Abstract
This chapter starts by exploring the differences between the broader disability and mental health sectors, including an outline of their historically separate development, as a way of providing the ‘lens’ through which many of the subsequent challenges in relation to the National Disability Insurance Scheme (NDIS) and psychosocial disability can be better understood. It then (i) critically examines both the key design features and approach to implementation; (ii) analyses the evidence emerging from the implementation and explores promising approaches; and (iii) explores the issues which have led to widespread calls to modify the design and tailor the implementation of the NDIS to meet the needs of people with psychosocial disability. Finally, international programs are examined to consider what Australia could learn from the experience of other countries and a range of promising approaches are explored which have potential to shape the future development of the NDIS so as to mitigate the challenges ahead and make it work for people with a psychosocial disability.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Alakeson, Vidhya. 2010. Active Patient: The Case for Self-direction in Healthcare. The Centre for Welfare Reform. https://www.birmingham.ac.uk/Documents/college-social-sciences/social-policy/HSMC/publications/active-patient-paper.pdf.
Alakeson, Vidhya, Jed Boardman, Billy Boland, Helen Crimlisk, Charlotte Harrison, Steve Iliffe, Masood Khan, Rory O’Shea, and Janet Patterson. 2016. Debating Personal Health Budgets. BJPsych Bulletin 40: 34–37.
Anthony, William A. 1993. Recovery from Mental Illness: The Guiding Vision of the Mental Health Service System in the 1990’s. Psychosocial Rehabilitation Journal 16: 11–23.
Australian Government. 2018. Australian Government Response to the Joint Standing Committee on the National Disability Insurance Scheme (NDIS) Report: Provision of Services Under the NDIS for People with Psychosocial Disability related to a Mental Health Condition. Australian Government. https://www.dss.gov.au/sites/default/files/documents/03_2018/australian_government_response_to_the_jsc_on_ndis_inquiry_into_the_provision_of_services_under_the_ndis_for_people_with_psychosocial_disabilities_related_to_a_mental_health_condition_2.pdf.
Beresford, Peter. 2000. What Have Madness and Psychiatric System Survivors Got to Do with Disability and Disability Studies? Disability and Society 15: 167–172.
Beresford, Peter, Chris Harrison, and Anne Wilson. 2002. Mental Health Service Users and Disability: Implications for Future Strategies. Policy and Politics 30: 387–396.
Buckmaster, Luke, and Shannon Clark. 2018a. The National Disability Insurance Scheme: A Chronology. Research Paper Series, 2018–19. Parliamentary Library. https://apo.org.au/sites/default/files/resource-files/2018/07/apo-nid182336-1130211.pdf.
Buckmaster, Luke, and Shannon Clark. 2018b. The National Disability Insurance Scheme: A Quick Guide. Research Paper Series, 2018–19. Parliamentary Library. https://parlinfo.aph.gov.au/parlInfo/download/library/prspub/6665574/upload_binary/6665574.pdf.
CMHA (Community Mental Health Australia). 2017. National Mental Health Conference Report. CMHA https://cmha.org.au/wp-content/uploads/2017/12/CMHA-National-NDIS-Mental-Health-Conference-Report.pdf.
CMHA (Community Mental Health Australia). 2019. Tracking Transitions of People from PIR, PHaMs and D2DL into the NDIS. CMHA. https://cmha.org.au/wp-content/uploads/2017/04/CMHA-and-University-of-Sydney-NDIS-Tracking-Transitions-Phase-2-Report-version-3.pdf.
COAG DRC (The Council of Australian Governments (COAG) Disability Reform Council). 2019. Meeting of the COAG Disability Reform Council Sydney – 9 October 2019 communiqué.COAG DRC. https://www.dss.gov.au/sites/default/files/documents/10_2019/communique-drc-9-october_2019.pdf.
COAG Health Council. 2017. The Fifth National Mental Health and Suicide Prevention Plan. Commonwealth of Australia. https://www.coaghealthcouncil.gov.au/Portals/0/Fifth%20National%20Mental%20Health%20and%20Suicide%20Prevention%20Plan.pdf.
