Figures: Figure 1 – Overview of PIR evaluation methodology 2 Figure 2 – Skills and attributes of effective Support Facilitators 11 Figure 3 – Continuum of support facilitation activities 12 Figure 4 – Support facilitation balancing act 15 Figure 5 – The importance of strong PIR leadership 21 Figure 6 – Features of well-functioning consortia 24 Figure 7 – Features of poor-functioning consortia 26 Figure 8 – Critical relationships for developing strong referral pathways 40 Figure 9 – Client age by location 46
Figure 10 – Client household type 47 Figure 11 – Client accommodation type 48 Figure 12 – Client accommodation tenure 49 Figure 13 – Client labour force status 50 Figure 14 – Client labour status by location 51 Figure 15 – Client employment participation 52 Figure 16 – Client current education enrolment 53 Figure 17 – Reported principal mental illness diagnoses 54 Figure 18 – Reported principal mental illness diagnoses by location 55 Figure 19 – Client mental health legal status 56 Figure 20 – Client mental health status by location 57 Figure 21 – Mental health service provider 58 Figure 22 – Client arrangement 59 Figure 23 – Client carer arrangements by location 60 Figure 24 – Source and outcome of referral 61 Figure 25 – Outcome of referral by location 63 Figure 26 – Client status 65 Figure 27 – Client status by location 66 Figure 28 – Client reasons for exit 67 Figure 29 – Type of needs identified 69 Figure 30 – PIR activity domains 73 Figure 31 – Categories of client outcomes 79 Figure 32 – Approaches to system reform 89 Figure 33 – Parallel approach to system reform 90 Figure 34 – System reform activity across the PIR network nationally 93 Figure 35 – PIR learnings to offer the NDIA 113 Tables: Table 1– Suggestions to strengthen the PIR initiative 4 2 – Regional workshops 4 3 – 2014 Fieldwork sites 4 Table 4 – 2013-14 Summary of process and operations issues 9 5 – 2014-15 Summary of process and operations issues 19 Table 6 - 2013-14 Summary of partnerships, governance and management issues 20 Table 7 – Features of sophisticated leadership of PIR Organisations 22 8 – Feedback on the Capacity Building Project 27 9 - 2014-15 Summary of partnerships, governance and management issues 31 Table 10 – 2013-14 Summary of client engagement and enrolment issues 33 Table 11 – Measures in place to ensure PIR Organisations are targeting the correct client group 35 Table 12 – Examples of assertive outreach 37 Table 13 – Examples of outplacement strategies 38 Table 14 – Examples of good practice in relation to facilitating access to PIR for equity groups 39 Table 15 – 2014-15 Summary of client engagement and enrolment issues 43 16 – Client demographic data 44 17 – Client source of income 52 Table 18 – Clients awaiting a needs assessment vs clients who have completed an intake needs assessment 68 Table 19 – Types of needs assessment 68 trial trial
Table 20 – PIR client targets by location 70 Table 21 – Client and carer interview sample 71 22 – Client and carer survey sample 72 Table 23 – 2014-15 Summary of client and carer issues 86 Table 24 – 2013-14 Summary of system reform issues 87 Table 25 – System reform activities and examples 95 Table 26 – 2014-15 Summary of system reform issues 98 Table 27 – Challenges faced in urban areas 100 Table 28 – Challenges faced in peri-urban areas 103 Table 29 – Challenges faced in regional, rural and remote areas 103 Table 30 – Challenges specific to rural and remote areas 107 Table 31 – 2013-14 Summary of issues related to the PIR - NDIS interface 110 32 – Challenges faced by PIR and NDIA in working together 112 Table 33 – 2014-15 Summary of issues related to the PIR - NDIS interface 114
Development of PIR Client Minimum Data Set Development of PIR Reporting Framework July 2013 – June 2014 Development of research tools Commencing negotiation with data custodians regarding data access and linkage Ethics application Fieldwork planning Communication to stakeholders regarding consultation processes 12 site visits to consult with PIR Organisations, partners and local services (including 6 longitudinal sites) PIR Organisations and key stakeholder telephone consultations Online partnership survey of PIR consortium members Qualitative analysis (site visits and telephone consultations) Analysis of first partnership survey Progress Report 2 Analysis of PIR MDS data (included in 2014 Annual Report) Case studies on implementation (included in 2013-14 Annual Report) 2013-14 Annual Report July 2014 – June 2015 Review evaluation framework and project plan Fieldwork planning Communication to stakeholders regarding consultation processes 12 site visits to consult with PIR Organisations, partners, local services, clients and carers PIR Organisations and key stakeholder telephone consultations and territory evaluation workshops with PIR Organisations Client and carer portal Qualitative analysis (site visits, telephone consultations and workshops) Progress Report 3 Analysis of PIR MDS data (included in 2015 Annual Report) Case studies on location (included in 2014-15 Annual Report) 2014-15 Annual Report
