Implementation of Australia's National Disability Insurance Scheme

IF 1.1 4区医学 Q3 EDUCATION, SPECIAL

Infants & Young Children Pub Date : 2020-07-01 DOI:10.1097/IYC.0000000000000169

S. Gavidia-Payne

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引用次数: 6

Abstract

The National Disability Insurance Scheme (NDIS) was introduced in Australia in 2013 to address the inadequacies of a fragmented and underfunded service system for people with disabilities. For young children with developmental disabilities, NDIS services fall under the early childhood early intervention (ECEI) approach, the impact of which is yet to be documented. Considering the critical role of families in supporting their children with a disability, the aim of the present study was therefore to examine their experiences of the ECEI approach in the State of Victoria. Seventeen parents participated in interviews and focus groups, which generated information clustered around five themes: (1) accessing the NDIS and the ECEI; (2) plan development and implementation; (3) choice and control; (4) family and community life; and (5) parental distress. While highlighting the potential of the NDIS funding and its long-term benefits, participating parents reported numerous challenges in their pursuit of supports under the ECEI. It is concluded that for the NDIS to fulfil its promise and potential, substantive revisions of its systems, policies and practices will be required to be relevant and sensitive to the needs of young children with developmental disabilities and their families.

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澳大利亚国家残疾保险计划的实施

澳大利亚于2013年推出了国家残疾保险计划(NDIS)，以解决为残疾人提供的分散和资金不足的服务系统的不足。对于有发育障碍的幼儿，NDIS服务属于早期儿童早期干预(ECEI)方法，其影响尚未被记录。考虑到家庭在支持残疾儿童方面的关键作用，因此，本研究的目的是审查他们在维多利亚州采用ECEI方法的经验。17位家长参加了访谈和焦点小组，主要围绕以下五个主题收集信息:(1)访问NDIS和ECEI;(2)计划的制定与实施;(3)选择与控制;(四)家庭和社区生活;(5)父母苦恼。在强调NDIS资助的潜力及其长期效益的同时，参与的家长报告了他们在寻求ECEI支持时面临的许多挑战。最后得出的结论是，为了实现NDIS的承诺和潜力，将需要对其系统、政策和做法进行实质性修订，以便与有发育障碍的幼儿及其家庭的需要相关并敏感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Infants & Young Children Multiple-

CiteScore

1.90

自引率

9.10%

发文量

期刊介绍： Infants & Young Children is an interdisciplinary journal focusing on vulnerable children from birth to five years of age and their families. Of special interest are articles involving innovative interventions, summaries of important research developments and their implications for practice, updates for high priority topic areas, balanced presentations of controversial issues, and articles that address issues involving policy, professional training, new conceptual models, and related matters. Although data are often presented primarily to illustrate points, some types of data-based articles may be appropriate.