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EC: PEC - Capacity Building - Regulated restrictive practices
Guidance in this document is not approved for use unless you view it in PACE.
This article provides guidance for early childhood partners and planner delegates on:
• how to complete the Personal and Environmental Circumstances (PEC) case,
capacity building questions relating to regulated restrictive practices
• behaviour support through early childhood capacity building supports
• behaviour support through Improved relationships
• PEC examples for regulated restrictive practices.
You must consider the role you deliver to support a successful completion of the PEC so that the Typical Support Package (TSP) best reflects the participant and their family’s actual circumstances and need.
Recent updates
October 2023
Current guidance
Additional knowledge articles
For information on the PEC case – Capacity building questions that relate to other areas, go to articles:
•
EC – PEC – Capacity Building – Early childhood supports overview and EC – PEC –
Capacity Building – How to complete early childhood supports questions for
information on early childhood supports, including intensive early childhood supports
•
EC – PEC – Capacity Building – Health and wellbeing
• EC – PEC – Capacity Building – NDIS Hearing Stream Pathway
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For Internal Use Only Behaviour supports through Early childhood supports
A child’s behaviour support needs are likely be met through early childhood capacity building supports, delivered by early childhood professionals. Early childhood capacity building supports can be used to help with support for a child’s behaviours that are challenging to manage. This could include behaviours where a child harms themself or others. These are called behaviours of concern. Early childhood professionals can help families and carers with parenting and behaviour management strategies. The aim of this support is to work out the reasons for the child’s behaviour. It offers strategies that will help the family and child find other ways to meet their needs.
Behaviour supports through improved relationships
Only in exceptional circumstances would specialist behavioural intervention support be required. This would usually be due to the use of or need for regulated restrictive practices and in cases where there is sufficient evidence to support the need for specialist behavioural intervention support.
Under the NDIS (Restrictive Practices and Behaviour Support) Rules 2018, restrictive practices are subject to regulation. Regulated restrictive practices can only be used based on an assessment of behaviour with the appropriate authorisation from the relevant state or territory and where it is part of a behaviour support plan. The behaviour support plan must be developed by a registered behaviour support specialist, who is recognised as being suitable by the NDIS Quality and Safeguards Commission.
Behaviour support in the context of restrictive practices requires funding under the support category ‘Improved Relationships’. The early childhood approach recognises that collaborative and coordinated teamwork is an essential best practice principle therefore the behaviour support specialist can operate within the key worker model, or any collaborative model, as part of the team around the child to reduce and eliminate the use of regulated restrictive practices. The early childhood sector needs to embed a clear commitment to the reduction and elimination of regulated restrictive practices as per the National Framework for Reducing and Eliminating the Use of Restrictive Practices in the Disability Service Sector.
Mandatory referral to Technical Advisory Branch
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For Internal Use Only If there is the use of, or need for regulated restrictive practices you must make a referral for advice to the Technical Advisory Branch. The referral must take place prior to inclusion or exclusion of funding related to regulated restrictive practices in the participant’s NDIS plan. Refer to the TAB mandatory referrals page for more information.
PEC examples for regulated restrictive practices
The table gives some examples on how an early childhood partner may answer the free text fields in the PEC Capacity Building questions for regulated restrictive practices, if you have identified there is a use of or need for regulated restrictive practices.
PEC question: ‘Are regulated restrictive practices in use (or likely to be in use)?’
Describe the child’s behaviour of concern and support needs, for each relevant area. Include the source of the information. If the information is available in a report, add the name, profession, date of report/s. Reports must be uploaded into PACE.
The free text fields have character limits. If more space is required, add the information to ‘internal note’ in the Activity log. Please use the following tables as a guide only.
Table 1 – PEC examples for regulated restrictive practices
PEC Examples for free text fields questions
Jordan is prescribed Risperidone medication to manage his self-harming Chemical and regular tantrums. Refer to report: Dr. Ben Larkey (Paediatrician). Report date: 19/10/2022.
Mila 4 years old: Mila’s behaviour therapist has recommended locks on the Environmental fridge and pantry to prevent her from accessing food between meals because she overeats. Refer to report: Leah Fuller (Behaviour Therapist). Report date: 3/7/2022.
Benji 5 years old: Benji’s parents said that his support worker bear hugs Physical him when his mum leaves home to prevent him running after her and to help him to calm down.
Kayla 6 years old: Kayla’s occupational therapist, Marica Covic, has Mechanical recommended a stroller to secure her in public places so she cannot run away. Refer to report: Marica Covic (OT). Report date: 30/11/2022.
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Tim’s mother said she has asked the support worker to lock him in his Seclusion room when he is lashing out at his sisters or throwing objects around the house when angry.
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