This week, AAPi appeared before the Senate Community Affairs References Committee for the inquiry into the assessment and support services for people with ADHD. AAPi's attendance at this inquiry is in addition to our submission. We were also asked to provide further written guidance to the Committee based on AAPi's expert advice on the best practice approach for all stages of the ADHD assessment and treatment process — from initial assessment and diagnosis, through to medication (as required) and other treatment, as well as ongoing support and treatment plans.
During our testimony, we advocated strongly for the expansion of Medicare items to allow for rebates for assessment and treatment of ADHD for clients of all ages, as well as increases to Medicare rebate amounts to allow for greater access to services for those who are suspected of meeting criteria for diagnosis.
We also advocated for expanding appropriately funded Medicare items to allow GPs to refer directly to psychologists for Medicare rebated assessments, rather than relying on specialists to facilitate appropriate and timely assessment. There are significant delays and barriers to diagnosis due to long wait lists to see paediatricians and psychiatrists, both of which have significant workforce shortages.
AAPi recommended that psychologists partner with GPs to facilitate appropriate assessments and include other specialists, such as psychiatrists and paediatricians, where indicated, reducing the barriers to diagnosis. It would also ensure that clients could be thoroughly assessed and any co-occurring diagnoses identified and managed appropriately.
We spoke about the gender bias that exists and what can be done to correct this.
AAPi again supported the inclusion of ADHD into the NDIS. AAPi believes the NDIS has a crucial role in helping individuals with ADHD. We recommend that the scheme recognises ADHD as a primary disability and provides appropriate support, including access to diagnostic assessments, evidence-based interventions, and ongoing care throughout the lifespan. The NDIS plays a vital role in supporting people with disabilities, including those with ADHD. The scheme's responsibility to recognise ADHD as a primary disability is important in ensuring appropriate support and access to necessary services. A person’s functioning or disability is a dynamic interaction between the person and environmental and personal factors. Consideration should be given to the level of disability an individual has when deciding whether support through the NDIS is appropriate.
We also emphasised a neurodiversity-affirming and person-centred approach to care and support.
AAPi would like to thank the AAPi Neurodiversity Interest Group and Steering Committee for assisting in developing a model for best practices for assessing and treating ADHD. Your contributions ensured that we produced a well-rounded model based on lived and professional experience.
We will keep members updated on the outcomes of this inquiry and continue to advocate for the important role of all psychologists and the need for improved access for clients.