restrictive practices the reality of it.
There has been a lot
of talk around restrictive practice s since the royal commission and we have had
a lot of well meaning but under-informed advocates advocating for the abolition
of these practices but this shows me that they haven’t worked with clients that
have behaviour’s of concern. That can
cause extreme harm to others, or distress.
As behaviours are a form of communication, and it serves a
purpose as it might be attention seeking, it might be the result of a mental
illness and intellectual disability, or the result of a brain injury and the frustration
of being able to remember that you once could do things but now you can’t.
A frustration that I experience
on a regular basis as I have to be reminded to keep in touch with friends and
family and that ghosting isn’t ok, and to make the doctor's appointments and to look after my health, both physical and
mental.
But what I am advocating for is having support worker
trained in behaviour’s of concern and the next level down being difficult and
challenging behaviours.
So this can be behaviors that aren’t concerning but if they
are repeated they can be such as a clients incorporate hyper fixation, or yelling at something that
isn’t there. I am also a big advocate of
having them documented correctly as they
need to be and they do serve the purpose
to being able to understand and restrictive behaviour and they are also now used
as a last resort as there is a other options open to support and care staff, these being
planned ignoring of bad behaviours, re directing to a more appropriate activity,
or even helping to redirect the hyper fixation to skills building so someone
who loves Dr who having a reward of going to a comic con where some of the
actors are going to be there or being able to save up for Dr who merchandise as
a reward.
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