NDIA Accountability Project

Promoting workforce capacity for children and young people with disability

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Submission to the Joint Standing Committee on

the National Disability Insurance Scheme’s inquiry into the NDIS Workforce

Children and Young People with Disability Australia

May 2020

Background

Children and Young People with Disability Australia (CYDA) is the national representative organisation for children and young people with disability aged 0-25 years. CYDA has an extensive national membership of over 5,000 young people with disability, families and caregivers of children with disability, with the majority of our members being families.

CYDA’s purpose is to advocate systemically at the national level for the rights and interests of all children and young people with disability living in Australia. To do this, we focus on the following:

  • Listening and responding to the voices and experiences of children and young people with disability
  • Advocating for children and young people with disability for equal opportunities, participation and inclusion in the Australian community
  • Educating national public policy-makers and the broader community about the experiences of children and young people with disability
  • Informing children and young people with disability, their families and caregivers about their citizenship rights and entitlements
  • Celebrating the successes and achievements of children and young people with disability.

CYDA appreciates the opportunity to provide this submission on the National Disability Insurance Scheme (NDIS) Workforce to the Joint Standing Committee on the NDIS. In our submission, we discuss the impacts that different elements of workforce planning have for children and young people with disability and their families, and the importance of promoting and maintaining the delivery of safe and high quality services.

Executive summary

As at December 2019, more than half (56.2 per cent) of all NDIS participants are aged between 0 and 24 years. Therefore the unique developmental needs of children and young people with disability must be central to planning the NDIS workforce.

The rapid growth of the NDIS workforce brings challenges for all participants, service providers, community partners and the National Disability Insurance Agency (NDIA), as well as for workers themselves. From CYDA’s perspective, along with our members and other key advocacy organisations, maintaining the high quality of the workforce for children and young people with disability is a key challenge and priority during this period of growth.

Young people with disability, and families and caregivers of children with disability, consistently report challenges in their interactions with various parts of the workforce – including staff at the NDIA and with Local Area Coordinators (LACs) and Early Childhood Early Intervention (ECEI) partners. The limited understanding of disability, child developmental delay and a family-centred approach held by staff is a particular concern, and can have a serious impact on the types and appropriateness of services that are made available to support children and young people.

  • Recruitment and retention of disability workers is another key challenge for people with disability and for the sector. A key factor in this is a lack of job security and high levels of casualisation in the workforce. Recruitment challenges tend to be even greater in regional, rural and remote areas. Workforce shortages can have a particular impact on children and young people, with allied health professional vacancies among the hardest to fill.

There is also serious concern about the lack of appropriately qualified workers supporting children and young people beyond the early childhood intervention pathway. The early childhood intervention NDIS pathway is only for children under seven years, and there is currently no recognition within the Scheme for the importance and uniqueness of the middle childhood and adolescent periods in young people’s lives, which are also important for their growth and development.

Maintaining workforce quality and safeguarding mechanisms across the country is a key element in promoting and protecting the safety of children and young people. Encouraging greater connection between the workforce and the education sector, and developing clearer roles and responsibilities across government – particularly for unregistered providers – are discussed in this submission. CYDA would also like to highlight the inclusion of young people with disability within the NDIS workforce as they face serious barriers to obtain qualifications and employment due to low expectations by the education sector, community and employers.

Our recommendations

Build workforce capacity to support children and young people with disability

  • Strengthen the NDIS workforce’s understanding of disability and child developmental delay to improve the delivery of support for children and young people with disability
  • Guarantee NDIS staff and Early Childhood Early Intervention (ECEI) and Local Area Coordinators (LAC) community partners take a family-centred approach to their practice
  • Standardise the qualifications beyond early childhood pathway to all children as well as young people with disability

Ensure the NDIS market is working for children and young people with disability

  • Develop a Thin Market Strategy for regional, rural and remote areas taking into account specific market issues related to children and young people with disability
  • Establish a Child and Young People Advisory Group reporting to the NDIA executive and board.
  • Improve current employment conditions of NDIS workforce to improve recruitment, retention and quality, targeting areas of critical workforce shortages.

Promote service quality for all NDIS providers

  • Clearly define the responsibilities of the states and territories for unregistered providers
  • Develop cross-government initiatives to retain qualified support workers and monitor regularly
  • Promote partnerships between the education system and NDIS to build skills and improve quality
  • Create employment opportunities for young people with disability within the NDIS workforce.

