Department of Families, Housing, Community Services
and Indigenous Affairs (FaHCSIA)
DisabilityCare, the National Disability Insurance Scheme
Practical Design Fund
Email: practicaldesignfund@fahcsia.gov.au
Final Report
DisabilityCare Australia, the national disability
insurance Practical Design Fund
31st May 2013
NDIS Epilepsy Management Protocol for the
Disability Sector
This is the final report of the project detailing the original purpose and activities, achievements,
findings, and outputs.
Contact:
Wayne Pfeiffer, General Manager Client Services
Epilepsy Foundation of Victoria
Phone: 03 8809 0652/ 0418 316 323
Email:wpfeiffer@ epilepsy.asn.au
1|Page
Table of Contents
Background .............................................................................................................................. 3
Context ...................................................................................................................................... 3
Purpose ..................................................................................................................................... 4
Project Activities ...................................................................................................................... 4
Achievements ............................................................................ Error! Bookmark not defined.
Summary of Achievements ..................................................................................................... 5
Changes from proposed activities ....................................................................................... 5
1.
Project Advisory Group .................................................................................................. 5
3.
Survey of disability support staff .................................................................................... 7
4.
Development of NDIS Epilepsy Management Protocol for the Disability Sector ............. 9
5.
Publication of Self-Directed Epilepsy Management Plan & Tools ................................. 11
Appendix 1- NDIS Epilepsy Management in the Disability Sector Project Advisory Group
Terms of Reference ................................................................................................................ 12
Appendix 2- Epilepsy Management in the Disability Sector: A resource for better practice
................................................................................................................................................. 15
2
NDIS Epilepsy Management Protocol for the Disability Sector
Background
The Practical Design Fund (PDF) is an Australian Government program that supports initiatives
to identify practical ways to prepare people with disability, their families and carers, the disability
sector and workforce for the transition to DisabilityCare Australia, the national disability
insurance scheme, the national disability insurance scheme. The Epilepsy Foundation was
funded for two projects with a total of 73 projects funded across Australia through the
Department of Families, Housing, Community Services and Indigenous Affairs (FaHCSIA).
The Epilepsy Foundation formed a partnership with Bendigo Community Health Services
(BCHS) and Flinders University to pilot a national approach that supported the development of
an epilepsy management protocol for the disability sector and created a self-directed epilepsy
management plan and resources for people and families living with a disability to take to any
disability service provider they choose.
The announcement of successful projects was made in late November 2012 with a completion
date set for 31st May 2013 effectively a five month period.
Context
FaHCSIA Program Objectives for DisabilityCare Australia is to improve the wellbeing and social
and economic participation of people with disability and their carers by building a National
Disability Insurance Scheme that delivers care and support through an insurance approach.
The objective of the Practical Design Fund was to tap into existing sector knowledge and
expertise to identify practical solutions and innovative approaches that will assist people with
disability, their families and carers, the disability workforce and disability service organisations
or segments of this population in managing issues of transition.
Epilepsy is a common neurological condition in which a person has recurring seizures. It
currently affects one in 200 Australians with approximately 4% of the population experiencing
epilepsy in their lifetime. Epilepsy has a high level of comorbidity with a range of disability types
requiring support from specialist organisations both to the person, or their family and to disability
organisations.
The Epilepsy Foundation of Victoria is the state based community service organisation
supporting people living with epilepsy in Victoria and is part of the Joint Epilepsy Council of
Australia.
Flinders University has a reputation for excellence in teaching and research. It has a longstanding commitment to enhancing educational opportunities for all and a record of community
engagement.
The Bendigo Community Health Services is the primary provider of a broad range of medical,
allied health and community services in the Greater Bendigo region.
The Victorian Department of Human Services, Sandhurst Centre, Bendigo and Marillac
Disability Services, Caulfield agreed to be a case study sites.
3
A total grant of $247,800 was provided by FaHCSIA which was managed by the Epilepsy
Foundation as lead agency. A project steering group was established to guide the projects as
some activities were interrelated across the two projects.
Purpose
To develop practical guidelines for disability service providers to support the management of
epilepsy in a NDIS environment of individualised community based support.
Project Activities
The project was designed to build the capacity of the disability service workforce and sector
organisations to manage and understand good health management in an NDIS environment
with a focus on epilepsy. The project explored the role of specialist disability organisations in
supporting the interface between chronic health and disability supports through epilepsy and its
management.
The work already underway in Victoria between the Epilepsy Foundation of Victoria, the
Department of Human Services and the Victorian Disability Sector was used to form the basis of
an Australian wide application providing information, resources, referral pathways, and tools to
support the transition to the NDIS. The specific activities identified in the original project
submission included:
1. Establishment of a project steering group to ensure the project maintained its focus, timeline
and budget.
2. Review of existing models of health condition management including an examination of best
practice models for health condition management in an individualized disability service
environment using epilepsy as a focus.
3. Survey disability sector to assess the current level of understanding and management of
epilepsy and identify the support needs of the disability sector with Ethics approval.
4. Develop and trial tools and a protocol with two case study sites and forward to other states
for comment.
5. Development of a National protocol for the management of epilepsy in an NDIS environment
that will support disability service providers in the transition to individualised service delivery.
6. Provide a report on project findings and presentation as required by FaHCSIA and distribute
widely.
4
Achievements
Summary of Achievements
The project has achieved the following:
 Collected an evidence base for best practice epilepsy management in the disability sector
and identified support requirements.

