Document ID: chunk:federal_register_of_legislation:F2023L00188:clause:1_30:p1
Version: federal_register_of_legislation:F2023L00188
Segment Type: clause
Provision Reference: sch 1 cl 30 (pt 1/2)
Character Range: 56454–59784

30      There is an extreme functional impact on activities involving mental health function.

            (1) The person has extreme difficulties with at least 4 of the following:

                 (a) self-care and independent living;

                 Example 1: the person requires continual support with daily activities and self-care.

                 Example 2: the person is unable to live on their own and lives with family or in a supported residential facility or similar, or in a secure facility.

                 (b) social/recreational activities and interpersonal relationships;

                 Example: the person has extreme difficulty interacting with other people and is socially isolated.

                 (c) travel and accessing the community;

                 Example: the person is unable to travel away from their own residence without a support person.

                 (d) concentration and task completion;

                 Example 1: the person has extreme difficulty in concentrating on or following along with any productive task for more than a few minutes.

                 Example 2: the person has extreme difficulty in completing tasks or following instructions.

                 (e) behaviour, planning and decision-making;

                 Example 1: the person has extremely disturbed behaviour which may include self-harm, suicide attempts, unprovoked aggression towards others or manic excitement.

                 Example 2: the person's judgement, decision-making, planning and organisation functions are severely disturbed.

                 (f) work/training capacity.

                 Example: the person is unable to attend work, education or training sessions other than for short periods of time due to ongoing mental illness.

Table 6 – Functioning related to Alcohol, Drug and Other Substance Use

Introduction to Table 6

       * Table 6 is to be used to assess the functional impact of a diagnosed condition resulting from excessive use of alcohol, drugs or other harmful substances (such as glue or petrol) or the misuse of prescription drugs.

       * The diagnosis of the condition causing the impairment must be made by an appropriately qualified medical practitioner. For example a general practitioner or medical specialist such as an addiction medicine specialist, or psychiatrist with experience in diagnosis of substance use disorders.

       * There must be corroborating evidence of the person's impairment.

       * Self-report of symptoms must be supported by corroborating medical evidence.

       * This Table applies to people who have current, continuing substance use disorders and those in receipt of alcohol or other drug treatment.

       * People with a past history of substance use disorder with resulting long-term impairments should be assessed under the relevant Table(s).

    Example 1: Table 7 should be used where the person has neurological impairment resulting from previous alcohol, drug or other harmful substance use.

    Example 2: Table 5 should be used where the person suffers a mental health impairment resulting from previous alcohol, drug or other harmful substance use.

       * The use of drugs or alcohol does not in itself constitute or necessarily indicate a functional impairment.

       * Examples of