Australian Institute of Health and Welfare (2021) Specialised supports for people with disability., AIHW, Australian Government, accessed 26 January 2022
Australian Institute of Health and Welfare. (2021). Specialised supports for people with disability. Retrieved from https://pp.aihw.gov.au/reports/australias-welfare/supporting-people-with-disability
Specialised supports for people with disability. Australian Institute of Health and Welfare, 16 September 2021, https://pp.aihw.gov.au/reports/australias-welfare/supporting-people-with-disability
Australian Institute of Health and Welfare. Specialised supports for people with disability [Internet]. Canberra: Australian Institute of Health and Welfare, 2021 [cited 2022 Jan. 26]. Available from: https://pp.aihw.gov.au/reports/australias-welfare/supporting-people-with-disability
Australian Institute of Health and Welfare (AIHW) 2021, Specialised supports for people with disability, viewed 26 January 2022, https://pp.aihw.gov.au/reports/australias-welfare/supporting-people-with-disability
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Many Australians, including those with disability, use social support services intermittently throughout their life – for example, during periods of unemployment, relationship breakdown or in times of crisis, such as the coronavirus disease 2019 (COVID-19) pandemic. Other Australians may need longer-term support to participate in all facets of life.
Australia’s overarching policy approach to improving life for Australians with disability, their families and carers – through the use of specialist, mainstream and informal supports, and through inclusion and participation in the community – is encompassed in the National Disability Strategy 2010–2020 (DSS 2011). This in turn reflects Australia’s commitment to the United Nations Convention on the Rights of Persons with Disabilities (see ’Chapter 7, Australia’s changing disability data landscape’ in Australia’s welfare 2021: data insights).
This page focuses on one subset of these supports – namely the main specialist disability supports and services provided to people with disability via government-funded programs. Like everyone, people with disability access a range of mainstream service areas, such as education, employment, healthcare, housing and justice. For information about the diverse experiences of people with disability when accessing mainstream services, see People with disability in Australia (AIHW 2020b).
For further information about the Disability Support Pension (DSP) from 2001 to 2021, including the impacts of COVID-19 on this payment please see Disability Support Pension and Carer Payment and ‘Chapter 4, The impacts of COVID-19 on employment and income support in Australia’ in Australia’s welfare 2021: data insights.
For information about Australia’s disability information base, see ‘Chapter 7, Australia’s changing disability data landscape’ in Australia’s welfare 2021: data insights.
In 2018, an estimated 4.4 million Australians, or 18% of the population, had some form of disability, that is broadly defined as a limitation, restriction or impairment that restricts everyday activities and has lasted for at least 6 months (see the Australian Bureau of Statistics (ABS) Disability, Ageing and Carers, Australia: Summary of Findings ) (ABS 2019a).
Nearly 32% of people with disability (an estimated 1.4 million people, or 5.7% of the Australian population) have severe or profound disability, meaning they sometimes or always need help with day-to-day activities related to self-care, mobility or communication. The number of people with a severe or profound disability has increased since 2003 (1.2 million people), although they remain a similar proportion of all people with disability (in 2003 they accounted for 31% of people with disability) (ABS 2003).
The ABS Survey of Disability, Ageing and Carers (SDAC) is the most detailed and comprehensive source of disability prevalence in Australia.
Disability prevalence is the number or proportion of the population living with disability at a given time.
In the SDAC, a person is considered to have disability if they have at least one of a list of limitations, restrictions or impairments, which has lasted, or is likely to last, for at least 6 months and restricts everyday activities.
The severity of disability is defined by if a person needs help, has difficulty, or uses aids or equipment with 3 core activities – self-care, mobility, and communication – and is grouped for mild, moderate, severe, and profound limitation.
See the ABS website for more information on the SDAC.
In 2003, people aged 65 and over accounted for 45% of all people with severe or profound disability, while children aged under 14 years accounted for 13% of this population. Since 2003, the proportions in both these age groups increased slightly to 49% and 15% respectively in 2018 (Figure 1). Also see the ABS Disability, Ageing and Carers, Australia: Summary of Findings for further information on disability prevalence rates by age and sex.
