Unmet need for disability services: effectiveness of funding and remaining shortfalls

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Disability series

Australian governments committed $519 million additional funding to disability services over the two years 2000-01 and 2001-02, in recognition of unmet needs in the community. This publication reports the findings of a study the AIHW was commissioned to undertake on the effectiveness of this funding, particularly in providing additional services and on the remaining level of unmet need in the community.

Authored by AIHW.

Published 26 July 2002; ISSN 1444 3589; ISBN-13 978 1 74024 196 0; AIHW cat. no. DIS 26; 290pp.; OUT OF PRINT

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Full publication (2.51M PDF)

  • Preliminary material (290K PDF)
    • Title and verso pages
    • Contents
    • List of tables, appendix tables, figures and boxes
    • Acknowledgments
    • Abbreviations
    • Summary (separate 165K PDF; HTML & pre-publication version 172K PDF)
  • Sections
    1. Introduction (177K PDF)
      • Project objectives and report outline
      • The Commonwealth/State Disability Agreement (CSDA)
      • Bilateral Agreements and unmet need funding
      • A statistical picture of the CSDA, its funding and its clients
    2. Framework and method (217K PDF)
      • Concepts and definitions for the study
      • Relating key data sources to the key concepts
      • Study method
    3. The use of the unmet need funding (415K PDF)
      • Introduction
      • Data sources and limitations
      • The quantum of funds
      • Application of the unmet need funding
      • Ongoing effect of unmet need funding
      • Service delivery from the unmet need funding
      • Costing and funding of services
      • Unmet need funding cost experience
      • Unmet need funding: comparisons with past estimates
      • Summary: use of the funding
    4. Effectiveness of unmet need funding (294K PDF)
      • Scope and outline of the chapter
      • Additional services: national trends from the CSDA MDS
      • In what other ways has the level of unmet need been reduced?
      • Effectiveness of new funding: views from the peak discussions
      • Other indications of effectiveness
      • Effectiveness: summary and discussion
    5. Jurisdiction methods for managing 'need' (228K PDF)
      • Introduction
      • How jurisdictions manage 'need'
      • What do these processes tell us about need and unmet need?
      • Summary and discussion
    6. Population estimates of need (249K PDF)
      • Approach and sources for population data analysis
      • Accommodation and respite services: estimates of unmet need
      • Community access services: estimates of unmet need
      • Disability employment services: baseline estimates of unmet need
      • Estimates of support needs of ageing primary carers
    7. Shortfalls - remaining unmet needs (277K PDF)
      • The approach in this chapter.
      • Consolidating the estimates of unmet need
      • Unmet needs: views from peak discussions
      • Unmet needs: literature and other sources
      • Evidence from analysis of 'other services' data
      • Conclusions on remaining unmet need for specific services
    8. Approaches to costing remaining unmet need (152K PDF)
      • Overview of information
      • The 'building block' approach to costing unmet need in 2001
      • Considering differing policy scenarios
      • The possibility of adopting a population 'benchmark' approach
      • Further developing the jurisdictional registers
  • End matter
    • References (90K PDF)
    • Appendixes
                Appendix tables (127K PDF)
      1. Summary of AIHW 1997 demand study (158K PDF)
      2. --- (202K PDF)
        1. Questionnaire to inform the CSDA 'Needs Study' (States and Territories)
        2. Questionnaire to inform the CSDA 'Needs Study' (Commonwealth)
        3. Jurisdiction staff.
      3. Agenda and program for discussions on the need for CSDA disability services

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