The complex foundations of well-being and disability by Dr Dinesh Palipana - Forward Ability Support

The complex foundations of well-being and disability by Dr Dinesh Palipana

According to the Australian Institute of Health and Welfare (‘AIHW’), ‘“An estimated 41% of people with severe or profound disability self-reported that they had mood disorders such as depression, compared with 29% of people with other forms of disability, and 7.3% of people without disability.[1]

That’s over four times the level compared to that of people without disability. That’s nearly half of the population of people with disability, made up of one in six Australians that have disability.[2]

Why?

A sense of wellness includes the interplay of many facets of life. The statistics for areas that make up life are sobering for people with disability living in Australia.

The AIHW reports that:

  • 1 in 3 individuals and families receiving a Disability Support Pension experience rental stress;
    • 1 in 10 Specialist Homelessness Services clients are people with disability;
    • as at 2018, 34% of people aged 20 and over with disability had completed Year 12, compared with 66% without disability
    • in 2018, 48% of people aged 15 to 64 with disability were employed, compared with 80% of those without disability; and
    • in 2018, 4 in 9 people aged 15 to 64 with disability said that they had avoided situations in the previous year because of their disability.

Let’s think about that. Housing, safety, education, and employment. These are critical things that contribute to our sense of well-being.

But, it doesn’t stop there. According to the Australian Government’s Department of Social Services, “Almost 2.65 million Australians care for someone with disability, a medical condition, mental illness or someone who is frail due to age.[3] Often, the carers’ well-being is affected as well.

To contribute to an improved sense of well-being in people with disability, a multifaceted approach is needed to repair the long-standing challenges in many areas of life.

For example, in their initiative, Health Benefits of Good Work®, the Australasian Faculty of Occupational and Environmental Medicine of the Royal Australasian College of Physicians bases this piece of work on evidence that good work is beneficial to peoples health and well-being. And, so, we must increase meaningful employment opportunities for people with disability. We must create housing. We have to open up education opportunities. We have to care for the carers.

The answer to an increased sense of well-being doesn’t lie in a pill. It’s not a quick answer, nor an easy one. It’s about us as a community keeping the drum beating and driving change in all these areas, where we can, so we can thrive together.


[1] Australian Institute of Health and Welfare (AIHW) 2024, Health of people with disability, viewed 6 August 2024, https://www.aihw.gov.au/reports/australias-health/health-of-people-with-disability

[2] Australian Institute of Health and Welfare (AIHW) 2024, People with disability in Australia, viewed 6 August 2024, https://www.aihw.gov.au/reports/disability/people-with-disability-in-australia

[3] Australian Government’s Department of Social Services (DSS) 2023, Supporting Carers, viewed 6 August 2024, https://www.dss.gov.au/disability-and-carers/carers