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Jim Simpson, Senior Advocate, NSW Council for Intellectual Disability delivered this presentation at the Inaugural Integrating Mental Health into the National Disability Insurance Scheme. This conference focuses on the latest plans to integrate mental health services into a new funding scheme and how its implementation will affect the future direction of disability policy reform for people with mental illness in Australia. For more information about the event, please visit the conference website: http://www.healthcareconferences.com.au/mentalhealthndis
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Jim Simpson [email protected]
The NDIS and people with
intellectual disability and a
mental health problem
The people
• Definition and impact of ID
• 400,000 with ID in Australia
• 120,000 also have a mental disorder
• Diagnosis is challenging
• Challenging behaviour / mental
disorders
• Disability and health services need to
work together
• Commonly, they don’t
National Roundtable 2013
• 95 leaders
• Key elements of reform
• Recommendations for action
Key elements of an effective system
1. Inclusion in all mental health initiatives
2. Prevention and timely intervention
3. Equitable access to skilled mental health
services
4. Specialist IDMH services
5. Collaboration between disability, schools, health
and others – NDIS a stark opportunity
6. Workforce education and training
7. Enhanced data collection
8. Addressing multiple disadvantage
The NDIS
• Massive potential
• Rushed
• If it hadn’t been…….
• Much to be resolved, fixed eg
people with ID and mental illness
• Need to be strategic and
constructive - national and launch
sites
Accessing the NDIS with ID and
a mental health problem
• Linkage and engagement
• Tier 2
• Becoming a participant
Disability requirement
• Permanent impairment(s)
• Resulting in substantially reduced
functional capacity or psychosocial
functioning
• Preparing a participant’s plan
– The person’s goals
– Participant supports – general
supports and
– NDIS funded supports
• Based on assessment of needs arising
from disability
• Not supports more appropriately funded
through mainstream agencies eg mental
health and AOD services. BUT support
and collaboration with these is vital.
– Support through this process is vital
– And nominees for some
Support and collaboration with
mainstream agencies
• Mental health
• Physical health
• AOD
• Justice – police, legal aid,
compliance
Structures for very complex needs
Leverage off the NDIS
Win – win – win if people collaborate
• The person
• The NDIS
• Health services
COAG framework for collaboration
• National Disability Strategy – Improved
health care is 1/6 key outcomes.
• Principles to Determine the
Responsibilities of the NDIS and Other
Service Systems
– Health - clinical services
– NDIS – support focused on functional ability
including for ADLs and community participation
Indigenous Australians
Face further challenges
• Assessment tools
• Services’ attunement and
accessibility
• Multiple disadvantage
• Need for community controlled
programs
In short, for people with ID&MH..
• Mental health services need to
improve
• The NDIS offers much and the
launch years are an opportunity to
get it right
• Collaboration is vital
• The community sector is vital to
getting it right
NSW Council for Intellectual Disability
W: www.nswcid.org.au
For information on ID mental health, go to
Standard English > Advocacy > Health
And
Participants or just policed? at
Standard English > Advocacy >
Accommodation and support