Unlocking Answers: Does the NDIS Cover Sensory Items?

The National Disability Insurance Scheme (NDIS) evaluates funding requests for assistive technology based on their effectiveness, evidence of benefits, alignment with the participant's specific needs and legislation. In a case example on the NDIS website, Maria submits a request for lycra bedsheets and a trampoline for her son which is declined because there is insufficient evidence that these items are effective and beneficial. The NDIS emphasises the importance of evidence from trials conducted by therapists, considering value for money, and comparing alternatives. The decision also takes into account the availability of sensory supports in the community, being considered an everyday expense and the potential for duplication of existing supports. Another example case involving Waru, a child with Autism Spectrum Disorder, illustrates the NDIS's criteria in assessing the reasonableness and necessity of requested sensory equipment, highlighting factors such as the potential for harm, duplication of existing supports, and lack of evidence from clinical studies. These items include a weighted blanket, lycra bedsheets, a swing set and a massage ball.

The effectiveness of sensory items in building a person's capacity, especially in the context of individuals with disabilities, is a subject of ongoing clinical research. Sensory items are designed to provide sensory stimulation, aid in emotional regulation, and enhance overall well-being. Here are some insights based on existing literature:

1.     Weighted Blankets:

·       Effect on Sleep and Anxiety: Some studies suggest that weighted blankets may have a positive impact on sleep quality and anxiety levels. The deep pressure stimulation provided by the blanket is believed to have a calming effect.

·       Autism Spectrum Disorder (ASD): Research on the use of weighted blankets in individuals with ASD shows mixed results. While some individuals may find them beneficial, it's important to note that the response to sensory items can vary widely among individuals with ASD.

·       Risks: Some studies have suggested there are considerable risks with weighted blankets.

2.     Lycra Bedsheets:

·       Sensory Integration Therapy: Lycra or compression sheets are sometimes used as part of sensory integration therapy. The idea is that the gentle pressure from the sheets may have a calming effect and improve body awareness.

·       Limited Clinical Evidence: However, the clinical evidence specifically addressing the effectiveness of lycra bedsheets is limited, and more research is needed to establish their efficacy in improving functional capacity.

3.     Trampolines:

·       Motor Skills Development: Trampolines are often used to promote motor skills development and provide an outlet for energy. They may contribute to improvements in coordination and balance.

·       Concerns for Young Children: Some research suggests that trampolines may pose safety concerns for children under six years old. Safety issues, such as the risk of injury, need to be carefully considered.

·       Availability in the Community: The NDIS considers the availability of items like trampolines in the community when assessing funding requests, as they may be considered everyday items rather than specialised supports.

4.     Swings and Swing Sets:

·       Sensory Integration: Swings are commonly used in sensory integration therapy. The rhythmic movement is thought to help with sensory processing and emotional regulation.

·       Availability in the Community: The NDIS considers the availability of items like swings in the community when assessing funding requests, as they may be considered everyday items rather than specialised supports.

5.     Massage Balls:

·       Tactile Stimulation: Massage balls are designed to provide tactile stimulation and may be used to promote relaxation and reduce muscle tension.

·       Limited Research: While massage balls are commonly used in various settings, there are limited clinical research specifically addressing their effectiveness in building functional capacity.

·       Availability in the Community: The NDIS considers the availability of items like massage balls in the community when assessing funding requests, as they may be considered everyday items rather than specialised supports.

In summary, while there is some evidence supporting the effectiveness of certain sensory items, it's essential to approach each case individually. The NDIS emphasises the need for evidence from individual trials conducted by therapists to determine the appropriateness and effectiveness of sensory items for a particular individual's needs.

In summary, the NDIS has specific criteria for funding requests, emphasising that it will not fund items or supports considered everyday living expenses. Unfortunately, most items that result in sensory stimulation and would be considered a “sensory item” is not funded by the NDIS.

To be eligible for funding, an item must meet the NDIS legislation's definition of specialised disability support and assistive technology. The NDIS aims to provide assistance that goes beyond typical day-to-day living costs, and funding decisions take into account the uniqueness of the support required, its direct relevance to the individual's disability needs, and evidence of its effectiveness. This underscores the importance of presenting a clear case, backed by relevant evidence, to demonstrate that the requested support is both reasonable and necessary under the NDIS criteria.