Advice Support Tool

Theme: Sexual Therapies

Sub-Theme(s): Assistive Technology #7E@)seetainjeperationsoragencies to apply AT devices

References:

• NDIS Act 2013 Section 34 1. (a) - (f) and 2.
• NDIS Support for Participant Rules 2013

Note: All criteria need to be met for the supports to be funded through the NDIS.

Consider NDIS Support for Participant Rules 2013 Part 3.1 (a) — (f);

Are there comparable support options which would achieve the same outcome at a substantially lower cost? What alternative supports were considered?

Is there evidence that the support will substantially improve the life stage outcomes and be of long-term benefit to the participant?

Is there evidence that funding support is likely to increase independence and reduce funded support costs in the long-term?

Is there evidence the support will increase the participant’s independence and reduce the participant’s need for other kinds of supports?

S47E(d)-certain operations of agency

Is criteria Considerations (including evidence used) met? Yes > | Evidence to consider supports:

• Evidence that the person has the cognitive capacity to request and engage in sexual health supports and to provide and withdraw consent.
• Evidence of a person’s physical capacity, and whether the support is related to a person’s physical impairment as a result of their disability.
• Evidence recommending the support required, including information such as the purpose of the device recommended, the non-standard features of the device, other lower-cost or mainstream supports considered, and a quote for the device/support.

Regarding AT equipment, have comparable devices been explored and reasons outlined why they could not achieve the same outcome at a substantially lower cost?

Version 1.0 Page 257 of 442

Criteria for reasonable and necessary supports

Has the device been trialled? Has it been demonstrated through trial that this device can be independently used by the participant safely according to their disability-specific needs?

Has the prescriber considered any potential risks with use of this device? This may include potential for the device to cause injury or behaviours of concern with use of the advice. Have any strategies been developed to mitigate any risk?

What are the expected benefits of the support provision? How will effectiveness of achieved outcome be measured? When will effectiveness of achieved outcome be achieved? Are there other supports required to achieve or maximise the reported support outcomes for participant? | | 34.1(e) Support coordinates with but does not replace informal support (funding or provision of supports takes account of what it is reasonable to expect families, carers, informal networks and the community to provide) | | Does the participant have a partner who will be assisting with use of the device? If so, does the participant require non-standard features?

Consider NDIS Support for Participant Rules 2013 Part 3.4 | | 34.1(f) Support is most appropriately funded by the NDIS (supports are not more appropriately funded or provided through other general service systems or universal service obligations Consider NDIS Support for Participant Rules 2013 Schedule 1.) | | Does evidence reveal that this support is related to health conditions, s47E(d) - certain operations of agencies |

Version 1.0 Page 258 of 442 Page 3 of 5

| Criteria for reasonable and necessary Is criteria Considerations (including evidence | supports met? used) | Support will not cause harm O Yes ? (Supports will not be funded if it is likely to cause harm to the participant or pose a risk | No —> | to others, or the support would be contrary to a law of a jurisdiction) Consider NDIS Support for Participant Rules 2013 Part 5.1 and 5.3 Has the prescriber considered the risk of vulnerability to the participant engaging in sexual health supports? This might include, but not limited to, cognitive capacity to engage in sexual health activities, consent, communication methods, their age, etc. | Support is directly related to the O Yes > | Has the support been recommended to address the functional impacts participant’s disability (Physical) associated with the (supports will not be funded under the NDIS | No © —>| disability for which the participant has if they do not relate to the participant’s gained access to the scheme? disability or are day-to-day expenses or income replacement) Consider NDIS Support for Participant Rules 2013 Part 5.1 and 5.2 Are there extra features noted that are not disability-related features? | Support does not duplicate other O Yes 7 1- NIA supports (supports do not duplicate other supports | No —> delivered under alternative funding through the NDIS such as Information, Linkages and Capacity Building (ILC) funding.) Consider NDIS Support for Participant Rules 2013 Part 5.1 Are all of the above criteria met for all Oo Yes ? supports? ONo —~>

Version Control

Note: Document uncontrolled in hard copy