CoMHWA (Consumers of Mental Health Western Australia). 2016. Report on the NDIS Peer Support in Psychiatric Hostels Project. CoMHWA. https://waamh.org.au/assets/documents/sector-development/ndis-peer-support-in-psychiatric-hostels-report.pdf.
Da Roit, Barbara, and Blanche Le Bihan. 2010. Similar and Yet so Different: Cash-for-Care in Six European Countries’ Long-Term Care Policies. Milbank Quarterly 48: 286–309.
Dean, Shirley, Doreen Roberts, Ian Roberts. 2014. Learning from Mental Health Personal Health Budgets in Stockport. All Together Positive. https://www.centreforwelfarereform.org/uploads/attachment/505/learning-from-mental-health-phbs.pdf.
Eost-Telling, C. 2010. Final Report of the Evaluation of the Self-Directed Support Pilot. University of Chester. https://centreforwelfarereform.org/uploads/attachment/255/assetsdocsattachment255pdf.pdf.
Ernst and Young. 2015. Independent Review of the NDIS Act. Department of Social Services. https://www.dss.gov.au/sites/default/files/documents/04_2016/independent_review_of_the_ndis_act.pdf.
Fels, Allan. 2012. National Press Club Address: Allan Fels on Mental Health and Suicide Prevention. The Conversation, August 1. https://theconversation.com/national-press-club-address-allan-fels-on-mental-health-and-suicide-prevention-8567.
Fletcher, Paul, and Sarah Henderson. 2018. Government Announces Improved NDIS Mental Health Support. Australian Government. https://www.ndis.gov.au/news/400-government-announces-improved-ndis-mental-health-support.
Henderson, Sarah. 2018. Improved NDIS Planning for People with Complex Support Needs. Australian Government. https://formerministers.dss.gov.au/18797/improved-ndis-planning-for-people-with-complex-support-needs/.
IAC (Independent Advisory Council to the National Disability Insurance Agency). 2017. Submission to the Joint Standing Committee Inquiry into the Provision of Services under the NDIS for People with Psychosocial Disabilities Related to a Mental Health Condition. IAC. file:///C:/Users/he06404/Downloads/Submission%20125%20(2).pdf.
JSC (Joint Standing Committee on the National Disability Insurance Scheme). 2017. Provision of Services Under the NDIS for People with Psychosocial Disabilities Related to a Mental Health Condition. Commonwealth of Australia. https://www.ntmhc.org.au/wp-content/uploads/2017/10/Joint-Standing-Committee-on-the-national-Disability-Insurance-Scheme.pdf.
JSC (Joint Stand Committee on the National Disability Insurance Scheme). 2019. Joint Standing Committee on the National Disability Insurance Scheme Progress Report. Commonwealth of Australia. file:///C:/Users/he06404/Downloads/Report%20(2).pdf.
Mavromaras, Kostas, Megan Moskos, Stephane Mahuteau, Linda Isherwood, Alison Goode, Helen Walton, Llainey Smith, Zhang Wei, and Joanne Flavel. 2018. Evaluation of the NDIS: Final Report. National Institute of Labour Studies, Flinders University. https://www.dss.gov.au/sites/default/files/documents/04_2018/ndis_evaluation_consolidated_report_april_2018.pdf.
McInerney, Marie. 2018. Outlining Plans to Improve the NDIS for People with Serious Mental Health Issues. https://croakey.org/outlining-plans-to-improve-the-ndis-for-people-with-serious-mental-health-issues/.
MHA (Mental Health Australia). 2017. Submission to the Joint Standing Committee on the National Disability Insurance Scheme into the Provision of Services Under the NDIS for People with Psychosocial Disabilities Related to a Mental Health Condition. MHA. https://mhaustralia.org/sites/default/files/docs/mental_health_australia_submission_on_the_ndis_and_psychosocial_services.pdf.
MHA (Mental Health Australia). 2018a. National Disability Insurance Scheme: Psychosocial Disability Pathway. MHA. https://mhaustralia.org/sites/default/files/images/ndis_psychosocial_pathway_consultation_project_-_final_report_-_may_2018.pdf.
MHA (Mental Health Australia). 2018b. Optimising Psychosocial Supports: Project Report. MHA. https://mhaustralia.org/sites/default/files/docs/optimising_psychosocial_supports_project_report_final_web_0.pdf.
