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Mental Health and the NDIS An Invitational Roundtable Eddie Bartnik, Mary Hawkins, Belinda Krause & Mark Rosser November 2016 Agenda Invitational Roundtable on Mental Health and the NDIS DATE: Wednesday 2 nd November 2016 VENUE: Pullman


  1. Mental Health and the NDIS An Invitational Roundtable Eddie Bartnik, Mary Hawkins, Belinda Krause & Mark Rosser November 2016

  2. Agenda Invitational Roundtable on Mental Health and the NDIS DATE: Wednesday 2 nd November 2016 VENUE: Pullman Sydney Airport Time Items Presenter 09:30 – 10:00 Registration and Morning Tea Welcome, acknowledgement of traditional owners of the land, introduction of National Office Mary Hawkins 10:00 – 10:30 staff and delegate introductions NSW and the NDIS context 10:30 – 11:30 Markets and Providers Update Mary Hawkins Question and Answer Session 11:30 – 11:40 NDIS Overview Eddie Bartnik 11:40 – 11:50 Strategic Update: NDIA Mental Health Work Plan 11:50 – 12:00 Strategic Update: Scheme Actuary’s Data on Psychosocial Disability / Insurance Belinda Krause Question and Answer Session Table Discussions: - NDIA Work Plan 2016 / 17 12:00 – 12:45 - Scheme Actuary Data - Markets, Providers & Pricing 12:45 - 1:30 Break for Lunch 1:30 – 1:40 Mark Rosser Project Update: Operational Access Review 1:40 – 1:50 Project Update: Psychosocial Supports Design Project 1:50 – 2:00 Update: NDIA Products Table Discussions: - NDIA Work Plan 2016 / 17 - Support Design 2:00 – 2:45 - Overall Priorities 2:45 – 3:30 Feedback Session & Close 3:30 - 4:00 Networking Session and Afternoon Tea

  3. Welcome – Mary Hawkins • Acknowledgements • National Office staff introductions • Delegate introductions • NSW context

  4. NSW JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN Total NSW (phasing by area) 2016-17 8,417 3,252 3,252 3,210 3,209 3,209 3,092 3,092 3,092 3,133 3,132 3,132 43,222 2017-18 8,206 4,472 4,472 4,483 4,483 4,482 5,005 5,005 5,004 4,870 4,869 4,869 60,220 2016-17 2018-19 2,201 2,200 2,200 2,201 2,200 2,200 2,201 2,200 2,200 2,201 2,200 2,200 26,404 Central Coast Hunter New England Nepean-Blue Mountains 20K South Western Sydney Southern NSW Western Sydney 15K Northern Sydney 2017-18 10K Illawarra Shoalhaven Mid North Coast Murrumbidgee Northern NSW 5K South Eastern Sydney Sydney Western NSW 0 Far West Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 2016-17 2017-18 2018-19 2018-19 NSW 14,921 9,628 9,276 9,397 17,150 13,448 15,014 14,608 6,601 6,601 6,601 6,601 New participants

  5. Markets and Providers Mary Hawkins 2 November 2016

  6. Introduction to the NDIS • The National Disability Insurance Scheme (NDIS) is the new way of providing individualised support for people with disability, their families and carers. • The National Disability Insurance Agency (NDIA) administers the NDIS. • People with disability choose the providers they work with. • Over 460,000 Australians with disability will enter the NDIS in coming years. • There are growth opportunities for providers who respond to this new demand. • Resources and tools will be available to help providers adjust to the new market environment.

  7. The NDIS path ahead Projected Growth in NDIS participation - Source: NDIA Actuary

  8. How does the NDIS market compare with other comparable markets? Overall Context Context Context Sourced from: Parliamentary Library The National Disability Insurance Scheme: a quick guide

  9. Types of services funded under the NDIS • For a support to be funded it needs to be reasonable and necessary and be linked to an outcome in a participant’s plan. • Supports must be related to the participant’s disability and help them to reach their goals. • They must help a participant to build the skills they need to live the life they want, including opportunities to work, further their education, volunteer or learn something new. • This may include undertaking activities or funding equipment aimed at increasing their independence, inclusion, and social and economic participation. • The funding model that underpins the NDIS is designed to be flexible and to allow service innovation. Importantly, the supports delivered will be chosen, and paid for out of an individually allocated budget to each participant.