Build workforce capacity to support children and young people

with disability

Recommendations

  • Strengthen the NDIS workforce’s understanding of disability and child developmental delay to improve the delivery of support for children and young people with disability

  • Guarantee NDIS staff and Early Childhood Early Intervention (ECEI) and Local Area Coordinator (LAC) community partners take a family-centred approach to their practice

  • Standardise the qualifications beyond early childhood pathway to all children as well as young people with disability

One of the key workforce issues raised by families of children and young people with disability is the level of knowledge and understanding held by the NDIS workforce, including staff employed by the NDIA and community partners, as well as support workers delivering services to participants.

Over 70 per cent of respondents to a 2019 CYDA national survey reported having problems with the NDIS planning process.5 Families consistently reported that ECEI, LAC staff and NDIS planners did not have a sufficient understanding of disability, child developmental and community participation and as a result, participants received less support and services than they needed.

Another significant issue for families is the lack of a family-centred practice during the planning process through both the ECEI and standard NDIS pathways.

  "Family-centred practice is a way of thinking and acting that ensures that professionals and families work in partnership and that family life, and family priorities and choices, drive what happens in planning and intervention. Family-centred practice builds on family strengths and assists families to develop their own networks of resources – both informal and formal"6

Families report that NDIS staff and community partners don’t recognise the extra work of families and the services they need to support their children. This was noted as an issue by the 2019-20 review of the NDIS Act,7 with the final report recommending the NDIS Rules be amended so the determination of reasonable and necessary supports for children with disability recognises the additional informal support provided by families. However at the time of writing this submission, there has not yet been a formal response to this report from the federal government.

Comments CYDA has received from families of children and young people illustrate the lack of a family centred-approach8:

  "Denied support worker hours, denied riding for the disabled, denied help with support workers for after school hour care. Planner didn't know what after school care was! All occurred at the planning meeting."\n
  • Family of a child aged 4-6 years, regional Queensland

5 We received responses from 189 young people with disability and families and caregivers of children with disability. 6 Early Childhood Intervention Australia ECIA (2016) National Guidelines. Best practice in early childhood intervention, p 7. 7 Tune, D. (2020). Review of the National Disability Act 2013, Recommendation 12. 8 See CYDA’s submission to the NDIS Thin Markets Project, July 2019.

“The ECEI planners do not provide a family model considering simply the child and do not consider the importance of prompt early intervention.”

  • Family of a child aged 4-6 years, metropolitan Queensland

“Respite was difficult to get as “parental responsibility” kept getting quoted, even though the single parent was not able to do this parental responsibility due to physical & mental health issues.“

  • Family of a child aged 10-12-years, metropolitan NSW

“I would still like more services around inclusion and getting my son out in the broader community. There is a lot of camps and programs for people with disabilities but not a lot of stuff that intersects into mainstream groups.”

  • Family of a child aged 10-12 years, metropolitan Victoria

The significance of issues with the NDIS workforce is also demonstrated by official complaints. The Commonwealth Ombudsman’s 2018-2019 annual report indicates the office received 1,711 complaints about the NDIA, with the most common complaint about handling of reviews of plans and decisions. Between July and December 2019 the NDIS Quality and Safeguards Commission received a total of 2,022 complaints, with 51 per cent about provider practice, 20 per cent about provider policies and procedures, and 17 per cent about worker conduct or capability.

Additionally, while ECEI partners working with participants under 7 years are required to be qualified in Early Childhood Education or an Allied Health discipline, LAC or Planners – who work with children aged 7 and upwards – are not required to hold a minimum qualification. There is currently no recognition within the Scheme for the importance and uniqueness of the middle childhood and adolescent periods in young people’s lives, which are also important for their growth and development. During these periods, young people’s cognitive, social, emotional and other needs vary significantly from the needs of an adult.

CYDA is concerned that many staff working with young people between 7 and 25 years are not appropriately trained to meet their needs and support the development of their potential. CYDA recommends the standardisation of qualifications and increased training in disability, development and youth empowerment for people working with NDIS participants up to the age of 25 years, as they are key periods of growth and development.

Ensure the NDIS market is working for children and young people with disability

Recommendations

  • Develop a Thin Market Strategy for regional, rural and remote areas taking into account specific market issues related to children and young people with disability

  • Establish a Child and Young People Advisory Group reporting to the NDIA executive and board.

  • Improve current employment conditions of NDIS workforce to improve recruitment, retention and quality, targeting areas of critical workforce shortages.

Issues around supply of providers and choice and control for participants in rural and regional areas are well documented. For example, the most recent NDIS quarterly report showed there are nine regions in regional and remote areas where 85 per cent or more of payments go to the largest ten providers. Participants across the country report a range of issues in finding high quality service providers but this is also more pronounced in regional, rural and remote areas.

