Funding and operation of the Commonwealth State/Territory Disability Agreement
8 February 2007
© Commonwealth of Australia 2007
ISBN 978-0-642-71756-6
View the report as a single document - (PDF 742KB)
View the report as separate downloadable parts:
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| Membership of the Committee |
(PDF 22KB) |
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| Recommendations |
(PDF 24KB) |
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| Chapter 1 - Introduction |
(PDF 14KB) |
Terms of reference
Conduct of the inquiry
Background |
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| Chapter 2 - The agreements - intent and effect |
(PDF 75KB) |
Background
Commonwealth State Disability Agreement (1991-1992 to 1996-1997)
Major features
Funding
The views of consumers and service providers
Impact of the first CSDA
Commonwealth State Disability Agreement (1997-1998 to 2001-2002)
Funding
Impact of the second CSDA
Commonwealth State Territory Disability Agreement (2002-2003 to 2006-2007)
Conclusion |
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| Chapter 3 - Appropriateness of joint funding arrangements |
(PDF 285KB) |
Introduction
Bilateral Agreements
Joint funding arrangements
Responsibilities
Inflexible interfaces
Commonwealth services - State/Territory services interface - transitions
State/Territory services interface – portability
Dual diagnosis and multiple disability
Complexity and overlap
Cost-shifting
Whole of government coordination
A national approach?
Competitive federalism
A federal dilemma
Conclusion
Assessment
Assessment and planning
Application procedures
A National Framework
A Disability Assessment Team?
The burden of multiple assessments
Appropriate Assessment
Indexation of CSTDA funding
Demand funding
Growth Funding
Equity of funding distribution
Possible solutions
Performance monitoring and reporting
Input controls
The burden of accountability
Outcomes and quality based performance framework |
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| Chapter 4 - Unmet needs |
(PDF 214KB) |
Disability support services
Assessments of unmet need
Disability services data
CSDA Minimum Data Set
CSTDA National Minimum Data Set
Improvements in datasets
Conclusion
Continuing unmet need
Accommodation support services
Identification of unmet need for accommodation services
Options for accommodation services
Respite services
Assistive technology
Early intervention
Employment services
Transport
Continuing pressures on demand for services
Conclusion |
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| Chapter 5 - The ageing/disability interface |
(PDF 97KB) |
Introduction
Disability and ageing
People with a disability who are ageing
Jurisdictional overlap and inefficiency
Aged care services
Home and Community Care (HACC) Program
Aged Care Assessment Program
Community Aged Care Packages
Extended Aged Care at Home (EACH) program
Residential aged care
Young people in aged care
Impacts of the aged care/disability interface
Innovative Pool Aged Care Disability Interface Pilot
Support for the Pilot
Ageing in place
Interface with health care
Ageing informal carers
The importance of informal care
Transitional arrangements for ageing carers
Respite for ageing carers |
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| Chapter 6 - Alternative funding arrangements for disability services |
(PDF 38KB) |
Individualised funding
Implementing a direct payment system
Accountability
Limitations of individualised funding
Vouchers
Insurance options
Accommodation and care options |
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| Chapter 7 - Shared areas of responsibility |
(PDF 42KB) |
Information services
Research and development
Advocacy
Carers Advocacy
Consultation with the disability community
Occupational health and safety and paid carers |
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| Appendix 1 - List of public submissions and tabled documents authorised for publication by the Committee |
(PDF 26KB) |
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| Appendix 2 - Witnesses who appeared before the Committee at public hearings |
(PDF 22KB) |
For further information, contact:
Committee Secretary
Senate Standing Committees on Community Affairs
PO Box 6100
Parliament House
Canberra ACT 2600
Australia