Prohibited Restrictive Practices There is a range of restrictive practices that are prohibited and not to be used by providers of disability services.These practices conflict with person-centred principles, are demeaning and unacceptable. They also represent a risk to people’s human rights, personal dignity and safety. Psycho-social Restraints Restrictive Practice Recommended Prescribing Potential Risks Consent Example Controls Practitioner Demeaning tone of voice. Punishment being used by staff. Trial education, Not to be Not to be • • supervision and used. used. Threatening negative Emotional trauma. • • management. consequences – Risk to human rights and personal dignity. • you do that again, you “…if are not…” Manipulation. • Leaving people in bed. Punishment being used by staff. Staff education, Not to be Not to be • • supervision and used. used. Putting people to bed early. Loss of freedom. • • management. Denial of activities. • Emotional trauma. • Escalation of behaviour (secondary to boredom). • Risk to human rights and personal dignity. • Immobilisation of mobility Punishment being used by staff. Staff education, Not to be Not to be • • devices: supervision and used. used. Loss of freedom. • management. use of brakes – Denial of activities. • disengaging – Emotional trauma. • Deliberately delaying or failing • Escalation of behaviour. • to charge the battery of the Risk to human rights, personal dignity and choice. • device.
Prohibited Restrictive Practices There is a range of restrictive practices that are prohibited and not to be used by providers of disability services.These practices conflict with person-centred principles, are demeaning and unacceptable. They also represent a risk to people’s human rights, personal dignity and safety. Psycho-social Restraints Restrictive Practice Example Potential Risks Recommended Controls Prescribing Practitioner Consent • Demeaning tone of voice. • Threatening negative consequences – “…if you do that again, you are not…” • Manipulation. • Punishment being used by staff. • Emotional trauma. • Risk to human rights and personal dignity. education, supervision and management. Not to be used. Not to be used. • Leaving people in bed. • Putting people to bed early. • Punishment being used by staff. • Loss of freedom. • Denial of activities. • Emotional trauma. • Escalation of behaviour (secondary to boredom). • Risk to human rights and personal dignity. Staff education, supervision and management. Not to be used. Not to be used. • Immobilisation of mobility devices: – use of brakes – disengaging • Deliberately delaying or failing to charge the battery of the device. • Punishment being used by staff. • Loss of freedom. • Denial of activities. • Emotional trauma. • Escalation of behaviour. • Risk to human rights, personal dignity and choice. Staff education, supervision and management. Not to be used. Not to be used. Trial
restrictive-practices-reference-guide-south-australian-disability-sector.docx