MHA (Mental Health Australia). 2019a. Submission to the Review of the National Disability Insurance Scheme (NDIS) Act and the New NDIS Participant Service Guarantee. MHA. https://mhaustralia.org/sites/default/files/docs/mha_cmha_and_mifa_-_submission_to_the_ndis_legislation_review.pdf.
MHA (Mental Health Australia). 2019b. Health Professionals, Psychosocial Disability and NDIS Access. MHA. https://mhaustralia.org/sites/default/files/images/health_professionals_psychosocial_disability_and_ndis_access_w_attachments_0.pdf.
MHCA (Mental Health Council of Australia). 2013. Mental Health and the National Disability Insurance Scheme, Position Paper. Canberra. MHCA. http://mhca.org.au/publication/mhca-position-paper-mental-health-and-national-disability-insurance-scheme-2013.
MHCC (Mental Health Coordinating Council). 2016a. Disability Insurance Scheme (NDIS) and Mental Health in NSW—Navigating the NDIS: Lessons Learned Through the Hunter Trial. MHCC. https://www.mhcc.org.au/wp-content/uploads/2018/05/ndis_lessons_final_200117.pdf.
MHCC (Mental Health Coordinating Council). 2016b. The National Disability Insurance Scheme (NDIS) and Mental Health in NSW—Guidelines for Establishing a Local NDIS Community of Practice to Enhance Learning and Sector Reform. MHCC. https://www.mhcc.org.au/wp-content/uploads/2018/05/ndis_cop_guidelines_final_200117.pdf.
MHCC (Mental Health Coordinating Council). 2018. View from the peak. MHCC. https://www.mhcc.org.au/wp-content/uploads/2018/10/VFP-Web_October_2018_v1_20181010.pdf.
MHCC ACT (Mental Health Community Coalition ACT). 2018. When the NDIS Came to the ACT: A Story of Hope and Disruption in the Mental Health Sector. MHCC ACT. https://static.wixstatic.com/ugd/672a33_7ac3cd4b1e774808b30258e0fb94cfe6.pdf.
MHC NSW (Mental Health Commission of New South Wales). 2015. The NSW NDIS and Mental Health Analysis Partnership Project: Insights from the First Two Years of the NDIS Rollout in the Hunter Region. MHC. https://www.google.com/search?source=hp&ei=zWHCXfODGeTez7sPyoax-As&q=The+NSW+NDIS+and+Mental+Health+Analysis+Partnership+Project%3A+Insights+from+the+first+two+years+of+the+NDIS+rollout+in+the+Hunter+region&oq=The+NSW+NDIS+and+Mental+Health+Analysis+Partnership+Project%3A+Insights+from+the+first+two+years+of+the+NDIS+rollout+in+the+Hunter+region&gs_l=psy-ab.12…2272.2272..3643…0.0..0.0.0…….1….2j1..gws-wiz.&ved=0ahUKEwiznuLG9NTlAhVk73MBHUpDDL8Q4dUDCAw.
MHF (Mental Health Foundation). 2013. Self-Directed Support in Mental Health: Capacity Building for Third Sector Providers Summary Findings. MHF. https://www.mentalhealth.org.uk/sites/default/files/Self-directed-support.pdf.
NDA (National Disability Authority). 2010. Advice Paper to the Value for Money and Policy Review of Disability Services Programme. NDA. http://nda.ie/nda-files/Advice-paper-to-the-Value-for-Money-and-Policy-Review-of-Disability-Services-Programme1.pdf.
NDIA (National Disability Insurance Agency). 2014. NDIS Opens at First NT Trial Site. https://www.ndis.gov.au/news/428-ndis-opens-first-nt-trial-site.
NDIA (National Disability Insurance Agency). 2019a. Annual Report NDIS 2018–19. NDIA. file:///C:/Users/he06404/Downloads/PB%20Annual%20Report%202019%20PDF.pdf.
NDIA (National Disability Insurance Agency). 2019b. National Disability Insurance Agency Submission Joint Standing Committee on the NDIS Inquiry into Planning. NDIA. file:///C:/Users/he06404/Downloads/sub_20PLAN.pdf.
