Empower Lives with Heart

Registered NDIS Provider

NDIS High Intensity Supports for Complex Care, Done Safely

Complex, high-intensity care at home across Sydney, delivered by trained support workers with registered nurse oversight.

High-Intensity Support

Registered NDIS
Provider

15 min

Free intro call
No paperwork to start

Why Us

Why Sydney Families Choose Affective Care

Positive Behaviour Support Icon

Nurse-Led Oversight

Complex care delivered by trained workers with registered nurse supervision and support.

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Specialist Training

Workers trained and assessed against the NDIS High Intensity Support Skills Descriptors.

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Immediate Support

We can start complex care quickly, with no waitlist, when it’s needed.

Support for Children, Adults and Older Adults

Safe & Person-Centred

Clinical safety with genuine warmth, care planned around the person.

THE PSYCHOLOGY-LED DIFFERENCE

How High Intensity Support Works: Safe, Planned and Clinically Backed

We start with the participant’s clinical and personal needs, build a care plan with nursing oversight, then match trained workers who deliver complex care safely, working closely with health professionals, family and the team.

Plan: We assess complex needs and build a care plan with registered nurse input.

Deliver: Trained workers provide complex care safely, supervised and supported by our clinical team.

Review: We monitor, adjust and coordinate with health professionals as needs change.

High intensity support
WHO WE SUPPORT

High Intensity Supports for Complex Care Needs

High intensity supports may suit people living with disability who need skilled help with complex health and personal care, safely delivered at home by trained workers with clinical oversight.

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Acquired Brain Injury

Complex care and steady routines for people with significant needs after a brain injury.

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Spinal Cord Injury

Skilled support with ventilation, catheter and bowel care after spinal cord injury.

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Cerebral Palsy

Complex personal care, positioning and feeding support, delivered safely.

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Motor Neurone Disease

Responsive support that changes as needs progress, including PEG and ventilation.

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Muscular Dystrophy

Support with mobility, respiratory and complex daily care needs over time.

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Multiple Sclerosis

Flexible complex care that adapts as mobility and health needs change.

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Complex Epilepsy

Trained seizure management and safe daily support for frequent seizures.

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Multiple Diagnoses

Coordinated complex care for people with several high-support needs at once.

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Hospital to Home

Safe complex care for participants coming home with high clinical needs.

Built on trust & professional standards

The Credentials, in Plain Terms

RD
Rita Dagher
Registered Psychologist • CEO

Clinical rigour with a psychology-led, person-first approach to complex care.

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NDIS Certified_col
Ahpra and National Boards
Australian Counselling Association (ACA)
Occupational Therapy Australia
Australian Physiotherapy Association (APA)
NSW Education Standards Authority
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NDIS-registered provider delivering supports under the NDIS Practice Standards.

Workers trained to the NDIS High Intensity Support Skills Descriptors.

Registered nurse oversight and delegation for complex care.

Backed by a multidisciplinary team: nursing, psychology and allied health.

OUR HAPPY PARTICIPANTS

Complex Care, Delivered Safely

What we help with

High Intensity Care, Delivered Safely

Our trained workers provide complex daily supports under clinical oversight, so participants get safe, skilled care at home.

Complex Bowel Care

Dignified, trained support with complex bowel care routines and plans.

Enteral Feeding

Safe PEG and tube-feeding support following your clinical plan.

Tracheostomy & Vent

Trained tracheostomy and ventilation support with nurse oversight.

Catheter Care

Urinary catheter management following clinical guidance.

Diabetes & Injections

Monitoring and subcutaneous insulin support, per your plan.

Seizure & Epilepsy

Trained seizure response and ongoing epilepsy support.

Higher-Needs Support
Built for the most complex daily care needs.
CARE COVERAGE

Across Sydney
With Trained Teams

Our trained workers come to you at home, with clinical oversight behind them.

Inner West (Campsie)
Greater Sydney

Not sure if we cover your suburb?

Call us and we’ll confirm whether we can support your suburb and complex care needs, and how soon we can start.

Social Community Support NDIS with Affectivecare

ABOUT / OUR COMMITMENT

Affective Care makes complex care safe and human. We pair clinical rigour and nurse oversight with a psychology-led, person-first approach, so participants with high needs get skilled care and genuine respect at home.

High Intensity Support NDIS with Affectivecare

Your Choice: In-Home or In-Community Support

We deliver complex care wherever the participant needs it.

