Restrictive Practices in Disability Services

What kind of restrictive practice has been used in this scenario?

 

Adam has a chromosomal disorder and has multiple disabilities as part of his disorder. He is immobile and relies on an electric wheelchair in order to move around - he is able to control it but often knocks into walls or objects.

The power button for the wheelchair is at the back where there is another set of controls for a companion to use.

On this particular day, Adam continuously gets in the way of support workers and other service users, so one of the support workers moves him to the side of the room and switches his wheelchair off.

Does the following scenario involve the use of a restrictive practice?

 

Sarah has a background of chronic schizophrenia, managed by her GP and with regular reviews by her long-term psychiatrist. Her medication is risperidone.

She is happy in the specialist disability accommodation and says she enjoys the staff interactions and social opportunities provided.

Sarah understands why she is on the medication, and her doctors have assessed that she is able to give her own consent.

What kind of restrictive practice is being used in the following scenario?

 

Janelle is a young woman with Epilepsy and Hemiplegic Ataxic Cerebral Palsy which affects the right side of her body. Her coordination is poor and her movements are jerky. She is unable to turn door handles due to the effects of the Cerebral Palsy.

She is able to walk unassisted for small distances such as around the house but utilises a walking frame or wheelchair during outings.

She has a tendency to wake frequently at night and wander throughout the house.

Support workers close her bedroom door at night so she doesn't disrupt the other residents of the house.