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PMID 4243231801 de julho de 2026Full text aberto disponivel

A Scoping Review of Therapy Provision Under the National Disability Insurance Scheme: Provider-Identified Barriers and Facilitators.

Journal of applied research in intellectual disabilities : JARID · Marveggio MD, Dorstyn DS, Turnbull D, Thirumanickam A

Abstract

BACKGROUND

The Australian National Disability Insurance Scheme (NDIS) has transformed early intervention for children by introducing an individualised funding model. This PRISMA-based scoping review explores the common characteristics of therapy providers and the barriers and facilitators to implementing child NDIS interventions.

METHOD

Twenty-seven databases were searched (2013-2026), and findings inductively grouped using qualitative content analysis. The methodological quality of included studies was assessed using the Mixed Methods Appraisal Tool.

RESULTS

Fifty-five studies (k), representing a pooled sample of 3073 therapy providers, were reviewed. Qualitative designs were frequently used to understand therapists' experiences and perspectives (k = 37), followed by mixed methods (k = 12), quantitative designs (k = 5), and multiple methods (k = 1). Service barriers primarily stemmed from external structural factors, particularly NDIS policies and processes. Interventions tailored to a child's specific needs were a key facilitator.

CONCLUSIONS

Whilst the NDIS is vital for child disability supports, therapy providers seek improvements to the scheme's complexity.

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