austlii:cth/ARTA/2025/792
General information, not legal advice.
ARTA
2025-06-16
Edelman JJ
Original judgment source is linked above.
This in turn will lead to more frequent periods of escalation requiring the use of a restrictive practice to prevent him from accessing the community. The Applicant asserts that the 1:1 SIL sought will enable him to access to the community in a safe and supported way. (sic)
Section 34(1)(c) and Rule 3.1 - Value for money
Rule 3.1 (a) - Comparable supports would achieve the same outcome at a substantially lower cost
Is already accessing services from a Psychologist, a Psychiatrist, an Occupational Therapist and a Behaviour Support Practitioner. He was referred to SIDMHOS June 2021. Access to these services is not, and has never been, a substitute for support worker assistance. [52]
Rule 3.1 (b) - Evidence the support will substantially improve life stage outcomes and be of long-term benefit to Mr Ahrens
Section 34(1)(d) and Rule 3.2 - Effective and beneficial
For example, the Applicant has an environmental restraint that prevents him from accessing the community when escalated. If the Applicant is not supported 24/7 1:1, there are two options for managing the implementation of this restrictive practice. One, the front gate can remain locked when support workers are not present. This in itself is a seclusion restrictive practice and would unacceptably limit the Applicant's freedom and independence contrary to the objects of and general principles guiding actions under the NDIS (ss 3, 4) and Rule 5.1(a) of the Supports Rules Two, the gate can be left unlocked when support workers are not present, which risks the Applicant accessing the community while in an escalated state. Neither of these options are effective and beneficial. [55]
Section 34(1)(f) - whether the requested support is a NDIS Support
NDIS Operational Guidelines - the intended purpose of 1:1 SIL
The current model is NOT a containment model as [the Applicant] has:
a clear distinction between using SIL for behaviour management which includes the implementation of regulated restrictive practices contained in the behaviour support plan, and actual containment. > > The Applicant's behaviours of concern are a manifestation of his disability and interfere with his ability to independently engage in activities of daily living. Accordingly, the Applicant asserts that 24/7 1:1 support worker assistance includes the implementation of behaviour support strategies to support him to be independent and to build capacity for behaviour management. [61]
It is also acknowledged that you require assistance with instrumental activities of daily living including medication management, meal preparation, shopping, laundry and cleaning. During the daytime hours it is considered reasonable to continue to fund you 3 hours per day of 1:1 support to assist you in the above areas as well as for management of behaviours.
The Supports Rules - whether 24/7 1:1 SIL is a NDIS Support
Rule 5.1(a) - likely to cause harm to the participant or pose a risk to others
Whether supports appropriately funded or provided through the NDIS
the support is most appropriately funded or provided through the National Disability Insurance Scheme, and is not more appropriately funded or provided through other general systems of service delivery or support services offered by a person, agency or body, or systems of service delivery or support services offered: > > (a) as part of a universal service obligation; or > > (b) in accordance with reasonable adjustments required under a law dealing with discrimination on the basis of disability.
Supports appropriately funded or provided through the NDIS > > 3.5 Schedule 1 sets out matters for the CEO to have regard to in considering whether > > supports are most appropriately funded or provided through the NDIS, rather than > > through other service systems (service systems is defined in paragraph 6.4). > > 3.6 The matters to have regard to are set out under the following headings in the > > Schedule: > > (a) Health (excluding mental health); > > (b) Mental health; > > (c) Child protection and family support; > > (d) Early childhood development; > > (e) School education; > > (f) Higher education and vocational education and training; > > (g) Employment; > > (h) Housing and community infrastructure; > > (i) Transport; > > (j) Justice.
7.1 The Act limits the supports that can be provided or funded under the NDIS to supports that are not more appropriately funded or provided through other service systems, for example as part of a universal services obligation or in accordance with reasonable adjustments required under a law dealing with discrimination on the basis of disability. > > 7.2 The considerations set out in this Schedule must be taken into account by the CEO in deciding whether a support is more appropriately provided or funded by the NDIS or another service system. > > 7.3 For the avoidance of doubt, while this Schedule sets out considerations relevant to whether a support should be considered to be more appropriately provided or funded through another service system, it does not purport to impose any obligations on another service system to fund or provide particular supports.
7.6 The NDIS will be responsible for supports that are not clinical in nature and that focus on a person's functional ability, including supports that enable a person with a mental illness or psychiatric condition to undertake activities of daily living and participate in the community and social and economic life. > > 7.7 The NDIS will not be responsible for: > > (a) supports related to mental health that are clinical in nature, including acute ambulatory and continuing care, rehabilitation/recovery; or > > (b) early intervention supports related to mental health that are clinical in nature, including supports that are clinical in nature and that are for child and adolescent developmental needs; or > > (c) any residential care where the primary purpose is for inpatient treatment or clinical rehabilitation, or where the services model primarily employs clinical staff; or > > (d) supports relating to a co-morbidity with a psychiatric condition where the comorbidity is clearly the responsibility of another service system (eg treatment for a drug or alcohol issue).
The Transitional Rules clearly outline that the NDIS will not be responsible for supports related to mental health that are clinical in nature, including acute, ambulatory or continuing care or rehabilitation, or residential care where the primary purpose is for inpatient or outpatient treatment or clinical rehabilitation. > > The NDIS Transitional Rules also make clear the NDIS will not be responsible for supports whose primary purpose is to provide (emphasis added) 'secure accommodation facilities where the purpose of this accommodation is to safeguard the community or prevent reoffending, including secure mental health facilities'. > > Although the Applicant's contention is that support worker assistance is directly related to the Applicant's disabilities, the 24/7 1:1 model of support ... is more appropriately characterised as a 'containment model', the primary aim of which is to prevent the Applicant from independently accessing the community or causing harm to himself or others.[64]
[1] National Disability Insurance Agency v WRMF [2020] FCAFC 79, at [145].
[2] Frugtniet v Australian Securities and Investments Commission [2019] HCA 16; (2019) 266 CLR 250 at [51] (Bell, Gageler, Gordon and Edelman JJ).
[3] Drake v Minister for Immigration and Ethnic Affairs (No 2) (1979) 2 ALD 634; see also BHXJ and NDIA [2023] AATA 513, at [76] per SM Groom.
[4] Beezley v Repatriation Commission [2015] FCAFC 165 (2015); 150 ALD 11 at [68].
[5] National Disability Insurance Agency v WRMF [2020] FCAFC 79 [201].
[6] NDIA v WRMF [2020] FCAFC 79 [141].
[7] T1B, 'Complex Case Consultation, NSW Health - Clint Pistilli (Psychiatrist) et al'. AB19, 'Behaviour Assessment and Positive Behaviour Support Plan', pp 775-848.
[8] T1B, 'Complex Case Consultation, NSW Health - Clint Pistilli (Psychiatrist) et al'.
[11] T7, 'Notice of Cessation, Denise Hanley (Regional Manager CareSouth), p 157.
[12] T9, 'Form, Change of Details or Change of Situation', pp 212‑-222 at p 217.
[13] E1, Email from Mr Joel Rivers to Shana Dekker', 7 May 2025.
[14] H1, T4, 'Record of Implementation - Trusted Clinical Services ', pp 57-77.
[15] H3, 'Report of Vine Umali (Occupational Therapist), pp 901-929. (sic)
[17] AB15, 'Carer Impact Statement', pp 738-739.
[18] AB21, 'AB21 - Response to Targeted Questions, Khaila Minogue,' pp 850-862.
[19] AB8, 'Positive Behaviour Support Plan, Khalia Minogue', pp 692-719.
[20] T8, 'Behaviour Support Plan, Khalia Minogue (Behaviour Support Practitioner)', pp 158-214.
[21] AB19, 'Behaviour Assessment and Positive Behaviour Support Plan', pp 775-848.