NDIS Act. 2013. Commonwealth of Australia. file:///C:/Users/he06404/Downloads/C2013A00020.pdf.
NDIS Rules. 2018. National Disability Insurance Scheme (Becoming a Participant) Rules 2016 Made Under Sections 22, 23, 25, 27 and 209 of the National Disability Insurance Scheme Act 2013 Compilation No. 4 Compilation date: 27 February 2018. Australian Government. https://www.legislation.gov.au/Details/F2018C00165.
NDTI (National Development Team for Inclusion). 2013. Self-Directed Support and Mental Health—Data. NDTI. https://otbds.org/wp-content/uploads/2017/10/SDS-and-mental-health-Background-Paper-3.pdf.
NMHC (National Mental Health Commission). 2014. The National Review of Mental Health Programmes and Services. NMHC. https://www.mentalhealthcommission.gov.au/media/119896/Summary%20%20-%20Review%20of%20Mental%20Health%20Programmes%20and%20Services.PDF.
NMHC (National Mental Health Commission). 2019. Monitoring Mental Health and Suicide Prevention Reform: National Report 2019. NMHC. https://nacchocommunique.files.wordpress.com/2019/09/national_report_2019.pdf.
NMHCCF (National Mental Health Consumer and Carer Forum). 2011. Unravelling Psychosocial Disability: A Position Statement by the National Mental Health Consumer & Carer Forum on Psychosocial Disability Associated with Mental Health Conditions. NMHCCF. https://nmhccf.org.au/sites/default/files/docs/nmhccf_psychosocial_disability_booklet_web_version_27oct11.pdf.
Orygen. 2017. Submission Joint Standing Committee on the NDIS: Provision of Services Under the NDIS for People with Psychosocial Disabilities Related to a Mental Health Condition. Orygen. https://www.orygen.org.au/Policy-Advocacy/Policy-Areas/Government-policy-service-delivery-and-workforce/Government-policy/The-NDIS-for-people-with-psychosocial-disabilities/Orygen-Provision-of-services-NDIS-psychosocial-dis?ext.
PDSV (Psychiatric Disability Services of Victoria). 2015. Learn and Build in Barwon: The Impact of the National Disability Insurance Scheme on the Provision of Mental Health Services in the Barwon Launch Site. Key Issues for Consumers, Families and the Victorian Mental Health Service System. Vicserv. https://www.mhvic.org.au/images/PDF/VICSERV_publications/June_2015_Learn-and-Build-in-Barwon_Final.pdf.
Pilgrim, David, and Floris Tomasini. 2012. On Being Unreasonable in Modern Society: Are Mental Health Problems Special? Disability & Society 27: 631–646. http://dx.doi.org/10.1080/09687599.2012.669108.
Productivity Commission. 2011. Disability Care and Support, Report Number 54. Commonwealth of Australia. https://www.pc.gov.au/inquiries/completed/disability-support/report/disability-support-overview-booklet.pdf.
Productivity Commission. 2017. National Disability Insurance Scheme (NDIS) Costs, Study Report. Commonwealth of Australia. https://www.pc.gov.au/inquiries/completed/ndis-costs/report/ndis-costs.pdf.
RANZCP (Royal Australian and New Zealand College of Psychiatrists). 2017. The Provision of Services Under the National Disability Insurance Scheme for People with Psychosocial Disabilities Related to a Mental Health Condition. Submission to the Joint Standing Committee on the National Disability Insurance Scheme. RANZCP. https://www.ranzcp.org/files/resources/submissions/0622o-president-to-committee-secretary-re-ndis-sub.aspx.
RCP (Royal College of Psychiatrists). 2013. The Integration of Personal Budgets on Social Care and Personal Health Budgets in the NHS: Joint Position Statement of the Royal College of Psychiatrists and the Association of Directors of Adult Social Services: Position Statement PS01/2013. RCP. https://www.rcpsych.ac.uk/pdf/PS01_2013.pdf.
Ridley, Julie, Helen Spandler, Ann Rosengard, Simon Little, Michelle Cornes, Jill Manthorpe, Susan Hunter, Tony Kinder, and Bill Gray. 2011. Evaluation of Self-Directed Support Test Sites in Scotland. Scottish Government Social Research. http://clok.uclan.ac.uk/2888/4/0121078.pdf.
