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BILD - All About People
Monday 09 December 2019
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'Person-centred restrictive practice reduction plans: auditing people’s lives and turning reduction plans into actions'

The 6th International Conference on Violence in the Health Sector took place last week in Toronto, with the key aim to advance the delivery of positive practice. Our Positive Behaviour Support Development Manager, Tom Evans, was at the conference presenting a new Restrictive Practices Review Tool to assist practitioners with turning restraint reduction plans into actions.


A Tool to Reduce Restraint

In recent weeks we have been appalled to hear yet further stories and statistics of people with learning disabilities having their human rights restricted through physical and chemical restraints and seclusion whilst in care. This new, person-centred, tool is intended to be a practical and real solution to assist practitioners with reducing restrictive practices.


How it works

The tool sets out a process to establish which restrictive practices are being used in a person’s support and to determine if the restrictions used are appropriate. The tool works through applying a 7 point criteria to each restriction which enables practitioners to:

  • Assess whether the restriction should be removed

  • Assess whether the restriction is currently necessary

  • Create a plan to reduce the restriction. 

The review involves the practitioner meeting initially with a staff team, producing details of restrictions in place, gathering further information from service managers, facilitating a meeting where all restrictions are reviewed and keeping records of the process.

A tool upholding human rights

Completing this process will improve the quality of life of both the person being supported and the practitioners. We are championing the human rights of people with learning disabilities and strongly believe these rights are to be upheld in every area of a person’s life, and as such strongly encourage practitioners to use this tool that aims to reduce unnecessary and potentially harmful restrictive practices.

Where restrictive practices being used are perceived as necessary, appropriate and in the best interests of the person being supported, the least restrictive option is to be used in line with the person’s basic rights.


How do I get hold of this tool?

If you would like any further information or to access this tool, please contact Tom Evans on 07342 882 208 or email him at T.Evans@bild.org.uk



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Tom in Toronto