Understanding Restrictive Practices Under the NDIS Act
When it comes to managing behaviours of concern under the National Disability Insurance Scheme (NDIS), certain practices known as restrictive practices may be used. These practices are heavily regulated to ensure the rights and freedoms of individuals with disability are protected.
What Are Restrictive Practices?
Restrictive practices are actions or interventions that limit a person's freedom of movement or decision-making. Under the NDIS (Restrictive Practices and Behaviour Support) Rules 2018, the use of these practices is strictly controlled to ensure they are only applied when absolutely necessary and in the least restrictive way possible.
Here are the five types of regulated restrictive practices under the NDIS Act:
Seclusion
Seclusion involves the confinement of a person with a disability in a room or space from which they are unable to leave. This can only occur when necessary to prevent harm, and it must be authorised as part of a Behaviour Support Plan.Chemical Restraint
This practice involves the use of medication primarily to influence or control a person's behaviour, rather than for medical treatment of a diagnosed condition. It is important to note that medications used to treat medical issues (like a mental health condition) are not considered chemical restraints.Mechanical Restraint
The use of devices such as straps, belts, or other equipment to restrict the movement of a person falls under mechanical restraint. This is only permitted when required for safety and must be outlined in a Behaviour Support Plan.Physical Restraint
This involves the use of physical force to limit a person’s movement, such as holding a person down to prevent them from harming themselves or others. Physical restraint is strictly regulated and must be used as a last resort, under conditions laid out in a Behaviour Support Plan.Environmental Restraint
Environmental restraints limit a person’s free access to parts of their environment, such as locking doors or preventing access to certain areas. Like all other restrictive practices, environmental restraint must be justified, authorised, and part of a person’s Behaviour Support Plan.
Legal Framework and Authorisation
Restrictive practices can only be used if they are authorised under the laws of the relevant state or territory and are documented in a Behaviour Support Plan. The NDIS Quality and Safeguards Commission oversees the regulation and ensures compliance to protect individuals’ rights.
Next time, we’ll explore how restrictive practices are regulated in Queensland under the Disability Services Act 2006.
Written By: Ben Dowton
With over 5 years of experience, Ben Dowton has worked extensively with individuals of all ages who have complex behavioural needs.
He is highly skilled in creating and implementing positive behaviour support plans that promote individual growth and development while also reducing challenging behaviours. Ben is passionate about providing person-centred care and ensuring that each individual's unique needs are met with empathy and respect.