Dementia Care
Queensland
LAC in meeting with older participant and family
Resources · For NDIS Local Area Coordinators

A dementia participant needs a specialist referral. The difference between specialist and generic becomes clear within four to six weeks, by which point the harm has already been done.

How to identify a genuinely capable dementia support coordinator, planning meeting considerations, the first two weeks after plan approval, and what to tell families at first contact.

Progressive
Needs active management
a coordinator who waits for review will miss the inflection point
4–6 weeks
Until a generic fails
how long it takes to show they are not equipped for dementia
First 2 weeks
The critical window
after plan approval, for setting the participant up for success

Most NDIS support coordinators accept dementia referrals in good faith. They find the complexity exceeds their capability and either manage poorly or withdraw, and the case lands back with the LAC. Matching the referral correctly from the start is faster and better for the participant.

Why Dementia Requires a Different Referral Approach

Four features of dementia that are absent or less acute in most other NDIS disability profiles:

Feature 1

Progressive condition

Needs change — sometimes rapidly. The coordinator must proactively monitor function and initiate plan reviews, not wait for the annual review date.

Feature 2

BPSD risk

A significant proportion of participants will develop behavioural symptoms during the plan period. A coordinator who hasn't managed BPSD before will face a crisis.

Feature 3

Complex family dynamics

Carer burnout, family disagreements over care, and de facto plan management by inexperienced family members are all common and need active management.

Feature 4

Higher financial risk

Dementia participants are at elevated risk of plan misuse and financial exploitation. This requires a coordinator with specific awareness and monitoring practices.

Dementia care support context

How to Identify a Genuine Dementia Specialist Coordinator

Ask these questions of any support coordinator before making the referral — not after the participant is already enrolled:

The First Two Weeks — LAC Priorities

In the first two weeks after plan approval, prioritise these in order:

01

Identify and connect a specialist support coordinator

Do not leave this to the family to arrange unaided. Newly diagnosed families are overwhelmed and don't know how to evaluate a coordinator's dementia capability.

02

Warm handover — not just a contact list

Brief the coordinator on the participant's situation: diagnosis, stage, living situation, carer capacity, any urgency. A warm handover produces better outcomes than a cold referral.

03

Identify any urgent support needs

Is there medication management, personal care, or safety supervision that cannot wait for the plan to be fully implemented? Flag this to the coordinator immediately.

04

Plan the planning meeting appropriately

Keep it short (45–60 min max), bring the carer, schedule at a time that avoids diurnal low periods, and use simplified language. The participant should be a participant — not a bystander.

05

Brief the family on what the plan is and isn't

The NDIS funds supports — it does not replace informal carer input. Plans can be reviewed. The most important immediate action is getting the right coordinator.

Tell families at first contact: the NDIS does not provide emergency or after-hours crisis support. GP, treating specialist, and local mental health crisis services remain the contacts for clinical emergencies. Setting this expectation early prevents misdirected crisis calls.

Interactive Tool

Dementia Participant-Provider Matching Assessment

Enter the participant's profile and plan approval date to generate a complexity rating, provider requirements, tailored screening questions, family talking points, and a four-week milestone timeline.

Participant profile
Key support categories in the approved plan
Select dementia stage and BPSD status to generate.

We accept warm referrals from LACs.

DCQ provides specialist NDIS dementia support coordination across Queensland and has a structured onboarding process for newly approved participants. Contact our intake team to discuss a specific participant.

Or call 0439 143 082