Positive behaviour support and participant rights

Behaviour Support Explained

What participants, families and support teams should know about positive behaviour support, behaviour support plans and restrictive-practice safeguards.

Behaviour is communication

Positive behaviour support looks at the reasons a behaviour occurs and how a person’s environment, communication, health, trauma, relationships and unmet needs may contribute. Its goal is better quality of life, not control or punishment.

Specialist behaviour support is delivered by an appropriately registered practitioner. Other providers and workers may implement the plan, collect information and support consistent proactive strategies within their role.

In practice, behaviour support explained should begin with a conversation about the person’s current life rather than a pre-selected service model. The participant’s goals, strengths, preferred routines, communication, culture, relationships, home environment and existing supports help define what a useful outcome would look like. This also gives the participant and provider an early opportunity to identify where more information, assessment or another specialist service is required before commitments are made.

The main service areas described on this page—assessment and understanding, positive behaviour support plan, implementation and review—work together rather than as isolated tasks. A reliable provider should explain how each area will be delivered during an ordinary week, how the participant will be involved in decisions, how workers will be matched and what happens when circumstances change. The service agreement and support plan should use clear language and distinguish funded disability support from health, housing, transport, ordinary living costs and other responsibilities.

Individual planning may need to consider be understandable and specific to the person, prioritise dignity, rights and quality of life, use proactive and least-restrictive strategies, include clear responsibilities and training, be reviewed when needs, risks or circumstances change. These factors are not a checklist for excluding a person. They are prompts for designing support safely and respectfully. Where a need is outside a disability support worker’s role, the provider should identify the appropriate clinician, mainstream service or decision-maker and agree how information will be communicated with the participant’s consent.

A complete referral is easier to assess than a long but unclear collection of documents. Useful starting information includes who is the registered behaviour support practitioner?, how will the participant be involved?, what training will workers receive?, are any restrictive practices being used and properly authorised?, how will progress and reduction of restrictions be measured?. Reports should be current and directly connected to everyday function. Referrers should remove irrelevant personal material, confirm consent, identify the requested outcome and state any deadline that affects discharge, accommodation, equipment, worker training or service commencement.

The pathway of identify immediate needs, engage the right practitioner, implement consistently is not a one-off administrative exercise. Once support starts, the participant should be able to say what is working, what feels intrusive or unreliable and what they want changed. Providers should review outcomes, roster stability, incidents, near misses, worker competence, communication and budget sustainability at agreed intervals. A change in health, function, environment, funding or informal support may require an earlier review and updated professional guidance.

1

Assessment and understanding

The practitioner gathers information about the person, context, function of behaviour, strengths and goals.

2

Positive behaviour support plan

The plan describes proactive strategies, skill-building, response guidance and how restrictive practices will be reduced.

3

Implementation and review

The participant’s support team receives training, follows the plan, records useful information and reviews outcomes.

A good plan should

  • Be understandable and specific to the person
  • Prioritise dignity, rights and quality of life
  • Use proactive and least-restrictive strategies
  • Include clear responsibilities and training
  • Be reviewed when needs, risks or circumstances change

Questions to ask a provider

  • Who is the registered behaviour support practitioner?
  • How will the participant be involved?
  • What training will workers receive?
  • Are any restrictive practices being used and properly authorised?
  • How will progress and reduction of restrictions be measured?
Important: Restrictive practices are tightly regulated. Unauthorised use can breach a participant’s rights and legal requirements and may need immediate reporting.

From concern to positive support

Urgent safety may need emergency or clinical help, while long-term improvement requires careful assessment and consistent implementation.

Identify immediate needs

Address health, pain, communication, environment and safety concerns.

Engage the right practitioner

Obtain specialist assessment and a current behaviour support plan where required.

Implement consistently

Train workers, use proactive strategies, record outcomes and review with the participant.

How to use this information in practice

Use this information as a starting point for a participant-led conversation. Write down the person’s goals, current circumstances, questions and the evidence still required. Keep the participant’s own words separate from provider recommendations so decision-makers can see what the person wants as well as what professionals advise.

Documents are most useful when they are current, specific and consistent. A report should explain how disability affects everyday function, what support is recommended, how often it is needed, what outcome it is intended to achieve and why less intensive or mainstream alternatives are not sufficient. Generic statements and copied wording are less persuasive than real examples.

Before relying on any online guide, compare it with the participant’s current plan and the latest official NDIS information. Funding rules, terminology, pricing and operational processes can change. For disputed, legal or high-impact decisions, independent advocacy or professional advice may be appropriate.

1

Participant perspective

What does the person want to change, continue or avoid? How do they prefer to receive information and make decisions?

2

Evidence perspective

What current assessments, observations and real-life examples support the requested outcome?

3

Implementation perspective

Who will do what, by when, within which budget, and how will everyone know whether the support is working?

Frequently asked questions

What is a behaviour of concern?

It is a behaviour that may create significant risk or restrict quality of life. The term should not be used simply because a person communicates differently or refuses something.

Who can write an NDIS behaviour support plan?

An appropriately registered behaviour support practitioner must develop specialist behaviour support plans under the NDIS framework.

What is the difference between a provider and a practitioner?

The practitioner assesses and develops the plan. A service provider may implement the plan through trained workers and day-to-day support.

Are restrictive practices always prohibited?

Some may be lawfully authorised in limited circumstances, but strict conditions, reporting, oversight and reduction requirements apply.

What should happen after an incident?

Immediate safety and health needs come first, followed by required reporting, support for the participant, objective documentation and review of contributing factors.

Talk with Eden Ability

Participants, families, nominees, support coordinators, clinicians and hospital teams can contact us to discuss goals, suitability, current capacity and the information needed for an initial review.

Eden Ability, Shop G2/669 Gardeners Rd, Mascot NSW 2020. General information only. NDIS access, funding and plan decisions are made by the NDIA. Services depend on participant choice, suitability, funding, location, workforce capability and a signed service agreement. In an emergency call 000.