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BEHAVIOUR SUPPORT · CONDITION GUIDE

Autism, Behaviour and Communication

Behaviour Support for autism focuses on why emotional distress and behaviours of concern occur, then work to change the environment around the person so they can function better in their daily life. At Optimum Health Solutions, our practitioners work with autistic children, teenagers, and adults across NSW and Tasmania, in the clinic, at home, at school, and in the community.

When an autistic person is dysregulated or having a hard time, the people around them often feel it first, and the same situation may get handled differently by every person who steps in.

The behaviour is almost always a response to something: sensory overload, a need that hasn’t been met, or an environment never set up to suit them. We begin our with a focus on the cause, not the behaviour. That’s what neurodiversity-affirming means in practice: lower their distress, build their skills, and shape the world around them so they can take part as themselves.

Our Behaviour Support team works with autistic children, teenagers and adults, and with the families and support teams around them. Support runs in clinic, at home, at school and in the community across NSW and Tasmania, and every plan starts with what the behaviour is communicating for this person.

How do I fund Behaviour Support?

Behaviour Support 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.

Understanding Behaviours of Concern in Autism

01

Who We Work With

We work with autistic people across ages and support needs, and with the families and carers around them.

Children who are having meltdowns, refusing school, or finding transitions hard.

Teenagers navigating social pressure, big feelings, and a growing wish for independence.

Adults building daily living skills, settling into supported accommodation, or working towards more time in the community.

02

Functional Behaviour Assessment

Before any plan, we work out what the behaviour is doing for the person. We watch across real settings: home, school, community, work. We also talk to the people who know them best, and look at what happens before a behaviour, during it, and after. This isn’t a one-hour checklist. It’s a careful look into the person’s world, across several sessions, so the plan that follows is built on what’s actually going on.

03

A Neurodiversity-Affirming Behaviour Support Plan

Your plan is built around the person’s strengths, preferences, and the way they communicate. It usually brings together a few things: changes to the environment and sensory setup, ways to support communication, skills the person wants to build like emotional regulation and self-advocacy, and clear, consistent responses for the hard moments. If any restrictive practices are in place now, the plan includes how to step them back, safely and gradually.

04

Skill Building Where Life Happens

We work where the moments actually occur: the morning routine at home, the transition into class, the supermarket. A skill practised only in a clinic room doesn’t always travel. A skill practised in the real setting does. That’s where we put the time.

05

Working With Families and Carers

Consistency is what makes a plan hold. We work alongside parents, carers, support workers, and teachers so everyone responds the same way, in the same situations. When the people in a person’s circle are all working from the same plan, the support starts to feel steady rather than hit and miss. Studies of Positive Behaviour Support in special education settings have reported reductions in behaviours of concern, and where building other skills was part of the plan, growth in those skills too.

06

One Team Under One Roof

Autism rarely fits into one box. Communication, sensory processing, movement, eating, and daily living are all connected, and a behaviour that looks like defiance can turn out to be pain, hunger, or a missing way to communicate. At Optimum Health Solutions, your behaviour support practitioner works in the same clinics as our Occupational Therapy, Speech Pathology, Physiotherapy, Exercise Physiology, and Dietetics teams. When support is needed across more than one area, the clinicians meet, share notes, and line the goals up. You tell your story once.

INSIDE THE CLINIC

Why Behaviours of Concern Happen

Behaviours of concern in autistic people are rarely random. They have a function, and understanding that function is the first real step towards support that lasts. Most come back to one of a few things.

Sensory load.

Fluorescent lights, crowded rooms, sudden noise, a clothing tag. What feels like background noise to most people can be genuinely painful. When the load tips past what someone can hold, the overload comes through as behaviour.

Communication.

Not every autistic person speaks, and many who do still find it hard to put complex feelings or pain into words in the moment. When the words aren’t there, behaviour is often how an unmet need shows itself.

The environment.

Trouble can often start with a routine change without warning, a transition, or an expectation that doesn’t account for how the person processes the day. Often it’s the setting that needs to shift, not the person in it.

The plan:

Your behaviour support plan sets out what the behaviour is communicating, the strategies built around this person’s sensory and communication needs, and who does what at home, at school, and in the community.

It’s built with the family, walked through with the support team, and reviewed as the person grows and their world changes.
NDIS

Autism Behaviour Support Through the NDIS

Where it’s funded, Behaviour Support sits in the Capacity Building part of an NDIS plan. In newer NDIS (PACE) plans this is usually a dedicated Behaviour Support budget; older plans fund it under Improved Relationships. We’re a registered NDIS provider. If your plan doesn’t yet include behaviour support funding, your support coordinator or planner can request it at your next plan review, and we can help you describe what it’s for.

Your practitioner writes goals tied to real life, tracks progress against them, and prepares the reports your plan review needs. We work with self-managed, plan-managed, and NDIA-managed participants, and we handle the service agreements and invoicing so you can focus on the support itself.

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 Behaviour Support and Autism

What is Behaviour Support for autism?
Behaviour Support for autism is a person-centred, neurodiversity-affirming approach that looks at why behaviours of concern happen and changes the things around the person to address the cause. It focuses on lowering distress, building the skills the person wants, and reducing the need for restrictive practices, rather than simply stopping a behaviour.
Yes. Behaviour Support is funded under the Capacity Building part of an NDIS plan. In newer NDIS (PACE) plans this is usually a dedicated Behaviour Support budget; older plans fund it under Improved Relationships. Your plan needs to include this funding. If it doesn’t, your support coordinator or planner can request it at your next plan review.
Behaviour Support works from the idea that behaviour has a reason. We start by understanding what a behaviour is communicating, then change the environment and the supports around the person so they have better ways to meet that need. Applied Behaviour Analysis is a different approach that focuses more directly on specific behaviours and reinforcement. Behaviour Support is neurodiversity-affirming: the goal is a life that fits the person.
It starts by working out the reasons behind behaviours of concern, things like sensory overload, communication barriers, or an environment that doesn’t suit the person. From there it builds proactive strategies: sensory and environmental adjustments, communication supports, skills the person wants to develop, and consistent responses that everyone around them can use.
It can help with a wide range of behaviours of concern, including meltdowns, aggression, self-injury, property damage, leaving without warning, deep withdrawal, school refusal, and difficulty taking part in everyday activities. The approach is the same: understand the function, then change what’s driving it.
No. We work with autistic children, teenagers, and adults. The goals shift with age and with the person, from early skill-building and school support through to independence, work, and daily living for adults, but the person-centred approach stays the same. For very young children, under about 6, the first step is often Occupational Therapy or early childhood supports, and behaviour support can come in alongside or a little later. If you’re not sure what fits your child right now, give us a call and we’ll help you work out the next step.
Yes, and that feeling is one of the most common reasons families get in touch. Often what has been missing is not effort but a shared understanding of why the behaviour is happening and a plan everyone uses the same way. That’s the work we do. There’s no pressure in a first conversation. We’ll listen, ask questions, and help you work out what might come next.
CLINICALLY REVIEWED BY

Reviewed by Rachel Hardcastle

HEAD OF CLINICAL DEVELOPMENT (Positive Behaviour Support).
OPTIMUM HEALTH SOLUTIONS

Rachel has worked in Behaviour Support for over 16 years, where her experience has included complex and forensic work. Rachel’s approach is entirely person-centred, meaning her practice starts and ends with the person, building support around them. Rachel works clinically and leads the development of the Behaviour Support team at Optimum Health Solutions, supporting practitioners to grow and do their best work with the people they see.

Professional woman in black Optimum Health Solutions polo shirt.

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