Utilisation of budgets provides important insights into the effectiveness of individualised funding schemes. Significant under-utilisation by certain cohorts may indicate schemes are not working as intended. People with psychosocial disability have been identified as one such cohort experiencing barriers to effective budget utilisation within Australia's National Disability Insurance Scheme. Our mixed-methods research confirms that while this cohort receive sufficient budgets, their spending is lower in comparison to other participants. Addressing under-utilisation drivers arising from complex interactions between individual, systems, and contextual-level factors, requires intervention within individualised funding schemes and the broader policy environment.

中文翻译：

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“说实话几乎放弃了”：澳大利亚国家残疾保险计划中心理社会残疾者对个性化预算的利用

预算的利用为了解个性化资助计划的有效性提供了重要的见解。某些群体的严重利用不足可能表明计划没有按预期工作。在澳大利亚国家残疾保险计划中，有心理社会残疾的人被确定为在有效利用预算方面遇到障碍的人群之一。我们的混合方法研究证实，虽然这一群体获得了足够的预算，但与其他参与者相比，他们的支出较低。解决因个人、系统和环境层面因素之间的复杂相互作用而导致的利用不足的驱动因素，需要对个性化的资助计划和更广泛的政策环境进行干预。