What it does
The National Disability Insurance Scheme (Restrictive Practices and Behaviour Support) Rules 2018 establish a national regulatory framework for the use of regulated restrictive practices by registered NDIS providers. Made under s 73H of the National Disability Insurance Scheme Act 2013 (the Act), the Rules operationalise the NDIS Quality and Safeguards Commission's role in preventing harm and promoting the rights of participants.
At core, the Rules define five categories of regulated restrictive practice (s 6): seclusion (sole confinement where voluntary exit is prevented), chemical restraint (medication used primarily to influence behaviour, excluding treatment for diagnosed conditions), mechanical restraint (devices to restrict movement, excluding therapeutic uses), physical restraint (use of physical force to subdue movement, excluding reflexive guiding to prevent harm), and environmental restraint (limiting access to environment, items or activities). Only these five attract the Rules' obligations; the broader statutory definition in s 9 of the Act is narrowed accordingly.
The Rules impose conditions of registration on all registered NDIS providers (Part 2) and specialist behaviour support providers (Part 3). Key prohibitions and requirements include:
- Absolute prohibition where a State or Territory bans the practice (s 8).
- Mandatory authorisation under State/Territory processes where they exist, with evidence lodged with the Commissioner (s 9).
- Use only in accordance with a behaviour support plan developed by an NDIS behaviour support practitioner (s 10).
- Where no plan exists but authorisation is obtained, or where neither exists, providers must take all reasonable steps to secure an interim plan within one month and a comprehensive plan within six months (ss 11–13).