Module 2A: Reportable restrictive practice incidents

After an incident, the implementing provider supports the participant's immediate referral to and assessment by a medical practitioner where appropriate.

• Incident reports showing medical referral decisions
• Records of medical assessment following restraint or seclusion
• Post-incident procedure covering medical review

• No medical check after physical restraint
• Decision not to refer undocumented

In responding to unauthorised use of a restrictive practice, the implementing provider collaborates with mainstream services such as police and other emergency services, mental health services and emergency departments, treating medical practitioners and other allied health clinicians.

• Incident records noting contact with police, ambulance or health services
• Follow-up correspondence with treating practitioners
• Protocols with local emergency or mental health services

• Mainstream service involvement not recorded
• No follow-up with treating clinicians after an incident

The implementing provider notifies the Commissioner of every reportable incident involving an unauthorised restrictive practice in accordance with the NDIS (Incident Management and Reportable Incidents) Rules 2018.

• Reportable incident notifications with submission dates
• Incident register cross-checked against notifications
• Five-day reports and final reports where required

• Unauthorised use not recognised as reportable
• Notifications outside the required timeframes

Where an unauthorised restrictive practice has been used, the implementing provider's workers and management debrief to identify improvements and inform further action, and record the outcomes.

• Debrief records with attendees, findings and actions
• Action tracking for debrief outcomes
• Changes to practice or rosters resulting from debriefs

• Debriefs held but outcomes not documented
• Management absent from debriefs

Based on incident review, the implementing provider adjusts the participant's supports and, where appropriate, facilitates engagement of a specialist behaviour support provider to develop or review the behaviour support plan or interim plan, as required by the NDIS (Restrictive Practices and Behaviour Support) Rules 2018.

• Records of support changes following incident review
• Referral or engagement records for a specialist behaviour support provider
• Updated or new plans developed after the incident

• No specialist engaged after repeated unauthorised use
• Supports unchanged following incident review

The implementing provider starts authorisation processes (however described) where its jurisdiction requires them.

• Authorisation applications lodged after an incident
• Tracking of pending authorisation applications
• Correspondence with the state or territory authorising body

• Repeated use of an unauthorised practice with no authorisation sought
• Authorisation process stalled without follow-up

The implementing provider includes the participant and, with consent, their support network and other appropriate stakeholders in reviewing incidents.

• Incident review records showing participant involvement
• Consent records for family or advocate involvement
• Accessible communication used with the participant during review

• Participant's view of the incident not recorded
• Support network excluded without reason