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° mhaustralia.org <*>
Australia WN
The implementation and operation of the psychiatric disability elements of the National Disability Insurance Scheme:
A recommended set of approaches
TECHNICAL PAPER PREPARED BY DAVID MCGRATH CONSULTING ON
BEHALF OF MENTAL HEALTH AUSTRALIA
rk National(NMHSPF)byon unendorsedTheas Australiaits contribution
nnersPolicy
Foreword4
Executive6
Introduction
Population11
Estimates13
National13
Individual15
Group17
Residential19
Family20
Contributing22
Current25
ExpenditureCommunity25
Service26
Policy28
Defining28
Potential30
Recommended35
– 37 39
Foreword
– isit–set–cont-focussed people ems and te It– trialDisability experienced oup. paperchallengesn, Capacity -government Resolv supports ich services
nongovernment -government Scheme.Whileng (NMHSPF) thof eliberations between paper fundingople -integratedlead lives. papermany under guarantee
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Executive
ssociated framework ofwith ersons modelling tilised mentalcare.of1 orts
29 ,000 sons severe -acute18 ,000 support.153,600 hose requireform
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Introduction
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ntations.thanoutcomes.that willdriven relatedcurrentlyclientswhat .How service t are IGA t community ngthe
implementation alternative-NDIS populationsubstantial,
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providthoseserviceseonly cannot identifiedisolationt populationthat
Modelling has populationTableindicateslevelseveritytheupport. presents
2
POPULATIONMild8.8%TOTAL 9
4.5%Severe2.9%
TOTAL3,839,907
3 MILDPrevalenceMODERATEPrevalence SEVEREPrevalence
- 8.8% 4.4% 2.2%
-12178.9% 155,640 4.4%79,458 2.2%42,758 -65+9.4% 190,3364.8% 95,1763.3% 60,766
8.8% 4.5% 2.9%
Australian3NMHSPF
itthe“severecohortscopethe group for communitywhoare receiving ities-willpeople4 identify-type supportse criteria ple -be-scope contributionscheme,access support
alAustralia
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Estimatessupport
NationalElementsTherepresent population whichidentify F, Appendix n, aggregation severe accounting23%5These include ividuals-64The
5IHPA,www.ihpa.gov.au
:SEVERE-packagesNATIONAL-64
Severe232POP,300
Severe58 ,075 Severe14 ,851 Severe46 ,089 Severe11 ,654 Severe6 ,280 Severe14 ,834 Severestay ,931
Severe594
Mother446
Severe4 ,544 Severe3 ,636 SevereDisorders2 ,387 Severe31 ,916 Severe6 ,280 Severe3 ,738 Severe21 ,805 Severe5 ,607 Severe1 ,003
Severe191
Severe2 ,085 Severeintensive 0.004 470 767
apportion sall -month complex” -monthforsNumbers normallyoveris improvementpopulation
6Thepulation
Individualort
provided systems. -month estimationll year. :individual support
SEVERE- NATIONAL INDIVIDUAL POPULATION RATE
232 ,300 23 ,230
58 ,075 43 ,556
14 ,851 14 ,851
Ambulatory46 ,089 46 ,089
11 ,654 0 6 ,280 0
14 ,834 1 ,483
1 ,931 0 Mother594 0
446 0
4 ,544 3 771
3 ,636 2 ,654
2 ,387 0
31 ,916 957
6 ,280 0
3 ,738 3 ,738
21 ,805 21 ,805
specialist5 ,607 5 ,607
1 ,003 1 ,003
191 191 2 ,085 0
521 0
470 767 7
7Individual
ApplyingtheNDIS withof Thisinterpretation:
Itnecessarily- IFP vice
,in Itexcludesconsistent ofIFPs theyIFP month
does57,000,NDIA participantTableindicates populationunderandyrateshere0 -17 individual
:-17
SEVERE- NATIONAL INDIVIDUAL POPULATION RATE
-
32 ,149 0
-
41 ,815 0
-
1 ,293 0
-
28 ,498 28 ,498
-
5 ,343 1 ,335
-
-
1 781 0
- 2 ,859 1 ,000
947 786 758 553
32 173
6.4%producedindividualwillfor participants, se ion need
y individuals populations
:group residential.overlapping
enticalclear GroupThe d one opriate cant By
ble 68,0008individuals rehabilitation individual 2015
6 Care
SEVERE- UNIQUE POP GROUP GROUP RATE
20% ,460 20% ,615 0%Severe0% Severe30% ,496 0%Severe20% ,967 0%Severe0%
Mother0%
Severe0%
Severe25%
Severe30%
Severe6% ,915
8In9Thispackagenotneed
- UNIQUE POP GROUP GROUP RATE
SpecialistSevere0%0%
Severe0%
Severe0%
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Severe0%
SevereNon0%
Severe0%
Total,
Thisconsideredillness;some
below onthe AustralianThe NMHSPF; adjustedtion
Table:10 support INDIVIDUALSSevere-64179,816 -642 ,766 -1734 ,232 -6472 ,435 289 249
whenthat ing11
10Based2015
This2,766
- .