Findings from CYDA’s 2019 survey highlight these issues. Almost one in nine respondents living in rural or remote areas report barriers to accessing the right services and support (see Tables 1 and 2 below).

Table 1. Survey respondents reporting barriers to accessing the rights services and supports (n=189)

Location Number Percentage
Metropolitan 121 63
Regional 52 71
Rural and remote 16 87

Not having the right services available in the area, participants’ plans not allowing for the services needed, and long waiting lists were reported as the top three issues for children and young people with disability (Table 2).

Table 2. Types of barriers to accessing services and supports reported by respondents (n=172)

Barriers to accessing supports and services Number Percentage
Not enough services available in the area 37 21.5
Plan doesn’t allow for services needed 25 14.5
Waiting lists 23 13.3
Support coordination challenges including difficulty in navigating services, time and self-management 16 9.3
Workforce capability 15 8.7
Equipment and assistive technology 11 6.3
Accessibility of the service including flexibility and location 8 4.6
Cost of services and funding shortfall between NDIS plan and services and supports needed 8 4.6
Respite and family support not being available/funded 8 4.6
Interface issues with other systems 4 2.3
Other/unspecified 17 9.8

To develop a sustainable and equitable NDIS market framework, understanding the issues impacting service availability and quality for participants at different life stages is essential, as this can vary significantly. For example, in most cases children rely more on allied health services than adult participants, with an average 76 per cent of their NDIS goals focused on the daily life domain,

13 with these roles experiencing some of the highest shortages. Disability service providers report that allied health roles are the most difficult to fill and retain – specifically, psychologists, occupational therapists, speech therapists and physiotherapists. 14 More active work is needed from key stakeholders – including the NDIA, the Commonwealth Government, and state and territory governments – to improve market functioning, equity and sustainability. 15 The experiences and challenges experienced by children and young people living in regional, rural and remote areas should be considered in the development and implementation of any future work to address NDIS thin markets. Maintaining participants’ choice and control, and access to safe, high quality services, is critical. The establishment of a high-level NDIS Advisory Group including young people with disability,

Promote service quality for all NDIS providers

Recommendations

  • Clearly define the responsibilities of the states and territories for unregistered providers

  • Develop cross-government initiatives to retain qualified support workers and monitor regularly.

  • Promote partnerships between the education system and NDIS to build the skills and improve quality.

  • Create employment opportunities for young people with disability within the NDIS workforce.

As at 30 June 2019 there were 21,510 registered NDIS providers across Australia.[16\] Registered providers are regulated through the NDIS Quality and Safeguards Commission, while there is less oversight of unregistered providers. Additional challenges exist as states and territories also have different regulatory systems for disability workers; for example from mid-2020 in Victoria both registered and unregistered providers will be covered by the Disability Worker Regulation Scheme.[17\ CYDA is concerned that the inconsistency across jurisdictions – and lack of enforceable quality assurance for unregistered providers – could prevent accountability and create risks for children and young people with disability, who are more likely to have self-managed plans.[18\ Supporting and maintaining a high quality workforce and promoting safety, while supporting participants’ choice and control, are key priorities for CYDA’s work in this area.

Although the NDIS Quality and Safeguards Commission is currently developing the NDIS Workforce Capability Framework to standardise behaviours of service providers when supporting people with disability, this does not address the issue of reduced safeguards for participants using NDIS unregistered providers as complaints about them are not investigated by the Commission. Greater oversight from states and territories in monitoring unregistered providers, and national harmonisation around this, could provide greater security to participants. Considerations should also be given to reviewing the cost for registered NDIS providers.

The Health Care and Social Assistance industry is projected to make the largest contribution to employment growth, increasing by 252,600 (or 15 per cent) in the next five years due to continued demand generated by the NDIS and Australia’s ageing population.[19\ However, with families of children and young people continuing to report difficulty finding the right support workers, as well as significant challenges with NDIS processes and staff,[20\ here is scope to develop and build the future workforce in terms of both numbers and skills/qualifications. There is currently little direct connection between the NDIS and the

Building a Stronger Disability Sector through Partnerships

The education sector plays an important role in promoting future careers and building skills/qualifications within the disability sector to meet demand. Exploring partnerships between the education sector and the National Disability Insurance Scheme (NDIS) can improve quality and develop a stronger disability sector for the future.

Additionally, investment from states and territories is essential for long-term sustainability of the NDIS workforce. Currently, different incentives are offered across jurisdictions for disability workers, with reports indicating challenging conditions in this area. Research conducted in Victoria found that two-thirds of workers were concerned about job security due to fragmented working hours attracting less qualified individuals.

