National Disability Insurance Scheme
How can research help with the effective implementation of the National Disability Insurance Scheme?
The National Disability Insurance Scheme promises to provide people with disabilities the services or equipment they need to participate productively in Australian society. Receiving bipartisan support from both major national parties, the NDIS has moved from a vision to a start up in just a year since the release of the Productivity Commission report on 2011. Launch sites in NSW, Victoria, SA, Tasmania and the ACT will commence in mid 2013, following the 2012 Budget announcement of $1 billion funding over 4 years.
The NDIS is still being developed and some crucial questions have yet to be answered. The Centre will seek to play a constructive role in the development and implementation of the NDIS:
- In 2012 the Centre was involved in work commissioned by the NDIS to examine assessment methods, with a focus on resource allocation for individuals’ funding.
- Ros Madden is a member of the NDIS Expert Group on Eligibility and Assessment.
- The Centre made a submission to the Senate Committee Standing Committee on Community Affairs, inquiring into the NDIS Bill, tabled in Parliament in November 2012. Submission No 578
Other topics to be pursued in the NDIS work stream include:
- Design issues as the NDIS takes shape
- Interfaces with other support systems, e.g. health, housing, compensation, income security and workforce development
- Data development, including links to other disability data sets. See also AIDARRP.
- Financing arrangements
- Impacts on specific population groups including Indigenous Australians, people living in rural and remote areas, and people of diverse cultural and linguistic backgrounds
In Search of an Integrative Measure of Functioning
Measurement of functioning and disability in the 21st century increasingly takes place in the context of complex relationships and interactions among people, communities, services and systems. One result of this complexity has been the development of a growing array of specialised measurement instruments, specific to purpose, health condition, setting or service provider. An alternative approach, particularly relevant for large national programs, is to seek or to develop an integrative, generic measure, relevant to diverse purposes and populations.
This paper examines Australian experience with two significant national programs – the NDIS and the Australian National Health Reform Agreement - and their unsuccessful search for a suitable measure of functioning. It goes on to set out the case for developing a generic, integrative measure of functioning (IMF), for use in rehabilitation, disability support, and related fields.
Madden, R.H.; Glozier, N.; Fortune, N.; Dyson, M.; Gilroy, J.; Bundy, A.; Llewellyn, G.; Salvador-Carulla, L.; Lukersmith, S.; Mpofu, E.; Madden, R. In Search of an Integrative Measure of Functioning. Int. J. Environ. Res. Public Health 2015, 12, 5815-5832.