What Are Restrictive Practices Under the NDIS?

Restrictive practices under the National Disability Insurance Scheme (NDIS) are regulated interventions that limit a participant’s rights, decision‑making, or freedom of movement. The NDIS Quality and Safeguards Commission oversees these practices and may only be used as a last resort to prevent serious harm to the participant or others.

Restrictive practices must always be included in a registered Positive Behaviour Support Plan (PBSP) and implemented in line with strict legal and ethical requirements.

Under the NDIS, there are five regulated restrictive practices:

1. Chemical Restraint

The use of medication to influence or control behaviour, rather than to treat a diagnosed medical condition.

2. Environmental Restraint

Restricting a participant’s access to parts of their environment or to personal property (for example, locking rooms or cupboards).

3. Mechanical Restraint

The use of devices or equipment to restrict a person’s movement, such as splints or belts.

4. Physical Restraint

Using physical force to prevent, restrict, or control a person’s movement.

5. Seclusion

Confining a person in a space and preventing them from leaving, either alone or separated from others.
NDIS Requirements and Rules for Restrictive Practices

Restrictive practices are subject to strict legal and compliance standards, including:

✅ Must be documented in a Behaviour Support Plan developed by an NDIS‑registered Behaviour Support Practitioner

✅ Must be authorised under relevant state or territory legislation

✅ Must only be used as a last resort, after all less‑restrictive alternatives have been tried

✅ Must be used for the shortest time possible and only in response to a risk of harm

🚨 Any unauthorised use must be reported to the NDIS Quality and Safeguards Commission

The NDIS strongly prioritises Positive Behaviour Support (PBS). PBS focuses on:
  • Understanding the reasons behind behaviours of concern
  • Implementing proactive, person‑centred strategies
  • Reducing or eliminating the need for restrictive practices over time

The ultimate goal is to improve the quality of life while maintaining safety and dignity.

Reporting Obligations for Providers
  • Submit monthly restrictive practice reports to the NDIS Quality and Safeguards Commission
  • Accurately record usage, duration, and outcomes
  • Report unauthorised or emergency use immediately

Failure to comply may result in regulatory action.

High‑Risk Restrictive Practices

Certain practices are considered high risk due to the potential for physical or psychological harm. These include:❌ “Basket holds” or holds from behind

❌ Restricting access to basic human needs, such as toileting or food

❌ Any action that causes undue pain, distress, or trauma

These practices are closely monitored and may lead to serious compliance breaches.

Learn More About Restrictive Practices

For detailed guidance on NDIS restrictive practices, compliance requirements, and best‑practice behaviour support strategies, click here to view the full guide.