Behaviours of concern refer to actions that may cause harm to a participant or those around them, or that significantly impact their ability to participate in daily life. In an NDIS context, these behaviours are not viewed as deliberate or problematic character traits — they are recognised as a form of communication, often arising when a participant feels overwhelmed, unsafe, or unable to express their needs in another way. For participants like Stephen, who has severe expressive language difficulties, behaviours such as verbal or physical aggression or property damage can occur when distress reaches a point where no other outlet is available. At Help at Hand Support Services, our team is trained to identify early warning signs, de-escalate situations calmly, and work within each participant’s behaviour support plan to reduce the frequency and impact of these moments over time.

A PEG (percutaneous endoscopic gastrostomy) tube is a medical device that delivers nutrition directly to the stomach for participants who are unable to eat or drink safely by mouth. Supporting a participant with a PEG tube requires trained, attentive care and a calm, consistent approach. At Help at Hand, support workers who work with participants requiring PEG feeding are trained in safe handling procedures, infection control, and recognising signs of discomfort or complications. We work closely with allied health professionals and the participant’s medical team to ensure care is delivered in line with their health plan. For participants like Stephen, whose partial cleft palate affects his ability to eat orally, PEG support is a core part of his daily routine — and our team approaches it with the same dignity and attentiveness as every other aspect of his care.

For participants with complex needs, consistency is not a luxury — it is a clinical necessity. Frequent changes in support workers can disrupt routines, increase anxiety, and escalate behaviours of concern. At Help at Hand Support Services, we prioritise matching participants with a small, familiar team of support workers who understand their individual preferences, triggers, communication style, and daily rhythms. For Stephen, who values his personal space and can become distressed when boundaries are not respected, working with familiar faces he has learned to trust makes a measurable difference to his engagement, safety, and quality of life. We invest time in building these relationships from the start — because trust is the foundation that makes everything else possible.

Participants living in West Hoxton and the surrounding south-west Sydney region can access a full range of complex care NDIS services through Help at Hand Support Services. Our NSW team delivers support across personal care, behaviour support, daily living assistance, community participation, and medical care coordination — all tailored to each participant’s individual plan and goals. Whether you are a participant, a family member, a foster carer, or a support coordinator looking for a provider experienced in complex needs, we are here to help. Our support workers are trained, background-checked, and matched carefully to each participant to ensure safe, consistent, and compassionate care. To find out more or make a referral, contact our team today on 1300 822 190 or visit our NDIS services in Bonnyrigg page for local coverage details.