Age distribution for all people with severe or profound disability in Australia plotted alongside the distribution for people with mild or moderate disability. The butterfly chart shows the proportion of males and females by 5 year age groups from 0 to 4 to 85 and over. The reader can select to display the chart by year, including 2003, 2009, 2012, 2015 and 2018. The chart shows the highest proportion of people with severe or profound disability in 2018 are aged 85 and over, at 11% for males and 23% for females. The highest proportion of people with mild or moderate disability in 2018 are aged 65 to 69, at 12% for males and 11% for females.
Compared with 2003, older people in 2018 comprise a greater proportion of all people with mild or moderate disability. This shows a shift in the age distribution of people with mild or moderate disability towards older age groups.
‘Life expectancy’ and ‘health expectancy’ provide an indication of the number of years a person can expect to live, or be in various health states (or in this case, the estimated years spent living with and without disability). For example, at age 65, males in 2018 could expect to live on average another 9 years without disability, plus another 11 years with some level of disability. Females aged 65 in 2018 could expect to live on average another 10 years without disability, plus another 12 years with some level of disability.
It is important to note that disability does not necessarily equate to poor health or illness. Also, expected years living with disability should not be considered as less value than years without disability (see People with disability in Australia for further detail).
Not all people with disability require or use formal specialist disability support services (provided by formal organisations, or other persons who are paid providers) or other informal assistance (such as family, friends or neighbours).
Analysis of the ABS SDAC showed that in 2018, around 60% of people with disability living in households (2.5 million people) need help with at least one of 10 activities of daily living. The most common are health care, property maintenance and cognitive or emotional tasks (AIHW 2020b).
In 2018, an estimated 40% of people with disability living in households identified as needing assistance from formal providers (36% for those under 65 and 45% for those 65 years and over).
Most (86%) people who needed formal assistance with at least one activity received some formal assistance (AIHW 2020b). The receipt of formal assistance was higher for those 65 years and over (89% compared with 82% for those under 65 years).
In 2018, 73% of people with disability, aged 15 and over (living in households), who needed formal assistance were satisfied with the range of services available to assist with at least one activity, while 82% of those who received formal assistance in the last 6 months were satisfied with the quality of services received with at least one activity (AIHW 2020b).
For those who do need support, specialist services are available to assist participation in all aspects of everyday life. These may supplement other supports that a person with disability receives, from say mainstream services, the community or informal carers. This page provides information about two specialist disability services available in Australia: the National Disability Insurance Scheme (NDIS) (that has largely replaced the disability services formerly provided by states and territories under the National Disability Agreement), and the Disability Employment Services (DES) program. It also outlines some of the other available support services for people with disability (specialised and mainstream), that exist outside of the NDIS and DES program.
In July 2013 the NDIS commenced in trial sites in some Australian states and territories. On 1 July 2020 Christmas Island and Cocos Island joined the Scheme, thus almost completing the National Disability Insurance Agency’s (NDIA) staged rollout of the NDIS (the NDIS is now available nationally, although some population sub-groups are still transitioning in Western Australia until 2022). The NDIS has largely replaced the provision of services under the National Disability Agreement, except for Disability Employment Services, and is jointly funded and governed by the Australian, and state and territory governments (NDIA 2020b).
In June 2023, the NDIS is projected to provide services to about 532,000 Australians, of which almost 508,000 are expected to be aged 0–64 (existing NDIS participants can choose to keep using the NDIS beyond 65) (NDIA 2020a).
The NDIS provides reasonable and necessary supports to eligible Australians who enter the scheme under the age of 65 years, with a permanent (or likely to be permanent) and significant disability (intellectual, physical, sensory, cognitive and psychosocial disability). NDIS participants choose and pay for their supports and services out of an individually allocated budget based on their goals. Available supports fall into 15 categories, and include things like assistance with daily life, transport, assistance with social and community participation, and home modifications (see Supports and services funded by the NDIS) (NDIA 2021b). Early intervention supports are also provided under the NDIS to eligible children and adults. Participant choice and control are core features of the scheme’s design.
At 30 June 2021, around 467,000 people were active participants in the NDIS, and were in receipt of an individual support package. The number of participants has increased progressively each year with the roll out of the Scheme across Australia.
Of the active NDIS participants at 30 June 2021:
The NDIS supports children aged 0–6 who have a developmental delay or disability (and their families/carers) through the Early Childhood Early Intervention program (ECEI) (NDIA 2018). At 30 June 2021, there were around 11,800 children accessing the ECEI program, of which 11,400 were already receiving initial supports (NDIA 2021a).
