RP Policy - 01 - Introduction

Restricted Practices:

Restricted Practices

Restricted Practices Definition:

Restricted Practices Definition “Restricted practices are interventions which require additional safeguards and monitoring.. due to their potentially aversive nature or their potential to restrict the individual’s rights or freedom of movement” (Page 33) For example Restraint, seclusion etc.

Policy Rational Reduction of Restricted Practices:

Policy Rational Reduction of Restricted Practices Reduction of Restrictive Practices The elimination of restrictive practices will promote the use of positive behaviour supports and non-aversive interventions

Policy Rational Safeguards :

Policy Rational Safeguards Sometimes RPs may be necessary To protect from harm To achieve a better quality of life “…there may be severe, acute or exceptional occasions, conditions or diagnoses when interventions considered to be Restricted Practices may be required as part of the treatment package for an individual.” (Page 33) “Therapeutically we have a lot to help a lot of people but not enough to help all people” (Allen, 2009, p. 35)

Policy Rational Safeguards :

Policy Rational Safeguards How will RehabCare provide these safeguards? Detection (self-check on all RPs ) Restricted Practices Committee Authorisation Alternatives Reduction Plan Monitoring and evaluation through regular review

Policy Rational “Policy as a Support Mechanism”:

Policy Rational “Policy as a Support Mechanism” RP Committee as additional Protection Additional layer of decision making, responsibility and accountability

Policy Rational “Policy as a Support Mechanism”:

Policy Rational “Policy as a Support Mechanism” RP Committee as additional Protection Additional layer of decision making, responsibility and accountability Assurance of best practice Dedicated opportunity to consider the RP Multi-disciplinary involvement and a 2 nd opinion

Policy Rational “Policy as a Support Mechanism”:

Policy Rational “Policy as a Support Mechanism” RP Committee as additional Protection Additional layer of decision making, responsibility and accountability Assurance of best practice Dedicated opportunity to consider the RP Multi-disciplinary involvement and a 2 nd opinion Alternatives, ethical issues and evidence based practice will be explored

Policy Rational “Policy as a Support Mechanism”:

Policy Rational “Policy as a Support Mechanism” Additional Resources can be secured if they are leading to the use of an RP A bad fit between SU needs and service can lead to an increase in RPs e.g. institutional settings “Restricted Practices must never be used to cover any deficiency of service, lack of professional skill or defects in the environment”

Policy Rational “Policy as a Support Mechanism”:

Policy Rational “Policy as a Support Mechanism” Additional Resources can be secured if they are leading to the use of an RP A bad fit between SU needs and service can lead to an increase in RPs e.g. institutional settings “Restricted Practices must never be used to cover any deficiency of service, lack of professional skill or defects in the environment”

Restricted Practices Procedure:

Restricted Practices Procedure Exercise 7 ( Pause DVD )