Assessed the current level of epilepsy knowledge and practice within the disability sector
and epilepsy management support needs

Successfully trialled practical resources to support the engagement with the person with
epilepsy in understanding their epilepsy and development of an epilepsy management plan.

Established a national approach to epilepsy management in the disability sector including a
better practice resource for families and the disability service providers

Developed a self-directed epilepsy management plan and resources that supports the
person with a disability and family in their selection of a suitable service provider

Identified a potential evidence base for how a specialist disability organisation can function
in an individualised funding environment and support the transition to an DisabilityCare not
just for epilepsy but other conditions.

Established tools that will assist DisabilityCare assessment processes and Local Area Coordinators and in benchmarking disability service providers.
Changes from proposed activities

The limited time available for the project impacted on the recruitment of disability service
participants to the survey which will remain open for further recruitment and publication of
results.
1. Project Advisory Group
A NDIS Epilepsy Management in the Disability Sector Project Advisory Group (PAG) was
established in February 2013 to advice on the delivery of the two funded projects. A broad
range of representation was included in the membership as outlined below:
 Epilepsy Foundation Of Victoria: Janita Keating, Alison Hitchcock, Graeme Shears, Wayne
Pfeiffer, Juliette Parker
 Bendigo Community Health Services: Kay Graves, Megan O’Keefe, Julie Priest
 Department of Human Services Disability Sandhurst Centre: Jenny Horner, Dean Seery
 Marillac Disability Services: Johanna Snellman/Jody Punchon
 Flinders University: Dr Michelle Bellon
 ABI & Neurological NDIS Interest Group: Debra Farrell (MS Australia)
 Joint Epilepsy Council of Australia: Robert Cole (Epilepsy Centre Sth Aust &NT)
 Office of the Chief Health Officer: Dr Michael Ackland
People with a disability and family members were not directly involved in the project advisory
group. Their involvement was thought best through surveys, individual consultations and direct
involvement in the development of the epilepsy management plan and tools at key stages of the
project.
5
The purpose of the PAG was to provide high quality advice in shaping the design,
implementation and evaluation of the project so as to meet the needs of people with a disability
and families living with epilepsy and disability service providers. Terms of reference (Appendix
1) were established with key objectives:


