In Western Australia, the Department of Communities is responsible for establishing the authorisation of restrictive practices process.
NDIS-funded Implementing Provider responsibilities
- Implement the Policy, including developing and following relevant policies and procedures including those that govern the operations of Quality (QA) Assurance Panels.
- Use strategies to facilitate supported decision making so people with disability are assisted to communicate their needs and choices.
- Support participants to make and resolve complaints.
- Ensure an appropriate medical and/or allied health assessment is undertaken to determine when a device or practice is being used for therapeutic purposes and ensure clear instructions are in place for the use of such devices or practices.
Implementing Provider Behaviour Support Plan (BSP) preparation
- Explore and apply other evidence-based, person-centred and proactive strategies for supporting a person with disability before considering a restrictive practice.
- Engage and collaborate with the person with disability, behaviour support practitioner and other key stakeholders to understand the person’s needs, and the needs of those who support the person to develop the BSP and work to reduce the use of restrictive practices.
- Contribute to identifying and describing all current and proposed restrictive practice(s).
Implementing Provider QA Panel requirements
- Identify and manage perceived, potential and actual conflicts of interest related to authorisation of restrictive practices.
- Convene or attend QA Panel meetings.
- Appoint a chair for the QA Panel.
- Arrange for an Independent External NDIS Behaviour Support Practitioner to attend the QA Panel.
- Arrange administrative support for the QA Panel.
- Review each restrictive practice against the five principles to approve or not approve the regulated restrictive practice(s) described in a BSP.
- Record the QA Panel review of each restrictive practice and agreed decision(s) in the QA Panel Outcome Summary Report.
- Meet the NDIS reporting requirements for notification of authorisation.
NDIS-funded Behaviour Support Practitioner responsibilities
- Meet the suitability requirements against the NDIS Positive Behaviour Support Capability Framework by completion of the NDIS Commission assessment process to confirm suitability.
- Comply with the Policy, including completion of BSPs in accordance with the Policy and Procedure Guidelines.
Practitioner Behaviour Support Plan (BSP) preparation
- Engage and collaborate with the person with disability, implementing provider and other key stakeholders to develop an understanding of the person’s needs, as well as the needs of those who support the person in the development of the BSP.
- Explore the communication needs and preferences of the person with disability using principles of supported decision-making.
- Clearly identify and describe all current and proposed restrictive practice(s).
- Use restrictive practice(s) only in response to a behaviour of concern, where that behaviour poses a risk of harm to the person with disability and/or others.
- Address each of the five principles for the use of restrictive practices from the Procedure Guidelines.
- Include (or refer to) an elimination and reduction plan in the BSP that outlines the steps to reduce and eliminate the use of restrictive practice(s) over time.
Independent External Practitioner QA Panel requirements
- NDIS Practitioner’s may serve as an Independent External NDIS Behaviour Support Practitioner (Independent External Practitioner) on QA Panels convened by Implementing Provider(s).
- An Independent External Practitioner must:
- act in an impartial way and make decisions based on the objective evidence and information available to support the decision at the time.
- identify and manage perceived, potential and actual conflicts of interest related to authorisation of restrictive practices.
- contribute relevant expertise and knowledge to support the Quality Assurance Panel process.
State-funded disability provider responsibilities
- Implement the Policy, including developing and following relevant policies and procedures including those that govern the operations of QA Panels.
- Use strategies to facilitate supported decision making so people with disability are assisted to communicate their needs and choices.
- Support participants to make and resolve complaints.
- Ensure an appropriate medical and/or allied health assessment is undertaken to determine when a device or practice is being used for therapeutic purposes and ensure clear instructions are in place regarding the use of such devices or practices.
- Report any unauthorised use of restrictive practice to the Department of Communities.
Implementing Provider Behaviour Support Plan (BSP) preparation
- Explore and apply other evidence-based, person-centred and proactive strategies for supporting a person with disability before considering a restrictive practice.
- Engage and collaborate with the person with disability, behaviour support practitioner and other key stakeholders to understand the person’s needs, and the needs of those who support the person to develop the BSP and work to reduce the use of restrictive practices.
- Contribute to identifying and describing all current and proposed restrictive practice(s).
Implementing Provider QA Panel requirements
- Identify and manage perceived, potential and actual conflicts of interest related to authorisation of restrictive practices.
- Convene or attend QA Panels to approve or not approve regulated restrictive practices described in a BSP.
- Appoint a chair for the QA Panel.
- Arrange for an Independent External NDIS Behaviour Support Practitioner to attend the QA Panel.
- Arrange administrative support for the QA Panel.
- Review each restrictive practice against the five principles to approve or not approve the regulated restrictive practice(s) described in a BSP.
- Record the QA Panel review of each restrictive practice and agreed decision(s) in the QA Panel Outcome Summary Report.
Forms
- Purpose of medication clarification – example only (DOCX, 28.78KB)
- Restrictive practice schedule and elimination plan – chemical restraint (DOCX, 27.55KB)
- Restrictive practice schedule and elimination plan – environmental, mechanical, physical restraint or seclusion (DOCX, 26.01KB)