Ageing can bring changes in cognition, communication, mobility and emotional regulation, and these shifts can sometimes lead to behaviours that feel unfamiliar or difficult to manage. At West Coast PBS & Allied Therapy, we provide behaviour support that is clinically informed, gentle, and grounded in dignity. Our focus is to understand what the behaviour is communicating and to create strategies that genuinely improve comfort, safety and quality of life.
Behaviour is rarely “challenging” in isolation; it is usually a response to discomfort, confusion, pain, environmental stress, or unmet needs. By exploring the person’s health, history, routines, preferences and environment, we identify the factors contributing to the behaviour and develop practical supports that help the person feel more settled and understood. We work with older adults experiencing dementia‑related changes, cognitive decline, neurological conditions, emotional distress, and behaviours that impact wellbeing or safety. Our practitioners use a rights‑based Positive Behaviour Support framework aligned with NDIS and WA restrictive practice requirements, ensuring every recommendation is least‑restrictive and person‑centred.
Many older adults benefit from small but meaningful adjustments: clearer communication, familiar cues, predictable routines, gentle prompts, sensory calming, or environmental changes that reduce confusion and overstimulation. Families and support workers often tell us that having structured guidance and a supportive practitioner makes daily care feel more manageable and less stressful. For individuals experiencing dementia, our behaviour support approach focuses on reducing distress, supporting orientation, and maintaining connection. Wandering, agitation, withdrawal or changes in communication can be challenging, and we help carers understand why these behaviours occur and how to respond in ways that promote calm and safety.
When behaviour becomes complex or poses risks, we complete a Functional Behaviour Assessment to identify triggers, patterns and underlying needs. This informs a Behaviour Support Plan that outlines proactive strategies, environmental adjustments, communication supports and safe responses during distress.
We support older adults living at home or in aged care facilities across Perth and regional Western Australia, with telehealth available for rural and remote communities. Our goal is to provide warm, respectful and clinically grounded behaviour support that helps older adults maintain comfort, independence and quality of life.
Restrictive practices are any action that limits an older person’s rights or freedom of movement. In aged care, they must only be used as a last resort and only to prevent harm to the person or others. The Australian Government & NDIS emphasise that restrictive practices impact human rights and should be avoided wherever possible.
There are five types of restrictive practices used in aged care:

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