To provide advice for the design of the project which draws upon members’ experience of
the development and running of programs and of working with people with a disability and
families living with epilepsy and disability service providers.
To provide reflections on the project objectives, methodology, and models and tools that are
developed and other evidence from the project to enable continuing improvements.
The PAG has agreed to meet in six months’ time to review evaluation of the tools and project
outcomes with a formal review of outcomes planned for 12 months.
2. Literature Review
Dr Michelle Bellon and Researcher Alinka Thimm, Flinders University, Disability & Community
Inclusion, School of Medicine, South Australia were contracted to conduct a literature review for
the project. The review was completed in conjunction with Epilepsy Foundation staff Wayne
Pfeiffer, General Manager Client Services, Janita Keating & Alison Hitchcock, Education and
Training Managers and guidance from the project steering group.
The literature review is a 36 page document which examines best practice models for health
condition management for people with a disability, with a focus on epilepsy, person-centred
approaches, and guidelines for self-directed epilepsy management plans. An emphasis was
placed on epilepsy management which incorporates active involvement by the person in the
development of the individual’s own health management plan.
Section 1 summarises Australian State guidelines and regulations in epilepsy management
across different sectors (accommodation, education, health, transport and other), and
summarises key overseas guidelines (NICE and Scottish Intercollegiate Guidelines).
Section 2 reviews health tools and models of health management in the disability sector
(including the CHAP, Ask Health diary, Self-management models in Chronic Conditions,
explored the role of person-centred planning in self-management, and presented principles for
integrated service delivery in a 'DisabilityCare Australia' (NDIS) environment.
This review revealed a range of epilepsy management guidelines which have been designed
and implemented across differing sectors and organisations (including schools, accommodation,
health, and community support). Although international guidelines on epilepsy management
have been developed (NICE), inconsistent and uncoordinated service delivery across sectors
has resulted in fragmented supports which work in isolation rather than benefiting from shared
learning and research.
Unfortunately, the health of people with an intellectual disability is often overlooked and poorly
managed in community settings. Health assessment tools such as the CHAP have
demonstrated strong positive outcomes in improving communication between GPs, their
patients with intellectual disability and care-givers, increasing health promotion and health
screening, and substantially increasing GP’s attention to the health needs of this population.
A range of self-management programs for chronic conditions (including epilepsy), have been
developed, with evaluations illustrating positive effects from increasing understanding of their
6
own condition, learning ways to manage their condition, providing peer support, strengthening
partnerships and communication with health professionals, and motivating behavioural change.
Health management is also seeking to keep pace with advancing technology, with new forms of
electronic communication (including personally controlled electronic health records and
telehealth) being trialled and debated.
However, of critical concern is the extent to which people with a disability (and their family) are
actively involved in making informed health decisions which impact their own lives. Personcentred planning in self-management incorporates the views and goals of the individual,
ensuring decisions are made collaboratively. People with epilepsy want to be more involved in
discussions about their treatment, and more actively involved in planning their seizure
management. For this to succeed, ongoing staff training on the principles and techniques of
person centred planning (PCP) is needed, in addition to increased epilepsy education and
adoption of management guidelines and plans which support the proactive involvement of
people with a disability and their family.
For each of these elements to be effective within a self-managed funding environment, Australia
will need to ensure integrated and continuous service delivery. If the integrated service
characteristics presented in this review are adopted with the introduction of DisabilityCare
Australia, the active involvement and optimum health care of people with a disability (including
epilepsy) will be achieved.
3. Survey of disability support staff
In order to inform the development of a national epilepsy management plan and protocol, this
research sought feedback from people employed in the disability sector to gather information on
how Epilepsy Management Plans are currently conducted across Australia. The research also
undertook to assess the current levels of understanding and management of epilepsy and
identify the support needs of disability service staff.
Ethics approval granted by the Flinders University Social and Behavioural Research Ethics
Committee (Project No 5965)
Participants were invited to complete an 8-page electronic survey which collected information on
current knowledge of epilepsy, how epilepsy is currently managed by disability service providers
(do they have an epilepsy management plan, what information does it include), and how the
individual and family are engaged in the process of epilepsy management, support and
planning. An invitation to complete the Staff Survey and Individual & Family Survey was emailed
to 30 Disability organisations across Australia (see Table 1). A further 359 service users of the
Epilepsy Foundation who were identified as having a disability were invited to take part in the
survey.
Table 1 – Disability organisations approached to advertise surveys (n=30)
Australian Federation of
Epilepsy Qld
National council on Intellectual
Disability Organisations
Disability
Autism SA
Epilepsy SA & NT
National Ethnic Disability
Alliance
Brain Injury Australia
Epilepsy Tasmania
National Carers
Carers Victoria
Epilepsy WA
NDS (National)
Children with Disability Australia Epilepsy Foundation of Victoria NDS (NSW)
Disability Advocacy Network
Epilepsy Society of Australia
NDS (Victoria)
Australia
7
Disability Children’s Association
Epilepsy Action
Epilepsy Australia
Epilepsy ACT
First People’s Disability
Network
Funded Agency Channel