  10. What doesn’t the NDIS fund? • There are rules for the NDIS that mean some supports cannot be funded in an NDIS plan • The NDIS will not fund: – Supports that are not related to a person’s disability – Supports that are funded by a different mechanism or system, such as Medicare or the Health system – Day-to-day living costs that everyone pays for such as food, electricity and water – Things that may cause harm

  11. Establishing the service approach Information and Community Linkages (ILC) supports will be delivered through five streams of activity: • Information, linkages and referrals • Capacity building for mainstream services • Community awareness and capacity building • Individual capacity building • Local area coordination Partners in the community: Local Area Coordinators (LACs) and Early Childhood Early Intervention (ECEI) partners will support some participants and their families to join in and contribute to the life of their community and assist with the planning process, plan implementation and community participation.

  12. Local Area Coordination • Local Area Coordinators (LACs) will support participants and their families to join in and contribute to the life of their community and assist with the planning process, plan implementation and community participation. • The NDIA has already partnered with Uniting and St Vincent de Paul Society NSW to deliver NSW LAC services during transition from January 2016 – 30 June 2018. • LACs will support participants through all steps on the pathway, except access. • LACs will assist all NSW participants transition to the NDIS, except participants living in large residential centres. • Most participants (60%) will also have an LAC assist with plan implementation, others (30-40%) may need more frequent and funded support coordination. • The LAC partner for the Murrumbidgee Area will be announced in the coming months

  13. Support Coordination Primary roles of Support Coordinator are: • Support implementation and identify options for all supports in the plan, including informal, mainstream and community, as well as funded supports. • Strengthen and enhance the participant’s abilities to coordinate supports and participate in the community, reach decisions and develop agreements with support providers. • Ensure mainstream services meet their obligations (i.e. housing, education, justice, health). • Build capacity of the participant to achieve greater independence, self-direct supports in the longer term and understand funding flexibility. • Be available – to ensure new support arrangements endure and in times of ‘crisis’. • Provide NDIA with reports on outcomes and success indicators within agreed reporting frequency.

  14. Differences between LAC, Planner & Support Coordinator LAC Planner Support Coordinator  Uniting and St Vincent de  NDIA Staff  NDIA Registered Service Paul Society NSW until 30 Providers June 2018.  Conduct information  Conduct information X Do not conduct information gathering process for gathering for participants in gathering participants streamed as large residential centres and general, supported and those who are streamed as intensive. super-intensive.  Make reasonable and X Do not make reasonable and X Do not come into contact with necessary decisions or approve necessary decisions in NDIS participants until they plans. accordance with the NDIS Act have an approved plan. 2013, approve plans.  Support participants  Support participants X Do not support participants to streamed as general or implement their plans. streamed as intensive and supported to implement and super-intensive to implement review their plans. and review their plans.

  15. Early Childhood Early Intervention (ECEI) Approach • The process of providing specialised support and services for children aged 0-6 years with a disability or developmental delay, and their families, in order to promote development, well-being and community participation. • Focuses on family centred practices delivered in a child’s natural settings. • Builds on family strengths and growing the capacity of mainstream and community services to support children with developmental delay or disability, leading to greater inclusion for children.

  16. ECEI pathways Meet with your local Transition Provider to discuss concerns Be supported by the Transition Provider to set goals for your child and family Be assisted to understand which supports will help achieve those goals The supports and services will look different for every child because they are based on the individual child and family needs but may include Information, Initial Early Help accessing guidance and Childhood individual connection to interventions & supports under services in the strategies eg: an NDIS Plan community therapy sessions Your child’s progress will be tracked against your goals, and the support team will work towards improving your child’s functional outcomes, so they can achieve greater independence and participation in their everyday activities.

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