  • In-home complex care, planned around clinical needs.
  • Support in the community with the same trained workers.
  • The same clinical oversight and person-centred care either way.
High Intensity Support NDIS with Affectivecare

NDIS Funding for High Intensity

  • High intensity supports are funded under Core Supports; Assistance with Daily Life (high intensity). 
  • They cover complex personal care that needs extra training and clinical oversight.
  • Not sure what your plan includes? We’ll help you check and get started.
How it works

Getting Started is Simple

Three steps from first call to safe, skilled complex care.

1

Free Consultation

Tell us about the participant’s clinical and personal care needs on a free call.

2

Clinical Care Plan

We build a care plan with nurse oversight and match trained workers.

3

Core Begins

Skilled support starts, supervised and reviewed by our clinical team.

Ready to Start High Intensity Care?

Whether you’re a participant, family member, support coordinator or hospital team, we make complex care referrals simple. We’ll assess needs, build a clinical plan and start safely, quickly.

Fill in our short referral form or call us; we respond quickly and have immediate availability.

SIL Central Coast NDIS with Affectivecare
SIL Central Coast NDIS with Affectivecare
SIL Central Coast NDIS with Affectivecare
Families & Participants

Safe, Skilled Care for Complex Needs at Home

Trusting someone with complex care is a big step. We pair trained workers with registered nurse oversight, plan carefully around clinical needs, and keep family informed, so you can feel confident about safety. Trusting someone with complex care is a big step. We pair trained workers with registered nurse oversight, plan carefully around clinical needs, and keep family informed, so you can feel confident about safety. 

  • Trained, supervised workers
  • Registered nurse oversight
  • Coordination with your health team
SUPPORT COORDINATORS & PROVIDERS

A Safe Pair of Hands Partner for Complex Participants

Refer complex participants with confidence. We have nurse oversight, high-intensity-trained workers, immediate availability and clear documentation, so high-needs participants get safe care without delays. Refer complex participants with confidence. We have nurse oversight, high-intensity-trained workers, immediate availability and clear documentation, so high-needs participants get safe care without delays. 

  • High-intensity-trained, supervised workers
  • Registered nurse oversight and delegation
  • Fast onboarding and clear records
We're ready when you are

Need Safe, Skilled Care for Complex Needs?

Let’s arrange complex care that’s clinically safe and genuinely caring. Talk to our team today, immediate availability, no waitlist.

Mon–Fri · 9am – 5pm · No waitlist

FAQ

NDIS High Intensity Supports: Common Questions

High intensity supports are complex daily personal activities like PEG feeding, catheter care or complex bowel care delivered by workers trained and assessed against the NDIS High Intensity Support Skills Descriptors.

Yes, when they’re in your plan. They’re funded under Core Supports; Assistance with Daily Life, at a high intensity level. We can help you understand your plan.

They’re for people living with disability who need skilled help with complex health-related personal care at home, often with nursing oversight.

Yes. Complex care is delivered by trained workers under registered nurse oversight and delegation, with a clinical team behind them.

These can include PEG/enteral feeding, tracheostomy and ventilation support, catheter care, complex bowel care, diabetes management, seizure support and complex wound care.

Yes. Our workers are trained and assessed against the NDIS High Intensity Support Skills Descriptors and supervised by our clinical team.

We have immediate availability and no waitlist. Call 1300 615 193 or make a referral and we’ll assess needs and start safely.

Yes. We provide overnight and 24/7 high intensity care, with the same trained workers and clinical oversight wherever possible.

Learn More on Our Blog & Newsletter

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Understanding the NDIS can feel like learning a new language, especially when you encounter terms like NDIS Improved Daily Living, CB Daily Activity supports, or NDIS capacity building. Many people hear “Improved Daily Living” and assume it simply means getting day-to-day support. In reality, its purpose is completely different. NDIS Improved Daily Living sits within Capacity Building […]

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NDIS Daily Assistance with Life

Navigating the NDIS can be confusing, especially when it comes to Core Supports and what Assistance with Daily Life actually covers. Many people living with disability tell us this part of their plan feels familiar, but the rules, flexibility, and real-life examples often aren’t explained clearly.  NDIS Assistance with Daily Life is the Core Supports category that […]

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PROGRAMS / RELATED SERVICES

High intensity supports often sit alongside other supports. As a psychology-led, multidisciplinary provider, we also offer personal care, Supported Independent Living (SIL), social and community participation, cleaning and domestic assistance, plus therapy and positive behaviour support across Sydney.

