Mobile to assist with prompting. NDIS ACCESS FORM DOMAIN Support type required Required (Per Week) FUNCTIONAL IMPACTS Social Interaction Person to accompany when attending Consumer experiences difficulty in overcoming social activities stigma, developing resilience, and interacting with at least for a others. Experiences feelings of insecurity, low period of time mood, low motivation, fear, may be distracted by or until trust and actively responding to voices. Consumer can react relationships unpredictably due to cognitive impairments established. including confusion, misinterpretation and thought Life transition disorder. Therefore the consumer requires - planning Social skills development for participation in including community and social activities. Consumer mentoring, requires therapy focussed on building social peer support skills and building resilience. (Capacity and individual Building) skill Specialist behavioural intervention support. development (Capacity Building). Skills development in Due to the above psychosocial disability a group impairment the consumer experiences the following functional impacts: Group based Difficulties initiating and responding to community and conversations, making and keeping social activities friendships, talking to strangers or particular based people, making and keeping friends, social activities interacting with the community, sustaining 1:3 ratio relationships, coping with feelings and Individual skills emotions, interacting with other people. development Friction with or avoidance of, others in the and training. household. Behaviour Impact on of purpose in life; connection management with faith/spirituality/volunteering/community plan, training in Not actively involved when attending social behaviour or recreational activities. management
Mobile to assist with prompting. NDIS ACCESS FORM DOMAIN FUNCTIONAL IMPACTS Support type required Required (Per Week) Social Interaction Consumer experiences difficulty in overcoming stigma, developing resilience, and interacting with others. Experiences feelings of insecurity, low mood, low motivation, fear, may be distracted by or actively responding to voices. Consumer can react unpredictably due to cognitive impairments including confusion, misinterpretation and thought disorder. Therefore the consumer requires - Social skills development for participation in community and social activities. Consumer requires therapy focussed on building social skills and building resilience. (Capacity Building) Specialist behavioural intervention support. (Capacity Building). Due to the above psychosocial disability impairment the consumer experiences the following functional impacts: Difficulties initiating and responding to conversations, making and keeping friendships, talking to strangers or particular people, making and keeping friends, interacting with the community, sustaining relationships, coping with feelings and emotions, interacting with other people. Friction with or avoidance of, others in the household. Impact on of purpose in life; connection with faith/spirituality/volunteering/community Not actively involved when attending social or recreational activities. Person to accompany when attending social activities at least for a period of time until trust and relationships established. Life transition planning including mentoring, peer support and individual skill development Skills development in a group Group based community and social activities based social activities 1:3 ratio Individual skills development and training. Behaviour management plan, training in behaviour management
NDIS-Functional-Report-Template.docx