Normal view MARC view ISBD view

Reducing restrictive practices : a review of evidence-based alternatives Natasha Cortis, Clara Smyth and Ilan Katz

Contributor(s): Smyth, Clara | Katz, Ilan.
Material type: materialTypeLabelBookPublisher: Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability, 2023Description: electronic document (66 pages) ; PDF file.Subject(s): Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability | DISABLED PEOPLE | INSTITUTIONAL CARE | PREVENTION | SUPPORT SERVICES | INSTITUTIONAL ABUSE | INTERNATIONAL | AUSTRALIAOnline resources: Download report, PDF | Access the website for accessible formats Summary: 1Executive summary Research purpose and questions The Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability commissioned the Social Policy Research Centre, UNSW Sydney, to review academic literature about ways to reduce the use of restrictive practices on people with disability. The review was guided by two research questions: 1. What alternatives to restrictive practices have an evidence base that demonstrates reduced use and/or elimination of restricted practices on people with disability? 2. Is there an evidence base that demonstrates positive behaviour support plans, when used in response to ‘behaviours of concern’, have resulted in a reduced use of restrictive practices on people with disability? Comprehensive, multi-level approaches are considered important for reducing and eliminating the use of restrictive practices. Policies that strengthen community-based strategies to improve home-based support and advocacy for individuals can help keep people with disability out of clinical settings, such as hospitals or other institutions where restrictive practices are most likely to be used. Changes are also needed in disability service provider organisations; data and monitoring systems; in the workforce and frontline practice, and in the ways people with disability are consulted and involved in making decisions about their lives. (From the Executive summary). Record #8376
Item type Current location Call number Status Date due Barcode
Access online Access online Family Violence library
Online Available ON23100020

1Executive summary
Research purpose and questions
The Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability
commissioned the Social Policy Research Centre, UNSW Sydney, to review academic literature
about ways to reduce the use of restrictive practices on people with disability. The review was
guided by two research questions:
1. What alternatives to restrictive practices have an evidence base that demonstrates reduced
use and/or elimination of restricted practices on people with disability?
2. Is there an evidence base that demonstrates positive behaviour support plans, when used in
response to ‘behaviours of concern’, have resulted in a reduced use of restrictive practices
on people with disability?

Comprehensive, multi-level approaches are considered important for reducing and eliminating
the use of restrictive practices. Policies that strengthen community-based strategies to improve
home-based support and advocacy for individuals can help keep people with disability out of
clinical settings, such as hospitals or other institutions where restrictive practices are most
likely to be used. Changes are also needed in disability service provider organisations; data
and monitoring systems; in the workforce and frontline practice, and in the ways people with
disability are consulted and involved in making decisions about their lives. (From the Executive summary). Record #8376

Click on an image to view it in the image viewer