People with difficulty communicating with words may express their discomfort or distress through changes in their behaviour. A change in someone’s behaviour may therefore reflect physical illness, disorder of mental health, sensory changes (vision or hearing loss) or a change in their social, physical or sensory environment. A thorough history and detailed physical assessment of the patient are required for accurate diagnosis.
Assessment and Management are based on the following considerations:
CDDH has developed a framework for the assessment and management of people with intellectual disabilities presenting with behaviours of concern.
We have also developed a guide for GPs on the use of psychoactive medication for adults with intellectual disabilities presenting with behaviours of concern.
Note: Victorian Legislation defines CHEMICAL RESTRAINT as the use of a chemical substance (medication) to control or subdue a patient for the primary purpose of behavioural control. It does NOT include the use of a drug prescribed by a medical practitioner for the treatment of a diagnosed mental or physical illness.
The Restrictive Intervention Self-Evaluation Tool (RISET) is an on-line learning tool that educates the user about restrictive practices.
It is a ‘decision-making tool’ that guides the user through important information to help them understand when a restrictive intervention has occurred.
The RISET was developed to improve the disability sector’s understanding of its obligations under the Disability Act, 2006
The Management Guidelines: Developmental Disability on eTG provides GPs with further advice on the assessment and management of behaviours in the context of a patient with a developmental disability.