Document ID: chunk:federal_register_of_legislation:F2023L00188:clause:1_20
Version: federal_register_of_legislation:F2023L00188
Segment Type: clause
Provision Reference: sch 1 cl 20
Character Range: 78952–82371

20      There is a severe functional impact resulting from a neurological or cognitive condition.

            (1) The person requires frequent (at least once a day) interactive assistance and supervision and has severe difficulties in at least 2 of the following:

                 (a) memory;

                 Example 1: the person has severe difficulty remembering routines, regular tasks and instructions.

                 Example 2: the person has severe difficulty recalling events of the past few days.

                 Example 3: the person gets easily lost in unfamiliar places.

                 (b) attention and concentration;

                 Example 1: the person has severe difficulty concentrating on any task, even a task that interests the person, for more than 10 minutes.

                 Example 2: the person has severe distress from sensory input, including environmental stimuli from any of the senses.

                 (c) problem solving and cognitive flexibility;

                 Example 1: the person has severe difficulty solving routine day-to-day problems (such as what to do if a household appliance breaks down) and needs regular assistance and advice.

                 Example 2: even when provided with support about an upcoming change, the person has severe difficulty coping with changes in routine, or experiences distress with changing focus or activities.

                 (d) planning;

                 Example: the person has severe difficulty planning and organising routine daily activities (such as an outing to the movies or a supermarket shopping trip).

                 (e) decision making;

                 Example: the person has severe difficulty prioritising and making simple decisions and often displays poor judgement, resulting in negative outcomes for self or others.

                 (f) comprehension;

                 Example: the person has severe difficulty understanding basic instructions and needs regular prompts to complete tasks.

                 (g) visuo-spatial function;

                 Example: the person has severe difficulty performing many visuo-spatial functions (such as following or giving simple directions (including to the person's house) or judging distance or depth (resulting in stumbling on steps or bumping into objects)).

                 (h) behavioural regulation;

                 Example 1: the person often (more than once a week) has severe difficulty controlling behaviour even in routine, day-to-day situations and may be verbally abusive to others or threaten physical aggression.

                 Example 2: the person frequently (at least once a day) demonstrates behavioural dysregulation that is severely self-limiting and /or impactful on others such as severe difficulty or refusal to engage in non-preferred environments, or self-stimulatory behaviour in most environments.

                 (i)                  social skills;

                 Example: the person has severe difficulty reading non-verbal communication (such as gestures or facial expressions), has severe difficulty interacting with others and shows a lack of awareness of social norms and expectations.

                 (j) self-awareness.

                 Example: the person lacks awareness of own limitations, resulting in severe difficulties in social interactions or problems arising in activities of daily living.