[22] T16, 'Risk Management Plan, Khalia Minogue (Behaviour Specialist)', pp 323-382. Likely date is November 2021.
[23] AB14, 'Supplementary Report, Khalia Minogue', pp 732-737 and AB16, 'Supplementary Report, Khalia Minogue', pp 740-748.
[24] AB19, 'Behaviour Assessment and Positive Behaviour Support Plan', pp 775-848.
[25] AB17, 'Assessment Report, Dr Adam Vujic', pp 749-762.
[26] T5, 'Letter, Dr Charles Austin-Woods (Psychiatrist)', p 75.
[27] AB19, 'Behaviour Assessment and Positive Behaviour Support Plan', pp 775-848, at pp 45-46.
[28] AB22, 'Applicant Statement of Facts, Issues and Contentions,' 863-890.
[29] AB19, 'Behaviour Assessment and Positive Behaviour Support Plan', pp 775-848, at pp 48-73.
[30] H4, AB19, 'Behaviour Assessment and Positive Behaviour Support Plan', pp 775-848 at p 48.
[31] H4, AB19, 'Behaviour Assessment and Positive Behaviour Support Plan', pp 775-848 at p 54.
[32] AB14, 'Supplementary Report, Khaila Minogue,' 732-737; AB16, 'Supplementary Report, Khaila Minogue,' 740-748.
[33] AB16, 'Supplementary Report, Khaila Minogue,' 740-748.
[34] AB16, 'Supplementary Report, Khalia Minogue', pp 740-748.
[35] AB16, 'Supplementary Report, Khalia Minogue', pp 740-748.
[36] AB16, 'Supplementary Report, Khalia Minogue', pp 740-748.
[37] T12, 'Report of Vince Umali (Occupational Therapist)', pp 252-271.
[38] H3, 'Report of Vine Umali (Occupational Therapist), pp 901-929. (sic)
[39] H3, 'Report of Vine Umali (Occupational Therapist), pp 901-929. (sic)
[40] H3, 'Report of Vine Umali (Occupational Therapist), pp 901-929. (sic) at p 26.
[41] T5, 'Letter, Dr Charles Austin-Woods (Psychiatrist)', p 75.
[42] AB17, 'Assessment Report, Dr Vujic', pp 749-762.
[43] T1B, 'Complex Case Consultation, NSW Health - Clint Pistilli (Psychiatrist) et al', pp 7-8.
[44] T1B, 'Complex Case Consultation, NSW Health - Clint Pistilli (Psychiatrist) et al'.
[45] T1A, 'Incident Report 29.03.2021', pp 15-17; T17, 'Incident Reports, Various Authors', pp 323-382; AB7 - Summary of Incident Reports and Incident Reports', pp 589-691; H5, 'Incident Reports', pp 1006-1029.
[46] T1A, 'Incident Report 29.03.2021', pp 15-17.
[47] AB7, '7 Summary of Incident Reports and Incident Reports', pp 589-691.
[48] AB20, 'Email, John Chan-Sau, Care Group Community Services', pp 863-890.
[49] AB6, 'Letter from Joel Rivers, Trusted Support Coordination', pp 587-588.
[50] AB19, 'Behaviour Assessment and Positive Behaviour Support Plan', pp 775-848.
[57] H3, 'Report of Vine Umali (Occupational Therapist) dated 26 March 2025,' pp 901-929, p 27.
[59] Drake v Minister for Immigration and Ethnic Affairs (No 2) (1979) 2 ALD 634.
[63] NDIS Transitional Rules 2024 (Cth), sch 2, item 13.
[64] AB23, 'Respondent Statement of Facts, Issues and Contentions' (RSOFIC), pp 891-900.
Frugtniet v Australian Securities and Investments Commission [2019] HCA 16; (2019) 266 CLR 250 at [51] (Bell, Gageler, Gordon and Edelman JJ).
National Disability Insurance Agency v WRMF [2020] FCAFC 79 [201].
(2019) 266 CLR 250