Advice Support Tool

Theme: Sexual Activity

Sub-Theme(s): Sex Therapy

References: [include any relevant referenced documents]

NDIS Act 2013 Section 34 1. (a) - (f) and 2.

NDIS Support for Participant Rules 2013

[Eg. AT assessment report]

[Eg. Our Guideline — Assistive Technology]

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

undertake activities to facilitate their social and economic participation )

Criteria for reasonable and necessary Is criteria Considerations (including evidence

supports met? used)

34.1(a) Enabling the participant’s goals O Yes ?

and objectives

(supports will assist the participant to pursue | O No —_—>

the goals and objectives in their plan) Has the participant expressed goals regarding sex and/or relationships? This may be a goal or objective for a participant, from their guardian or supported decision maker; if so, it would be important to consider the participant’s capacity to provide informed consent to these requests being made

34.1(b) Assist the participant’s social and | — Yes > | Will the support assist the participant

economic participation to build their capacity to establish

lationships (friendshi d/

(supports will assist the participant to O No —> | Terationsnips (fendship and/or

intimate)?

Will the support reduce the participant’s vulnerability to harm when seeking to establish relationships?

Are there other supports that would be more effective in assisting the participant’s social and economic participation, thereby providing opportunities to meet an intimate

partner? 34.1(c) Value for money O Yes (supports represents value for money, ie the costs of support are reasonable, both in O No Version 1.0 24/08/2023 Page 1 of 5

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Criteria for reasonable and necessary supports

Is criteria met?

Considerations (including evidence used)

• terms of the benefits achieved and the cost of alternative support) 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?

• Is there evidence the quoted support cost is comparable to expected cost of same kind of supports? S47E(d)-certain operations of agency

• Is the requested hours for Sex Therapy reasonable for their support needs and goals? Have they already been engaged in Sex Therapy? What has been achieved and why are more hours required?

• Could the goals for Sex Therapy be addressed through other capacity building supports, such as a Speech Pathologist for communication skills or Occupational Therapist/Physiotherapist for safe body positioning during sexual activity.

34.1(d) Support is effective or beneficial for the participant

(supports will be, or are likely to be, effective for desired effect and beneficial for the participant, having regard to current good practice) Consider NDIS Support for Participant Rules 2013 Part 3.2 and 3.3

• Yes
• No

Criteria for reasonable and necessary supports

Criteria for reasonable and necessary supports	Is criteria met?	Considerations (including evidence used)
What are the expected benefits of the support provision?	s47E(d) - certain operations of agencies	Positive Behaviour Support strategies are more effective at addressing sexualised behaviours of concern than Sex Therapy. Does the participant have the communication skills to engage in Sex Therapy and do they have the cognitive capacity to understand, retain and implement information provided in Sex Therapy sessions. If a participant has been engaged with Sex Therapy for a long time with no clear outcomes, is it assisting them achieve their goals related to sexual activity.
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)

Consider NDIS Support for Participant Rules 2013 Part 3.4

	Yes →	s47E(d) - certain operations of agencies
	No →	redacted: s47E(d) - certain operations of agencies

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.

	Yes →	Is the requested support for the purpose of addressing offending behaviour — likely to be the responsibility of mainstream justice or mental health. Issues of low libido/erectile dysfunction are the responsibility of mainstream health. Low libido due to psychiatric medication is the responsibility of mainstream mental health.
	No →	redacted: Is the requested support for the purpose of addressing offending behaviour — likely to be the responsibility of mainstream justice or mental health. Issues of low libido/erectile dysfunction are the responsibility of mainstream health. Low libido due to psychiatric medication is the responsibility of mainstream mental health.

| Criteria for reasonable and necessary Is criteria Considerations (including evidence | supports met? used) | Support will not cause harm O Yes > | Does the participant have capacity to (Supports will not be funded if it is likely to consent to engage in sexual activity. cause harm to the participant or pose a risk | No ——>| How can the participant communicate arisk to others, or the support would be contrary to consent and withdraw consent while a law of a jurisdiction) engaging in sexual activity. Consider NDIS Support for Participant Rules 2013 Part 5.1 and 5.3

| Support is directly related to the 0 Yes participant’s disability (supports will not be funded under the NDIS_ | DO No if they do not relate to the participant’s disability or are day-to-day expenses or income replacement) Consider NDIS Support for Participant Rules 2013 Part 5.1 and 5.2

| Support does not duplicate other 0 Yes supports (supports do not duplicate other supports CO 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? O No

Version Control

Version #	Status	Date	Modified by	Brief Description of Modification
V1.0	Cleared	01/09/2023	EOM724	Production of initial V1.0
V1.0	Cleared	05/09/2023	JIF775	Transferred to Key Advisor Advice Resources repository

Note: Document uncontrolled in hard copy