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Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

Allied health matters for people with young-onset dementia on the National Disability Insurance Scheme

Clare Beard https://orcid.org/0000-0002-3059-6947 A * , Priscilla Tjokrowijoto https://orcid.org/0000-0002-8005-7845 B , Jade Cartwright https://orcid.org/0000-0002-6381-6184 C , Naomi Moylan https://orcid.org/0009-0008-3399-2532 D , Monica Cations https://orcid.org/0000-0002-9262-0463 A and Samantha M. Loi https://orcid.org/0000-0002-4953-4500 B E
+ Author Affiliations
- Author Affiliations

A College of Education, Psychology and Social Work, Flinders University, Adelaide, SA 5042, Australia.

B Neuropsychiatry Centre, Royal Melbourne Hospital, John Cade level 2, 300 Grattan Street, Parkville, Vic 3050, Australia.

C School of Health Sciences, University of Tasmania, Launceston, Tas 7250, Australia.

D Brightwater Care Group, Inglewood, WA 6201, Australia.

E Department of Psychiatry, University of Melbourne, Parkville, Vic 3052, Australia.

* Correspondence to: Clare.beard@flinders.edu.au

Australian Health Review 49, AH25149 https://doi.org/10.1071/AH25149
Submitted: 9 July 2025  Accepted: 14 August 2025  Published: 4 September 2025

© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.

Abstract

Young-onset dementia presents unique care challenges that require comprehensive range of allied health interventions. While Australia's National Disability Insurance Scheme serves as the primary post-diagnostic care pathway for accessing these essential services, recent national survey findings reveal significant systemic barriers preventing people with young-onset dementia from obtaining adequate allied health care under this scheme. This perspective article outlines the critical but underrecognised role of allied health professionals in young-onset dementia care management and identifies key access barriers within the NDIS framework, including gaps in public awareness and provider education on young-onset dementia needs, and systemic issues affecting service coordination. Drawing on recent survey data, we briefly discuss current issues and concerns, and present key reform areas with direct implications for policymakers, National Disability Insurance Scheme planners, allied health professionals, and service providers. Our discussion highlights the urgent need for targeted reforms to enhance access to essential allied health professionals and improve outcomes for this growing, vulnerable population.

Keywords: allied health, care needs, dementia, NDIS, NDIS workforce, services, support, young-onset dementia.

References

Cations M, Day S, Laver K, Withall A, Draper B. Post-diagnosis young-onset dementia care in the National Disability Insurance Scheme. Aust N Z J Psychiatry 2022; 56(3): 270-80.
| Crossref | Google Scholar | PubMed |

Loi SM, Tjokrowijoto P, D’Cunha NM, Cartwright J, Moylan N, Cations M, Stange D, Withall A, Atkins K, Bradley L, Burton E, Draper B, Fitzgerald A, Goodlet C, Irish M, Joseph T, Kelso W, Lewis R, Poisson V, Pozzebon M, Scott T, Schweitzer D, Torresi K, Scovell A, Goh A, Cvejic R, Glennen K, Beard C, Joint Solutions working party. Lived experience perspectives about gaps and barriers in services for those living with, and those providing care, for people with young-onset dementia in Australia: Findings from the Joint Solutions Project. Aust N Z J Psychiatry 2025; 48674251346681.
| Crossref | Google Scholar | PubMed |

Australian Institute of Health and Welfare. Dementia in Australia: Population health impacts of younger onset dementia. Canberra: AIHW; 2023. Available at https://www.aihw.gov.au/reports/dementia/dementia-in-aus/contents/dementia-in-priority-groups/population-health-impacts-of-younger-onset-dementi [cited 28 June 2025].

Dementia Australia. Dementia facts and figures. Sydney: Dementia Australia; 2025. Available at https://www.dementia.org.au/about-dementia/dementia-facts-and-figures [cited 24 June 2025].

Mayrhofer A, Mathie E, Goodman C, Smeeton N, Handley M. Living with young onset dementia: reflections on recent developments, current discourse, and implications for policy and practice. Ageing Soc 2021; 41(11): 2563-81.
| Crossref | Google Scholar |

Dementia Australia. Allied health support is key for quality dementia care. Sydney: Dementia Australia; 2024. Available at https://www.dementia.org.au/media-centre/media-releases/allied-health-support-key-quality-dementia-care [cited 24 June 2025].

National Disability Insurance Agency. NDIS Pricing Arrangements and Price Limits 2025–26. Canberra: NDIA; 2025. Available at https://www.ndis.gov.au/media/7726/download [cited 2 June 2025].

Occupational Therapy Australia. Allied Health NDIS Price Cuts Joint Public Statement 2025. Melbourne: Occupational Therapy Australia; 2025. Available at https://otaus.com.au/news/allied-health-ndis-price-cuts-joint-public-statement-2025 [cited 12 June 2025].

Loi SM, Cations M, Beard C, Tjokrowijoto P, Withall A, Moylan N, Cartwright J, D’Cunha NM, Stange D. The Joint Solutions Young-Onset Dementia Report. Melbourne: Royal Melbourne Hospital, University of Melbourne, Department of Psychiatry; 2024. Available at https://www.australiandementianetwork.org.au/wp-content/uploads/2023/05/FINAL-V2-Joint-Solutions-YOD-SIG-Research-Report.pdf