Key concepts

Psychiatric disability support services
Key concept Description
Accommodation support Accommodation support services provide the support needed to enable a person with a disability to remain in their existing accommodation or to move to more suitable or appropriate accommodation. It includes large residential institutions, small residential institutions, hostels, group homes, personal care by an attendant, in-home accommodation support, alternative family placement (such as shared-care arrangements and host family placements) and other short-term one-off support such as crisis accommodation.
Australian Government-funded services Australian Government-funded services include the National Disability Agreement (NDA) employment services funded directly from the Australian Government.
Community access Community access services are designed to provide opportunities for people with a disability to gain and use their abilities to enjoy their full potential for social independence. They include learning and life skills development, and recreation and holiday programs.
Community support Community support services provide assistance with non-institutionalised living arrangements, such as specialised therapeutic services, early childhood intervention, behaviour and/or specialist intervention, regional resource and support teams, counselling and case management.
Employment services Employment services include open employment services that provide assistance in obtaining and/or retaining paid employment in the open labour market and supported employment services that provide employment opportunities and assistance to work in specialised and supported environments.
Group homes Group homes provide combined accommodation and community-based residential support to people in a residential setting and are generally staffed 24 hours a day. Usually, no more than 6 service users are located in any one home.
Hostels Hostels provide residential support in a setting of usually less than 20 beds and may or may not provide 24-hour residential support. Unlike residential facilities/institutions, hostels do not provide segregated specialist services.
Large residentials facilities/institutions Large residential facilities/institutions provide 24-hour residential support in a setting of more than 20 beds. In some cases a range of residential and vocational/day services, and/or respite services are provided on the one site.
National Disability Agreement (NDA) Originally signed by Australian Government and state and territory governments in January 2009 (replacing the previous Commonwealth State/Territory Disability Agreement), the National Disability Agreement articulates the roles of the governments in delivering specialist disability services. The agreement’s overarching objective is to provide more opportunities for people with disability and their carers to participate in economic and social life (COAG 2012). A revised NDA was endorsed by COAG members in 2012. In addition to changes that reflect the new policy directions for community care in the National Health Reform Agreement, the revised NDA includes five new reform priorities. The priority areas for reform are aimed at building the evidence base for disability policies and strategies; enhancing family and carer capacity; strategies for increasing choice, control and self-directed decision-making; building innovative and flexible support models for people with high and complex needs; and developing employment opportunities for people with disability (COAG 2012; FaHCSIA 2012).
Non-residential services Non-residential services are services that support people with a disability to live in a non-institutional setting through the provision of community support, community access, accommodation support in the community (including personal care by an attendant, in-home accommodation support, alternative family placements and other accommodation support), respite and/or employment services.
Other significant disability Disability refers to the impairment of body structures or functions, limitations in activities, or restrictions in participation. Other significant disability refers to disability group(s) other than that indicated as being ‘primary’ that also clearly expresses the experience of disability by a person and/or causes difficulty for the person. A number of other significant disabilities may be identified for each service user.
Primary disability Disability refers to the impairment of body structures or functions, limitations in activities, or restrictions in participation. Primary disability is the disability group that most clearly expresses the experience of disability by a person, and causes the most difficulty for the person in their daily life.
Psychiatric disability Psychiatric disability within the Disabilty Services NMDS collection includes clinically recognisable symptoms and behaviour patterns frequently associated with distress and which may impair functioning in normal social activity. Psychiatric disability may be associated with schizophrenia, affective disorders, anxiety disorders, addictive behaviours, personality disorders, stress, psychosis, depression and adjustment disorders, but dementias, specific learning disorders (such as attention deficit disorder) and autism are excluded.
Residential services Residential services are services that provide accommodation for people with a disability. They include accommodation in large (>20 places) and small (7–20 places) residential facilities/institutions; hostels; and group homes (<7 places).
Respite services Respite services provide a short-term and time-limited break for families and other voluntary caregivers of people with disability and include services such as those provided in the individual’s home, in centers, in respite homes and with host families. Although respite is provided to both the person with a disability and their caregiver, in this report the person with disability is regarded as the client, and numbers presented in tables/figures reflect this definition.
Service type and service group Service type and service group refer to the classification of services according to the support activity which the service provider is providing under the NDA. Service types are rolled into service groups for data relating to non-residential services.
Small residential facilities/institutions Small residential facilities/institutions provide 24-hour residential support in a setting of 7 to 20 beds. In some cases a range of residential and vocational/day services, and/or respite services are provided on the one site.
State or territory administered services State or territory administered services include those services providing any residential services and those providing the non-residential service groups of accommodation support, community support, community access and respite. Joint funding of these agencies may occur between the state/territory and the Australian Government as specified by the NDA.

References

COAG (Council of Australian Governments) 2012. National Disability Agreement. Canberra: COAG. Viewed 9 October 2012.

FaHCSIA 2012. Australian Government Department of Families, Housing, Community Services and Indigenous Affairs.
National Disability Agreement. Revised National Disability Agreement. Viewed February 2015.