Advice Support Tool
Theme: Assistive Technology Sub-Theme(s): Standing frame
References:
- NDIS Act 2013 Section 34 1. (a) - (f) and 2.
- NDIS Support for Participant Rules 2013
- AT assessment report
- Our Guideline — Assistive Technology
- Understand assistive technology evidence, advice, assessments and quotes guide
- Mandatory TAB referrals - All walking aid (gait trainer) or standing frame above $7,000
- Paleg et al, 2013 Systematic Review and Evidence-Based Clinical Recommendations for Dosing of Pediatric Supported Standing Programs. Pediatric Physical Therapy 25(3): 232-247
- Paleg and Livingstone, 2015 Systematic Review and Clinical Recommendations for Dosage of Supported Home-based Standing Programs for Adults with Stroke, Spinal Cord Injury and other Neurological Conditions. BMC Musculoskeletal Disorders (2015) 16:358
Note: All criteria need to be met for the supports to be funded through the NDIS.
| Criteria for reasonable and necessary | Is criteria met? | Considerations (including evidence used) |
|---|---|---|
| supports | & Yes > | Are the goals related to the functional outcomes? |
| Functional outcomes: transfer ability, standing tolerance, performing activities in standing, ease of personal care | ||
| s47E(d) - certain operations of agencies | ||
| 34.1(a) Enabling the participant’s goals and objectives (supports will assist the participant to pursue the goals and objectives in their plan) | & Yes > | Can consider the indirect effects of the outcomes listed above on social and economic participation |
| O No ——~> | ||
| 34.1(b) Assist the participant’s social and economic participation (supports will assist the participant to undertake activities to facilitate their social and economic participation) | & Yes > | Has the prescriber considered any likely changes secondary to growth or a degenerative condition? |
| G No | ||
Criteria for reasonable and necessary supports
| Criteria for reasonable and necessary supports | Is criteria met? | Considerations (including evidence used) |
|---|---|---|
| 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 longterm 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 there evidence the quoted support cost is comparable to expected cost of same kind of supports? S47E(d)-certain operations of agency |
Hydraulic lift standing frame would be considered the standard level of support. s47E(d) - certain operations of agencies |
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
What are the expected benefits of the support provision?
How will effectiveness of achieved outcome be measured? | & Yes →
O No →
Has the standing frame been trialed? If so, what were the trial outcomes (i.e. time tolerated in standing position, what tasks were they able to perform in standing)
s47E(d) - certain operations of agencies
Version 1.0
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Criteria for reasonable and necessary supports
| Criteria for reasonable and necessary supports | Is criteria met? | Considerations (including evidence used) |
|---|---|---|
| When will effectiveness of achieved outcome be achieved? Are there other supports required to achieve or maximise the reported support outcomes for participant? | Does the participant have sufficient range of movement to participate in standing and achieve optimum lower limb/trunk alignment? Is there evidence of standing frame use? If so, how recent? Is there evidence of the current standing regime? How long can the participant tolerate in standing? s47E(d) - certain operations of agencies Has the prescriber considered: Whether the standing frame is compatible with other AT redacted and with the intended environment for use? How much assistance does the participant require to transfer to/from the standing frame? s47E(d) - certain operations of agencies |
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 | Yes → | Prolonged standing cannot safely occur without the support of a standing device |
| Criteria for reasonable and necessary Is criteria met? | Considerations (including evidence | supports used) | families, carers, informal networks and the | community to provide) | Consider NDIS Support for Participant Rules | 2013 Part 3.4 | | 34.1(f) Support is most appropriately funded Yes > | s47E(d) - certain operations of agencies | 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. | | Support will not cause harm Yes > | Consideration of the safety of | (Supports will not be funded if it is likely to =| |] No = ——>| and any related manual handling risks | cause harm to the participant or pose a risk | 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 | | Criteria for reasonable and necessary Is criteria met? | Considerations (including evidence | supports used) | families, carers, informal networks and the | community to provide) | Consider NDIS Support for Participant Rules | 2013 Part 3.4 | | 34.1(f) Support is most appropriately funded Yes > | s47E(d) - certain operations of agencies | 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. | | Support will not cause harm Yes > | Consideration of the safety of | (Supports will not be funded if it is likely to =| |] No = ——>| and any related manual handling risks | cause harm to the participant or pose a risk | 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 | | How will the participant be transferred | to and from the standing frame as | they grow and does it present a | manual handling risk to the carers? | | Consider whether the participant has | had recent standing/weight-bearing | experience. | | If there is evidence of Epilepsy, | consideration for inclusion within an | Epilepsy Management Plan (EMP) to | ensure that standing is not a trigger to | seizures and there is a plan to | manage the participant should a
Criteria for reasonable and necessary supports
| Criteria for reasonable and necessary supports | Is criteria met? | Considerations (including evidence used) |
|---|---|---|
| seizure occur whilst in the standing frame. | s47E(d) - certain operations of agencies |
Version Control
| Version # | Status | Date | Modified by | Brief Description of Modification |
|---|---|---|---|---|
| V1.0 | Cleared | 30/08/2023 | MHS841 | 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