Evidenced based trial for complex psychosocial and forensic disability service delivery models in an NDIS framework – journey to a good life

Ms Melinda Kubisa1, Ms Susan Goodall1

1Community Living Options Inc, Australia

Background:
Utilising an evidence-based approach Community Living Options (CLO) are undertaking a project delivering supports for 28 NDIS participants with complex intellectual disability and psychosocial/forensic disability support needs. CLO have measured the success of our Supported Independent Living and positive behaviour support (PBS) model for these participants who have transitioned to the community from James Nash House, Glenside Hospital, and Supported Residential Facilities. CLO’s integrated model includes PBS, the Good Lives and Recovery models, human rights and person-centred planning framework; allowing participants to take control of decisions. It supports the reduction of serious behaviours of concern and/or offending behaviour with adaptive and pro-social skills to increase quality of life, and community participation and safety.

Method:
Quantitative analysis included pre and post functional behaviour analysis, Life Skills Questionnaire, and quality of life assessments (WHO-QOL). Qualitative analysis included goal attainment outcomes (Camberwell Assessment of Need), dynamic and static risk assessment (ARMIDILO), and a choice and control questionnaire.

Results:
The evidence-based tools measured participant outcomes; providing data to evaluate the model and leading to continuous improvement in service delivery models. Quantitative data indicated improvement in quality of life; particularly relating to goal attainment and choice and control. The results evidenced the reduction in behaviours of concern and support ratios required.

Implications:
There is a gap in community-based support models for people with disability and complex forensic/psychosocial needs. The CLO model provides a robust approach to supporting these people within an inclusive/human rights framework in an NDIS operating environment. The results have contributed to evidence-based best-practice approaches to PBS methodologies for increasing quality of life.


Biography:

Ms Kubisa (Psych Honours; GradDipSocScience (Psychology Practice); MBA) has worked in the disability sector for 28 years. Her experience supporting people has been varied, including those with complex needs, psychosocial disability, forensic backgrounds, personality disorders and significant mental health disorders. Mel commenced at CLO in 1999; working in management and leadership roles being appointed as the CEO in January 2018.

Ms Goodall, Clinical Services Manager (BAAppScience (Disability Studies) is an experienced Developmental Educator with 15 years Government and NGO experience providing specialist PBS/therapy to complex clients with disability in both child/youth services and adult disability sectors; including Autism SA, the Intensive Family Intervention Program (Disability SA), and currently as Clinical Services Manager at CLO.

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