Coding the paper Carer Payment and/or Carer Allowance Care Needs Assessment for a child under 16 years (SA408 and SA394) 009-04050040
For Carer Payment/Carer Allowance Smart Centre Processing staff only
This page contains instructions for coding the responses to the Carer Payment and/or Carer Allowance Care Needs Assessment (CNA) (for a child under 16 years) (pre-populated SA408 or manual SA394).
On this page:
Questions 1 – 15 of the SA408 and SA394
Questions 16 – 30 of the SA408 and SA394
Questions 31 - 45 of the SA408 and SA394
Questions 46 - 60 of the SA408 and SA394
System for processing claims
When processing Carer Payment and/or Carer Allowance child claims, it is expected that if an SA408 or SA394 is lodged as part of a paper claim, it will be coded in Process Direct (PD). However, there will occasions where it may need to be coded in Customer First (CF)/ Customer Record (CR) (for example, reviews and reassessments).
Category |
Description |
Process Direct |
In Process Direct
|
Customer First/Customer Record |
In Customer First/Customer Record
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About the form
To accurately assess the Care Needs Assessment of the care receiver, enter the answers provided on the form completed by the carer. Coding can be found in the tables below for each question
During the assessment, If the Service Officer is not satisfied that any response on the CNA questionnaire is an accurate reflection of the child's functional ability, behaviour and special care needs, the service officer is to a make determination if the response should be included in the Care Needs Assessment, or they may request further information to clarify the response if required.
Note: If a carer marks more than 1 answer to any question, excluding questions 54 and 55 which allow multiple responses, only the answer that states the highest care needs (that is, the most beneficial) will be taken into account and disregard the other responses. Note: This is different to coding the THP.
Questions 1 – 15 of the SA408 and SA394
This table contains questions 1 – 15 of the SA408 and SA394. Click on the selected question to jump to more information.
Questions 1 – 15 explanations
This table provides the explanations for questions 1 - 15 if the Carer Payment U16 New Claim script is not available.
Question Number |
Question |
1 |
The child's ability to do everyday things
Is the child's ability to do everyday things (for example eating, bathing, talking, walking and mixing with other people):
This question does not achieve a score towards the CNA and is a guide for Service Officers and the Carer Specialist Assistance Teams (CSATs) to establish if the condition is improving, stable or getting worse. |
2 |
Settling down to sleep at night For example, repeated efforts needed to get the child to go to sleep at night. PD/CF/CR coding: If the carer did not record a response to this question input 'A'. If the carer's response is:
|
3 |
Disrupted sleep at night For example, waking up many times during the night, awake for long periods during the night, or having nightmares. PD/CF/CR coding: If the carer did not record a response to this question input 'A'. If the carer's response is:
|
4 |
Irritable behaviour For example, crying all the time, not able to be calmed down, or for an older child, continually agitated, prone to angry outbursts. PD/CF/CR coding: If the carer did not record a response to this question input 'A'. If the carer's response is:
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5 |
Speaking and communicating That is, speaking and communication everyday needs. PD/CF/CR coding: If the carer did not record a response to this question input 'A'. If the carer's response is:
|
6 |
Understanding speech That is, the child understanding what you say to him or her. PD/CF/CR coding: If the carer did not record a response to this question input 'A'. If the carer's response is:
|
7 |
Playing and mixing with other children
PD/CF/CR coding: If the carer did not record a response to this question input 'A'. If the carer's response is:
|
8 |
Is the child is aged under 3 years?
