The use of restrictive interventions in Victoria, Australia: Population data for 2007–2008

Webber, Lynne; McVilly, Keith R.; Stevenson, Elaine; Chan, Jeffrey

doi:10.3109/13668250.2010.489038

Cited by 14 publications

(6 citation statements)

References 1 publication

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“…A further association with Chan and Webber helps to explain their roles as knowledge brokers in the network in addition to their betweenness centrality scores. Both are co‐authors of several papers along with McVilly (e.g., Webber, McVilly, Stevenson, & Chan, 2010); recall that McVilly features prominently in Australian PBS policy references and has two co‐cited references in the present study. Chan and Webber are also former colleagues in the Victorian government based on their affiliations in the immediately prior paper.…”

Section: Discussionmentioning

confidence: 77%

Geographical Networks in the Divergence of Australian Positive Behavior Support Policy

Hayward

McKay‐Brown

Poed

2021

Policy Practice Intel Disabi

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Positive behavior support (PBS) is an example of a disability policy that has gained international acceptance through its promotion as a means of improving personal outcomes, reducing restrictive practices, and upholding human rights. We take the situation of devolution of responsibility for restrictive practices in the Australian National Disability Insurance Scheme to examine how policies for PBS have diverged. We use references in PBS policies to study the influence of geography and interpersonal relationships in policymaking. Using a variety of network science methods, we explore what has led to the development of divergent PBS policy. The results show that only a small number of co‐cited references were used, the majority of which are not PBS‐specific, are not from Australia, and are not freely available online. Geographical patterns of reference use are evident, and brokers can be identified. This geographical divergence may have negative outcomes for people with disability, particularly those with ID who are at greater risk of not having their needs met. The methodology can be applied internationally in a variety of policy contexts to demonstrate local influences on policy development and identify opportunities to strategically effect changes.

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Section: Discussionmentioning

confidence: 77%

Geographical Networks in the Divergence of Australian Positive Behavior Support Policy

Hayward

McKay‐Brown

Poed

2021

Policy Practice Intel Disabi

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“…The data reported herein reflect the use of all RPs types in all registered disability RCFs in Ireland. Other reviews and studies have focussed on one type of RPs (Chaves et al, 2007; Deveau & McGill, 2009; Lundström et al, 2011) or on a specific region (Deveau & McGill, 2009; Webber et al, 2010) or on a particular disability type (Lundström et al, 2011). The regulatory framework in Ireland requires that service providers only use RPs after all alternatives have been considered and that the RPs used is the least restrictive and used for the shortest duration.…”

Section: Discussionmentioning

confidence: 99%

“…A limited number of regional and small studies have previously sought to quantify and describe the frequency of RPs use in disability residential care facilities (RCFs). One study found that 9% of people using an intellectual disability service in Victoria, Australia, were subjected to a restrictive practice during a 1-year period (Webber et al, 2010). A survey of 137 disability RCFs in South-East England found that 47% of the RCFs reported using some form of physical RPs (Deveau & McGill, 2009).…”

Section: Introductionmentioning

confidence: 99%

Incidence and type of restrictive practice use in residential disability facilities in Ireland, a cross‐sectional study

Dunbar

Hazelwood

McMahon

et al. 2022

Health Social Care Comm

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Restrictive practices (RPs) are a contentious issue in health and social care services. While use may be warranted in some instances, there are risks and concerns around human rights infringements. There are limited data available on the types and incidences of RPs used in health and social care services internationally. The objective of this study is to describe the type of RPs and incidence of use in disability residential care facilities (RCFs) in Ireland. RP notifications from disability RCFs reported from November 2019 to October 2020 were extracted from the Database of Statutory Notifications from Social Care in Ireland. National frequency and incidence of use of categories and type of RPs were calculated. The number and percentage of disability RCFs reporting RP use, along with the mean annual incidence of use, were also calculated. A total of 48,877 uses of RPs were notified from 1387 disability RCFs (9487 beds) during the 12‐month period. The national incidence of RPs use per 1000 beds was as follows: all categories: 5152.0, environmental: 2988.2, physical: 1403.0, other: 527.0 and chemical: 233.8. The most frequently used RPs for each category was as follows: environmental: door locks, physical: other physical, other: liberty and autonomy and chemical: anxiolytics. Most RCFs (81.7%) reported at least one RPs use. The median incidence of any RPs per 1000 beds in these RCFs was 4.75 (IQR: 2.00 to 51.66). Usage of RPs was generally low, although some RCFs reported relatively high usage. Nationally, on average, five RPs were applied per resident over 12 months; environmental contributing to more than half. These findings can be used to inform policy, measure progress in reducing RPs use and for cross‐jurisdiction comparisons.

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Section: Introductionmentioning

confidence: 99%

“…People whose behaviours give rise to their referral for behaviour intervention, or behaviour support, are particularly at risk of infringements of their human rights ( Webber et al 2010). Such infringements can take the form of restrictive practices such as chemical restraint, physical or mechanical restraint, and seclusion (McVilly 2009), and can have long-term adverse effects (Bird & Luiselli 2000).…”

Section: Introductionmentioning

confidence: 99%

The content validity of the Behaviour Support Plan Quality Evaluation tool (BSP‐QEII) and its potential application in accommodation and day‐support services for adults with intellectual disability

Webber

Sharp

Paris

2012

J intellect Disabil Res

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The BSP-QEII provides a potentially useful framework to guide and evaluate the development of BSPs in services for adults with intellectual disability. Further research is warranted to investigate why practitioners are potentially giving greater attention to some areas of intervention practice than others, even where research has demonstrated these others areas of practice could be important to achieving quality outcomes.

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The use of restrictive interventions in Victoria, Australia: Population data for 2007–2008

Cited by 14 publications

References 1 publication

Geographical Networks in the Divergence of Australian Positive Behavior Support Policy

Geographical Networks in the Divergence of Australian Positive Behavior Support Policy

Incidence and type of restrictive practice use in residential disability facilities in Ireland, a cross‐sectional study

The content validity of the Behaviour Support Plan Quality Evaluation tool (BSP‐QEII) and its potential application in accommodation and day‐support services for adults with intellectual disability

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