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A3 Poster: Making a decision about how to respond to changing and challenging behaviours in the domestic home setting

A restraint-free environment means no words, devices or actions will interfere with a person’s ability to make a decision or restrict their free movement.

In this section:

PDF printable version of Making a decision about how to respond to changing and challenging behaviours in the domestic home setting (PDF 231 KB)

Trigger

A service user’s behaviour poses a risk to themselves, representatives, carers and others

Action

Ensure immediate safety of all concerned

Consider possible causes

Deal with the cause and provide restraint free care

Review care plan

Has this behaviour and its management been identified in the care plan?

Yes

Care plan is clear

Ongoing documentation and evaluation
If review care plan is No

Behaviour not previously identified

Communicate with case manager

Meet basic comfort and use restraint free care

Establish possible cause of behaviour – look for triggers and continue with restraint free care

OK?

Observe and monitor service user. Update care plan

Ongoing documentation and evaluation

If Not OK

Behavious is escalating

When all restraint free options have been exhausted

Ensure safety of service user and/or representative or carer. Communicate with representative or carer and case manager to discuss options

Use temporary and least restrictive form of restraint with a clearly identified review process

Observe and monitor service user. Return to restraint free care as soon a possible. Update care plan

Ongoing documentation and evaluation


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