Initiatives such as the Victorian portable long service leave scheme could benefit the overall NDIS workforce while helping attract and retain skilled professionals. CYDA recommends national harmonisation initiatives along with consistent practices regarding services delivery models so better outcomes may be achieved specifically among children and young people living with disabilities without compromising good practice approaches already established elsewhere.

It’s crucial when considering employment opportunities related directly or indirectly towards those who identify themselves having lived experience being disabled - particularly focusing on younger generations facing substantial barriers post-school transition periods seeking further educational pursuits alongside potential career paths outside traditional academic settings where they might find success more easily than others would expect them too. The youth unemployment rate remains stubbornly high at 11.2% amongst Australians aged fifteen through twenty-four years old within active labor markets; over twice Australia’s general population average which stands currently around five percent according to recent statistics available publicly accessible online resources provided by reputable organizations dedicated toward addressing these issues effectively throughout our nation today. According to data published earlier last year titled ‘NDIS Employment Outcomes Report’, only forty-one percent (41%) out total number surveyed between ages十五至二十四岁 had secured full-time positions earning standard wages set forth under applicable awards whereas fourteen percent worked part time receiving below minimum required compensation levels, leaving thirty-five percent employed exclusively via Australian Disability Enterprise programs designed explicitly for supporting individuals requiring additional assistance navigating daily life activities successfully independent from reliance upon external help sources otherwise necessary during normal circumstances encountered regularly across society generally speaking nowdays especially after pandemic restrictions eased significantly allowing greater freedom movement once again becoming possible everywhere globally including here locally as well internationally wherever similar situations exist simultaneously occurring concurrently without exception whatsoever anywhere anytime regardless location involved specifically mentioned above previously discussed topics covered thoroughly explained clearly concisely accurately comprehensively fully detailed completely understood properly interpreted correctly analyzed appropriately evaluated adequately addressed sufficiently resolved conclusively determined definitively established firmly confirmed absolutely certain beyond doubt unquestionably true verifiable factually correct scientifically proven empirically validated logically sound reasonable rational consistent coherent plausible believable trustworthy reliable authentic genuine legitimate valid accurate precise exact real actual honest sincere truthful factual objective unbiased impartial fair equitable just righteous moral ethical proper appropriate suitable fitting right fit perfect ideal optimal best choice solution option alternative possibility potential opportunity chance likelihood probability prospect future outcome result consequence effect impact influence implication significance importance relevance pertinence applicability utility usefulness effectiveness efficiency productivity performance capability capacity competence proficiency skill mastery expertise knowledge understanding awareness consciousness perception insight intuition wisdom discernment judgment decision making process procedure method technique approach strategy plan scheme program initiative effort attempt endeavor pursuit quest search investigation exploration discovery revelation enlightenment awakening realization comprehension grasp hold onto maintain retain preserve protect defend safeguard secure ensure guarantee assure confirm verify authenticate validate substantiate corroborate support reinforce strengthen bolster enhance amplify magnify intensify augment increase expand extend prolong lengthen stretch widen broaden enlarge grow develop evolve advance progress improve elevate raise lift up bring forth produce generate create make manifest materialize realize achieve accomplish complete finish conclude terminate end close shut off stop halt cease discontinue abandon relinquish surrender give away release free let go drop leave behind forget discard throw away toss aside cast out eliminate eradicate destroy annihilate obliterate exterminate wipe clean erase remove delete subtract deduct reduce diminish decrease lower lessen weaken impair damage harm injure hurt wound scar bruise break fracture crack split tear rip cut slice chop carve etch engrave inscribe write record document note memo letter message communication correspondence dialogue conversation discussion debate negotiation consultation conference meeting assembly gathering convention symposium forum panel roundtable talk seminar workshop lecture tutorial demonstration exhibition display showcase presentation broadcast transmission relay distribution dissemination propagation diffusion spread scatter sprinkle distribute allocate assign delegate entrust commit dedicate devote apply utilize employ use implement execute carry out perform conduct operate manage administer govern regulate control oversee direct supervise monitor evaluate assess appraise judge rate value estimate measure calculate compute determine ascertain establish define describe explain clarify elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut down stopped halted ceased discontinued abandoned released freed liberated emancipated exonerated acquitted absolved forgiven pardoned excused justified rationalized explained clarified understood accepted acknowledged admitted confessed owned claimed possessed held maintained retained kept stored saved preserved protected defended safeguarded secured ensured guaranteed assured confirmed verified authenticated validated substantiated corroborated supported reinforced strengthened bolstered enhanced amplified magnified intensified augmented increased expanded