Compelling a Person to Comply with Medical Treatment That is, concealing medication in food/drink, taking blood from a person against their will and giving injections to a person against their will. Where the treatment is regular psychiatric treatment it is generally more appropriate to consider applying for a community treatment order through SACAT. Section 32 (1) (c) of the Act states: by order, authorise the persons from time to time involved in the care of the person to use such force as may be reasonably …may, necessary for the purpose of ensuring the proper medical or dental treatment, day-to-day care and well-being of the person. Restrictive Practice Recommended Consent and Potential Risks Prescribing Person(s) Example Controls Endorsement Hiding medication in a Loss of freedom Conduct risk Consent: Person with PBS practitioner: Develops the • • person’s food or drink and choice. assessment. capacity to give PBSP, contributes to the risk (including via PEG feeds) consent or their assessment. Emotional Adherence to • • appointed guardian with For the primary purpose of trauma. the PBSP. Medical practitioner/psychiatrist relevant powers as per overriding consent as the (where the restrictive practice is Regular review. • Section 32 of the primary purpose (as distinct being used to administer Guardianship and from preventing the risk of medical treatment): Prescribes Administration Act 1993 choking). the medical treatment and or relevant court order. contributes to the PBSP and risk Endorsement: The assessment as required. delegated restrictive Community nurse (where practices compliance involved in the administration officer. of the medical treatment): Contributes to the PBSP and the risk assessment as required. Restrictive Practice Recommended Consent and Potential Risks Prescribing Person(s) Example Controls Endorsement
Compelling a Person to Comply with Medical Treatment That is, concealing medication in food/drink, taking blood from a person against their will and giving injections to a person against their will. Where the treatment is regular psychiatric treatment it is generally more appropriate to consider applying for a community treatment order through SACAT. Section 32 (1) (c) of the Act states: …may, by order, authorise the persons from time to time involved in the care of the person to use such force as may be reasonably necessary for the purpose of ensuring the proper medical or dental treatment, day-to-day care and well-being of the person. Restrictive Practice Example Potential Risks Recommended Controls Prescribing Person(s) Consent and Endorsement Hiding medication in a person’s food or drink (including via PEG feeds) For the primary purpose of overriding consent as the primary purpose (as distinct from preventing the risk of choking). • Loss of freedom and choice. • Emotional trauma. • Conduct risk assessment. • Adherence to the PBSP. • 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. Community nurse (where involved in the administration of the medical treatment): Contributes to the PBSP and the 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 or relevant court order. Endorsement: The delegated restrictive practices compliance officer. Restrictive Practice Example Potential Risks Recommended Controls Prescribing Person(s) Consent and Endorsement
restrictive-practices-reference-guide-south-australian-disability-sector.docx