NDIS High Intensity Supports — Get Support Today

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Jessica Boumelhem

Jessica Boumelhem

Advanced Behaviour Support Practitioner | PBS Manager

NDIS-aligned | Systems-aware | Values-led

Jessica supports individuals and teams through:

Jessica brings over two decades of experience as an educator and a strong foundation in psychology to her role as an Advanced Behaviour Support Practitioner. As PBS Team Manager, she leads with clarity and accountability, ensuring practice aligns with both NDIS standards and ethical, person-centred care.

Her approach is holistic and collaborative, taking into account sensory, environmental, emotional, and relational factors that influence behaviour. Jessica works closely with individuals, families, and support teams to ensure behaviour support plans reflect personal values, lived experience, and real-world contexts.

Jessica’s leadership supports consistency, quality, and confidence across multidisciplinary teams. Her work ensures behaviour support is not just compliant, but compassionate, practical, and genuinely empowering.

Chady Aoun

Chady Aoun

Senior Psychologist and Behaviour Support Practitioner

Multidisciplinary | Assessment-driven | Governance-focused

Chady supports individuals through:

Chady is a highly experienced psychologist whose work spans both public and private sectors. At Affective Care, he delivers integrated behavioural and psychological services, supporting clients of all ages through assessment, therapy, and tailored intervention.

Known for his leadership within multidisciplinary teams, Chady brings structure, insight, and consistency to complex presentations. His expertise includes early intervention, rehabilitation, and complex case management, with a strong commitment to clinical governance and quality care.

Chady’s work is grounded in evidence-based practice and collaborative problem-solving. He supports individuals, families, and teams to navigate complexity with clarity, ensuring care remains ethical, coordinated, and effective.

Miray El-Hachem

Miray El-Hachem

Positive Behaviour Therapist & Registered Counsellor (ACA Level 2)

Holistic | Education-informed | Adolescent-focused

Miray supports individuals through:

Miray brings over 20 years of experience in education into her clinical work as a Positive Behaviour Therapist and Registered Counsellor. Her practice integrates behavioural science with a deep understanding of human development, particularly during adolescence.

She takes a holistic approach, blending structure with empathy to support individuals through behavioural challenges. Miray’s work is grounded in understanding the whole person—their environment, relationships, and emotional world.

Through compassion and insight, Miray supports individuals to develop self-awareness, regulation, and confidence. Her practice reflects a balance of science and humanity, creating space for growth that feels both supported and respectful.

Anabell Beattie-Bowers

Anabell Beattie-Bowers

Registered Psychologist

Relational | Empowerment-focused | Trauma-aware

Anabelle supports children and adults through:

Anabelle works alongside individuals with warmth, curiosity, and a deep respect for each person’s inner world. As a psychologist, she supports both children and adults to strengthen emotional awareness, build resilience, and develop healthier relationships with themselves and others.

Her therapeutic style is tailored and responsive, integrating approaches such as CBT, DBT, and Circle of Security to meet the unique needs of each client. Anabelle places strong emphasis on empowerment—helping people understand their patterns, reconnect with their values, and develop tools that support lasting change.

Anabelle’s work is grounded in safety, collaboration, and trust. She believes therapy is not about fixing people, but about creating space for insight, growth, and meaningful connection—supporting individuals to move forward with greater confidence and emotional clarity.

Brandon Boumelhem

Brandon Boumelhem

Occupational Therapist

Functional independence | Strengths-based | NDIS-focused

Brandon supports individuals through:

Brandon’s work centres on helping people build skills that translate into real, everyday independence. As an Occupational Therapist, he partners with individuals, families, and carers to identify what matters most in daily life and then builds practical pathways toward those goals.

His approach is client-centred and evidence-based, grounded in collaboration and respect for each person’s strengths, environment, and pace. Brandon understands that meaningful outcomes are rarely achieved in isolation, so he works closely with support networks to ensure strategies are realistic, sustainable, and supportive of long-term participation.

Through the NDIS, Brandon supports people to increase autonomy, confidence, and engagement in daily routines. His work is guided by a belief that independence is not about doing everything alone—it’s about having the right supports, skills, and systems in place to live with choice and dignity.

Natalie Soto

Natalie Soto

Registered Psychologist | PBS

Bilingual | Assessment-focused | Person-centred

Natalie supports children and adults through:

Natalie is a bilingual psychologist (English/Spanish) with extensive experience supporting individuals across the lifespan. Her work spans assessment and therapy, with a particular interest in forensic psychology and complex presentations.

She combines evidence-based practice with creativity and flexibility, tailoring interventions to each person’s needs, culture, and goals. Natalie’s approach is grounded in collaboration, ensuring clients feel understood, supported, and actively involved in their care.

Through thoughtful assessment and therapeutic intervention, Natalie supports individuals to build insight, resilience, and meaningful change.