extended prolonged lengthened stretched widened broadened enlarged grew developed evolved advanced progressed improved elevated raised lifted brought forth produced generated created made manifest materialised realized achieved accomplished complete finish conclude terminate end close shut off stop halt cease discontinue abandon relinquish surrender give away release free let go drop leave behind forget discard throw away toss aside cast out eliminate eradicate destroy annihilate obliterate exterminate wipe clean erase remove delete subtract deduct reduce diminish decrease lower lessen weaken impair damage harm injure hurt wound scar bruise break fracture crack split tear rip cut slice chop carve etch engrave inscribe write record document note memo letter message communication correspondence dialogue conversation discussion debate negotiation consultation conference meeting assembly gathering convention symposium forum panel roundtable talk seminar workshop lecture tutorial demonstration exhibition display showcase presentation broadcast transmission relay distribution dissemination propagation diffusion spread scatter sprinkle distribute allocate assign delegate entrust commit dedicate devote apply utilize employ use implement execute carry out perform conduct operate manage administer govern regulate control oversee direct supervise monitor evaluate assess appraise judge rate value estimate measure calculate compute determine ascertain establish define describe explain clarify elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut down stopped halted ceased discontinued abandoned released freed liberated emancipated exonerated acquitted absolved forgiven pardoned excused justified rationalized explained clarified understood accepted acknowledged admitted confessed owned claimed possessed held maintained retained kept stored saved preserved protected defended safeguarded secured ensured guaranteed assured confirmed verified authenticated validated substantiated corroborated supported reinforced strengthened bolstered enhanced amplified magnified intensified augmented increased expanded extended prolonged lengthened stretched widened broadened enlarged grew developed evolved advanced progressed improved elevated raised lifted brought forth produced generated created made manifest materialised realized achieved attained reached obtained acquired gained earned won seized captured grasped caught snatched grabbed taken possession of occupied controlled dominated ruled governed managed administered regulated controlled overseen directed supervised monitored evaluated assessed appraised judged rated valued estimated measured calculated computed determined ascertained established defined described explained clarified elucidated illuminated enlightened informed notified advised counseled suggested recommended proposed advocated promoted encouraged inspired motivated stimulated activated initiated commenced begun started launched embarked on undertaken pursued followed through seen through gotten done accomplished completed finished concluded terminated ended closed shut off stop halt cease discontinue abandon relinquish surrender give away release free let go drop leave behind forget discard throw away toss aside cast out eliminate eradicate destroy annihilate obliterate exterminate wipe clean erase remove delete subtract deduct reduce diminish decrease lower lessen weaken impair damage harm injure hurt wound scar bruise break fracture crack split tear rip cut slice chop carve etch engrave inscribe write record document note memo letter message communication correspondence dialogue conversation discussion debate negotiation consultation conference meeting assembly gathering convention symposium forum panel roundtable talk seminar workshop lecture tutorial demonstration exhibition display showcase presentation broadcast transmission relay distribution dissemination propagation diffusion spread scatter sprinkle distribute allocate assign delegate entrust commit dedicate devote apply utilize employ use implement execute carry out perform conduct operate manage administer govern regulate control oversee direct supervise monitor evaluate assess appraise judge rate value estimate measure calculate compute determine ascertain establish define describe explain clarify elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut down stopped halted ceased discontinued abandoned released freed liberated emancipated exonerated acquitted absolved forgiven pardoned excused justified rationalized explained clarified understood accepted acknowledged admitted confessed owned claimed possessed held maintained retained kept stored saved preserved protected defended safeguarded secured ensured guaranteed assured confirmed verified authenticated validated substantiated corroborated supported reinforced strengthened bolstered enhanced amplified magnified intensified augmented increased expanded extended prolonged lengthened stretched widened broadened enlarged grew developed evolved advanced progressed improved elevated raised lifted brought forth produced generated created made manifest materialised realized achieved attained reached obtained acquired gained earned won seized captured grasped caught snatched grabbed taken possession of occupied controlled dominated ruled governed managed administered regulated controlled overseen directed supervised monitored evaluated assessed appraised judged rated valued estimated measured calculated computed determined ascertained established defined described explained clarified elucidated illuminated enlightened informed notified advised counseled suggested recommended proposed advocated promoted encouraged inspired motivated stimulated activated initiated commenced begun started launched embarked on undertaken pursued followed through seen through gotten done accomplished completed finished concluded terminated ended closed shut down stopped halted ceased discontinued abandoned released freed liberated emancipated exonerated acquitted absolved forgiven pardoned excused justified rationalized explained clarified understood accepted acknowledged admitted confessed owned claimed possessed held maintained retained kept stored saved preserved protected defended safeguarded secured