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Department of Premier and Cabinet

Guidelines for Information Gathering

Printable Version

Contents

Introduction

Fact Sheet - Environmental Restrictions

Fact Sheet  - Personal Restrictions

Application Process for Planned Use of Restrictive Intervention

Applications to use Restrictive Interventions - Frequently Asked Questions

Protocol Template

Example of a De-Identified Protocol

Example of a Consistency Checklist

Forms

Supporting Information to be provided with Application when applying to use a Restrictive Intervention

Contact Details


SDMS Id Number:

TBA

Overarching Policy:

Restrictive Interventions for People with Disability - DCE - Policy, Disability Services Act 2011

Effective From:

1 July, 2019

Replaces Doc. No:

Custodian and Review Responsibility:

Housing, Disability and Community Services

Contact:

Senior Practitioner

Applies to:

All Staff

Review Date:

1 July, 2022

Key Words:

Restrictive Interventions, Senior Practitioner, Information

Routine Disclosure:

Yes

Approval

Prepared by

Senior Practitioner

1300 135 513

This document is a composite of several other documents which each had their own approval processes.