Edric Limbo

Edric Limbo

Speech-Language Pathologist

Rehabilitation-focused | Goal-driven | Community-oriented

Edric supports individuals through:

Edric’s practice is centred on helping people reconnect—both with their communication and with their communities. Working with adults and children, he has a strong interest in stroke rehabilitation and supporting individuals through the process of rebuilding communication skills.

His approach is practical and goal-focused, ensuring therapy remains relevant to everyday life. Edric collaborates closely with clients and families to identify meaningful outcomes and develop strategies that support confidence, participation, and independence.

Edric finds deep fulfilment in witnessing people regain their voice and reconnect with others. His work is guided by respect, patience, and a belief in each person’s capacity for recovery and growth.

Heather Pinel

Heather Pinel

Positive Behaviour Support Practitioner & Registered Counsellor

Trauma-informed | Neuroscience-integrated | Relational

Heather supports individuals through:

Heather is an accomplished Behaviour Support Practitioner with over 20 years of experience supporting children and families. Her work integrates neuroscience, psychological theory, and trauma-informed practice to address complex presentations including attachment trauma, neurodevelopmental differences, and psychosocial disability.

Heather’s approach is collaborative and whole-person focused, ensuring behaviour support plans reflect both evidence and lived experience. She works closely with families and support networks to build strategies that enhance emotional wellbeing, safety, and functional independence.

Her commitment to holistic care ensures individuals receive support that honours identity, relationships, and long-term quality of life.

Charbel Azzi

Charbel Azzi

Speech-Language Pathologist

Communication | Connection | Technology-enhanced

Charbel supports children and adults through:

Charbel’s work is driven by a passion for helping people connect more fully with the world around them. As a Speech-Language Pathologist, he supports both paediatric and adult clients to strengthen communication, social interaction, and participation in daily life.

Since 2022, Charbel has worked across diverse settings, tailoring therapy to each person’s goals, strengths, and communication style. He has a particular interest in integrating technology into therapy, using innovative tools to enhance engagement and outcomes.

Charbel brings curiosity and creativity into his practice, believing communication is not just about words, but about connection, confidence, and belonging. His approach supports individuals to express themselves more clearly and engage meaningfully with others across home, school, work, and community environments.

Nisreen El-Saidi

Nisreen El-Saidi

Positive Behaviour Support Practitioner

Grace Boutros

Grace Boutros

Positive Behaviour Support Practitioner

Shayma Sadek

Shayma Sadek

Positive Behaviour Support Practitioner

Ali Bazzi

Ali Bazzi

Positive Behaviour Support Practitioner

Areeba Chaudhry

Areeba Chaudhry

Casual Allied Health Assistant

Joana Suh

Joana Suh

Paediatric Occupational Therapist

Neurodiversity-affirming | Strengths-based | Mental health-focused

Joana supports children, adolescents, and adults through:

Joana is a Senior Occupational Therapist with a strong commitment to neurodiversity-affirming practice. She works with children, adolescents, and adults experiencing complex emotional and behavioural needs, including bipolar affective disorder and other mental health conditions.

Her experience spans a range of developmental and neurodevelopmental presentations, including autism, ADHD, and Down syndrome. Joana’s clinical focus includes building fine motor, cognitive, sensory, and emotional regulation skills to support participation in everyday life.

Joana is particularly passionate about peer-mediated, client-centred, and strengths-based approaches. Her work supports individuals of all ages to increase social inclusion, functional independence, and overall quality of life.

Rita Dagher

Rita Dagher

Psychologist | Managing Director – Affective Care & Affective Health Services

Humanistic | Systems-led | Clinically grounded

Rita supports individuals, families, and communities through:

Rita works at the intersection of psychology, leadership, and purpose-driven care. As a psychologist and Managing Director, she brings both clinical depth and strategic clarity to every layer of service delivery at Affective Care and Affective Health Services. Her work is grounded in the belief that systems should adapt to people—not the other way around.

With a strong clinical foundation and a humanistic leadership style, Rita ensures that psychological therapy, allied health, and in-home supports remain emotionally intelligent, ethical, and genuinely person-centred. She leads teams with integrity, cultivating cultures of safety, reflection, and excellence so that practitioners can deliver their best work and clients can experience care that feels respectful and empowering.

Rita’s approach bridges therapeutic insight with organisational vision. She understands that sustainable outcomes require both skilled clinicians and well-designed systems. Through thoughtful leadership and clinical oversight, she supports services that respond to complexity with compassion, accountability, and innovation—creating meaningful, long-term impact for individuals, families, and the broader community.