#DisabilityRC mates. Lets...get mad.

Link to paper in various forms: https://disability.royalcommission.gov.au/publications/restrictive-practices-issues-paper

"We understand that ‘restrictive practice’ is a term used in Australia to refer to any action, approach or intervention that has the effect of limiting the rights or freedom of movement of a person." #NDIS #DisabilityRC #Disability

Fairly consistent, albeit wide scope

"Restrictive practices can be used across Australia, as a last resort, to prevent or protect people from harm. This includes a perceived risk of harm."

This is where things get spicy - perceived risk of harm is...really, really open. Dangerously. #NDIS #DisabilityRC #Disability

(I acknowledge that RPs are TECHNICALLY heavily restricted and controlled...although we know they aren't)
#NDIS #DisabilityRC #Disability

They outline the list of Restrictive Practice types. It includes - new to me - PSYCHOSOCIAL.

"psychosocial, for example, constantly telling a person that doing an everyday activity is too dangerous, without reasonable justification."
#NDIS #DisabilityRC #Disability

The old NSW System talked to consequence control and the likes, which totally covered this, but not typically discussed in the NDIS World. #NDIS #DisabilityRC #Disability

"Why are we looking at restrictive practices?"

(Fuck you that's why) #NDIS #DisabilityRC #Disability

The #DisabilityRC identify that RPs are a form of power imbalance, that can (and do) cause significant harm, damage relationships, ruin relationships, create helplessness and damage independence
#NDIS #Disability

It is noted that #CRPD has called for the elimination of RPs, including a National framework for the protection of #Disabled People from psychotropics, seclusion & physical restraints. #NDIS #DisabilityRC #Disability

"an absolute ban on all coercive and non-consensual measures, including restraint and solitary confinement of people with psychological or intellectual disabilities ... in all places of deprivation of liberty, including in psychiatric and social care institutions."

They recognise the importance of transitional phases in life and the increased risk of restrictions during these periods (oh change brings stress brings behaviours brings more RPs?) #NDIS #DisabilityRC #Disability

Identified that people from First Nations backgrounds have generationally borne the brunt of RPs and there is a continued compounding of the traumas related to this as time continues #NDIS #DisabilityRC #Disability

There are RPs used in all environments where #Disabled people live - Group Homes, the Community, Schools, Prisons, health, Mental Health #NDIS #DisabilityRC #Disability

"People with disability may be subjected to restrictive practices at work, including in Australian Disability Enterprises (ADEs). Under the #NDIS rules, ADEs are allowed to use restrictive practices. There is limited data on the extent of their use in ADEs."

(Abolish ADEs) #NDIS #DisabilityRC #Disability

It's identified that there is no consistent RP strategy across the country, even though we've had a number of agreements #NDIS #DisabilityRC #Disability

They note NDIS Providers can use RPs under a BSP and the rules, and that Aged Care providers are also able to use them (also being revied by the ACRC) #NDIS #DisabilityRC #Disability

God damn there's talk about how state governance is still in play for RPs in disability services, guardianship has an interplay and specific reference to MH laws that provide power to give RP authorisation #NDIS #DisabilityRC #Disability

(Not going to speak to the mainstream services because of reasons, but mainstream services are called out here) #NDIS #DisabilityRC #Disability

"Research is showing that restrictive practices can be prevented or avoided. This research focuses on addressing what causes or leads to behaviours of concern and reducing these risk factors. This includes" (the list is extensive) #NDIS #DisabilityRC #Disability

Providing better community-based support to people with disability, including communication support.• Person-centred planning, for example individualised positive behaviour support plans. #NDIS #DisabilityRC #Disability

• Removing environmental barriers and risks in a range of settings, including group homes and mental health facilities. For example, providing options for sensory stimulus. #NDIS #DisabilityRC #Disability

Respectful and trauma-informed support, including recovery-oriented care in crisis situations. • Advance care directives, where people can set out their ‘will and preferences’ as to how they wish to be treated in any future events. #NDIS #DisabilityRC #Disability

Greater peer support and individual advocacy. • Better training for service providers and other professionals. #NDIS #DisabilityRC #Disability

Co-designing and co-implementing measures to prevent and avoid restrictive practices with people with disability and their representative organisations, including First Nations and culturally and linguistically diverse people with #disability and their organisation #DisabilityRC

No surprise that person centred practices and empowering people to build themselves up is a solid way to reduce the need for RPs. #NDIS #DisabilityRC #Disability

No surprise that the implementation of trauma informed care is significant in reducing RPs (I think there is a study about "behaviours of concern" often being rooted in trauma, I'll dig later) #NDIS #DisabilityRC #Disability

Christ almighty I fucking hated using RPs on people. I would apologise every time I strapped someone into their 5 point harness. It's fucked. #NDIS #DisabilityRC #Disability

I'm not going to copy in the questions, however you should give them a read.
#NDIS #DisabilityRC #Disability

As always, DMs are open if you need some support to fuck shit up (quietly though). #NDIS #DisabilityRC #Disability

AUSLAN:


#DisabilityRC