Exploring the personal, programmatic and market barriers to choice in the NDIS for people with psychosocial disability

The aim of this paper is to inform the design of individualised funding schemes via an examination of discourses and experiences of choice related to people with psychosocial disability. Mind Australia, in partnership with Deakin University, interviewed 22 individuals with psychosocial disability who are recipients of individual funding packages in three National Disability Insurance Scheme (NDIS) trial sites across Australia. This research involved examining the policy and assumptions of choice under the NDIS, as well as the experience of undertaking choice through individualised funding arrangements which position people with psychosocial disability as consumers in a market place of service provision. The findings demonstrate that choice is an ongoing activity and that at every stage personal, programmatic and market barriers impact individuals' capacity to maximise choice. The intent of government policy to provide choice to individual funding recipients based on an optimally functioning market place with empowered self-actualising individuals collides with a complex reality where barriers abound at every stage of the choice making process. Enhancing choice making of people with psychosocial disability within the NDIS requires governments and services to explicitly address the personal, programmatic and market-based barriers to choice.