From Control to Collaboration: Reducing Restrictive Practice Through Co-Design
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Restrictive practice often starts with good intentions ā keeping someone safe, maintaining routines, or preventing distress. But over time, these practices can become default. The solution? Co-design.
š£ļø People Know What Works for Them
When people are part of designing their support plans, the result is:
- More control and ownership of routines
- Early identification of triggers and risks
- Increased trust between staff and the person
This collaborative approach helps reduce the perceived need for restrictions ā and promotes autonomy from the start.
š§© Practical Co-Design in PBS
To make co-production real (not just a tick-box), show how you:
- Use visual tools or storyboards for people with limited verbal communication
- Ask people directly what helps or hinders them
- Involve families or advocates where appropriate
Reducing restrictive practice is easier when people feel seen, heard, and included in the process.
š Reflecting This in Tenders
In learning disability bids, describe how your service:
- Uses co-design to reduce restrictions and promote rights
- Involves people in every step of the planning and review process
- Supports staff to deliver truly person-led PBS
Commissioners want to see proactive, ethical approaches ā not just compliance.