Supporting Independence: Ethical and Compliant Use of Restrictive Practices in Western Australia
At West Companions, we are dedicated to upholding the rights, dignity, and well-being of the individuals we support. In alignment with the National Disability Insurance Scheme (NDIS) guidelines in Western Australia, we understand that while restrictive practices may occasionally be necessary to prevent harm, they must be applied ethically, as a last resort, and in the least restrictive manner possible.
Understanding Restrictive Practices
Restrictive practices are interventions that limit the rights or movement of a person with a disability. In Western Australia, these practices are strictly regulated to ensure they are necessary, proportionate, and tailored to the individual’s needs and best interests. The five regulated restrictive practices include:
- Seclusion: Confining a person alone in a space from which they cannot freely exit.
- Chemical Restraint: Administering medication primarily to influence behaviour, not for treating a medical condition.
- Mechanical Restraint: Using devices (e.g., straps, mittens) to restrict movement.
- Physical Restraint: Applying physical force to limit movement.
- Environmental Restraint: Restricting access to certain areas or objects, such as locked doors or cupboards.
These practices are to be used only in exceptional circumstances when all other positive behaviour support strategies have been exhausted, and there is an imminent risk of harm to the individual or others.
NDIS Requirements and Compliance in Western Australia
To ensure the ethical application of restrictive practices, the NDIS mandates that:
- Positive Behaviour Support Plan (PBSP): A plan developed by a registered NDIS Behaviour Support Practitioner outlining strategies to reduce and eventually eliminate the use of restrictive practices.
- Authorisation: Service providers must comply with Western Australian laws when implementing restrictive practices, ensuring all practices are formally authorised as required.
- Regular Monitoring and Review: The use of restrictive practices must be documented, reviewed, and assessed to ensure they remain the least restrictive option and align with the participant’s evolving needs.
- Upholding Participant Rights: Prioritising the least restrictive and most effective approach, while respecting human rights, dignity, and choice.
- Reporting to the NDIS Commission: Certain restrictive practices are reportable incidents and must be documented and submitted to the NDIS Quality and Safeguards Commission for oversight.
West Companions’ Approach to Restrictive Practices
At West Companions, we adopt a person-centred, least-restrictive approach by:
Implementing Positive Behaviour Support (PBS): Collaborating with trained professionals to develop behaviour support strategies aimed at reducing the need for restrictive practices.
Proactive and Preventative Measures: Emphasising early intervention, effective communication strategies, and environmental adjustments to minimise risks.
Family and Stakeholder Collaboration: Engaging participants, families, carers, and professionals in decision-making to ensure optimal outcomes.
Regular Training and Compliance: Ensuring our staff receive continuous training in Positive Behaviour Support, ethical decision-making, and adherence to NDIS restrictive practice guidelines.
Eliminating Unnecessary Restrictive Practices: Actively working towards reducing and phasing out restrictive practices where possible, while ensuring safety and support for all involved.
Need Support or Guidance?
For more information on how West Companions implements Positive Behaviour Support in compliance with NDIS restrictive practice regulations, please contact us.
For additional details on restrictive practices and authorisation processes in Western Australia, visit the NDIS Quality and Safeguards Commission and the Department of Communities.
