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 1/3)
Character Range: 82371–85886

30      There is an extreme functional impact resulting from a neurological or cognitive condition.

            (1) The person requires continual interactive assistance and supervision and has extreme difficulties in at least 2 of the following:

                 (a) memory;

                 Example 1: the person requires constant prompts and reminders to remember routine tasks, familiar people and places and may get lost even in familiar places if not accompanied.

                 Example 2: the person has extreme difficulty remembering events that happened earlier in the day (such as what the person ate for breakfast).

                 (b) attention and concentration;

                 Example: the person has extreme difficulty concentrating on any task for more than a few minutes which may be due to sensory input, including environmental stimuli from any of the senses.

                 (c) problem solving and cognitive flexibility;

                 Example 1: the person has extreme difficulty solving even the most basic problems (such as what to do if the kettle is empty) and needs complete assistance with problem solving.

                 Example 2: the person has extreme difficulty coping with changes in routine, or experiences restricted behaviours resulting in extreme distress with changing focus or activities.

                 (d) planning;

                 Example: the person has extreme difficulty planning and organising daily activities and needs complete assistance to organise daily routine.

                 (e) decision making;

                 Example: the person has extreme difficulty prioritising and making simple decisions and needs substantial support from a guardian or other delegate to make decisions or give consent on the person's behalf.

                 (f) comprehension;

                 Example: the person has extreme difficulty understanding even simple, single step instructions and needs assistance to complete most tasks.

                 (g) visuo-spatial function;

                 Example 1: the person has extreme difficulty performing even basic visuo-spatial functions, following spatial directions (such as 'turn left at the corner'), or judging distance or depth which severely limits mobility.

                 Example 2: the person has left or right-sided neglect, that is, they are not aware of objects, people or body parts in the left or right field of vision. This means that even though the person's eyes can see an object, the person's brain does not register its presence.

                 (h) behavioural regulation;

                 Example 1: the person has extreme difficulty controlling behaviour in a range of day‑to‑day situations and this interferes with participation in activities outside the home and requires supervision and possibly restriction to a home or institutional environment.

                 Example 2: the person constantly demonstrates behavioural dysregulation that is extremely self-limiting and/or impactful on others, such as extreme difficulty or refusal to engage in non-preferred environments, or self-stimulatory behaviour in all environments.

                 (i)                  social skills

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

                 (j) self-awareness.

                 Example: