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RestRaint and seclusion:
ResouRce document

u.s. department of education
This document was produced under U.S. Department of Education Contract No. ED-OSE-09-O-0058 with the
American Institutes for Research. Renee Bradley served as the contracting officer’s representative. This resource
document contains websites and resources created by a variety of organizations. These websites and resources are
provided for the user’s convenience. No official endorsement by the U.S. Department of Education of any product,
commodity, service or enterprise mentioned in this report or on websites referred to in this report is intended
or should be inferred. The views expressed herein do not necessarily represent the positions or policies of the
Department of Education and no official endorsement of them by the Department is intended or should be inferred.




U.S. Department of Education
Arne Duncan
Secretary

May, 2012

This report is in the public domain. Authorization to reproduce it in whole or in part is granted.
While permission to reprint this publication is not necessary, the citation should be: U.S. Department of Education,
Restraint and Seclusion: Resource Document, Washington, D.C., 2012.

This resource is available on the Department’s Web site at: www.ed.gov/policy/restraintseclusion

On request, this publication is available in alternate formats, such as Braille, large print or compact disc.
For more information, contact the Department’s Alternate Format Center at 202-260-0852 or 202-260-0818.


All photos are from Getty Images.




U.S. Department of Education Restraint and Seclusion: Resource Document                                                ii
THE SECRETARY OF EDUCATION
                                                WAShINgTON, DC 20202



                                                     May 15, 2012




     As education leaders, our first responsibility must be to ensure that schools foster learning in a
     safe and healthy environment for all our children, teachers, and staff. To support schools in
     fulfilling that responsibility, the U.S. Department of Education has developed this document that
     describes 15 principles for States, school districts, schools, parents, and other stakeholders to
     consider when developing or revising policies and procedures on the use of restraint and
     seclusion. These principles stress that every effort should be made to prevent the need for the
     use of restraint and seclusion and that any behavioral intervention must be consistent with the
     child’s rights to be treated with dignity and to be free from abuse. The principles make clear that
     restraint or seclusion should never be used except in situations where a child’s behavior poses
     imminent danger of serious physical harm to self or others, and restraint and seclusion should be
     avoided to the greatest extent possible without endangering the safety of students and staff. The
     goal in presenting these principles is to help ensure that all schools and learning environments
     are safe for all children and adults.

     As many reports have documented, the use of restraint and seclusion can have very serious
     consequences, including, most tragically, death. Furthermore, there continues to be no evidence
     that using restraint or seclusion is effective in reducing the occurrence of the problem behaviors
     that frequently precipitate the use of such techniques. Schools must do everything possible to
     ensure all children can learn, develop, and participate in instructional programs that promote
     high levels of academic achievement. To accomplish this, schools must make every effort to
     structure safe environments and provide a behavioral framework, such as the use of positive
     behavior interventions and supports, that applies to all children, all staff, and all places in the
     school so that restraint and seclusion techniques are unnecessary.

     I hope you find this document helpful in your efforts to provide a world-class education to
     America’s children. Thank you for all you do to support our schools, families, and communities
     and for your work on behalf of our nation’s children.



                                                       Arne Duncan




U.S. Department of Education Restraint and Seclusion: Resource Document                                    iii
Contents

                                  Restraint and Seclusion: Resource Document.......................................... 1


                                  Background ................................................................................................. 4


                                  Other Significant Federal Activity Regarding the Use
                                  of Restraint and Seclusion in Schools........................................................ 6

                                  U.S. government Accountability Office Report ........................................... 6
	
                                  Congressional Hearings and Proposed Legislation....................................... 7

                                  Congressional Research Service Report ....................................................... 8


                                  Terms Used in This Document ................................................................... 9

                                  The CRDC defines physical restraint as: .................................................... 10
	
                                  The CRDC defines mechanical restraint as: ............................................... 10
	
                                  The CRDC defines seclusion as:................................................................. 10
	

                                  Fifteen Principles .......................................................................................11

                                  Fifteen Principles ........................................................................................ 12
	

                                  Federal Agency Efforts to Address Concerns......................................... 24

                                  Department of Education Efforts ................................................................ 25
	
                                  Letters from the Secretary........................................................................... 25
	
                                  Review of State Policies and Procedures.................................................... 25
	
                                  Office for Civil Rights ................................................................................ 25
	
                                  Office of Special Education Programs........................................................ 26
	
                                  Department of Health and Human Services Efforts ................................... 27
	
                                  Children’s health Act.................................................................................. 27 

                                  SAMHSA.................................................................................................... 28
	

                                  Attachment A............................................................................................. 29


                                  Attachment B............................................................................................. 33

                                  Federal Resources ....................................................................................... 34

                                  Associated Resources.................................................................................. 36
	



U.S. Department of Education Restraint and Seclusion: Resource Document                                                                      iv
Restraint and Seclusion:
           Resource Document    1




                                    School should be a safe and healthy
                                    environment in which America’s
                                    children can learn, develop, and
                                    participate in instructional programs
                                    that promote high levels of academic
                                    achievement.




U.S. Department of Education Restraint and Seclusion: Resource Document     1
The foundation of any discussion about the use of
restraint and seclusion is that every effort should be
made to structure environments and provide supports
so that restraint and seclusion are unnecessary. As
many reports have documented, the use of restraint
and seclusion can, in some cases, have very seri-
ous consequences, including, most tragically, death.
There is no evidence that using restraint or seclusion
is effective in reducing the occurrence of the prob-
lem behaviors that frequently precipitate the use of
such techniques.

Physical restraint or seclusion should not be used                   freedom of movement.2 In addition, schools should
except in situations where the child’s behavior poses                never use a drug or medication to control behavior
imminent danger of serious physical harm to self or                  or restrict freedom of movement unless it is (1)
others and restraint and seclusion should be avoided                 prescribed by a licensed physician, or other qualified
to the greatest extent possible without endanger-                    health professional acting under the scope of the
ing the safety of students and staff. Schools should                 professional’s authority under State law; and (2)
never use mechanical restraints to restrict a child’s                administered as prescribed by the licensed physician
                                                                     or other qualified health professional acting under
                                                                     the scope of the professional’s authority under State
1 The U.S. Department of Education issues this Resource              law. Teachers, administrators, and staff understand
  Document to provide guidance, and describe fifteen prin-
                                                                     that students’ social behavior can affect their aca-
  ciples that States, school districts, school staff, parents, and
  other stakeholders may find helpful to consider when States,       demic learning. In many high-performing schools
  localities, and districts develop practices, policies, and         effective academic instruction is combined with
  procedures on the use of restraint and seclusion in schools.
                                                                     effective behavior supports to maximize academic
  Our goal in providing this information is to inform States
  and school districts about how they can help to ensure that        engagement and, thus, student achievement.
  schools are safe learning environments for all students. As        Students are more likely to achieve when they are
  guidance, the extent to which States and school districts
                                                                     (1) directly taught school and classroom routines
  implement these principles in furtherance of that goal is a
  matter for State and local school officials to decide using        and social expectations that are predictable and
  their professional judgment, especially in applying this           contextually relevant; (2) acknowledged clearly
  information to specific situations and circumstances. This
                                                                     and consistently for their displays of positive
  document does not set forth any new requirements, does not
  create or confer any rights for or on any person or require        academic and social behavior; and (3) treated by
  specific actions by any State, locality, or school district.
                                                                     2 As the definition on page six of this document makes clear,
  We are interested in making this document as informative             “mechanical restraint” as used in this document does not
  and useful as possible. If you are interested in commenting          include devices implemented by trained school personnel,
  on this document, please e-mail your comments to Restraint.          or utilized by a student that have been prescribed by an
  Seclusion@ed.gov or write to us at the following address:            appropriate medical or related services professional and are
  US Department of Education, 550 12th Street SW, PCP                  used for the specific and approved purposes for which such
  Room 4160, Washington, DC 20202-2600.                                devices were designed.




U.S. Department of Education Restraint and Seclusion: Resource Document                                                               2
others with respect. (Algozzine, R., Wang, C., and
Violette, C., 2011; McIntosh, K., Chard, D., Boland,       Restraint or seclusion should
J., and horner, R., 2006). Building effective
behavioral supports in schools also involves several       not be used as routine school
ongoing interrelated activities, including (1) invest-     safety measures; that is, they
ing in the whole school rather than just students with
problem behavior; (2) focusing on preventing the
                                                           should not be implemented
development and occurrence of problem behavior;            except in situations where
(3) reviewing behavioral data regularly to adapt           a child’s behavior poses
school procedures to the needs of all students and
their families; and (4) providing additional academic
                                                           imminent danger of serious
and social behavioral supports for students who are        physical harm to self or
not making expected progress (Sugai, g., horner,           others and not as a routine
R., Algozzine, R., Barrett, S., Lewis, T., Anderson,
C., Bradley, R., Choi, J. h., Dunlap, g., Eber, L.,        strategy implemented to
george, h., Kincaid, D., McCart, A., Nelson, M.,           address instructional
Newcomer, L., Putnam, R., Riffel, L., Rovins, M.,
Sailor, W., Simonsen, B. (2010)).
                                                           problems or inappropriate
                                                           behavior (e.g., disrespect,
Positive behavior interventions and supports (PBIS)
is a multi-tiered school-wide approach to establish-
                                                           noncompliance, insubordina­
ing the social culture that is helpful for schools to      tion, out of seat), as a means
achieve social and academic gains while minimizing         of coercion or retaliation, or
problem behavior for all children. Over 17,000
schools across the country are implementing PBIS,
                                                           as a convenience.
which provides a framework for decision-making
that guides the implementation of evidence-based         reductions in the behaviors that lead to office disci-
academic and behavioral practices throughout the         plinary referrals, suspensions, and expulsions. While
entire school, frequently resulting in significant       the successful implementation of PBIS typically
                                                         results in improved social and academic outcomes, it
                                                         will not eliminate all behavior incidents in a school
                                                         (Bradshaw, C., Mitchell, M., and Leaf, P. (2010);
                                                         Muscott, h., and Mann, E. (in press); Lassen, S.,
                                                         Steele, M., and Sailor, W. (2006)). however, PBIS is
                                                         an important preventive framework that can increase
                                                         the capacity of school staff to support all children,
                                                         including children with the most complex behavioral
                                                         needs, thus reducing the instances that require
                                                         intensive interventions.




U.S. Department of Education Restraint and Seclusion: Resource Document                                      3
Background


                                    On July 31, 2009, Secretary of Education
                                    Arne Duncan sent a letter to Chief State
                                    School Officers stating that he was
                                    deeply troubled about the current use
                                    and effects of restraint and seclusion,
                                    which were the subject of testimony
                                    before the Education and Labor
                                    Committee in the U.S. House of
                                    Representatives’ hearing examining
                                    the abusive and potentially deadly
                                    application of restraint and seclusion
                                    techniques in schools.



U.S. Department of Education Restraint and Seclusion: Resource Document        4
In his letter, Secretary Duncan encouraged each
State to review its current policies and guidelines on
the use of restraint and seclusion in schools to help
ensure that every student is safe and protected, and,
if appropriate, to develop or revise its policies and
guidelines. In addition, Secretary Duncan urged the
Chiefs to publicize these policies and guidelines so
that administrators, teachers, and parents understand
and consent to the limited circumstances under
which these techniques may be used; ensure that
parents are notified when these interventions
occur; provide the resources needed to successfully
implement the policies; and hold school districts
                                                              Additionally, in 2009, the Substance Abuse and
accountable for adhering to the guidelines. The letter
                                                              Mental health Services Administration (SAMhSA)
went on to highlight the use of PBIS as an important
                                                              of the U.S. Department of Health and Human
preventive approach that can increase the capacity
                                                              Services (DhhS), asked the Department’s Office
of the school staff to support children with the
                                                              of Special Education Programs (OSEP) to review
most complex behavioral needs, thus reducing the
                                                              a paper commissioned by SAMHSA (with the as-
instances that require intensive interventions.
                                                              sistance of an expert work group) addressing the
Subsequently, the U.S. Department of Education                issue of restraint and seclusion in schools. Based on
(the Department) asked its regional Comprehensive             Secretary Duncan’s letter to the Chief State School
Centers to collect each State’s statutes, regulations,        Officers and the experiences of SAMhSA with
policies, and guidelines regarding the use of restraint       reducing, and in some cases eliminating, the use
and seclusion, and posted that information on the             of restraint and seclusion in mental health facilities,
Department’s Web site.3 Additionally, the Depart-             the Department determined that it would be ben-
ment’s Office for Civil Rights revised the Civil              eficial to all children if information and technical
Rights Data Collection beginning with school year             assistance were provided to State departments of
2009-2010 to require reporting of the total number            education, local school districts, and preschool,
of students subjected to restraint or seclusion disag-        elementary, and secondary schools regarding limit-
gregated by race/ethnicity, sex, limited English profi-       ing the use of restraint and seclusion to situations
ciency status, and disability, and to collect the total       involving imminent danger of serious physical harm
number of times that restraint or seclusion occurred.4        to children or others.5




3 A revised version of that information is included in this
  document as Attachment A.
                                                              5 More detail about these efforts is included later in this
4 These data are available at http://ocrdata.ed.gov.            document.