The NDIA also publishes data relating to key baseline indicators for participants, with respect to lifelong learning, work, home, and health and wellbeing. The baseline questionnaires collected between July 2016 and June 2021 show:
Unlike other former NDA services, open employment services (Disability Employment Services, or DES) will not be rolled into the NDIS. Between May 2016 and May 2021, the number of DES participants rose steadily from 182,000 to 313,000 (DESE 2021).
While improvements were recorded in the number of DES participants with 26-week employment outcomes (see below) from 2018–19 to 2019–20 (from around 28,800 to 32,100, or around 12%), the Department of Social Services (DSS) notes that:
… from early March 2020 the COVID-19 pandemic impacted on the number of DES participants being placed into employment and a number of DES participants who were in employment lost their jobs as a result of the COVID-19 pandemic and subsequent economic downturn. Both these factors directly affected the number of DES participants who would have achieved at least a 26-week employment (DSS 2020a).
Disability Employment Services
Employment assistance provided under DES focuses on addressing participants’ barriers to employment, in order to place them into jobs as soon as is practicable (DSS 2021b). DES outcomes data provides an indication of the number of participants who have maintained sustainable employment or education for a specific period of time. The participant must meet their required employment benchmark (number of hours a participant must work each week, on average, to achieve a full outcome), as assessed through an Employment Services Assessment or Job Capacity Assessment.
In Australia, governments also provide other services (specialised and mainstream) that support people with disability outside both the NDIS and the DES program including:
Australia’s social security system, administered by the DSS, aims to support people who cannot, or cannot fully, support themselves. The DSP is the primary income support payment for working age people aged 16 and over with a disability who have a reduced capacity to work because of their impairment (see Disability Support Pension and Carer Payment).
As at March 2021, 752,000 adults aged 16 and over received DSP (DSS 2021a).
Where individuals have a reduced capacity to work less than 30 hours per week due to an impairment but are not eligible for the DSP, they may have reduced mutual obligation requirements of other payments, that is to be looking for work or being engaged in activities which will help them find work in the future (such as volunteering or training). This affects payments such as the JobSeeker Payment, Parenting Payment Single and Youth Allowance (Other) Payment.
In March 2021, 32% (or 374,000) of JobSeeker recipients had a partial capacity to work. This is a large decline from the same period in 2020 (41%), reflecting short-term policy measures to the Jobseeker payment (such as suspending mutual obligation requirements) during the COVID-19 pandemic (see ' Chapter 4, The impacts of COVID-19 on employment and income support in Australia’ in Australia’s welfare 2021: data insights).
The staged national rollout of the NDIS is now almost complete. During the rollout of the NDIS, former users of NDA disability support services (NDA service users) transitioned to the new scheme (where eligible) in a staged manner. As noted above, the DES program will not transition to the new scheme.
During this staged transition a decline in the proportion of NDA service users who used non-open employment services is apparent in the data for the years prior to 2018–19.
In 2014–15 about 334,000 people used NDA disability support services. Those who only used open employment services accounted for 35% of users (117,000 people), while those who used at least one non-open employment service accounted for 65% of users (217,000 people). In comparison, in 2018–19, the last year for which NDA data were available, 230,000 people used NDA disability support services. Around 67% of this population, or around 153,000 people, only used open employment services, while those who used at least one non-open employment service accounted for 33% (76,700 people) (AIHW 2021).
From 2014–15, for those NDA service users who used at least one non-open employment service, the proportion of the total services used by different primary disability groups, remained broadly consistent through till 2018–19 (see Figure 2). The primary disability group of a NDA service user was the one that most clearly reflected their experience of disability, and caused them the most difficulty in everyday life (AIHW 2021).
Chart showing proportion and number of people accessing disability support services by primary disability group and sex for 2014–15, 2016–17 and 2018–19. The chart shows the highest proportion of people accessing disability support services have an intellectual/learning primary disability. In 2018–19, 54% of males and 41% of females accessing disability support services have an intellectual/learning primary disability.
In 2018–19, the proportion of people with different primary disability groups accessing NDA service types remained broadly consistent across service types, except for employment services. People with psychosocial disability accounted for the highest proportion (39%) of employment service users (unlike other service types). This was consistent for males (36%), females (44%), Indigenous Australians (45%) and non-Indigenous Australians (39%). People with intellectual disability accounted for a much lower proportion of the users of employment services, compared with other disability service types (Figure 3).
