Last week, the Joint Standing Committee on the National Disability Insurance Scheme tabled a report outlining their concerns over the eligibility criteria for people with mental health concerns.
Aftercare’s Executive Director of Business and Capability Development Isabelle Meyer responds to the report below;
It’s time to reflect on what the NDIS is truly about. Are we really implementing significant changes to the way we assist those with a disability and their families, or are we moving the bureaucratic deck of chairs and forcing a productivity dividend on the most vulnerable in the process? Last week the Joint Standing Committee of Parliament released its recommendations regarding transition to the scheme.
One of these, responding to the numerous problems with the assessment process that were documented in the hearings, was that everyone currently in a PHaMs program should automatically be given a package. While this partially solves a process problem, it does something worse – it further disenfranchises those with a mental illness from truly benefitting from participation in the scheme.
The current assessment process takes too long and the NDIA administration of access is inconsistent and discriminates in favour of those that can use technology to access information and participate in on-line processes. But the assessment process does one thing (conceptually at least) that is very important. It allows for the individual’s needs to be documented and responded to in the setting of the value of the package to be received and the types of assistance required. To automatically pass people through is to tacitly confine them to a one size fits all approach- the very thing the scheme was being implemented to eradicate.
One thing that we in the mental health sector know is that you don’t fix problems by avoiding them, so even as a fast track measure, this isn’t going to work, in fact, for many this approach will be worse than the delay, because it will significantly reduce the amount and type of assistance they will receive.
The Committee hearings were a case study in how little actual listening and sharing of information has taken place during transition to date. This includes from within Government and its own programs. For example, over many years now, the Government has funded programs designed to build expertise in coordination supports for those with a mental illness. These programs, principally the PHAMs and PIR programs would have been well placed to deliver the missing piece for the implementation of the scheme, and become the LAC Services. The NDIA has precluded anyone operating one of these programs from taking on this role. Millions of dollars of tax payers’ money spent in developing capacity and skill and now we are going to waste it? It would seem so, even though the problem crippling the system could be fixed by allowing PIR programs in particular to do the job.
Then there is the timing issue- funds are being withdrawn well ahead of the NDIS roll out taking effect. Overall, the sector has taken a more than 30% cut in income, and the promised scheme that would provide the alternative revenue has not arrived. The clients are there, but the money is not. The delays in assessing and setting up packages mean that the clients still have an expectation of continuous service but the resources available to deliver them are shrinking.
In an attempt to assist our clients to access packages to which they are entitled, Aftercare has developed tools which help them gather evidence and document the impact their illness has on their lives. We have been trialling this tool for over a year now.
We raised with the Committee that we have developed and tested our own tool because there was no endorsed and validated tool for assessing the functional impact of mental illness on a person’s life and wellbeing – we have shared it widely, providing it to GP’s and others to assist them in their part of the process.
The elephant in the room for the future of the NDIS and successful transition (as opposed to what we have now) is the question of collaboration. For our participants, we want this to work. We believe that after 110 years of helping our clients achieve their goals and transition into and remain productively part of the community, we have some expertise to offer as do many others. Perhaps a less siloed approach, truly focussed on enabling participants, will help us all to move forward.
We would like to applaud the Committee for taking the time to listen and hear the many voices who support this reform.
- Isabelle Meyer
Are you a GP helping your patients through the NDIS process? You can contact Aftercare anytime about accessing our Impact Assessment Matrix.
Please contact us on 1300 00 1907 or email firstname.lastname@example.org
You can read the Joint Standing Committee report here
You can also read one of the many articles published surrounding the report here
On the evening of Monday 31st July 2017 at Government House, Sydney, Aftercare celebrated 110 years as the foremost providers of mental health services in Australia.
In attendance were our hosts His Excellency General The Honourable David Hurley AC DSC (Ret’d), Governor of New South Wales and Mrs Linda Hurley, The Hon. Tanya Davies MP, Minister for Mental Health, Minister for Women and Minister for Ageing and approximately 100 of Aftercare’s well-wishers and supporters.
Dr. Andrew Young, CEO, reflected on a wonderful letter read out by an Aftercare staff member, who chairs the Aftercare Client Advisory Group. Luke Carey, he said, captured the spirit of the evening perfectly, and being his “personal highlight of the night”.
Click here to read Luke’s letter to Aftercare and a bit about our organisations history
This Month nominations for the National Indigenous Music Awards were announced, and Aftercare are excited to share the news that a video created by Aboriginal and Torres Strait Islander Community Elders and families in the Logan community, with the help of Indigenous HIP HOP Projects, Logan City and our headspace Meadowbrook team have been nominated for the 2017 Community Music Clip!
‘I am so happy and proud to have been a part in this amazing project. This is super exciting for headspace Meadowbrook and the Logan community!’. – Linda Peni, Social Inclusion Coordinator headspace Meadowbrook
Aftercare is Australia’s longest serving provider of mental health support services. For the past 110 years, Aftercare has assisted people with mental health issues and their families to transform their lives.
Please read our July 2017 media release here
As a member of Mental Health Australia (MHA) Aftercare applauds Minister Hunter Federal Budget initiatives for mental health released last night . MHA has been advocating tirelessly on the issue of psychosocial support for those outside the NDIS and we are finally seeing some real action.
View Aftercare 2017-2018 Federal Budget Statement HERE
Brisbane lit up in recognition of families and friends who provide support and care to a loved one experiencing mental ill-health or distress. The Brisbane City Council turned on the lights on the iconic Story Bridge last week and the river was resplendent!
This was a follow up after the Standing Beside You: Carers Week 2016 Mental Health Week Forum held at the Brisbane Convention and Exhibition Centre on 18 October. The forum was held in partnership of Aftercare (FACES South Brisbane, Floresco) and Mental Health Carers Arafmi Qld, with sponsorship from the Qld Mental Health Commission. 140 family/carers and 23 sector workers registered for the forum and feedback was so encouraging and positive.
Aftercare is the lead agency for the latest the ‘LikeMind’ hub now open in the Western NSW city of Orange. The Western NSW Local Health District is our principle partner and have permanently co-located a brand new acute and continuing care team onsite.
LikeMind is an innovative model of holistic care via integrated services for people with mental illness across four core streams: mental health, drug and alcohol, physical health, and social needs such as linkages to employment, vocational training and housing. The one centre provides triage, assessment, treatment, care coordination and discharge planning by a consortium of government and non-government providers.
Service Manager of LikeMind Orange, Sharon Jones commented “the beauty of LikeMind is anyone can access the holistic health services simply by walking into the centre. You don’t need a referral. Every day new people are walking in off the street and accessing a variety of services”
Aftercare is truly proud to be able to be to support this thriving community. Early next year Aftercare will open another LikeMind service in Wagga Wagga. Watch this space.