@Alessandra1992
Hi Sandy,
I agree this is definitely a worry with NDIS. Much (most?) of the states' MH $ will go into NDIS - that is the most acutely long-term ill/debilitated who also have a tick the box diagnosis (I'm still trying to find out all the box names: I know from VDoH that schizophrenia & bipolar both on list). The only bypass of the formula, as I read it, is direct approval by NDIS CEO. Not likely to happen often or quickly.
This seems to ignore several important issues:
1. It can take years or even decades to get an accurate diagnosis, particularly with bipolar - as often the mania is misunderstood by the sufferer as "being well". (As you know this was my experience over 30+ years before I figured it out & asked the question of my new psych).
2. The more debilitating effects of a severe MI can be experienced before the diagnosis, whereas getting a good diagnosis can be helpful in providing some handles for treatment and management meaning a person can be more well afterwards.
3. It assumes that MI is a one way down-hill street, and diagnosis equals a life-sentence. Not the case necessarily.
4. For many people suffering MI to get more than the 16(18?)/year Medicare subsidised psych sessions under NDIS they will have to get much sicker before they get any more help. So much for early intervention!
Don't get me wrong. I think NDIS has much going for it, but it's no panacea and I worry that in some respects MH is an afterthought. Many others in the sector, carers and some people with physical disabilities, don't seem to see that NDIS applies to MI at all. The joys of an invisible disability!
I also worry that those of us who aren't sick "enough" to qualify for NDIS may find oursleves kicked off DSP too. My reason for this concern is that I noticed a very striking similarity in wording between the NDIS criteria and this year's McClure report on pensions and payments. So I'm watching this space. I've heard very little further since the report's release. At the time I was too sick to respond to it in the very short feedback window (about 6 weeks?). One worrying thing was I couldn't find a definition of disability anywhere in it.
Cheers, Kristin