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BEHAVIOUR SUPPORT · CONDITION GUIDE

Adult Positive Behaviour Support

Behaviour Support for adults starts with the person’s rights and builds a plan any support worker can follow. Our practitioners work out the reasons behind behaviours of concern, build a person-centred plan, and coach the people around the adult to respond the same way every shift. We work across NSW and Tasmania, with NDIS and private clients welcome.

When behaviours of concern show up in a group home, a day program, or a workplace, the response is too often built around control rather than understanding. Maybe a plan was written years ago and nobody has reviewed it since, or no plan exists at all and staff respond on instinct, differently every shift.

We work with adults with intellectual disability, autism, brain injury, psychosocial disability, and other conditions where behaviours of concern affect daily life, in the clinic, at home, and in the community.

Adults with disability and family members

For support coordinators, plan managers, and group home providers

Our Behaviour Support team works with adults with disability whose behaviour is putting their housing, relationships or independence under pressure. We deliver support in clinic, at home, in supported accommodation and in the community across NSW and Tasmania, and we work with the adult first, not just the people around them.

How do I fund Behaviour Support?

Behaviour Support for adults at Optimum Health Solutions is usually funded through the NDIS.

NDIS participants fund it from Capacity Building. Newer PACE plans list it as Behaviour Support, and older plans list it as Improved Relationships.

Private sessions are available too, with no referral needed, and you will get a clear picture of the costs before you book.

If it is not in your plan yet, your support coordinator can ask for it at the next plan review.

If you are not sure which funding applies to you, call us on 1800 678 647 or email hello@opt.net.au. We will sort it out before your first appointment.

Where adult behaviours of concern show up

01

Supported Accommodation (group homes)

Many adult Behaviour Support referrals come from group home providers. Behaviours of concern in shared living affect everyone in the house: the other residents, the support workers, and the person themselves.

Aggression towards staff, damage to property, deep withdrawal, and refusal to take part in daily routines are common. The work is to balance the rights of the individual with the safety of everyone who lives and works there.

02

Supported Independent Living

Adults living independently with drop-in support face different pressures. Isolation, unstructured time, and inconsistent staff can trigger behaviours that put the person’s tenancy at risk.

Here, a plan focuses on building daily living skills, community connection, and self-regulation strategies that hold up when no one else is in the room.

03

Day programs and employment

Behaviour can be the single biggest barrier to work and community participation. An adult who wants to work but becomes overwhelmed in busy places, or who finds the social side of a workplace hard, needs targeted support.

Behaviour Support works on the specific triggers in those settings so the person can take part in the life they choose.

04

Community participation

We support adults who may find triggers when performing everyday activities such as:

  • using public transport
  • going to the shops
  • getting to appointments
  • visiting friends and family

 

To us these moments are ordinary parts of life. However, when behaviour and triggers get in the way of it someone living safely and independently, Behaviour Support supports them to plan and clean out the barriers facing them.

04

Restrictive practices and the duty to reduce them

Adults with disability are among the people most likely to be subject to restrictive practices, from chemical and physical restraint to locked doors.

Under the NDIS Quality and Safeguards Commission, every behaviour support plan that involves a restrictive practice has to include strategies to reduce or remove it over time. In residential settings, a controlled trial of staff-delivered behaviour support for adults with intellectual disability found gains in self-determination and personal development.

 

04

Support worker turnover

Staff turnover in disability support is high. If a support worker can’t understand and follow a plan inside their first shift, the plan isn’t good enough. Ours spell out what to do, when to do it, what it looks like when it’s working, and what to do when it’s not, and we train support workers face to face, in the settings where they actually work.

Support worker turnover

Ageing and changing needs. Pain, cognitive change, reduced mobility, and more complex medication can all drive behaviour that looks new. A plan written at twenty-five won’t fit at fifty, so we review plans with ageing in mind.

INSIDE THE CLINIC

How Behaviour Support helps adults

Why adult Behaviour Support is different. An adult has legal rights, a personal history, and the right to make decisions other people might disagree with, including the right to take risks and to say no. A good plan works within those rights, using supported decision-making so the person’s voice stays at the centre. Many adults are also living under plans written five or ten years ago, while their needs and living situation have moved on. A plan review is a clinical necessity, not a box to tick.

Ageing and changing needs. Pain, cognitive change, reduced mobility, and more complex medication can all drive behaviour that looks new. A plan written at twenty-five won’t fit at fifty, so we review plans with ageing in mind.

Seven disciplines, one team. Adult behaviours of concern rarely have a single cause. At Optimum Health Solutions, your Behaviour Support practitioner sits alongside our Physiotherapists, Occupational Therapists, Exercise Physiologists, Dietitians, Podiatrists, and Speech Pathologists. When behaviour has roots in pain, daily living, communication, or environment, our clinicians coordinate so nothing falls through the gaps.

The plan:

The behaviour support plan sets out what’s driving the behaviour, the strategies that reduce it, any restrictive practices with a clear path to reduce them, and instructions a support worker can follow from their first shift.

We train the team face to face, and we review the plan as needs, health, and living situations change.
NDIS

Adult behaviour support through the NDIS

NDIS. Behaviour Support is funded under Capacity Building. In newer NDIS (PACE) plans it sits in a dedicated Behaviour Support budget; older plans fund it under Improved Relationships. Your plan needs to include that funding. If it doesn’t, your support coordinator can request it at your next plan review. We work with plan-managed, agency-managed, and self-managed NDIS participants.

NDIS
Referrals

If you are a Support Coordinator, Plan Manager or another health care professional and you would like to submit a referral, please select one of the below options.

14 clinics across NSW & Tasmania

Email us

hello@opt.net.au

Speak to us

1800 678 647

START THE CONVERSATION

Get in Touch.

COMMON QUESTIONS

Common questions about adult Behaviour Support

What is Behaviour Support for adults?
Behaviour Support for adults is a person-centred approach that finds the reasons behind behaviours of concern and builds practical strategies to address them. It centres the person’s rights and autonomy, works on quality of life, builds skills, coaches support workers, and reduces reliance on restrictive practices. It’s available through the NDIS and privately.
Adult Behaviour Support centres the person’s legal rights, autonomy, and supported decision-making. Adults have a personal history, their own preferences, and the right to take risks. Plans respect adult decision-making rather than leaning on the compliance-based approaches sometimes used with children. Adults also present in different settings, including group homes, independent living, and employment.
Yes. Behaviour Support is funded under NDIS Capacity Building. In newer NDIS (PACE) plans it sits in a dedicated Behaviour Support budget; older plans fund it under Improved Relationships. Your plan needs to include that funding. Your support coordinator can request it at your next plan review if it’s not there.
Reducing and removing restrictive practices is a core duty of Behaviour Support. Under the NDIS Quality and Safeguards Commission, any behaviour support plan that involves a restrictive practice, such as chemical restraint, physical restraint, seclusion, or environmental restrictions, has to include strategies to reduce or remove it over time. Our practitioners build those reduction strategies into every plan.
Plans need regular review, especially when the person’s health, living situation, or support needs have changed. Many adults are still living under plans written five or ten years ago that no longer reflect their life now. Our Behaviour Support Practitioners review existing plans and update them around the person’s current needs, rights, and goals.
CLINICALLY REVIEWED BY

Reviewed by Rachel Hardcastle

Behaviour Support

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