|
9 |
General information Question 9 on the form does not represent a question for the carer. Instead, question 9 instructs the carer to read the following statement before continuing with their response: 'Questions 10 to 20 asks you about the child's behaviour, (for example, running away, aggressive behaviours, self-harming behaviours, extreme anxiety or withdrawal). For each question please select the response the best describes the child's behaviour and the impact this behaviour has on you during the day and the night.' No response is required for Question 9. |
10 |
Does the child have severe behaviour difficulties? PD/CF/CR coding:
|
11 |
The child wanders, escapes or runs away from home, school or community settings PD/CF/CR coding: If the carer has answered 'No' to Question 10 on the SA408 or SA394, leave this question blank. If the carer did not record a response for this question but answered 'Yes' to Q10 then input 'A'. If the carer's response is:
|
12 |
The child shouts, screams at or threatens other people or makes so much noise that other people become alarmed PD/CF/CR coding: If the carer has answered 'No' to Question 10 on the SA408 or SA394, leave this question blank. If the carer did not record a response for this question but answered 'Yes' to Q10 then input 'A'. If the carer's response is:
|
13 |
The child becomes physically aggressive and harms others by hitting, pushing, kicking biting or throwing objects PD/CF/CR coding: If the carer has answered 'No' to Question 10 on the SA408 or SA394 leave this question blank. If the carer did not record a response for this question but answered 'Yes' to Q10 then input 'A'. If the carer's response is:
|
14 |
The child gets extremely upset for little or no apparent reason The child has episodes of intense crying or screaming and is very difficult to calm down. PD/CF/CR coding: If the carer has answered 'No' to Question 10 on the SA408 or SA394 leave this question blank. If the carer did not record a response for this question but answered 'Yes' to Q10 then input 'A'. If the carer's response is:
|
15 |
The child gets extremely anxious or fearful or becomes emotionally withdrawn PD/CF/CR coding: If the carer has answered 'No' to Question 10 on the SA408 or SA394 leave this question blank. If the carer did not record a response for this question but answered 'Yes' to Q10 then input 'A'. If the carer's response is:
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Questions 16 – 30 of the SA408 and SA394
This table contains questions 16 – 30 of the SA408 and SA394. Click on the selected question to jump to more information.
Questions 16 – 30 explanations
This table provides explanations for questions 16 - 30 if the Carer Payment U16 New Claim script is not available.
Question number |
Question |
16 |
The child has strange behaviours such as unusual routines, repetitive or obsessive behaviours, hearing voices or seeing things that are not there PD/CF/CR coding: If the carer has answered 'No' to Question 10 on the SA408 or SA394 leave this question blank. If the carer did not record a response for this question but answered 'Yes' to Q10 then input 'A'. If the carer's response is:
|
17 |
The child displays high-risk behaviour that causes a danger to himself/herself or to others, including family members The child requires supervision and actions such as locking away household items that would not normally have to be locked away or preventing the child from running into traffic. PD/CF/CR coding: If the carer has answered 'No' to Question 10 on the SA408 or SA394 leave this question blank. If the carer did not record a response for this question but answered 'Yes' to Q10 then input 'A'. If the carer's response is:
|
18 |
The child behaves in ways that result in injury to himself/herself This may include head-banging, hand-biting or other self-harming behaviours. PD/CF/CR coding: If the carer has answered 'No' to Question 10 on the SA408 or SA394 leave this question blank. If the carer did not record a response for this question but answered 'Yes' to Q10 then input 'A'. If the carer's response is:
|
19 |
The child has displayed suicidal behaviours The child has suicidal thoughts and has planned or attempted suicide. PD/CF/CR coding: If the carer has answered No to Question 10 on the SA408 or SA394 leave this question blank. If the carer did not record a response for this question but answered 'yes' to Q10 then input 'A'. If the carer's response is:
|
20 |
The child does or says things that are sexually inappropriate PD/CF/CR coding: If the carer has answered 'No' to Question 10 on the SA408 or SA394 leave this question blank. If the carer did not record a response for this question but answered 'Yes' to Q10 then input 'A'. If the carer's response is:
|
21 |
Does the child have more problems and need more help doing everyday tasks (like eating, grooming, bathing, using the toilet, walking) than other children of the same age? PD/CF/CR coding: It is not required to answer this question if coding manually. The system will automatically take the user to Question 22.
|
22 |
Is the child aged under 12 months? PD/CF/CR coding: It is not required to answer this question if coding manually. The system will automatically take the user to Question 23.
