A comprehensive guide to restrictive practices, their legal framework, and how MyHealth Solutions prioritises least restrictive approaches in all behaviour support interventions.
Restrictive practices are interventions that limit a person's rights or freedom to make decisions, move freely, or control their environment. In the NDIS context, these practices are governed by strict legal requirements and must only be used as a last resort.
The National Disability Insurance Scheme (Behaviour Support) Act 2018 and the NDIS Commission set out the framework for when and how restrictive practices can be used, with a strong emphasis on minimising their use.
At MyHealth Solutions, we believe in the Zero Restrictive Practice philosophy where possible, working towards eliminating restrictive practices through proactive, trauma-informed behaviour support strategies.
"Restrictive practices must only be used when there is a risk of harm, and only after all other strategies have been tried or considered."
— NDIS Commission Guidelines
Under the NDIS framework, restrictive practices are classified into five main categories. Understanding these classifications is essential for lawful and ethical behaviour support.
The sole confinement of a person in a room or space from which their exit is prevented. This is considered the most restrictive practice and is subject to the highest level of oversight.
Highest restriction level - Used only in emergencies
The use of medication to control or restrict a person's behaviour. This includes sedation or mood-altering medications used primarily to manage behaviour rather than treat a medical condition.
Requires medical oversight and authorisation
The use of physical force to prevent, restrict, or subdue a person. This includes holding a person or using equipment to limit their movement.
Must be trained personnel only
The use of a device to restrict a person's movement. This includes belts, harnesses, or other equipment designed to limit physical mobility.
Device must be purpose-built and authorised
Restricting a person's access to certain places, objects, or activities. This includes locked doors, restricted access to certain areas, or preventing access to specific items.
Must have clear justification and regular review
Restrictive practices are only permitted under specific circumstances and must comply with the NDIS Commission requirements. The following criteria must all be met:
There must be an immediate and serious risk of harm to the person or others.
All other less restrictive strategies must have been tried or considered first.
The practice must be documented in an NDIS behaviour support plan.
Required authorisations must be obtained from relevant authorities.
All restrictive practices must be regularly reviewed and minimised over time.
All restrictive practices must be reported to the NDIS Commission. This includes:
Certain practices are absolutely prohibited under NDIS regulations:
At MyHealth Solutions, we are committed to a Zero Restrictive Practice philosophy. We believe every person deserves to live with dignity, choice, and freedom.
We conduct comprehensive assessments to understand the root causes of challenging behaviour, identifying triggers, functions, and environmental factors.
We develop individualised behaviour support plans that focus on teaching new skills, strengthening positive behaviours, and making environmental modifications.
We work closely with participants, families, support coordinators, and other professionals to ensure holistic, person-centred support strategies.
Our expert behaviour support team is here to help. We prioritise least restrictive practices and work towards positive outcomes for every participant.
Serving Darwin, Northern Territory and surrounding areas