FAHCSIA
FIELD
Office for the Community
Sector
Physical Disability Australia
VALID
Women with Disabilities
Australia
Each organization was invited to:
a) advertise the surveys on their website
b) forward the Staff Survey invitation to all staff members, and
c) forward the Individual and Family Survey invitation to clients and families with epilepsy (if
relevant).
In addition, the surveys were advertised in the Big Issue in each State and Territory in each
State and Territory. Criteria for participating in the survey are presented in Table 2 below.
Table 2 – Criteria for survey participation
Survey
Individual & Family Survey
Staff Survey
Participation Criteria
Participants will be self-selected individuals
with epilepsy and family members providing
support to a person with epilepsy in Australia.
Criteria for participation include that they are
over 18 and have sufficient English to
complete a survey.
Participants will be self-selected individuals
currently working with people with a disability
in Australia. Criteria for participation will
include that they are over 18 and have
sufficient English to complete a survey.
Interested participants completed the survey online via Survey monkey. A total of 172 Individual
& Family surveys, and 46 Staff surveys (valid) were returned by the cut-off date (5.4.13). Of the
46 staff members who completed this survey, 91% (n=42) were female. This strong gender bias
is not surprising, and may be representative of the gender ratio working within the disability
sector.
A 43 page survey analysis report summarises all the data. The majority of respondents lived in
Victoria (n=25, 54%). Although small, there were respondents from most Australian states,
however no representation from ACT or NT.
The majority of respondents worked in residential services (53%), closely followed by respite
(47%), and community support (45%), however all other service types are represented to some
degree by this sample.
Eighty-nine per cent of respondents worked in professional roles (management, coordinator/
team leader or professional), with only a small percentage indicating they worked in Disability
Support Work or direct care (n=5, 11%).
Although 98% (n=45) of staff indicated they had received first aid training, only 71% (n=32)
received epilepsy-specific training, and less than half (43%, n=19) had undergone emergency
medication training for seizure control.
Ninety-five per cent (n=42) of staff had received up-to-date First Aid training (within 3 years),
with over half (n=22, 55%) having done so within the past 12 months. Of those who had
8
completed epilepsy-specific training, 66% (n=21) had done so within the last 3 years. In
contrast, the majority of staff who had received training for emergency medications had done so
longer than 3 years (n=9 45%).
The majority of respondents (n=28, 70%) indicated their organisation required each client to
have an Individual Health Management Plan. 82% of organisations required each client with
epilepsy to have an Epilepsy Management Plan (n=32).
Three quarters of respondents (n=30, 77%) indicated their organisation required staff to directly
involve the person with epilepsy and their family in writing their Epilepsy Management Plan. In
contrast, 5 indicated this was not a requirement (13%), and 4 were not sure (10%).
Only 53% of staff (n=20) indicated that their organisation’s Epilepsy Management Plan included
the views of the person with epilepsy on how they want to be supported. Just over a quarter
(29%, n=11) said this was not included on their plans, with the remaining 18% (n=7) not sure.
Staff indicated varying levels of challenges when supporting someone with epilepsy and
confidence across all areas. The area of highest concern included ‘identifying side-effects of
anti-epileptic medications’ (42% ‘sometimes’ and 11% ‘often’).
The least common information included in epilepsy management plans were contact details of
people involved in preparing the plan (n=21, 57%), the signature of the person with epilepsy or
parent/guardian (n=24, 63%), and the endorsement/signature of the treating doctor (n=26,
68%).
A range of open-ended comments were received, with feedback on a range of information that
disability staff would you like to see in a comprehensive Epilepsy Management which have been
directly included in the epilepsy management better practice resource protocol.
Recruitment of additional disability service participants to the survey is occurring which will
remain open for further recruitment and later publication of results.
4. Development of NDIS Epilepsy Management Protocol for
the Disability Sector
The following outputs and products have been produced and will be available on our website
(www.epinet.org.au) from 23rd June 2013. See Appendix 2 for a copy of the epilepsy
management protocol - Epilepsy Management in the Disability Sector: A resource for better
practice.
1. Developing an Epilepsy Management Plan for support workers and families: A
resource to involve the person with a disability in the development of their epilepsy plan
2. Epilepsy Management Plan templates and guidelines: An electronic document to
help identify the person’s seizure types, support needs and emergency procedures
3. Emergency Medication Management Plans – Midazolam or Rectal Valium An
electronic or hard copy document that identifies a specific emergency medication
including dose, route and seizure type for administration
4. Epilepsy Management in the Disability Sector: A resource for better practice:
Service providers can benchmark themselves against the better practice resource and
identify ways to enhance the person’s support and epilepsy management
5. Education and Training for Epilepsy and Emergency Medication Administration for
disability service providers
9
6. Epilepsy Help Line Fridge Magnet for disability service providers to get epilepsy
support nationally
The following table (Table 3) summarizes the process used to develop the Epilepsy
Management Protocol for the Disability Sector which built on the Victorian experience,
examined current knowledge and models and developed tools for disability support staff and
organisations.
Table 3- Process used to develop Epilepsy Management Protocol for the Disability Sector
Dec- FebAprSummary of Development Process
Jan
Mar
May
1. Review of Existing Models of Health Condition Management
 Partnerships formed with Flinders University Disability &
Community Inclusion, School of Medicine. SA
 Partnership formed with Bendigo Community Health Services and
commitment obtained from DHS Sandhurst and Marillac Services
to act as trial sites.

