Navigating the Shifting Landscape of FCAs in the NDIS: A Personal Reflection
Over the years, the National Disability Insurance Scheme (NDIS) has seen some changes, and currently, Occupational Therapists (OTs) are tasked with conducting Functional Capacity Assessments (FCAs). These assessments aim to determine the functional capacity of individuals with disability, identify unmet needs, and suggest future funded services and support.
While the responsibility of performing FCAs has extended to other professionals, I would argue that OTs, with their holistic training, are the most fitting for the job. I'm putting these thoughts down while juggling 13 FCA reports, mostly from my existing caseload, which means these individuals are less likely to receive "therapy" while I'm head down in reports.
This brings me to a few questions:
Do FCAs put constraints on OTs' ability to deliver services and therapy effectively?
Are FCAs always the best use of resources?
Could the NDIS sometimes make recommendations without requiring these assessments?
Is there another way to gather the necessary information, especially considering the unique insights SIL (Supported Independent Living) providers have from essentially living with the individuals?
Could constant assessment mode cause OTs to lose their core intervention skills.
And what about those just starting their career in OT? Could the focus on assessments steer them away from the heart of the profession? I.e., helping people engage in their meaningful occupations.
Am I just venting? Some might think so. But I believe it's crucial to ponder what genuinely constitutes value for money. Yes, sometimes it might mean spending more than 10 hours on assessment and reporting, but is it always necessary?
I must admit, managing my caseload amid urgent FCA requests has been a challenge. Just when you think you have everything under control, a sudden FCA request can throw everything off balance.
Don't get me wrong, I love my job, and I don't mind doing FCAs. They allow me to meet some amazing people on their unique journeys.
In conclusion, as FCAs become a more integral part of the NDIS landscape, it's essential to reflect on the role of OTs, the impact on core skills, and the true value these assessments bring. Striking a balance between the necessity of FCAs and preserving the essence of occupational therapy remains a key consideration for professionals in the field.