Successfully navigating barriers to choice and control in the National Disability Insurance Scheme (NDIS): experiences of people with lived experience of psychosocial disability

Résumé fourni par la source

Objective The National Disability Insurance Scheme (NDIS), commenced in Australia in 2014. NDIS is founded on increasing choice and control, but this has been problematic for some people with psychosocial disability. While research has explored barriers to choice and control, there has been little exploration of how people with psychosocial disability successfully negotiate choice and control on the Scheme. This study aimed to explore the experiences of enacting choice and control for people with psychosocial disability on the NDIS.Method Twenty people with psychosocial disability on the NDIS were interviewed in-depth using semi-structured interview techniques. Data were analysed thematically using constant comparative methods.Results Choice and control were enhanced through specific knowledges, attributes and actions people possessed. Additionally, people described drawing upon the knowledge, attributes and actions of helpful others to ultimately increase their choice and control when facing an inherently disempowering context or system.Conclusion Structural barriers to choice and control within the NDIS context requires people to not only have and use their own knowledges, attributes and actions, but also draw upon helpful others. The rhetoric of choice and control could be enhanced with greater attention paid to ‘relatedness’ – specifically in relation to the role of proposed navigators.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.