Ethics approval granted by the Flinders University Social and
Behavioural Research Ethics Committee (Project No 5965)

A Project Advisory Group was established to guide the project
development and implementation and meet in February, March and
June.

Literature review examined best practice models for health
condition management for people with a disability, with a focus on
epilepsy, person-centred approaches, and guidelines for selfdirected epilepsy management plans. An emphasis was placed on
epilepsy management which incorporates active involvement by the
person in the development of the individual’s own health
management plan

Survey of disability service staff to understand current practices
used in each Australian state and assess current levels of
understanding and management of epilepsy and identification of
the needs of disability service staff.
2. Development of the epilepsy management protocol - Epilepsy
Management in the Disability Sector: A resource for better
practice, other Tools & Trial
 Project Assistance staff recruited and existing EFV staff released to
develop self-directed epilepsy management plan and tools
10

Epilepsy Management in the Disability Sector: A resource for better
practice developed base on literature review, survey and testing.
BCHS worked with DHS Sandhurst and other disability providers to
test the resource and contributions were obtained from other state
based epilepsy organisations.

Developing an Epilepsy Management Plan for support workers and
families a resource tool was developed by EFV and tested with
people with a disability, families, and epilepsy and disability support
staff.

Epilepsy Management Plan and Emergency Medication
Management Plans templates and guidelines developed by EFV
electronically to help identify the person’s seizure types, support
needs and emergency procedures and tested with people with a
disability, families, and epilepsy and disability support staff.

Epilepsy Help Line Fridge Magnet for disability staff to get epilepsy
support nationally -suggested by families and disability support staff
from consultation process.

