Effective terminology for access requests

Question:

I just had a question about the “history of interventions” sections – just going over your template for access reports. I’m focusing on getting these right, rather than on full FCAs now, due to my primary role of applying for access with CCU clients.

 I’m reluctant to add content related to interventions, just due to previous rejections, because of suggestions of other therapies and so on, to the point I no longer make recommendations for any formal therapies or treatments etc., in FCA reports.

In your experience has this been a necessary thing to include? Are NDIS assessors all that savvy about asking for more around this, or picking out things you haven’t mentioned to recommend they trial before they grant access?

 I’d rather not put it in at all to be honest, as I view it as my opinion on their current functional status, not their treatment options past or future.

Response:

For an access request you need to meet the diagnosis and disability criteria. All of your clients will meet the diagnostic criteria but to meet disability you have to demonstrate that the person has accessed all avenues of treatment and rehabilitation. The history for interventions heading prompts me to remember to address this in my report.

I never recommend therapies but will recommend Capacity Building Supports. They may be essentially the same thing but the NDIS are funny about the word, ‘therapy’ and happy to ‘build capacity’. It's a matter of shifting your perspective and language which can be challenging when you come from a health background. I try not to give the planner an excuse to refuse access by saying the person hasn't tried all possible treatments.

I hope this answers your question.