Ridley, Julie, Helen Spandler, Helen Rosengard, and Angela Menhennet. 2012. Follow-Up Evaluation of Self-Directed Support Test Sites in Scotland. Scottish Government Social Research. https://pdfs.semanticscholar.org/2d94/0d741b5e2b0dedd22edfeebac3fa78b8fab8.pdf.
RMI (Rethink Mental Illness). 2016. Recovery Fact Sheet. Rethink. file:///C:/Users/he06404/Downloads/recovery-factsheet.pdf.
SCN (Scottish Co-Production Network). 2014. Pilotlight Case Study: Co-designing a Pathway to Self-Directed Support for People who have Mental Health Problems. https://www.seemescotland.org/media/7292/pilotlight-case-study-april-2014.pdf.
Smith-Merry, Jennifer, Nicola Hancock, Amanda Bresnan, Ivy Yen, John Gilroy, and Gwynnyth Llewellyn. 2018. Mind the Gap: The National Disability Insurance Scheme and Psychosocial Disability. Final Report: Stakeholder Identified Gaps and Solutions. University of Sydney. http://sydney.edu.au/health-sciences/documents/mind-the-gap.pdf.
Soldatic, Karen, and Barbara Pini. 2012. Continuity or Change? Disability Policy and the Rudd Government. Social Policy and Society 11: 183–196. https://doi.org/10.1017/S1474746411000510.
Stopher, Kerry, and Denise Hughes. 2017. Building New lives: Bringing the NDIS to People Living in Psychiatric Hostels Perth Hills Trial Site WA: Overview and Stakeholder Reflections. NDIA. https://valuedlives.org.au/wp-content/uploads/2017/09/Bringing-the-NDIS-to-people-living-in-psychiatric-hostels-Final-002.pdf.
Thill, Cate. 2015. Listening for Policy Change: How the Voices of Disabled People Shaped Australia’s National Disability Insurance Scheme. Disability and Society 30: 15–28. https://doi.org/10.1080/09687599.2014.987220.
United Nations. 2006. Convention on the Rights of Persons with Disabilities and Optional Protocol. United Nations. https://www.un.org/disabilities/documents/convention/convoptprot-e.pdf.
WAMHC (Western Australian Mental Health Commission). 2015. Better Choices. Better Lives. Western Australian Mental Health Alcohol and Other Drug Services Plan 2015–2015. WAMHC. https://www.mhc.wa.gov.au/media/1301/the-plan_final.pdf.
Williams, Theresa, and Geoffrey Smith. 2014. Can the National Disability Scheme Work for Mental Health? Australian and New Zealand Journal of Psychiatry 48: 391–394. https://pdfs.semanticscholar.org/0740/7f87776167c3c9fd0cd23228c2e8e4e12b77.pdf.
Williams, Theresa. 2012. To Investigate the Policy and Practice of Self-Directed Support for People with a Mental Illness. Winston Churchill Memorial Trust of Australia. http://www.churchilltrust.com.au/media/fellows/2011_Williams_Theresa.pdf.
Williams, Theresa. 2014. The NDIS: What Can Australia Learn from Other Countries? NewParadigm: The Australian Journal on Psychosocial Rehabilitation. Summer Edition: 30–33. https://cmha.org.au/wp-content/uploads/2017/05/2014NewParadigmSummer.pdf.
WNUSP (World Network of Users and Survivors of Psychiatry). 2008. Implementation Manual for the United Nations Convention on the Rights of Persons with Disabilities. WNUSP. http://www.wnusp.net/documents/WNUSP_CRPD_Manual.pdf.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Williams, T., Smith, G. (2021). Mental Health and the NDIS: Making It Work for People with Psychosocial Disability. In: Cowden, M., McCullagh, C. (eds) The National Disability Insurance Scheme. Palgrave Macmillan, Singapore. https://doi.org/10.1007/978-981-16-2244-1_9
Download citation
DOI: https://doi.org/10.1007/978-981-16-2244-1_9
Published:
Publisher Name: Palgrave Macmillan, Singapore
Print ISBN: 978-981-16-2243-4
Online ISBN: 978-981-16-2244-1
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)