ResidentialSupportFor
crisis- facilities-termgo hours Theare-clinical campuses skills mental tent The;identified additione packages., additional However,gest required unique indicating
elling Thepeople neededa matelythispeople FamilySupportTheis Supportsan and,given carers., s designatedconceivable individual
n -type Commonwealthfu tlikelybe needspresented.theof, number
:SEVERE--NATIONAL FAMIL CARER CARER
Severe232 ,300 RATE 0
58 ,075 29 ,038
14 ,851 7 ,426
46 ,089 9 ,218
11 ,654 6 ,992
6 ,280 0 14 ,834 0 1 ,931 0
594 0 446 0
4 ,544 1 ,500
3 ,636 1 ,200
2 ,387 1 ,432
31Severe6 ,280,916 0
-
NATIONALFAMIL CARER CARER
Severe3 ,738 RATE 747
21 ,805 4 ,361
5 ,607 1 121
residential ,003 200
191 38 2 ,085 0 521 0
470 767 ,
indicatesandare-64,12 servicewill upport, familiesthroughIFP . arecarerrtsparticipantbutis Inestimated13 forunderyears require these :
COHORTS
Families- 63,274 Consumers- 81,136 144,410 153,652
ort. NDIA
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iceshealth antially available.To-2010,s on
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ifferences between disability
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POLICYIMPLEMENTABLE EFFECTIVE IMPROVE SIGNIFICANT SOLVING RESPONSE NDIS CONSUMERS RESISITANCE THERECOMMENDED PROBLEMS
-Joint
operational
ity programs
Governments Commit
to a cross jurisdictional
service guarantee,
potentially through the
scheduled revision to xX v v v Annex E of the
intergovernmental
agreement, regarding
continuity of support.
Commitment by
governments to report
publically on
outcomes for those v v v v with a severe mental
illness not accepted
into the NDIS.
Development of
psychiatric disability 4 V V V specific set of
operational guidelines
Development of
mental health specific VY VY VY VY overall system
navigation tools
The implementation and operation of the psychiatric . <A g 36 disability elements of the National Disability Insurance mhaustralia.org <*> Scheme: A recommended set of approaches WN
–Background
eded relevant -based andervice meaningful ferings. required.The the these
Primary
Specialised
Specialisedlth
Medications
ServicesThisNon
service-kind participatings
Within
Individualnd
Group
Other
SupportEachFamilyow
1:Support
SPECIALISED
SERVICESERVICE
Individualand
Group
Other
Family
It plesof
Support includingcal linkedb health
y and efficient participants.It ailable
statement participant,generalthatreasonable necessarythat followingision theparticipantincludedparticipant theparticipantparticipant theforrelative theparticipantregard thecarers theNationalInsurance, generalagency body, offered:TheNationalrulesmetho whether2013, matters al matters e have
:SPECIALISED
Technology amily
SupportsIt
neithertype re estimating ividuals Accessams support
Information,
Capacity
Community
Individual
ThereferralsLocal- the t designedHSPF unclear, the capacity ity orwith
The policy framework does not indicate however the overall budget for the ILC program or the split between the five streams.
The final stream, Local area Co-ordination is a navigation tool for people to make full use of mainstream services and informal services outside the NDIS. It has a heavy focus on prevention activities, community inclusion and the development of networks. It is unlikely to have a significant overlap with the NMHSPF taxonomy however there are some components that are reflected in this stream.
It is important to understand how much funding is going into the ILC program and how it is to be split between the streams, in order to assess how much of the non IFP need will be met by this program.
The implementation and operation of the psychiatric . <A g 41 disability elements of the National Disability Insurance mhaustralia.org =°> Scheme: A recommended set of approaches WN
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