Restrictive Practices

Preventing and Eliminating Restrictive Practices in Residential Aged Care and in Disability Settings

The Office of the Public Advocate has developed two policies for use by Advocate/Guardians in the Office when asked to consent to the use of a restrictive practice in either an aged care or a disability setting. The policies cover detention, seclusion, physical restraint, mechanical restraint and chemical restraint.

It should be noted that the same laws apply regardless of age and for this reason the two policies are very similar.  The reason for writing two separate policies is to include specific details about the interventions and services available in each of the sectors (disability and residential aged care) however the underlying human rights principles and application of law are identical.

The policy for use in Disability Settings was first developed in May 2011.  The current version came into operation in 1 July 2014, incorporating the implementation of the Advance Care Directives Act 2013 and changes to the Consent to Medical Treatment and Palliative Care Act 1995, which came into operation at that time. 

The policy for use in Residential Aged Care settings was released in draft form in January 2015 and come into operation on 10th March 2015. 

We welcome feedback to further improve these policies. Feedback to opa@agd.sa.gov.au

Both documents apply to the work of Advocate/Guardians at the Office of the Public Advocate.  There is no requirement for private guardians or Subsitute Decision Makers appointed by an Advance Care Directive to follow these policies.  However we hope that these documents can be used as a helpful resource.

 

Preventing and Eliminating Restrictive Practices in Disability Settings

Guardian Consent for Restrictive Practices in Disability Settings Policy 1 July 2014  Click Here

Other Resources:

National Framework for Preventing and Eliminating the Use of Restrictive Practices in the Disability Services Sector.  External link to Commonwealth Department of Social Services.

Evidence Based Guidelines to Reduce the Need for Restrictive Practices  External Link to the Australian Psychological Association.

Eliminating restrictive practices in disability settings  Published in medicSA July 2011 Volume 24 Number 6.  Click here. 

 

Preventing and Eliminating Restrictive Practices in Residential Aged Care Settings

Guardian Consent for Restrictive Practices in Residential Aged Policy 10th March 2015 Click Here

 

Other Resources:

Decision Making Tool:  Supporting a Restraint Free Environment in Residential Aged Care.  External Link to Commonwealth Department of Social Services.

Consumer and Family Fact Sheet: How to Support a Restraint Free Environment in Residential Aged Care.  External Link to Commonwealth Department of Social Services.

Decision Making Tool: Supporting a Restraint Free Environment in Community Aged Care.  External Link to Commonwealth Department of Social Services.

Consumer and Family Fact Sheet: How to Support a Restraint Free Environment in Community Aged Care.  External Link to Commonwealth Department of Social Services.