Breaking up is risky business: Personalisation and collaboration in a marketised disability sector
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Borg, Samantha J
Foster, Michele
Fisher, Karen R
Needham, Catherine
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Abstract
The marketisation of disability support driven by individualised funding brings new dilemmas for multi-agency collaboration, in particular how to provide personalised supports while remaining commercially viable. This article explores the challenges, risks and adaptations of organisations to navigate the tensions of personalisation and collaboration. Framed by street-level research and using the context of Australia's National Disability Insurance Scheme (NDIS), this article draws on interviews with twenty-eight organisational managers. Multi-agency challenges are highlighted when several providers are delivering parts of a NDIS participant's plan, blurring organisational responsibilities and accountabilities. Interviews also revealed the paradox of organisational disconnection and organisational dependence concerning quality support provision and described the collaborative responses organisations implement to ensure their sustainability. There is commitment among organisations to build a trusted ecosystem of providers, but this is largely discretionary and there is a need for further policy mechanisms to enable organisations to negotiate a way through multi-agency dilemmas.
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Social Policy and Society
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22
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1
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DP190102711
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© The Author(s), 2022. Published by Cambridge University Press. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Subject
Social policy
People with disability
Policy and administration
Social Sciences
Social Issues
Social Work
National Disability Insurance Scheme
multi-agency provision
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Hummell, E; Borg, SJ; Foster, M; Fisher, KR; Needham, C, Breaking up is risky business: Personalisation and collaboration in a marketised disability sector, Social Policy and Society, 2022, 22 (1), pp. 155-171