Ageing, Disability & Home Care

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Clinical Innovation and Governance

Clinical Innovation and Governance was established in 2006 to provide leadership and coordination of services for people with complex needs and challenging behaviour.


  • Establish and review policy and practice guidelines for the support of adults, children and young people with complex and challenging behaviour
  • Ensure supervision and practice leadership in behaviour support, physiotherapy, speech pathology, psychology, occupational therapy and nursing & health care
  • Identify training and professional development requirements for these areas of practice
  • Establish and review policy and work practice guidelines for working with people who have patterns of offending behaviour
  • Monitor the use of Restricted Practice Authorisation (RPA) mechanisms by ADHC and the application of such mechanisms across the disability sector.
  • Build close working relationships with stakeholders
  • Oversee provision of services to people with an intellectual disability and mental illness

Who we work with

We work with a wide range of stakeholders providing specialist support in challenging and offending behaviour, including the following NSW Government agencies:

  • Health
  • Mental Health
  • Corrective Services
  • Community Services
  • Housing
  • Education
  • Juvenile Justice
  • Ombudsman
  • Office of the Public Guardian
  • Office for Children (Children’s Guardian)

Our teams

There are three teams within Clinical Innovation and Governance.

Policy and Practice Team

The Policy and Practice Team provides practice leadership through the Behaviour Support Unit and Practice Leaders who represent the disciplines of:

  • Speech Therapy
  • Psychology
  • Occupational Therapy
  • Physiotherapy
  • Nursing and Health Care.

Practice Leaders for each discipline contribute to the development of policy and work practices for the provision of relevant client services.

The Policy and Practice Team is also responsible for the development and review of ADHC's Behaviour Support Policy, work practice guidelines, and Restricted Practice Authorisation (RPA) policy and procedures.

The team also provides oversight of the provision of services to people with an intellectual disability and mental illness.

Integrated Services Program (ISP)

The Integrated Services Program (ISP) for Clients with Challenging Behaviour is a joint initiative between Ageing Disability and Home Care (ADHC), NSW Health and Housing NSW that fosters improved life outcomes for people with complex needs and challenging behaviour in the Sydney metropolitan area.

The ISP is a specialist service which coordinates a cross-agency response to a limited number of adults who have been identified from across the NSW government Human Service agencies as having complex needs and challenging behaviour. The ISP aims to reduce the associated cost to the service system and community, and contribute to the evidence base for supporting the target group to live effectively in the community.

The Program is administered by ADHC and is overseen by a Program Management Committee consisting of officers from ADHC, Mental Health and Drug and Alcohol Office (MHDAO) within Ministry of Health, Housing NSW and advised by a broader Interagency Reference Group.

The clients of the ISP are adults with multiple and complex needs who have had significant barriers accessing coordinated cross-agency responses. These clients have complex needs and severe challenging behaviour that is associated with one or more of the following; intellectual disability, brain injury, mental illness, mental disorder and/or psychosocial factors. The ISP consists of a range of time limited intensive services including; comprehensive assessment, behaviour and therapeutic intervention, supported accommodation, and case coordination.

Statewide Behaviour Intervention Service (SBIS)

SBIS is a specialist service within the Clinical Innovation & Governance (CIG) Directorate of NSW Ageing Disability and Home Care (ADHC), Family and Community Services (FACS). SBIS provides person centred behaviour support to enable quality outcomes for people with disability across the state.

Who SBIS Supports: SBIS provides support to people with disability and complex behaviour support needs, their families, those in their support networks, and associated support services (government and non government). Our local partners come from a variety of disciplines and have varying levels of experience.

What SBIS does: SBIS provides support to address behaviours of concern; plan within complex systems; decrease risk of placement breakdown; improve health and well-being and increase capacity within the service system. We do this through four main areas of work:

- Individual behaviour support (primary, secondary, and tertiary support)
- Information and training
- Research and development
- Systems consultation and review

For further information or to make a service request, please contact or 02 9407 1900

Read more about SBIS and its publications.

Read more about behaviour support.

Read more about challenging behaviour.

The University Chair in Intellectual Disability and Mental Health

Clinical Innovation and Governance funds and works closely with the Chair of Intellectual Disability and Mental Health, which is hosted by the University of NSW.

This position aims to improve support to people with an intellectual disability and mental illness through:

  • teaching in the areas of mental health and intellectual disability to undergraduate and postgraduate medical students;
  • engagement in and promotion of relevant research ;
  • working with NSW Health to deliver psychiatric and clinical services to people with an intellectual disability; and
  • the building of expertise in the diagnosis and treatment of people with an intellectual disability and mental illness.
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