Disability employment supports (DES): Clinical justification example

Vocational assessments to identify appropriate job options.

Workplace assessments to identify any modifications or adaptions required to the tasks or environment.

Onsite/workplace training to upskill X in the tasks as required.

Reasonable and necessary: X's access to Disability Employment Service (DES) providers is essential to help X develop the skills needed for sustainable employment, aligning with his/her NDIS goal of gaining greater independence and self-sufficiency through work.

o The provision of vocational assessments, workplace assessments, vocational counseling, and onsite/workplace training is vital to facilitate X's transition to suitable long-term employment, as X is unable to complete these activities without 1:1 assistance, due to his/her psychosocial/physical disabilities.

o This support ensures that X has a reasonable and necessary opportunity to achieve his/her employment goals and improve his/her overall well-being.

o In the WHODAS domain of Life Activities, X scored XX%, indicating his/her disabilities have a X functional impact in this area.

Value for money: Investing in DES represents value for money, as it equips X with the skills and support required to secure and maintain employment, reducing his/her reliance on ongoing financial support.

o The assistance provided by DES providers aligns with X's NDIS goal of greater independence and self-sufficiency, making it a cost-effective way to enhance his/her overall quality of life.

o The long-term benefits of X gaining capacity for self-support and independence through employment underscore the value of this investment.

This accords with the participant’s NDIS goal:

Diminished independence: Without the support of DES providers, X may face continued challenges in developing the skills necessary for sustainable employment. This could limit his/her ability to gain financial independence and reduce reliance on ongoing support.

Missed employment opportunities: The absence of vocational assessments, workplace assessments, counselling, and training may hinder X's ability to identify and secure suitable job opportunities. This could result in missed chances for X to pursue long-term employment and financial self-sufficiency.

Impact on overall well-being: Failing to provide the necessary employment support may negatively affect X's overall well-being, as he/she may struggle to achieve his/her goal of gaining greater independence through work. This can potentially lead to continued reliance on support services and a diminished quality of life.