|
23 |
General information Question 23 on the form does not represent a question for the carer. Instead, question 23 instructs the carer to read the following statement before continuing with their response: 'Questions 24 to 38 ask you to rate the child's ability to perform a number of different tasks. You must answer all of these questions. For each question, select the response that best describes the child's ability. Please base your responses on what the child does when using any aids, appliances or home modifications that assist with the care of the child. If the child has a condition that changes from day to day, please base your answers on the child's usual ability, i.e. what the child is able to do most of the time. Help includes supervision, prompting, reminding or training required as well as physical help. The child's age will be taken into account when assessing your responses.' No response is required for Question 23. |
24 |
Does the child feed himself or herself once food is prepared? PD/CF/CR coding: If the carer did not record a response for this question but answered 'yes' to Question 22 then input 'A'. If the carer's response is:
|
25 |
Does the child do every day grooming tasks like brush their teeth, brush/comb hair, wash and rinse their hands and face? PD/CF/CR coding: If the carer did not record a response for this question but answered 'Yes' to Question 22 then input 'A'. If the carer's response is:
|
26 |
Does the child wash himself/herself from the neck down (except for his/her back) in the bath, shower, or sponge/bed bath? PD/CF/CR coding: If the carer did not record a response for this question but answered 'Yes' to Question 22 then input 'A'. If the carer's response is:
|
27 |
Does the child dress himself/herself from the waist up, like putting on singlets, t-shirts, jumpers and jackets? PD/CF/CR coding: If the carer did not record a response for this question but answered 'Yes' to Question 22 then input 'A'. If the carer's response is:
|
28 |
Does the child dress himself/herself from the waist down, like putting on underpants, skirts/pants/trousers, socks, shoes? PD/CF/CR coding: If the carer did not record a response for this question but answered 'Yes' to Question 22 then input 'A'. If the carer's response is:
|
29 |
Does the child wipe himself/herself and adjust his/her clothing before and after using the toilet? PD/CF/CR coding: If the carer did not record a response for this question but answered 'No' to Question 22 then input 'A'. If the carer's response is:
|
30 |
Does the child have bladder accidents? That is, wets his/her pants or nappy. PD/CF/CR coding: If the carer did not record a response for this question but answered 'No' to Question 22 then input 'A'. If the carer's response is:
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Questions 31 - 45 of the SA408 and SA394
This table contains questions 31 - 45 of the SA408 and SA394. Click on the selected question to jump to more information.
Questions 31 - 45 explanations
This table provides explanations for questions 31 - 45 if the Carer Payment U16 New Claim script is not available.
Question number |
Question |
31 |
Does the child have bowel accidents?
That is, soils his/her pants or nappy. PD/CF/CR coding: If the carer did not record a response for this question but answered 'No' to Question 22 then input 'A'. If the carer's response is:
|
32 |
Does the child sit down and get up from the toilet or potty?
PD/CF/CR coding: If the carer did not record a response for this question but answered 'No' to Question 22 then input 'A'. If the carer's response is:
|
33 |
Does the child sit down and get up from a chair or wheelchair? PD/CF/CR coding: If the carer did not record a response for this question but answered 'No' to Question 22 then input 'A'. If the carer's response is:
|
34 |
Does the child get into or out of a bath or shower (whichever is used more often)? PD/CF/CR coding: If the carer did not record a response for this question but answered 'No' to Question 22 then input 'A'. If the carer's response is:
|
35 |
How does the child move around? PD/CF/CR coding: If the carer did not record a response for this question but answered 'No' to Question 22 then input 'A'. If the carer's response is:
|
36 |
Does the child move around by himself/herself indoors on an even surface? PD/CF/CR coding: If the carer did not record a response for this question but answered 'No' to Question 27 then input 'A'. If the carer's response is:
|
37 |
Does the child move around by himself/herself outdoors on uneven surfaces? PD/CF/CR coding: If the carer did not record a response for this question but answered 'No' to Question 22 then input 'A'. If the carer's response is:
|
38 |
Does the child go up and down stairs? PD/CF/CR coding: If the carer did not record a response for this question but answered 'No' to Question 22 then input 'A'. If the carer's response is:
|
39 |
General information Question 39 on the form does not represent a question for the carer. Instead, question 39 instructs the carer to read the following statement before continuing with their response: 'Questions 40 to 56 ask you to indicate the child's special care needs. If the child has a condition that changes from day to day, please base your answers on the child's usual and ongoing needs.' No response is required for Question 39. |
40 |
Does the child use any of the following to help with breathing?
PD/CF/CR coding: Tick any that apply.
|
41 |
Does the child receive dialysis due to a kidney condition? PD/CF/CR coding:
|
42 |
Do you provide Total Parenteral Nutrition (TPN) for the child? PD/CF/CR coding:
|
43 |
Do you do postural drainage for the child? Postural drainage means using positioning to help drain mucus from the child's lungs and airways. This often includes physical techniques such as patting the child's chest with cupped hands (percussion) to help clear the secretions. PD/CF/CR coding:
|
44 |
Do you clear the child's airways through suctioning? Suctioning is the use of a tube connected to equipment to remove mucus or saliva from the child's mouth, throat or airway. PD/CF/CR coding:
|
45 |
Do you physically assist or position the jaw of the child to help with chewing and/or swallowing? PD/CF/CR coding:
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Questions 46 - 60 of the SA408 and SA394
This table contains questions 46 - 60 of the SA408 and SA394. Click on the selected question to jump to more information.
