Our Specialty

Support for people with high complex support needs in Supported Independent Living (SIL)

Croften Care delivers high quality Supported Independent Living for people with complex needs. From medical and behavioural support to mental health and daily care, we provide the right support to help each person thrive with greater independence.

High Intensity Daily Personal Activities (HIDPA) and Complex Behaviour Support

At Croften Care, we deliver trusted High Intensity Daily Personal Activities (HIDPA) for NDIS participants at home and in the community. Our experienced team is trained to manage a wide range of high health support needs with confidence, care, and professionalism.

We support individuals living with:

  • Diabetes management
  • Nutritional support and mealtime planning
  • Epilepsy and high-risk seizures
  • Complex wounds and pressure injuries
  • Subcutaneous medication administration
  • Bowel care and bowel-related health conditions
  • Tracheostomies and airway management
  • Stoma care
  • Urinary catheter support
  • Ventilator assistance
  • Dysphagia, swallowing and eating challenges, including PEG and enteral feeding

 

All supports are delivered by staff trained in accordance with the NDIS High Intensity Support Skills Descriptors and supervised by qualified clinicians.

Behaviour Support for People with Complex Needs

Croften Care has deep expertise in supporting individuals who live with complex behaviours that may impact daily life. We work alongside participants, families, and behaviour practitioners to deliver safe, respectful, and effective support.

Our team is:

  • Trained in Safety Interventions de-escalation and behaviour response
  • Experienced in implementing Positive Behaviour Support Plans (PBSPs)
  • Skilled in working within Restrictive Practice Authorisations where needed
  • Supported by our Positive Behaviour Support Consultatant and consulting psychologist

 

We commonly support people who experience:

  • Verbal or physical aggression
  • Self-harm or injury
  • Property damage
  • Repetitive or disruptive behaviours
  • High anxiety, fear, or sensory sensitivities
  • Communication difficulties

 

Supporting Independence Through Quality, Person-Centred Care

Our goal is to help every person live with dignity, confidence, and as much independence as possible. We design supports that align with each individual’s NDIS goals and preferences—whether that’s increasing independence, building daily living skills, or maintaining health and safety.

Croften Care is committed to:

  • Delivering high quality, person-centred disability support
  • Collaborating with families, carers, and healthcare professionals
  • Prioritising safety, comfort, and wellbeing at every stage
  • Helping participants fully engage in their home and community life

 

Under the NDIS

What Are High Complex Needs?

When support needs are complex, our care is clear, consistent, and person-centred.

high complex needs

Medical
conditions

Chronic or complex health issues that require constant monitoring, treatment, or specialised care.

Behavioural challenges

Behaviours of concern that require experienced support staff and behaviour management strategies to be implemented.

Crisis and Complex Care

Psychosocial difficulties

Mental health conditions, substance misuse, trauma history, or social isolation that impact wellbeing and functioning.

Environmental
factors

Barriers such as limited housing options, a lack of family or community support, or ongoing unsafe living situations.

High needs don’t mean high stress!

We understand that calm care can change everything. That’s why we build supports that help you feel safe, steady, and empowered.

Frequently Asked Questions

Your questions, answered simply and clearly.

High complex needs refer to individuals who require intensive, specialised support due to a combination of medical, behavioural, psychosocial, or environmental factors. These needs often impact a person’s ability to live independently, engage in the community, or manage daily tasks without significant assistance.

Under the National Disability Insurance Scheme (NDIS), people with high complex needs are eligible for tailored supports to help them achieve their goals, maintain safety, and improve quality of life.

🔗 Learn more on the NDIS website – Understanding Support Needs

The NDIS uses a complexity framework to assess a person’s needs. This considers:

  • The intensity, frequency, and duration of support required
  • The level of medical or clinical care needed
  • The impact on everyday life, relationships, and community participation

This assessment helps determine the type and level of support funding a participant may receive.

🔗 NDIS Operational Guidelines – Complexity of Support Needs

High complex needs may include (but are not limited to):

  • Medical conditions:
  • Diabetes management
  • Epilepsy and high-risk seizures
  • Respiratory issues
  • Spinal cord injuries
  • Multiple sclerosis
  • PEG or tube feeding
  • Tracheostomy or catheter care

Behavioural challenges:

  • Aggression or violence
  • Self-harm or injury
  • Property destruction
  • Elopement or absconding
  • Disruptive behaviours

Psychosocial and environmental factors:

  • Severe mental health conditions
  • Substance dependency
  • Homelessness or housing instability
  • Social isolation
  • Limited access to transport or natural supports

Croften Care specialises in working with individuals who experience multiple overlapping challenges, providing coordinated and safe support.

The NDIS provides funding for a wide range of flexible supports based on each participant’s needs and goals. These may include:

At Croften Care, we provide many of these supports in-house through our trained team, including Safety Interventions-trained staff and a consultant Behaviour Support Practitioner.

🔗 Learn more: NDIS Funded Supports

Yes. If your situation has changed—for example, due to a decline in health, increase in behavioural incidents, or changes to your living arrangements—you can request a plan review. The NDIS may then update your plan to reflect your higher level of support needs, including funding for specialist disability support services.

Croften Care can help you gather supporting evidence, prepare reports, and liaise with your support coordinator or NDIS planner during this process.

Absolutely. Croften Care is a registered NDIS provider specialising in:

  • High Intensity Daily Personal Activities (HIDPA)
  • Supported Independent Living (SIL)
  • Complex behaviour support
  • Specialised health supports in the home or community

We are regularly audited and committed to providing safe, person-led care that upholds each person’s dignity and choice. Our teams are trained in accordance with NDIS High Intensity Support Skills Descriptors, overseen by qualified practitioners, and experienced in working with people with multiple and complex needs.

If you’d like to find out more about our complex care services or how we can support your NDIS journey, please contact us today
for a confidential chat.

Have more questions?

If you have other questions that weren’t covered here, feel free to reach out to our support team. We’re here to help with any concerns you may have.