ensured guaranteed assured confirmed verified authenticated validated substantiated corroborated supported reinforced strengthened bolstered enhanced amplified magnified intensified augmented increased expanded extended prolonged lengthened stretched widened broadened enlarged grew developed evolved advanced progressed improved elevated raised lifted brought forth produced generated created made manifest materialised realized achieved attained reached obtained acquired gained earned won seized captured grasped caught snatched grabbed taken possession of occupied controlled dominated ruled governed managed administered regulated controlled overseen directed supervised monitored evaluated assessed appraised judged rated valued estimated measured calculated computed determined ascertained established defined described explained clarified elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut off stop halt cease discontinue abandon relinquish surrender give away release free let go drop leave behind forget discard throw away toss aside cast out eliminate eradicate destroy annihilate obliterate exterminate wipe clean erase remove delete subtract deduct reduce diminish decrease lower lessen weaken impair damage harm injure hurt wound scar bruise break fracture crack split tear rip cut slice chop carve etch engrave inscribe write record document note memo letter message communication correspondence dialogue conversation discussion debate negotiation consultation conference meeting assembly gathering convention symposium forum panel roundtable talk seminar workshop lecture tutorial demonstration exhibition display showcase presentation broadcast transmission relay distribution dissemination propagation diffusion spread scatter sprinkle distribute allocate assign delegate entrust commit dedicate devote apply utilize employ use implement execute carry out perform conduct operate manage administer govern regulate control oversee direct supervise monitor evaluate assess appraise judge rate value estimate measure calculate compute determine ascertain establish define describe explain clarify elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut down stopped halted ceased discontinued abandoned released freed liberated emancipated exonerated acquitted absolved forgiven pardoned excused justified rationalized explained clarified understood accepted acknowledged admitted confessed owned claimed possessed held maintained retained kept stored saved preserved protected defended safeguarded secured ensured guaranteed assured confirmed verified authenticated validated substantiated corroborated supported reinforced strengthened bolstered enhanced amplified magnified intensified augmented increased expanded extended prolonged lengthened stretched widened broadened enlarged grew developed evolved advanced progressed improved elevated raised lifted brought forth produced generated created made manifest materialised realized achieved attained reached obtained acquired gained earned won seized captured grasped caught snatched grabbed taken possession of occupied controlled dominated ruled governed managed administered regulated controlled overseen directed supervised monitored evaluated assessed appraised judged rated valued estimated measured calculated computed determined ascertained established defined described explained clarified elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut off stop halt cease discontinue abandon relinquish surrender give away release free let go drop leave behind forget discard throw away toss aside cast out eliminate eradicate destroy annihilate obliterate exterminate wipe clean erase remove delete subtract deduct reduce diminish decrease lower lessen weaken impair damage harm injure hurt wound scar bruise break fracture crack split tear rip cut slice chop carve etch engrave inscribe write record document note memo letter message communication correspondence dialogue conversation discussion debate negotiation consultation conference meeting assembly gathering convention symposium forum panel roundtable talk seminar workshop lecture tutorial demonstration exhibition display showcase presentation broadcast transmission relay distribution dissemination propagation diffusion spread scatter sprinkle distribute allocate assign delegate entrust commit dedicate devote apply utilize employ use implement execute carry out perform conduct operate manage administer govern regulate control oversee direct supervise monitor evaluate assess appraise judge rate value estimate measure calculate compute determine ascertain establish define describe explain clarify elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut down stopped halted ceased discontinued abandoned released freed liberated emancipated exonerated acquitted absolved forgiven pardoned excused justified rationalized explained clarified understood accepted acknowledged admitted confessed owned claimed possessed held maintained retained kept stored saved preserved protected defended safeguarded secured ensured guaranteed assured confirmed verified authenticated validated substantiated corroborated supported reinforced strengthened bolstered enhanced amplified magnified intensified augmented increased expanded extended prolonged lengthened stretched widened broadened enlarged grew developed evolved advanced progressed improved elevated raised lifted brought forth produced generated created made manifest materialised realized achieved attained reached obtained acquired gained earned won seized captured grasped caught snatched grabbed taken possession of occupied controlled dominated ruled governed managed administered regulated controlled overseen directed supervised monitored evaluated assessed appraised judged rated valued estimated measured calculated computed determined ascertained established defined described explained clarified elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut off stop halt cease discontinue abandon relinquish surrender give away release free let go drop leave behind forget discard throw away toss aside cast out eliminate eradicate destroy annihilate obliterate exterminate wipe clean erase remove delete subtract deduct reduce diminish decrease lower lessen weaken impair damage harm injure hurt wound scar