ABSTRACT

Background: Dedifferentiated policy treats adults with intellectual disabilities as part of the larger group of people with disabilities. The implications of the dedifferentiated National Disability Insurance Scheme (NDIS) for adults with intellectual disabilities are explored.

Methods: Analysis of peer reviewed and grey literature between 2014 and 2020 about design of the NDIS and outcomes.

Results: Many participants experienced problems with NDIS implementation. Outcomes for adults with intellectual disabilities compared poorly to other groups. They were disadvantaged by standardised planning processes relying on self-expressed needs and omission of supported decision making. As the NDIS matures, it is becoming more differentiated but issues relevant to adults with intellectual disability remain largely invisible.

Conclusions: Further shifts towards standardised planning and functional assessment may be disadvantageous for adults with intellectual disabilities for whom support needs are dependent on social and contextual factors, and exercise of choice on support for decision making.

摘要

背景：去差别化政策将智障成年人视为一大批残疾人的一部分。探索了脱分化的国家残疾人保险计划（NDIS）对智障成年人的影响。

方法：分析2014年至2020年之间有关NDIS设计和结果的同行评审和灰色文献。

结果：许多参与者遇到了NDIS实施方面的问题。与其他群体相比，智障成人的结果较差。他们的劣势在于依靠自我表达的需求的标准化计划流程以及缺少支持的决策。随着NDIS的成熟，它变得越来越与众不同，但与智障成年人相关的问题在很大程度上仍不可见。

结论：对于智力障碍的成年人来说，向标准化计划和功能评估的进一步转变可能不利，因为他们的支持需求取决于社会和背景因素，并在决策支持上行使选择权。