Behaviours of concern are behaviours that put the person or others at risk of harm, or that significantly limit the person's quality of life and access to the community. The NDIS uses this term rather than older terms such as challenging behaviour.
Examples
- Hurting others or themselves
- Damaging property
- Leaving a safe place without support
- Refusing care in ways that put health at risk
- Withdrawing from people and activities to a degree that harms wellbeing
The same behaviour can be a concern for one person and not for another. What matters is the risk and the impact on the person's life.
Why behaviours of concern happen
Behaviour almost always has a purpose. It may be the person's way of communicating pain, distress, boredom or a need for something to stop. Common contributors include:
- Difficulty communicating needs
- Pain or health problems that have not been identified
- Sensory overload or an unsuitable environment
- Changes in routine, staff or living arrangements
- Past trauma
- Few meaningful activities or choices
How positive behaviour support helps
Positive behaviour support looks for the reason behind the behaviour, then changes the things around the person and builds their skills. The goal is a better life for the person, with fewer behaviours of concern following from that. Punishment and restriction are not the answer, and any restrictive practices should be reduced over time.
When to seek help
If behaviours are causing harm, happening more often or leading to restrictive practices, it is time to talk to a behaviour support practitioner. Our guide on how to refer explains the next steps.
This article is general information only and is not advice about a particular person's circumstances. NDIS funding arrangements change from time to time, so check the participant's plan and current NDIA guidance.
