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 care 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 residential 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; DSS 2012).
National Disability Insurance Agency (NDIA) The NDIA  is an independent statutory agency whose role is to implement the National Disability Insurance Scheme (NDIS). The NDIA collects data on the NDIS and publishes quarterly reports.
National Disability Insurance Scheme (NDIS)

The Australian Government announced the introduction of the NDIS in July 2012. The NDIS provides ‘reasonable and necessary supports’ to help people who have a ‘significant and permanent’ disability. The scheme is based on an insurance model, and each individual seeking access is assessed according to a common set of criteria. Individuals who are deemed eligible receive a package of funding to purchase the supports identified in their individualised plan.

Because of the fundamental change to service provision, the NDIS is being rolled out in stages—trial sites began roll-out in July 2013, the full scheme roll-out began in July 2016 and state-wide roll-out started in July 2018. The NDIS is administered by the National Disability Insurance Agency (NDIA 2018).
Non-residential support services Non-residential support 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 placement 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 Disability Services NMDS collection includes clinically recognisable symptoms and behaviour patterns frequently associated with distress that 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.
Psychosocial disability Psychosocial disability in the National Disability Insurance Scheme is a term used to describe a disability that may arise from a mental health issue. For a person with a psychosocial disability to access the Scheme, they need to have a permanent or likely-to-be permanent disability as a result of their mental health condition. The condition must have a significant impact on their day-to-day life and the person’s ability to participate in the community. It also needs to be likely that the person will need support for the rest of their life (NDIA 2019).
Residential support services Residential support 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 centres, in respite homes and with host families. Although respite is provided to both the person with disability and their caregiver, in this report the person with disability is regarded as the client, and numbers presented in the 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 service 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 28 March 2019.

DSS (Department of Social Services) 2012. National Disability Agreement. Last updated 24 November 2016. Viewed 28 March 2019.

NDIA (National Disability Insurance Agency) 2018. National Disability Insurance Scheme. Viewed 28 March 2019.

NDIA 2019. What is psychosocial disability?Viewed 28 March 2019.


Alternative text for figures for Psychiatric disability support services section

Figure DIS.1

Vertical bar graph showing disability service users per 100,000 population with a psychiatric disability for each state/territory and nationally in 2017–18. Rates: NSW 368.4; Vic 487.0; Qld 448.3; WA 214.0; SA 614.6; Tas 399.1; ACT 192.8; NT 131.7; National total 407.2. Refer to Table DIS.1. Back to figure DIS.1

Figure DIS.2

Line graph showing disability service users per 100,000 population with a psychiatric disability, nationally from 2005–06 to 2017–18. Rates: 2005–06, 187.5; 2006–07, 231.0; 2007–08, 276.3; 2008–09, 339.4; 2009–10, 366.0; 2010–11, 396.1; 2011–12, 389.2; 2012–13, 368.0; 2013–14, 382.3; 2014–15, 407.1; 2015–16, 401.6; 2016–17, 414.1; 2017–18, 407.2. Refer to Table DIS.3. Back to figure DIS.2

Figure DIS.3

Vertical bar graph showing disability service users per 100,000 population with a primary psychiatric disability for each state/territory and nationally in 2017–18. Rates: NSW 231.4; Vic 349.9; Qld 282.7; WA 132.3; SA 340.4; Tas 254.3; ACT 136.8; NT 75.0; Total 264.1. Refer to Table DIS.2. Back to figure DIS.3

Figure DIS.4

Vertical bar graph showing users per 100,000 population with a psychiatric disability who accessed non-residential and residential disability support services, for each state/territory and nationally in 2017–18. Rates for non-residential services: NSW 367.3; Vic, 484.8; Qld 446.1; WA 213.9; SA 611.9; Tas 397.2; ACT 192.8; NT 130.9; National 405.6. Rates for residential services: NSW 7.3; Vic 6.5; Qld 10.0; WA 7.0; SA 35.2; Tas 17.3; ACT n.a.; NT 2.8; National 9.6. Refer to Table DIS.1. Back to figure DIS.4

Figure DIS.5

Line graph showing service users per 100,000 population with a psychiatric disability who accessed non-residential and residential services nationally from 2005–6 to 2017–18. Rates for non-residential services: 2005–06, 183.7; 2006–07, 227.1; 2007–08, 272.5; 2008–09, 336.2; 2009–10, 362.9; 2010–11, 393.3; 2011–12, 386.7; 2012–13, 365.8; 2013–14, 380.0; 2014–15, 405.0; 2015–16, 399.6; 2016–17, 412.1; 2017–18, 405.6. Rates for residential services: 2005–06, 14.6; 2006–07, 16.5; 2007–08, 17.1; 2008–09, 17.9; 2009–10, 17.7; 2010–11, 17.7; 2011–12, 16.6; 2012–13, 16.2; 2013–14, 16.3; 2014–15, 15.6; 2015–16, 14.9; 2016–17, 14.2; 2017–18, 9.6. Refer to Table DIS.3. Back to figure DIS.5