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A Scoping Review of Therapy Provision Under the National Disability Insurance Scheme: Provider-Identified Barriers
M D Marveggio1, D S Dorstyn1, D Turnbull1
1College of Education, Behavioural and Social Sciences, School of Psychology, Adelaide University, Adelaide, Australia.
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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