay or disability. early childhood partners • provide information to families and carers, and connect children to available supports and services in their area. • provide short-term early intervention supports, where appropriate. • assist with NDIS access and planning where longer-term early childhood intervention is required. You can learn more about the NDIS approach to early childhood intervention on the NDIS website.
Lesson 5 of 7 Individual funding plans If a person is eligible for the NDIS, they become an 'NDIS participant'. Every NDIS participant is supported to develop an NDIS plan (also known as an individual plan), which includes information about the participant, their goals, and the funding they have received. NDIS participants can use this funding to access the supports and services they want, when they want them. This system of individualised funding puts choice and control with the person, not the organisation. Who can become an NDIS participant? A person who wants to become a NDIS participant needs to show that they meet the access requirements set out in section 21 of the NDIS Act. There are three broad requirements a person needs to meet to be eligible for the NDIS: • Age • Residency • Disability or early intervention 1 of 3 Image of birthday cake with a lit candle Click to flip The NDIS is for people under the age of 65. A person meets the age requirements if they are under the age of 65 when they request to access the NDIS (Section 22 of the NDIS Act) 2 of 3 Image of detailed map of Australia Click to flip The NDIS is for Australian residents. A person meets the residency requirements if they: • are an Australian citizen • are the holder of a permanent visa • are the holder of a protected special category visa (Section 23 of the NDIS Act) • live in Australia or spend most of their time in Australia. To determine this, the NDIA asks where the person and their immediate family live, where the person works or receives income from, if the person owns property in Australia and how often they go overseas. 3 of 3 Image of two cartoon characters standing on jigsaw puzzles Click to flip The NDIS is for people with a disability. A person is likely to meet the disability requirements if they have a disability that is attributable to an impairment, is permanent or likely to be permanent and results in substantially reduced functional capacity (Section 24 of the NDIS Act). If a person does not meet the disability requirements they may meet the early intervention requirements (Section 25 of the NDIS Act), which consider the impacts of early intervention supports on the person's functional capacity later in life. For more information on accessing the NDIS, including how to support someone to apply, complete our 'NDIS access and psychosocial disability' training module. You can also visit the NDIS website. What does the NDIS fund? The NDIS funds reasonable and necessary supports to help a person reach their goals, objectives and aspirations. Section 34 of the NDIS Act details the reasonable and necessary criteria, which are the guiding principles for deciding what can be included in a NDIS plan. The NDIS is an individualised scheme and everyone has different needs and goals, so what is considered reasonable and necessary for one person might not be for another. click on the icons in the image below to find out more about the reasonable and necessary criteria. Icon 1 of 6 Assist to pursue goals All services and supports must be linked to the person's goals and aspirations. A person may have multiple goals in their NDIS plan, which can be short, medium or long term. Setting goals is important to focus efforts and increase the chance of success. Goals in NDIS plans don’t have to be achieved every time, sometimes things go wrong or priorities change. This is OK, the NDIA just need to be satisfied that the support will assist the person to work toward their goals. Icon 2 of 6 Facilitate social and economic participation This is a key aim of the NDIS. The NDIA must be satisfied that supports or services included in a participant’s plans would assist them to undertake activities that would facilitate social or economic participation. Simply put, there must be a connection between a person's support need and their capacity to increase their independence and ability to participate in society in the way that people without a disability do. Icon 3 of 6 Represent value for money Supports must represent value for money. When determining if a support represents value for money the NDIA will consider its: • long term benefits for the participant • potential to reduce need for additional supports in the future • value relative to similar supports Icon 4 of 6 Reasonable expectation of informal supports When deciding what to fund, the NDIA consider what is reasonable to expect from families, carers, informal networks or the community to provide. Each individual situation is different, but some of the considerations include: • the age and capacity of the carer and/or family • the intensity and type of support required, compared to someone of a similar age without a disability • the impact on the wellbeing of the informal support and the participant • the impact on the relationship between the informal support and the participant Icon 5 of 6 Effective and beneficial for the participant The NDIS does not fund supports or services that are likely to cause harm to the participant or pose a risk to others. The NDIA needs to be confident that the service is likely to be effective and beneficial for the participant, noting good practice. Icon 6 of 6 Most appropriately funded by the NDIS The NDIS does not replace or duplicate existing services. It only funds supports related to the participant’s disability and does not pay for every day living costs eg groceries or rent. Before including any support or service in a participant’s plan, the NDIA considers if the support is most appropriately funded through the NDIS, or whether it is the responsibility of another service system. For more information on what the NDIS funds complete our 'Reasonable and necessary in the NDIS' training module. You can also visit the NDIS website. Match the NDIS components to the correct definition... • ILC • Provides funding to organisations to build individual and community capacity. • NDIS plan • Individualised funding to help a participant achieve their goals. • NDIS act • The legislation underpinning the NDIS and guiding decision making activities. SUBMIT Remember! This training is an introduction to the NDIS and how it works. To gain a more in depth knowledge of the NDIS, we have developed a range of training modules and factsheets, all available on our website.
Lesson 6 of 7 QUIZ Start quiz Question 01/06 The NDIS is an insurance scheme, which means that People pay a fee to access the scheme in the same way that people pay a fee for health insurance. The scheme is funded by the government to improve outcomes for people with a disability. Answer is second tick box Question 02/06 The NDIS is not recovery oriented. True False Answer is false Question 03/06 The NDIS replaces current mainstream services. True False Answer is false Question 04/06 The NDIS principle of choice and control means (select all that apply) People can choose the type of supports and services they want to access. People can choose who provides their services and supports. People choose their own goals and aspirations. Answer is all three tick boxes Question 05/06 Only people who have an NDIS plan will benefit from the NDIS. True False Answer is False Question 06/06 The NDIS (select all that apply) Supports community and mainstream services to be inclusive and accessible. Provides funding to eligible people with a disability to access reasonable and necessary supports Builds individual capacity to access services, including community and mainstream services. Answer is all three tick boxes
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