Stacked column chart showing proportion of people using disability support services by primary disability group and service group in 2018–19. Primary disability groups include sensory or speech, intellectual or learning, psychosocial and physical or diverse primary disability. The reader can select to view by Indigenous status or sex. The chart shows that people with psychosocial disability have the lowest proportion accessing community access services. This is consistent for males (2.1%), females (1.8%), Indigenous people (2.7%) and non-Indigenous people (2.1%).
The last year in which disability support services were fully provided under the NDA was 2012–13. The NDIS started in trial sites in July 2013, and progressive implementation of the scheme continued from this period onwards. During the transition the NDIS population profile changed in response to the different rollout stages. The NDIS is now almost fully rolled out in every state/territory across Australia.
Figure 4 compares the primary disability profiles of the 197,000 non-employment NDA service users in 2012–13 and the 391,000 NDIS participants in 2018–19 with a reported disability. While the program objectives and eligibility criteria for the disability supports provided under the NDA and those under the NDIS do differ, the primary disability groups of those supported appear broadly similar. Figure 4 shows the proportion of service users by primary disability group for non-employment NDA service users in the last full year where NDA services were provided (2012–13) and NDIS participants in the most recent full year where data was available (2019–20).
Pie chart showing proportion of primary disability group among NDA service users in 2012–13 plotted beside proportion of NDIS participants in 2019–20. The chart shows both populations have similar proportions by primary disability groups. Among non-employment NDA service users, the highest proportion of users have an intellectual or learning disability (56%), followed by physical or diverse, (22%), sensory or speech (11%) and finally psychosocial disability (10%). Among NDIS participants, the highest proportion of participants have an intellectual or learning disability (62%), followed by physical or diverse (21%), psychosocial (9.7%) and finally, sensory or speech disability (7.8%).
People with disability, especially Indigenous Australians with disability, may be disproportionately affected by the COVID-19 pandemic due to their increased risk of infection, and higher co-morbidities, along with underlying health conditions such as chronic diseases and respiratory illness (Disability RC 2020). People with disability are also impacted by disruptions to their regular support services, the increased likelihood of staying at home and increased expenses. Some people with disability are impacted due to their inability to maintain social distancing.
As at 31 December 2020, the NDIA noted that:
See ‘Chapter 7, Australia’s changing disability data landscape’ in Australia’s welfare 2021: data insights for further information.
For more information on the prevalence of disability, see:
For more information on participants of the NDIS, see:
For more information on 2018–19 NDA service users, see:
ABS (Australian Bureau of Statistics) 2003. 4430.0 - Disability, Ageing and Carers, Australia: Summary of Findings, 2003. Viewed 9 March 2021.
ABS 2019a. Disability, Ageing and Carers, Australia: Summary of Findings. Viewed 23 February 2021.
ABS 2019b. Microdata: disability, ageing and carers, Australia, 2018. ABS cat. no. 4430.0.30.002. Canberra: ABS. AIHW analysis of TableBuilder data.
AIHW 2020a. Disability Support services: services provided under the National Disability Agreement 2018-19. Viewed 8 March 2021.
AIHW 2020b. People with disability in Australia. Web report last updated 2 October 2020. Viewed 23 February 2021.
AIHW 2021. Disability Services National Minimum Data Set (DS NMDS). Canberra: AIHW. Viewed 10 May 2021.
Disability RC (Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability) 2020. Interim Report. Viewed on 23 February 2021.
DESE 2021. DES Monthly Data. Canberra: DESE.
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DSS 2020a. DSS Annual Report 2019-20. Commonwealth of Australia (Department of Social Services). Viewed 10 March 2021.
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DSS 2021b. Disability Employment Services Outcome Guidelines v 1.6 (8 March 2020). Viewed 10 March 2021.
NDIA (National Disability Insurance Agency) 2018. NDIS: Apply for the NDIS for a child under 7. Viewed 26 May 2021.
NDIA 2020a. NDIS. NDIA 2019-20 Annual Report. Viewed 9 March 2021.
NDIA 2020b. NDIS: Governance. Viewed 26 May 2021.
NDIA 2021a. NDIS: Quarterly Report to disability ministers. Viewed 31 August 2021.
NDIA 2021b. NDIS: Supports and services funded by the NDIS. Viewed 4 May 2021.
NDIS Commission 2021. NDIS Commission activity report: July 2020 – December 2020. Viewed 11 May 2021.
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