Implementing behavior support plans
Yesability Community Services accesses each participant’s behavior support that is appropriate to their needs which incorporates evidence-informed practice and complies with relevant legislation and policy frameworks.
Regulated Restrictive Practices
To achieve this outcome, we demonstrate the following indicators:
- Knowledge and understanding of the NDIS and state and territory behavior support legislative and policy frameworks.
- Demonstrated appropriate knowledge and understanding of evidence- informed practice approaches to behavior support.
- Demonstrated commitment to reducing and eliminating restrictive practices through policies, procedures and practices.
Supporting the assessment and development of behavior support plans
Yesability Community Services ensures each participant’s behavior support plan is implemented effectively to meet the participant’s behavior support needs.
- Policies and procedures that support the implementation of behavior support plans are developed and maintained.
- Work is actively undertaken with the specialist behavior support providers to implement each participant’s behavior support plan and to align support delivery with evidence-informed practice and positive behavior support.
- Workers are supported to develop and maintain the skills required to consistently implement the strategies in each participant’s behavior support plan consistent with the positive behavior support capability framework.
- Specialist behavior support providers are supported to train the workers of the providers implementing behavior support plans in the use and monitoring of behavior support strategies in the behavior support plan, including positive behavior support.
- Workers receive training in the safe use of restrictive practices.
- Collaboration is undertaken with other providers that work with the participant to implement strategies in the participant’s behavior support plan.
- Performance management ensures that workers are implementing strategies in the participant’s behavior support plan appropriately.
Monitoring and reporting the use of regulated restrictive practices
Yesability Community Services secures each participant is only subject to a restrictive practice that is reported to the Commission.
- Demonstrated compliance with monthly online reporting requirements in relation to the use of regulated restrictive practices, as prescribed in the National Disability Insurance Scheme (Restrictive Practices and Behavior Support) Rules 2018.
- Data is monitored to identify actions for improving outcomes.
- Data is used to provide feedback to workers, and with the participant’s consent, their support network, and their specialist behavior support provider about the implementation of the behavior support plan to inform the reduction and elimination of restrictive practices.
Behavior support plan review
Yesability Community Services evaluates participants got a current behavior support plan that reflects their needs, and works towards improving their quality of life, reducing behaviors of concern, and reducing and eliminating the use of restrictive practices.
To achieve this outcome, the following indicators should be demonstrated:
- The implementation of the participant’s behavior support plan is monitored through a combination of formal and informal approaches, including through feedback from the participant, team meetings, data collection and record keeping, other feedback and supervision.
- Information is recorded and data is collected as required by the specialist behavior support provider and as prescribed in the National Disability Insurance Scheme (Restrictive Practices and Behavior Support) Rules 2018.
- Identification of circumstances where the participant’s needs, situation or progress create a need for more frequent review, including if the participant’s behavior changes.
- Contributions are made to the reviews of the strategies in a participant’s behavior support plan, with the primary focus of reducing or eliminating restrictive practices based on observed progress or positive changes in the participant’s situation.
Reportable incidents involving the use of a restrictive practice
Yesability Community Services scrutinize all participants that are subject to an emergency or unauthorised use of a restrictive practice has the use of that practice reported and reviewed..
To achieve this outcome, the following indicators should be demonstrated:
- The participant’s immediate referral to, and assessment by a medical practitioner (where appropriate) is supported following an incident.
- Collaboration is undertaken with mainstream service providers, such as police and/or other emergency services, mental health and emergency department, treating medical practitioners and other allied health clinicians, in responding to the unauthorised use of a restrictive practice.
- The Commissioner is notified of all reportable incidents involving the use of an unauthorised restrictive practice in accordance with the National Disability Insurance Scheme (Incident Management and Reportable Incidents) Rules 2018.
- Where an unauthorised restrictive practice has been used, the workers and management of providers implementing behavior support plans engage in debriefing to identify areas for improvement and to inform further action. The outcomes of the debriefing are documented.
- Based on the review of incidents, the supports to the participant are adjusted, and where appropriate, the engagement of a specialist behavior support provider is facilitated to develop or review the participant’s behavior support plan or interim behavior support plan, if required, in accordance with the National Disability Insurance Scheme (Restrictive Practices and Behavior Support) Rules 2018.
- Authorisation processes (however described) are initiated as required by their jurisdiction.
- The participant, and with the participant’s consent, their support network and other stakeholders as appropriate, are included in the review of incidents.
Interim behavior support plans
Yesability Community Services analyses each and every participant with an immediate need for a behavior support plan receives an interim behavior support plan based on evidence-informed practice, which minimises risk to the participant and others.
To achieve this outcome, the following indicators should be demonstrated:
- Collaboration is undertaken with mainstream service providers (such as police and/or other emergency services, mental health and emergency departments, treating medical practitioners and other allied health clinicians) in contributing to an interim behavior support plan developed by a specialist behavior support provider.
- Work is undertaken with the specialist behavior support provider to support the development of the interim behavior support plan.
- Workers are supported and facilitated to receive training in the implementation of the interim behavior support plan.