Questions 46 - 60 explanations
This table provides explanations for questions 46 - 60 if the Carer Payment U16 New Claim script is not available.
Question number |
Question |
46 |
Do you Percutaneous Endoscopic Gastrostomy (PEG) feed or use a feeding tube to feed the child? When a child is PEG fed they have a tube or button that goes directly into their stomach and are fed through that tube. PD/CF/CR coding:
|
47 |
Do you provide physical assistance to turn or position the child because he/she is unable to do so independently? PD/CF/CR coding:
|
48 |
Do you manage wounds or dressings for the child? PD/CF/CR coding:
|
49 |
Do you give emergency medication or first aid for poorly controlled seizures? PD/CF/CR coding:
|
50 |
Do you provide stoma care (e.g. colostomy or ileostomy) for the child? A stoma is an opening in the abdominal wall and is used to enable waste materials from the intestines to empty into a pouch or bag. PD/CF/CR coding:
|
51 |
Does the child have an eating disorder that has been diagnosed by a medical practitioner (Anorexia nervosa or bulimia)? PD/CF/CR coding:
|
52 |
Is the child receiving a course of chemotherapy or radiotherapy treatment? PD/CF/CR coding:
|
53 |
Do you prepare or administer medications related to the child's medical condition? Medications include tablets, other oral medications, injections, puffers/inhalers, suppositories, enemas, ointments, or creams prescribed by a medical practitioner. PD/CF/CR coding:
|
54 |
Do you provide any of the following supports or treatments for the child? These fields are used to enter the responses to the corresponding questions in the Care Needs Assessment questionnaire. PD/CF/CR coding: For each item the carer ticked code the following:
|
55 |
Do any of these other care needs apply to you and the child you care for? These fields are used to enter the responses to the corresponding questions in the Care Needs Assessment questionnaire. PD/CF/CR coding: For each item the carer ticked, code the following:
|
56 |
Please describe any other care needs that the child has This is for the parent or carer to state the impact that the child's special care needs has on them. This helps the Carer Specialist Assessment Team (CSAT) to identify changes which may have to be made to the SA394, and in conducting the required phone interview. It is not a requirement to code this on the system as it is a guide question only. |
57 |
Please describe any other effects that the child's disability or medical condition has on you (for example, on your daily routine, ability to take up paid employment, your health, social activities or emotional effects) This is for the parent or carer to state the impact that the child's special care needs has on them. This helps the Carer Specialist Assessment Team (CSAT) to identify changes which may have to be made to the SA394, and in conducting the required phone interview. It is not a requirement to code this on the system as it is a guide question only. |
58 |
If you have any other comments about your situation that you feel are relevant This is for the parent or carer to provide any other comments. This helps the Carer Specialist Assessment Team (CSAT) to identify changes which may have to be made to the SA394, and in conducting the required phone interview. It is not a requirement to code this on the system as it is a guide question only. |
59 |
General information Question 59 on the form does not represent a question for the carer. Instead, question 59 instructs the carer to read the following statement before continuing with their response: Privacy and your personal information Your personal information is protected by law, including the Privacy Act 1988, and is collected by Services Australia for the assessment and administration of payments and services. This information is required to process your application or claim. Your information may be used by the department or given to other parties for the purposes of research, investigation or where you have agreed or it is required or authorised by law. You can get more information about the way in which Services Australia will manage your personal information, including our privacy policy at: www servicesaustralia.gov.au/individuals/privacy or by requesting a copy from the agency. No response is required for Question 59. |
60 |
General information Question 60 on the form does not represent a question for the carer. Instead, question 60 instructs the carer to read the following statement before continuing with their response: Statement I declare that:
I understand that:
The carer is required to sign and date the form at question 60. Date signed is used to record the date the carer signed the assessment on the Care Load Behaviour (CLBHA) screen. If it is not dated, use the date of receipt. |