It is used by the Department of Social Protection (DSP) when it is assessing applications for DCA. You can find out more about what severe or substantially means in the DCA Medical Guidelines (pdf). ![]() ![]() The child must need ongoing care and attention substantially over and above that usually needed by a child of the same age. Domiciliary Care Allowance (DCA) is a monthly payment for a child aged under 16 with a severe disability.
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