Alinka Fisher, Kymberly Louise, Katrina Reschke, Peter Kremer, Glenn Kelly
{"title":"Positive behaviour support under the National Disability Insurance Scheme in Australia: Barriers, enablers and support needs from the perspective of practitioners","authors":"Alinka Fisher, Kymberly Louise, Katrina Reschke, Peter Kremer, Glenn Kelly","doi":"10.1002/ajs4.316","DOIUrl":"https://doi.org/10.1002/ajs4.316","url":null,"abstract":"This paper examines the experiences of behaviour support practitioners providing positive behaviour support (PBS) under the Australian National Disability Insurance Scheme (NDIS), including perceived barriers and enablers of practice, and ongoing support needs. It reports on data provided by NDIS PBS practitioners (n = 392) in a cross‐sectional mixed methods survey employed to examine the characteristics and experiences of behaviour support practitioners working across Australia. Qualitative data from open‐ended questions were analysed using inductive thematic analysis. The key barriers to practice included “the current service systems,” “engaging and collaborating with stakeholders” and “limited PBS expertise across the sector.” Enablers of good practice related to “organisation systems and practice supports/tools,” “practice supervision” and “quality training and professional development opportunities.” Ongoing support needs identified included the need for “further PBS training,” “improved service systems” and “access to clinical supports and practice guidance.” Findings suggest that whilst some practitioners report positive experiences, a large majority experience significant barriers to their PBS practice. They describe potential supports to overcome these barriers, which emphasise the need for further PBS training, clinical supervision/oversight and more efficient service systems. Findings have implications for PBS practice, policy and research in Australia.","PeriodicalId":504799,"journal":{"name":"Australian Journal of Social Issues","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139801185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alinka Fisher, Kymberly Louise, Katrina Reschke, Peter Kremer, Glenn Kelly
{"title":"Positive behaviour support under the National Disability Insurance Scheme in Australia: Barriers, enablers and support needs from the perspective of practitioners","authors":"Alinka Fisher, Kymberly Louise, Katrina Reschke, Peter Kremer, Glenn Kelly","doi":"10.1002/ajs4.316","DOIUrl":"https://doi.org/10.1002/ajs4.316","url":null,"abstract":"This paper examines the experiences of behaviour support practitioners providing positive behaviour support (PBS) under the Australian National Disability Insurance Scheme (NDIS), including perceived barriers and enablers of practice, and ongoing support needs. It reports on data provided by NDIS PBS practitioners (n = 392) in a cross‐sectional mixed methods survey employed to examine the characteristics and experiences of behaviour support practitioners working across Australia. Qualitative data from open‐ended questions were analysed using inductive thematic analysis. The key barriers to practice included “the current service systems,” “engaging and collaborating with stakeholders” and “limited PBS expertise across the sector.” Enablers of good practice related to “organisation systems and practice supports/tools,” “practice supervision” and “quality training and professional development opportunities.” Ongoing support needs identified included the need for “further PBS training,” “improved service systems” and “access to clinical supports and practice guidance.” Findings suggest that whilst some practitioners report positive experiences, a large majority experience significant barriers to their PBS practice. They describe potential supports to overcome these barriers, which emphasise the need for further PBS training, clinical supervision/oversight and more efficient service systems. Findings have implications for PBS practice, policy and research in Australia.","PeriodicalId":504799,"journal":{"name":"Australian Journal of Social Issues","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139861049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health‐Poverty Inequality in Australia from 2001 to 2018","authors":"D. Jun, Matt Sutton","doi":"10.1002/ajs4.310","DOIUrl":"https://doi.org/10.1002/ajs4.310","url":null,"abstract":"While established measures gauge poverty across diverse aspects of life, a definitive metric for health poverty in Australia remains absent. This study examines health poverty trends, identifying priorities for interventions to improve overall population health. We define health poverty as the state of falling below a specified minimum threshold in any critical health aspect, encompassing physical function, role function, social function, pain, mental health and vitality. Additionally, mortality (i.e., dying within 1 year) is integrated into the health poverty measure. The percentage of the overall adult population grappling with health poverty was 42 percent in 2001, falling to 37 percent in 2009 before ascending to 43 percent in 2018. The level of health poverty was more prevalent among women, older age groups and Indigenous individuals than in men, younger age groups or non‐Indigenous people, respectively. By meticulously monitoring health poverty trends across various dimensions, this study unveils the sociodemographic group susceptible to health poverty and quantifies its impact on overall population well‐being. The investigation highlights poor role functioning and vitality deficiency as pivotal components contributing to health poverty.","PeriodicalId":504799,"journal":{"name":"Australian Journal of Social Issues","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139602990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}