July 2015 – June 2016 Review framework and project plan Fieldwork planning Communication to stakeholders regarding consultation processes 12 site visits to consult with PIR Organisations, partners, local services, clients and carers PIR Organisations and key stakeholder telephone consultations Online partnership survey of PIR consortium members Client and carer satisfaction surveys Client and carer portal Qualitative analysis (site visits, client and carer portal and telephone consultations) Analysis of second partnership survey Consumer and carer satisfaction survey Economic analysis Progress Report 4 Analysis of PIR MDS data Case studies on specific consumer groups (included in 2015-16 Annual Report) 2015-16 Annual Report This report is on data from the regional workshops, 12 site visits, 66 stakeholder telephone consultations and MDS analysis. Evaluation activities in 2014-15 Key evaluation activities undertaken in 2014-15 included: five and territory evaluation workshops held in October and November 2014 12 site visits to consult with PIR Organisations and their partners, local services, clients and carers in November and December 2014 PIR Organisation and key stakeholder telephone consultations between January and March 2015 MDS analysis. Each of these four key activities is discussed in more detail in the sections below. trial
Figure 14 – Client labour force status by location Data table for Figure 14 Figure 14 indicates that the Australian Capital Territory (9%) and Western Australia (9%) had the highest rates of employment among registered clients. The Northern Territory had the highest rates of unemployment (65%). Figure 15 – Client employment participation Data table for Figure 15 Figure 15 that of those clients who were in employment (n=813), the majority (77%) worked part-time, with only 188 clients (23%) working full-time. This represents a +10% increase in the proportion of clients working full-time since June 2014. As indicated in Table 17, with regard to income, more than half (53%) of registered clients were receiving income through the Disability Support Pension and one quarter (25%) were receiving some other pension or benefit. This represents proportional increases of +6% and +5% respectively since June 2014. It is anticipated that these proportional increases are due, in part, to the -11% decrease in ‘not reported’ cases since June 2014. Table 17 – Client source of income Source of income N % Disability Support Pension 6,688 53% Other pension or benefit (not superannuation) 3,148 25% Not stated 1,388 11% Paid employment 397 3% Not known 347 3% Nil income 265 2% Other (e.g. superannuation, investments etc.) 166 1% Not reported 127 1% Compensation payments 102 1% Total 12,628 100% Current education Figure 16 – Client current education enrolment Data for Figure 16 As indicated in Figure 16 the majority (70%) of clients were not currently enrolled in any form of education. One in twenty (5%) of clients were enrolled in a course with TAFE or another equivalent training organisation.
Data for Figure 11 – Client accommodation type Not reported 29 0% Specialised alcohol/other drug treatment residence 27 0% Residential aged care service 62 0% Prison/remand centre/youth training centre 67 1% Shelter/refuge 67 1% Domestic-scale supported living facility 79 1% Homeless persons‘ shelter 91 1% Specialised mental health community-based residential support service 155 1% Psychiatric hospital 156 1% Public place (homeless) 325 3% supported accommodation 325 3% Boarding/rooming house/hostel or hostel type accommodation 533 4% Other 1,026 8% Unknown 1,828 14% Private residence 7,858 62% Data table for Figure 12 – Client accommodation tenure Less than 1 year 1-2 3-4 years 5 or more years Not stated Not reported 3,877 1,703 1,117 2,560 3,342 29 Data table for Figure 13 – Client labour force status N No of clients 813 4,156 6,016 1,533 110 % of clients 6% 33% 48% 12% 1%
Data table for Figure 14 – Client labour force status by location Employed Unemployed Not in the labour force Not stated Not reported NT (n=195) 5% 65% 19% 10% 0% ACT (n=257) 9% 25% 43% 5% 18% TAS (n=462) 7% 34% 31% 28% 0% SA (n=775) 7% 33% 38% 22% 0% WA (n=1,189) 9% 46% 31% 12% 3% QLD (n=3,517) 6% 34% 52% 8% 1% VIC (n=2,208) 6% 24% 59% 11% 0% NSW (n=4,035) 6% 32% 48% 14% 0% (n=12,628) 6% 33% 48% 12% 1% Data table for Figure 15 – Client employment participation N Number of clients 188 625 % of clients 23% 77% Data for Figure 16 – Client current education enrolment Current education enrolment Number of clients % of clients Not engaged in any formal education 8,896 70% Not stated 2,364 19% TAFE/Technical/Vocational/ Registered training organisation 614 5% University/other higher education 226 2% Secondary school 230 2%