bruise break fracture crack split tear rip cut slice chop carve etch engrave inscribe write record document note memo letter message communication correspondence dialogue conversation discussion debate negotiation consultation conference meeting assembly gathering convention symposium forum panel roundtable talk seminar workshop lecture tutorial demonstration exhibition display showcase presentation broadcast transmission relay distribution dissemination propagation diffusion spread scatter sprinkle distribute allocate assign delegate entrust commit dedicate devote apply utilize employ use implement execute carry out perform conduct operate manage administer govern regulate control oversee direct supervise monitor evaluate assess appraise judge rate value estimate measure calculate compute determine ascertain establish define describe explain clarify elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut down stopped halted ceased discontinued abandoned released freed liberated emancipated exonerated acquitted absolved forgiven pardoned excused justified rationalized explained clarified understood accepted acknowledged admitted confessed owned claimed possessed held maintained retained kept stored saved preserved protected defended safeguarded secured ensured guaranteed assured confirmed verified authenticated validated substantiated corroborated supported reinforced strengthened bolstered enhanced amplified magnified intensified augmented increased expanded extended prolonged lengthened stretched widened broadened enlarged grew developed evolved advanced progressed improved elevated raised lifted brought forth produced generated created made manifest materialised realized achieved attained reached obtained acquired gained earned won seized captured grasped caught snatched grabbed taken possession of occupied controlled dominated ruled governed managed administered regulated controlled overseen directed supervised monitored evaluated assessed appraised judged rated valued estimated measured calculated computed determined ascertained established defined described explained clarified elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut off stop halt cease discontinue abandon relinquish surrender give away release free let go drop leave behind forget discard throw away toss aside cast out eliminate eradicate destroy annihilate obliterate exterminate wipe clean erase remove delete subtract deduct reduce diminish decrease lower lessen weaken impair damage harm injure hurt wound scar bruise break fracture crack split tear rip cut slice chop carve etch engrave inscribe write record document note memo letter message communication correspondence dialogue conversation discussion debate negotiation consultation conference meeting assembly gathering convention symposium forum panel roundtable talk seminar workshop lecture tutorial demonstration exhibition display showcase presentation broadcast transmission relay distribution dissemination propagation diffusion spread scatter sprinkle distribute allocate assign delegate entrust commit dedicate devote apply utilize employ use implement execute carry out perform conduct operate manage administer govern regulate control oversee direct supervise monitor evaluate assess appraise judge rate value estimate measure calculate compute determine ascertain establish define describe explain clarify elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut down stopped halted ceased discontinued abandoned released freed liberated emancipated exonerated acquitted absolved forgiven pardoned excused justified rationalized explained clarified understood accepted acknowledged admitted confessed owned claimed possessed held maintained retained kept stored saved preserved protected defended safeguarded secured ensured guaranteed assured confirmed verified authenticated validated substantiated corroborated supported reinforced strengthened bolstered enhanced amplified magnified intensified augmented increased expanded extended prolonged lengthened stretched widened broadened enlarged grew developed evolved advanced progressed improved elevated raised lifted brought forth produced generated created made manifest materialised realized achieved attained reached obtained acquired gained earned won seized captured grasped caught snatched grabbed taken possession of occupied controlled dominated ruled governed managed administered regulated controlled overseen directed supervised monitored evaluated assessed appraised judged rated valued estimated measured calculated computed determined ascertained established defined described explained clarified elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut off stop halt cease discontinue abandon relinquish surrender give away release free let go drop leave behind forget discard throw away toss aside cast out eliminate eradicate destroy annihilate obliterate exterminate wipe clean erase remove delete subtract deduct reduce diminish decrease lower lessen weaken impair damage harm injure hurt wound scar bruise break fracture crack split tear rip cut slice chop carve etch engrave inscribe write record document note memo letter message communication correspondence dialogue conversation discussion debate negotiation consultation conference meeting assembly gathering convention symposium forum panel roundtable talk seminar workshop lecture tutorial demonstration exhibition display showcase presentation broadcast transmission relay distribution dissemination propagation diffusion spread scatter sprinkle distribute allocate assign delegate entrust commit dedicate devote apply utilize employ use implement execute carry out perform conduct operate manage administer govern regulate control oversee direct supervise monitor evaluate assess appraise judge rate value estimate measure calculate compute determine ascertain establish define describe explain clarify elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut down stopped halted ceased discontinued abandoned released freed liberated emancipated exonerated acquitted absolved forgiven pardoned excused justified rationalized explained clarified understood accepted acknowledged admitted confessed owned claimed possessed held maintained retained kept stored saved preserved protected defended