Education and Training for Epilepsy and Emergency Medication
Administration for disability service providers to understand and
manage epilepsy and support the person and family.
3. Publication of Self-Directed Epilepsy Management Plan &
Tools
The epilepsy management protocol - Epilepsy Management in the Disability Sector: A resource
for better practice will be made available through download from EFV website
http://www.epinet.org.au/articles/disabilitycare_australia_-_resources in pdf and MS Word
formats with easy English resources available in audio file format for the vision impaired from
23rd June 2013. An e-newsletter will also be developed to ensure ongoing support and
monitoring of the resources.
Resources will be distributed directly to disability support staff through the following:
 DisabilityCare Australia conference stand June 23-24th
 Launch in DisabilityCare launch sites both in Victoria (July) and NSW (August)
 Promotion of the resources through peak disability organisations and newsletters
 Distribution of resources to Epilepsy Australia member organisations.
 Submission for presentation at relevant conferences/forums
Publication of the literature review findings and survey data analysis is envisaged for a later
date as recruitment for the survey is continuing to increase the sample size.
11
Appendix 1- NDIS Epilepsy Management in the Disability Sector
Project Advisory Group Terms of Reference
Terms of Reference
Accepted 18th February 2013
1.
Title: NDIS Epilepsy Management in the Disability Sector
A. Development of an NDIS Epilepsy Management Protocol for the Disability Sector.
B. Develop NDIS Self-Directed Epilepsy Management Plans for People Living with
Disability.
2.
Background
The NDIS Epilepsy Management projects will run until 30th May 2013 will the aim of
building practical solutions and tools to support the management of epilepsy with people
with a disability, families and disability service providers in the transition to the NDIS.
This will include:
• Review of existing models of self-directed plans of health conditions,
• Review level of epilepsy knowledge in disability sector and with people living with
disability,
• Development of a self-directed epilepsy management plan, tools and trial,
• Review of existing models of health condition management,
• Development of tools, protocol and trial with disability service providers,
• Publication of epilepsy protocols, self-directed epilepsy management plan and tools.
3.
Context
A Project Advisory Group (PAG) is required to support this project, to represent a range
of perspectives and to provide expert input. A separate Project Work plan has been
provided to provide further detail on the context and activities of the projects.
4. Members
Epilepsy Foundation: Janita Keating, Alison Hitchcock, Graeme Shears, Wayne Pfeiffer,
Juliette Parker
Bendigo Community Health Services: Kay Graves, Megan O’Keefe, Julie Priest
DHS Disability Sandhurst Centre: Jenny Horner, Dean Seeary
Marillac Disability Services: Johanna Snellman/Jody Punchon
Flinders University: Dr Michelle Bellon
ABI & Neurological NDIS Interest Group: Debra Farrell (MS Australia)
Joint Epilepsy Council of Australia: Robert Cole Epilepsy Centre Sth Aust &NT
12
Office of the Chief Health Officer: Dr Michael Ackland
Project Advisory Group Goal
This PAG will provide high quality advice in shaping the design, implementation and
evaluation of the project so as to meet the needs of people with a disability and families
living with epilepsy and disability service providers.
5.
Objectives
 To provide advice for the design of the project which draws upon members’
experience of the development and running of programs and of working with people
with a disability and families living with epilepsy and disability service providers.
 To provide reflections on the project objectives, methodology, and models and tools
that are developed and other evidence from the project to enable continuing
improvements.
6.
Relationship with Epilepsy Foundation of Victoria
The PAG is auspiced by the Epilepsy Foundation and will be guided by the following
provisions that govern the relationship between the Epilepsy Foundation and the PAG.
The Epilepsy Foundation will:


Provide administrative and executive support as required
Provide a budget allocation for small expenses incurred by the PAG

Arrange meetings at times and venues that are suitable to all group members
(shared amongst organisations)
Prepare an agenda and circulate it at least 2 days prior to meetings
Identify resources and guest speakers in line with needs of the project.
Ensure that the relevant website pages and associated online resources are kept upto-date
Ensure a representative attends each PAG meeting
Inform the PAG of the status of the project in a timely manner
Recognise the work of the PAG and its members in its annual report






7. Terms of Appointment
The PAG will consist of the designated membership (including Chair) and will; meet for
the duration of the project January- June 2013
8. Activities
The PAG members will:

Meet 3-4 times as required;
13
9.

Participate by face to face attendance or, where this is impractical, by teleconference
/ videoconference.

Undertake pre-reading and specific enquiries as requested between these meetings.
Chairperson
The Chairperson will be a nominated representative of the Epilepsy Foundation.
Chairperson’s responsibilities are to:
 Ensure members are notified of meetings;
 Invite guest speakers and subject matter experts as required.
 Guide the meeting according to the agenda and time available
 Ensure that, where required, discussion items end with a clear recommendation.
 Delegate as required the tasks of minute taking and secretarial support of meetings
(circulation of agendas and papers, etc.)
 Check that the Minutes of meetings include those who attended the meeting,
apologies, time, venue, duration and a brief summary of the topics covered and
actions, date, time and venue for next meeting.
 Ensure that these Minutes are accepted by participants at the commencement of the
subsequent meeting.
10. Communication
All external communications relating to the affairs of the PAG should be directed to the
Project Manager.
No member of the PAG is permitted to speak publicly on matters relating to the PAG,
Project or the Epilepsy Foundation or, in the name of the PAG, without seeking prior
written permission from the Project Manager.
The Project website will be managed by Epilepsy Foundation. The PAG may
recommend changes to the site.
In circumstances where a majority of the PAG and the Project Manager may have a
difference of opinion, the PAG may provide their collective opinion to the Epilepsy
Foundation, CEO.
11.
Endorsement
These Terms of Reference were endorsed by the Project Advisory Group by the
Epilepsy Foundation, Chief Executive Officer on 18th February 2013
14
Appendix 2- Epilepsy Management in the Disability Sector: A
resource for better practice
Copy of pdf attached or can be downloaded from
http://www.epinet.org.au/articles/disabilitycare_australia_-_resources
15