From 1 July 2025, older people will have stronger protections under a new rights-based Aged Care Act.
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Our national team of advocates is available Monday to Friday 8am–8pm and Saturday 10am-4pm 

Aged care restrictive practice substitute decision-makers toolkit

    Informal aged care supporters

    Registered supporters with My Aged Care

    Current and planned substitute decision-makers

    Aged care restrictive practice substitute decision-makers

    Other supporters

    Aged care restrictive practice substitute decision-makers

    Restrictive practices in aged care include:

    • chemical restraint
    • environmental restraint
    • mechanical restraint
    • physical restraint
    • seclusion.

    A restrictive practice must only be used as a last resort to prevent harm to you or others after considering how it impacts you. Aged care providers must trial and document alternative strategies prior to using any restrictive practice.

    You can consent to a restrictive practice yourself, if you have capacity to do so.

    A RPSDM for you may also be appointed under state or territory law, if you no longer have capacity to consent to restrictive practices.

    Or, you can nominate another person, or group of people, to consent to restrictive practices on your behalf if you don’t have capacity to give that consent. These people are known as restrictive practice nominees in the Aged Care Act and are a type of restrictive practices substitute decision-maker (RPSDM). They can only make restrictive practice decisions for you if you do not have capacity to consent, and there is no RPSDM appointed or other pathway available under state or territory law.

    Important links

    Add Aged Care Restrictive Practice Substitute Decision-makers