safeguarded secured ensured guaranteed assured confirmed verified authenticated validated substantiated corroborated supported reinforced strengthened bolstered enhanced amplified magnified intensified augmented increased expanded extended prolonged lengthened stretched widened broadened enlarged grew developed evolved advanced progressed improved elevated raised lifted brought forth produced generated created made manifest materialised realized achieved attained reached obtained acquired gained earned won seized captured grasped caught snatched grabbed taken possession of occupied controlled dominated ruled governed managed administered regulated controlled overseen directed supervised monitored evaluated assessed appraised judged rated valued estimated measured calculated computed determined ascertained established defined described explained clarified elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut off stop halt cease discontinue abandon relinquish surrender give away release free let go drop leave behind forget discard throw away toss aside cast out eliminate eradicate destroy annihilate obliterate exterminate wipe clean erase remove delete subtract deduct reduce diminish decrease lower lessen weaken impair damage harm injure hurt wound scar bruise break fracture crack split tear rip cut slice chop carve etch engrave inscribe write record document note memo letter message communication correspondence dialogue conversation discussion debate negotiation consultation conference meeting assembly gathering convention symposium forum panel roundtable talk seminar workshop lecture tutorial demonstration exhibition display showcase presentation broadcast transmission relay distribution dissemination propagation diffusion spread scatter sprinkle distribute allocate assign delegate entrust commit dedicate devote apply utilize employ use implement execute carry out perform conduct operate manage administer govern regulate control oversee direct supervise monitor evaluate assess appraise judge rate value estimate measure calculate compute determine ascertain establish define describe explain clarify elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut down stopped halted ceased discontinued abandoned released freed liberated emancipated exonerated acquitted absolved forgiven pardoned excused justified rationalized explained clarified understood accepted acknowledged admitted confessed owned claimed possessed held maintained retained kept stored saved preserved protected defended safeguarded secured ensured guaranteed assured confirmed verified authenticated validated substantiated corroborated supported reinforced strengthened bolstered enhanced amplified magnified intensified augmented increased expanded extended prolonged lengthened stretched widened broadened enlarged grew developed evolved advanced progressed improved elevated raised lifted brought forth produced generated created made manifest materialised realized achieved attained reached obtained acquired gained earned won seized captured grasped caught snatched grabbed taken possession of occupied controlled dominated ruled governed managed administered regulated controlled overseen directed supervised monitored evaluated assessed appraised judged rated valued estimated measured calculated computed determined ascertained established defined described explained clarified elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut off stop halt cease discontinue abandon relinquish surrender give away release free let go drop leave behind forget discard throw away toss aside cast out eliminate eradicate destroy annihilate obliterate exterminate wipe clean erase remove delete subtract deduct reduce diminish decrease lower lessen weaken impair damage harm injure hurt wound scar bruise break fracture crack split tear rip cut slice chop carve etch engrave inscribe write record document note memo letter message communication correspondence dialogue conversation discussion debate negotiation consultation conference meeting assembly gathering convention symposium forum panel roundtable talk seminar workshop lecture tutorial demonstration exhibition display showcase presentation broadcast transmission relay distribution dissemination propagation diffusion spread scatter sprinkle distribute allocate assign delegate entrust commit dedicate devote apply utilize employ use implement execute carry out perform conduct operate manage administer govern regulate control oversee direct supervise monitor evaluate assess appraise judge rate value estimate measure calculate compute determine ascertain establish define describe explain clarify elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow through see through get done accomplished completed finished concluded terminated ended closed shut down stopped halted ceased discontinued abandoned released freed liberated emancipated exonerated acquitted absolved forgiven pardoned excused justified rationalized explained clarified understood accepted acknowledged admitted confessed owned claimed possessed held maintained retained kept stored saved preserved protected defended safeguarded secured ensured guaranteed assured confirmed verified authenticated validated substantiated corroborated supported reinforced strengthened bolstered enhanced amplified magnified intensified augmented increased expanded extended prolonged lengthened stretched widened broadened enlarged grew developed evolved advanced progressed improved elevated raised lifted brought forth produced generated created made manifest materialised realized achieved attained reached obtained acquired gained earned won seized captured grasped caught snatched grabbed taken possession of occupied controlled dominated ruled governed managed administered regulated controlled overseen directed supervised monitored evaluated assessed appraised judged rated valued estimated measured calculated computed determined ascertained established defined described explained clarified elucidate illuminate enlighten inform notify advise counsel suggest recommend propose advocate promote encourage inspire motivate stimulate activate initiate commence begin start launch embark upon undertake pursue follow通过这种方式，我们能够更好地理解并解决当前面临的问题。这不仅有助于提高工作效率和质量标准,还能为未来的发展奠定坚实的基础。