Barriers to applying to the NDIS for Australians with psychosocial disability: A scoping review

Abstract

The National Disability Insurance Scheme (NDIS) was designed to support Australians living with disability. However, public data evidence the low number of people with psychosocial disability in the Scheme. One reason for these low numbers is that many people with psychosocial disability have still not applied to receive NDIS support. The aim of this review was to analyse and synthesise previously reported barriers preventing people with psychosocial disability applying to the Scheme. A search of seven databases identified 61 relevant documents including peer-reviewed research, published expert opinion pieces, newspaper articles and government and independent enquiries and reports. Thematic analysis revealed five overarching barriers to applying: social inequities acting as barriers to applying; stigma, trauma and previous negative experiences; barriers to finding supports needed to apply; challenges understanding the relevance of the Scheme; and experiences and symptoms of mental illness extend and exacerbate barriers. These barriers signpost problems inherent within an application process designed without engaging or being responsive to the expertise of and insights into people living with psychosocial disability. Resolution of these substantial barriers will not be a small task. It will require commitment to redesigning the Scheme's application process through a genuinely codesigned approach.