Restrictive Practice Recommended Consent and Potential Prescribing Person(s) Example Controls Endorsement PBS practitioner: Develops Detention Loss of freedom Conduct risk Consent: An • • the PBSP, contributes to the and choice. assessment. appointed guardian Actively preventing a risk assessment. with relevant powers person from leaving Escalation of Adherence to PBSP. • • as per Section 32 of Medical practitioner/ accommodation behaviour. Planned accompanied • the Guardianship and psychiatrist (where the usually requires Physical injury. outings/access to • Administration Act restrictive practice is being relevant powers as community. Emotional trauma. • 1993. used to administer medical per Section 32 (4) (b) Regular monitoring. • Injury/death in the • treatment): Prescribes the and Section 32 (4) (a). The Endorsement: event of an Modify environment to • medical treatment and This gives delegated restrictive emergency. prevent injury. contributes to the PBSP and authorisation to detain practices compliance risk assessment as required. Risk to human Emergency protocol. the person at the • • officer. rights. place they have been Electronic keypads/ • directed to live or stay. where required. Regular review. • Seclusion Self-harm. Conduct risk PBS practitioner: Develops Consent: Person with • • assessment. the PBSP, contributes to the capacity to give Confining a person to Emotional trauma. • risk assessment. consent or their a locked room or area Document and • Escalation of • appointed guardian against their will undertake regular Medical practitioner/ behaviour. with relevant powers require relevant frequent monitoring psychiatrist (where the Injury/death in the • as per Section 32 of powers as per Section including welfare restrictive practice is being event of an the Guardianship and 32 (4) (b). checks. used to administer medical emergency. Administration Act treatment): Prescribes the Adherence to the • Risk to human • 1993. medical treatment and PBSP. rights and personal contributes to the PBSP and Endorsement: The Time limited. • dignity. risk assessment as required. delegated restrictive Modify environment to • Deprivation. • practices compliance prevent injury. officer. Regular review. •
Restrictive Practice Example Potential Recommended Controls Prescribing Person(s) Consent and Endorsement Detention Actively preventing a person from leaving accommodation usually requires relevant powers as per Section 32 (4) (b) and Section 32 (4) (a). This gives authorisation to detain the person at the place they have been directed to live or stay. • Loss of freedom and choice. • Escalation of behaviour. • Physical injury. • Emotional trauma. • Injury/death in the event of an emergency. • Risk to human rights. • Conduct risk assessment. • Adherence to PBSP. • Planned accompanied outings/access to community. • Regular monitoring. • Modify environment to prevent injury. • Emergency protocol. • Electronic keypads/ where required. • Regular review. PBS practitioner: Develops the PBSP, contributes to the risk assessment. Medical practitioner/ psychiatrist (where the restrictive practice is being used to administer medical treatment): Prescribes the medical treatment and contributes to the PBSP and risk assessment as required. Consent: An appointed guardian with relevant powers as per Section 32 of the Guardianship and Administration Act 1993. Endorsement: The delegated restrictive practices compliance officer. Seclusion Confining a person to a locked room or area against their will require relevant powers as per Section 32 (4) (b). • Self-harm. • Emotional trauma. • Escalation of behaviour. • Injury/death in the event of an emergency. • Risk to human rights and personal dignity. • Deprivation. • Conduct risk assessment. • Document and undertake regular frequent monitoring including welfare checks. • Adherence to the PBSP. • Time limited. • Modify environment to prevent injury. • Regular review. PBS practitioner: Develops the PBSP, contributes to the risk assessment. Medical practitioner/ psychiatrist (where the restrictive practice is being used to administer medical treatment): Prescribes the medical treatment and contributes to the PBSP and risk assessment as required. Consent: Person with capacity to give consent or their appointed guardian with relevant powers as per Section 32 of the Guardianship and Administration Act 1993. Endorsement: The delegated restrictive practices compliance officer.
restrictive-practices-reference-guide-south-australian-disability-sector.docx