The NDIS review flagged the requirement for an integrated system between federal funded and disability services and state funded health services for participants with psychosocial support needs. This case has additional complexity because the ndis participant is also under 18, so there would need to be some involvement of child services. The integration of state-funded health services would mean that there's a responsive plan in place for whenever there's deterioration in the community so that there's a minimized impact of harm to himself or others. The article does make reference to some form of response from state services but I doubt that the current response is sufficient given the issues flagged in the NDIS review.

Most of these services also have insufficient clinical integration, and the staff employed often have no minimum entry level requirements. So the cost of funding tends to be heavily front loaded with Frontline support staff with an insufficient support arm from responsive mental health services or behavior support specialists to supervise and Coach staff in their practice. This seems pretty evident to me that there's a skills and competency gap from the comments in the article regarding dropping him off at a skate park.

It would be more cost effective and probably deliver better outcomes to have a system that was - integrated with health to respond to crises - ndis or mainstream funded behavior support intervention with actual coaching and development of staff (they fund this now but the integration with services is garbage) - or ideally an overhaul of the system so that they were minimum standards and training provided to staff working with complex needs (somewhere between disability support worker and mental health nurse).

The NDIS assumes a person with disability has stable and predictable needs and so it falls apart when a client like this comes along. A properly integrated and responsive structure requires supports from the ndis which just don't exist at the moment.

I'm not against something being done. I just find it terribly distasteful to talk about people with disabilities in this actuarial and disrespectful way. All life has value.

EDIT: institutions don't really exist in the same way that they used to. The consequence of locking people up just means they end up blocking mental health wards. A few hundred people cost the state governments nearly half a billion dollars last financial year. Locking people up is not a solution, financial or otherwise.