How High-Intensity Care Differs from Standard Disability Support

 


When it comes to disability services, support needs can vary widely from one individual to another. Some people require minimal assistance with daily activities, while others have complex medical or behavioural needs that demand advanced, specialist care. This is where the distinction between standard disability support and high-intensity care becomes important.


Understanding Standard Disability Support

Standard disability support is designed for individuals who require help with everyday tasks such as meal preparation, personal hygiene, mobility, and household chores. These services are typically provided by support workers who assist clients in maintaining their independence, participating in the community, and achieving their personal goals.

Standard supports may include:

  • Assistance with bathing, grooming, or dressing

  • Light domestic help (cleaning, laundry)

  • Meal preparation

  • Community access and transport

  • Basic medication reminders

While this level of care is essential and meaningful, it generally doesn’t involve complex procedures or high-risk support activities.


What Is High-Intensity Care?

High-intensity care is a specialised form of disability support designed for individuals with significant medical or behavioural needs. These supports are provided by workers who have undergone specific training and often work under the guidance of medical professionals. The goal is to ensure that individuals with complex needs receive safe, dignified, and appropriate care that supports their well-being and independence.

Key features of high-intensity care may include:

  • PEG feeding (enteral feeding)

  • Tracheostomy care

  • Ventilator and respiratory support

  • Diabetes management, including insulin administration

  • Wound care and pressure area management

  • Continence and catheter care

  • Positive Behaviour Support (PBS) strategies for individuals with high behavioural needs

Because these activities involve greater risk, they must be delivered by trained support workers under detailed care plans. They often require clinical oversight and precise documentation.


Key Differences at a Glance


Feature

Standard Disability Support

High Intensity Care

  • Type of needs

  • Low to moderate

  • Complex or high-risk

  • Level of training

  • General support worker training

  • Specialist, task-specific training

  • Medical procedures

  • None or basic (e.g. medication prompts)

  • Complex procedures (e.g. PEG feeding, catheter care)

  • Supervision required

  • Minimal

  • Medical or nursing oversight often needed

  • Risk level

  • Low

  • Moderate to high


Why the Difference Matters

Understanding the distinction between standard support and high-intensity care is vital for both NDIS participants and their families. Choosing the correct level of care ensures that individuals:

  • Receive the right kind of assistance

  • Are supported safely and effectively

  • Can live with dignity, independence, and confidence

  • Have their complex health and behavioural needs properly managed

If a person’s support needs change over time due to illness, injury, or behavioural developments, it’s essential to update their NDIS plan to include high-intensity supports if required.


Conclusion

While standard disability support meets the everyday needs of many individuals, high-intensity care is a crucial service for those with more complex requirements. With the appropriate training, planning, and compassionate support, people receiving high-intensity care can continue to thrive and live fulfilling lives.

If you or someone you know might need high-intensity care, consult your NDIS planner or a trusted provider to explore the best options for your situation.

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