Allow for the analysis of trends to evaluate the effectiveness of the strategies and recognise where there may be an increased reliance on the use of restrictive practices. Measure success through a national picture (or stocktake) of the use and reduction of restrictive practices. Collaboration between service providers: A commitment to developing and maintaining stronger relationships across the health, allied health, aged care and disability sectors, including between physicians, nurses, mental and health professionals, and disability services staff to ensure a multidisciplinary approach to the monitoring, use and reduction of restrictive practices. Collaborative approaches across sectors for client assessment, planning and review should be encouraged by all service providers involved with implementing a person’s individual/behaviour support plan. Collaboration should enable a solid basis for individualised, person-centred approaches aimed at reducing the use of restrictive practices. Raising awareness, providing education and facilitating accessible information about restrictive practices: A commitment to raising awareness of issues relating to the use of restrictive practices, including amongst people with disability and their guardians or advocates as key stakeholders in decision making, and in the implementation of behaviour support strategies and plans. People with disability and their guardians or advocates should be made aware of the relevant rights within jurisdictions to complain or seek a review of the use of restrictive practices and to participate fully in formal complaint resolution or review processes. A commitment to building capacity and reducing barriers amongst people with disability and their guardians or advocates to utilise complaint or review mechanisms about restrictive practices. People with disability and their guardians or advocates are informed that restrictive practices may be used in the service(s) that they access, noting that restrictive practices are implemented on an individual basis. Core Strategies for a National Framework for Reducing and Eliminating the Use of Restrictive Practices in the Disability Service Sector Jurisdictions agree that, by 2018, all disability service providers for which they or the NDIA have funding responsibilities should implement the following set of key core strategies to reduce the use of restrictive practices in disability services. A comprehensive review of the research literature found evidence for six core strategies for reducing the use of restrictive practise (Rimland, 2011). The six core strategies are: Person-centred focus Including the perspectives and experiences of people with disability and their families, carers, guardians and advocates during restrictive practice incident debriefing, individualised behaviour support planning, staff education and training, and policy and practice development is a key element of restraint minimisation across sectors (Azeem et al., 2011). Key implementation areas are:
Allow for the analysis of trends to evaluate the effectiveness of the strategies and recognise where there may be an increased reliance on the use of restrictive practices. Measure success through a national picture (or stocktake) of the use and reduction of restrictive practices. Collaboration between service providers: A commitment to developing and maintaining stronger relationships across the health, allied health, aged care and disability sectors, including between physicians, nurses, mental and health professionals, and disability services staff to ensure a multidisciplinary approach to the monitoring, use and reduction of restrictive practices. Collaborative approaches across sectors for client assessment, planning and review should be encouraged by all service providers involved with implementing a person’s individual/behaviour support plan. Collaboration should enable a solid basis for individualised, person-centred approaches aimed at reducing the use of restrictive practices. Raising awareness, providing education and facilitating accessible information about restrictive practices: A commitment to raising awareness of issues relating to the use of restrictive practices, including amongst people with disability and their guardians or advocates as key stakeholders in decision making, and in the implementation of behaviour support strategies and plans. People with disability and their guardians or advocates should be made aware of the relevant rights within jurisdictions to complain or seek a review of the use of restrictive practices and to participate fully in formal complaint resolution or review processes. A commitment to building capacity and reducing barriers amongst people with disability and their guardians or advocates to utilise complaint or review mechanisms about restrictive practices. People with disability and their guardians or advocates are informed that restrictive practices may be used in the service(s) that they access, noting that restrictive practices are implemented on an individual basis. Core Strategies for a National Framework for Reducing and Eliminating the Use of Restrictive Practices in the Disability Service Sector Jurisdictions agree that, by 2018, all disability service providers for which they or the NDIA have funding responsibilities should implement the following set of key core strategies to reduce the use of restrictive practices in disability services. A comprehensive review of the research literature found evidence for six core strategies for reducing the use of restrictive practise (Rimland, 2011). The six core strategies are: Person-centred focus Including the perspectives and experiences of people with disability and their families, carers, guardians and advocates during restrictive practice incident debriefing, individualised behaviour support planning, staff education and training, and policy and practice development is a key element of restraint minimisation across sectors (Azeem et al., 2011). Key implementation areas are:
consultation_paper_final.docx