Socio-environmental models of allied health disability support: an exploration of narrative experiences in the Australian National Disability and Insurance Scheme
Mitchell N. Sarkies
A B C D G , Sarah Milne A B C E F and Annette Davis A B C
A Allied Health and Community Services Workforce, Department of Health and Human Services, Melbourne, Vic. 3000, Australia.
B Department of Allied Health, Monash Health, Clayton, Vic. 3168, Australia. Email: Annette.davis@monashhealth.org
C School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Vic. 3199, Australia.
D Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, 75 Talavera Road, NSW 2113, Australia.
E Murdoch Children’s Research Institute, Parkville, Vic. 3052, Australia. Email: sarah.milne@mcri.edu.au
F Department of Paediatrics, The University of Melbourne, Parkville, Vic. 3010, Australia.
G Corresponding author. Email: mitchell.sarkies@mq.edu.au
Australian Health Review 46(1) 64-69 https://doi.org/10.1071/AH21009
Submitted: 11 January 2021 Accepted: 15 May 2021 Published: 29 July 2021
Abstract
Objective The primary aims of this study were to explore: (1) manifestations of socio-environmental models of allied health support provision in the disability sector; and (2) narrative experiences of individual allied health professionals in the disability sector.
Methods A narrative qualitative study using interviews from a purposive sample of two allied health professionals working in the disability sector explored manifestations of socio-environmental models of allied health support provision and their experiences from case examples. The key informants had more than 10 years of experience in the disability support services setting.
Results Seven key themes exploring manifestations of socio-environmental models of allied health professional practice in the disability sector emerged: (1) dignity of risk; (2) models of care; (3) considerations when working in the supported person’s environment; (4) goal-oriented work; (5) informed choice and informed consent; (6) reactive and flexible plans; and (7) training and education role.
Conclusions Socio-environmental models of allied health support provision in the disability sector focus on empowering people with disability to achieve their goals. This may require displacement of cultural norms within the allied health professions.
What is known about the topic? Socio-environmental models of allied health support provision in the disability sector focus on empowering people with disability to achieve their goals.
What does this paper add? Displacement of cultural norms within the allied health professions may be needed to promote positive risk taking. Challenges for allied health professionals remain in navigating conflicting goals between clients and family members, empowering informed choice and consent, and working in uncontrolled environments.
What are the implications for practitioners? Adopting training and education roles for clients, family members and carers when implementing National Disability and Insurance Scheme plans may represent one of the many pragmatic and flexible approaches to achieve people’s goals.
Keywords: disability, allied health, National Disability and Insurance Scheme, occupational therapy, rehabilitation.
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