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Unrecognized Disabilities: When NDIS Criteria Doesn't Match Reality

  • Larissa Ayling
  • Dec 1, 2024
  • 4 min read

Navigating the complexities of disability support services can be daunting, especially for those whose conditions don't fit neatly within the eligibility requirements of the National Disability Insurance Scheme (NDIS) in Australia. Many individuals grapple with disabilities that substantially affect their daily lives but find themselves ineligible for the crucial support they require. In this post, we will explore several disabilities and conditions that the NDIS often overlooks, shedding light on the implications of such exclusions. By raising awareness and advocating for change, we hope to create a more equitable support system.


Temporary Conditions


Temporary conditions, such as short-term injuries or illnesses, can prevent individuals from performing everyday activities. Unfortunately, the NDIS does not cover these cases, as its focus is on long-term or permanent disabilities.


For instance, an individual with a sprained ankle might face pain and limited mobility for several weeks. Once healed, they typically regain full function. For example, studies show that around 85% of people with sprains recover fully within six to eight weeks. The NDIS targets those with lasting challenges, explaining the absence of support for these temporary setbacks.


A person in a cast resting their leg on a couch
Temporary injuries are generally not covered by the NDIS

This lack of support can create hardships for individuals who, while temporarily incapacitated, may struggle to work or fulfill their responsibilities. Although they do not qualify for NDIS assistance, they often rely on their social circles or local community services for help during recovery.


Age-Related Decline


Natural aging brings about a decline in physical and cognitive abilities, yet these normal processes do not qualify for NDIS support. Many seniors experience minor mobility issues or cognitive decline, but they do not meet the NDIS criteria for assistance.


However, if an older person develops serious and enduring disabilities—like recovering from a stroke or facing severe dementia—they may become eligible for support. For instance, the rate of dementia in Australia is projected to reach 400,000 by 2025. This reality creates a complex emotional situation for older adults seeking help but not qualifying merely due to their age.


An elderly person using a walking frame
Normal aging processes do not qualify for NDIS support

This gap often leads to older Australians who require support being overlooked, highlighting the inadequacies of the current eligibility criteria.


Short-Term Mental Health Conditions


Navigating mental health eligibility for NDIS can be particularly intricate. While the NDIS generally supports severe and enduring mental health conditions—such as schizophrenia or major depressive disorders—that impede daily functioning, short-term issues rarely qualify for assistance.


For example, let’s consider someone experiencing anxiety due to a stressful work situation. If this anxiety lasts only a few weeks, the individual typically does not meet the NDIS requirements for support. Research indicates that around 20% of Australians will experience mental health conditions in their lifetime, underscoring the prevalence of these challenges. However, many people facing temporary mental health struggles may lack access to the resources that could assist them during tough times.

  • Functional Neurological Disorder (FND): Despite its significant impact on individuals' daily functioning, FND is not always recognized as a valid diagnosis for NDIS support. This oversight can leave those affected without essential resources and assistance.

By recognizing and addressing these gaps, we can work towards a more inclusive and supportive environment for all individuals living with disabilities.



An abstract representation of mental health struggles
Short-term mental health conditions are not typically eligible for NDIS funding

Individuals often turn to general practitioners or community mental health services, but these may not fully address their specific needs, potentially leading to additional stress and health complications.


Pregnancy-Related Conditions


Pregnancy is a significant life change that comes with its own set of challenges. However, the NDIS does not recognize pregnancy itself as a disability. While certain pregnancy complications, such as gestational diabetes or preeclampsia, might lead to long-term health problems qualifying for support, the act of being pregnant does not qualify.


The absence of support during pregnancy can leave expecting mothers feeling unsupported, as many experience symptoms like extreme fatigue, nausea, and emotional distress. These issues can hinder their ability to perform daily activities. Women who endure difficult pregnancies or who need assistance after birth to recover and care for newborns may find themselves particularly disadvantaged by this exclusion.


Autism Spectrum Disorder (ASD) in Some Cases


Autism Spectrum Disorder (ASD) is a complex condition affecting communication and behavior. While many individuals with ASD qualify for NDIS support, there are instances where they do not meet the required criteria.


The evaluation primarily evaluates functional limitations, focusing on whether an individual has significant disability in daily activities. Some high-functioning individuals on the spectrum may not be looked at for assistance, even when they face challenges navigating social environments or maintaining employment. It can be discouraging for families who recognize their loved ones' needs but cannot access available support.


Advocacy for Change


The limitations set by the NDIS reveal a significant disconnect between what constitutes a disability in many people’s lives and the eligibility criteria established by the NDIS.


There is a growing need for advocacy to address these gaps and raise awareness about the wide spectrum of conditions that impact individual lives. Campaigns aimed at reforming eligibility could provide more inclusive support for individuals who face daily challenges yet do not fit neatly into existing classifications.


Greater Awareness and Understanding


Increasing awareness among health professionals, service providers, and the public about diverse disabilities can lead to better support systems.


  • Launching community education initiatives focusing on unrecognized conditions can help cultivate understanding and empathy for those dealing with overlooked disabilities.

  • Governments can consider training programs for healthcare providers, targeting better identification and advocacy for patients whose conditions may struggle within the current NDIS framework.


Moving Forward Together


While the NDIS plays an essential role in supporting individuals with permanent and significant disabilities, this discussion shines a light on those deserving assistance yet falling through the cracks of the current system.


Understanding the disabilities and conditions that NDIS does not recognize is crucial for promoting awareness and pushing for necessary amendments. Support mechanisms must evolve alongside our understanding of disabilities to ensure that every person receives fair assistance when necessary.


By advocating for broader criteria and greater inclusivity, we can work towards a support framework that validates the variety of disabilities individuals face every day. Every person deserves the chance to lead a fulfilling life, equipped with the support they need to thrive.


Engagement in dialogue around these challenges can foster real changes that improve lives, allowing all individuals to reach their potential, regardless of their situation.

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