U.S. Department of Education Restraint and Seclusion: Resource Document                                                     5
The purpose of this Resource Document is to pres-         and refined the principles. The Department and the
ent and describe 15 principles for State, district, and   Department of Health and Human Services urge
school staff; parents; and other stakeholders to con-     States, local districts, and schools to adopt policies
sider when States, localities, and districts develop      that consider these 15 principles as the framework
policies and procedures, which should be in writing       for the development and implementation of policies
on the use of restraint and seclusion. The principles     and procedures related to restraint and seclusion to
are based on the nine principles that Secretary of        help ensure that any use of restraint or seclusion in
Education Arne Duncan articulated in a 2009 letter        schools does not occur, except when there is a threat
to Chairman Christopher Dodd, Chairman george             of imminent danger of serious physical harm to the
Miller, and Representative Cathy McMorris Rodgers         student or others, and occurs in a manner that pro-
in response to proposed legislation on restraint and      tects the safety of all children and adults at a school.
seclusion. In his letter, the Secretary affirmed the      The goal in presenting these principles is to help
Department’s position that restraint and seclusion        ensure that all schools and all learning environments
should not be used except when necessary to protect       are safe for all children and adults. This Resource
a child or others from imminent danger of serious         Document discusses the context within which
physical harm. Since the Secretary issued his 2009        these principles were developed, lists the principles,
letter, the Department, working with the Department       and highlights the current state of practice and
of health and human Services, further developed           implementation considerations for each principle.
                                                          Additionally, this document provides a synopsis
                                                          of ongoing efforts by Federal agencies to address
  In cases where a student 
 
                            national concerns about using restraint and seclusion
                                                          in schools. Two attachments at the end of this docu-
  has a history of dangerous 
 

                                                          ment provide information about State policies on the
  behavior for which restraint 
 
                        use of restraint and seclusion in our nation’s public
  or seclusion was considered 
 
                         schools and an annotated resource guide on the use
                                                          of restraint and seclusion in schools.
  or used, a school should 

  have a plan for: (1) teaching 
 
                       OthER SignifiCant fEDERal
  and supporting more 
 
                                 aCtivity REgaRDing thE USE
  appropriate behavior; and 
 
                           Of REStRaint anD SEClUSiOn
                                                          in SChOOlS
  (2) determining positive
  methods to prevent behavioral                           U.S. government accountability
                                                          Office Report
  escalations that have
                                                          The U.S. house of Representatives’ Committee on
  previously resulted in the                              Education and Labor requested the U.S. Government
  use of restraint or seclusion.                          Accountability Office (gAO) to review the avail-
                                                          able evidence on the use of restraint and seclusion




U.S. Department of Education Restraint and Seclusion: Resource Document                                          6
that resulted in death and abuse at public and private   GAO reported that there were no reliable national
schools and treatment centers. The GAO reviewed          data on when and how often restraint and seclusion
applicable Federal and State laws, interviewed           are being used in schools, or on the extent of abuse
knowledgeable State officials and recognized             resulting from the use of these practices in educa-
experts, and examined available evidence of abuse        tional settings nationally. however, the gAO identi-
allegations from parents, advocacy organizations,        fied several hundred cases of alleged abuse, includ-
and the media for the period between 1990 and            ing deaths that were related to the use of restraint or
2009. These evidence reviews also involved the           seclusion of children in public and private schools.
examination of selected closed cases, including          Finally, the gAO provided detailed documentation
police and autopsy reports and school policies on        of the abuse of restraint or seclusion in a sample of
restraint or seclusion related to these cases.           10 closed cases that resulted in criminal convictions,
                                                         findings of civil or administrative liability, or a large
The gAO report, titled Examining the Abusive and         financial settlement. The gAO further observed that
Deadly Use of Seclusion and Restraint in Schools         problems with untrained or poorly trained staff were
(issued May 19, 2009), included three sets of find-      often related to many instances of alleged abuse.
ings. First, the gAO found that there were no current
Federal regulations, but a wide variety of divergent     Congressional hearings and Proposed
State regulations, governing the use of restraint and    legislation
seclusion in public and private schools. Second, the
                                                         The GAO report was presented to the U.S. House of
                                                         Representatives’ Committee on Education and Labor
                                                         at a hearing on restraint and seclusion on May 19,
                                                         2009. Testimony at this and other hearings, together
                                                         with related work by the Committee, led to the
                                                         drafting of proposed Federal legislation on the use
                                                         of restraint and seclusion in schools.

                                                         The 111th Congress considered legislation on the
                                                         use of restraint and seclusion in schools. The House
                                                         bill (h.R. 4247) was titled Keeping All Students Safe
                                                         Act, and two Senate bills were introduced, Prevent-
                                                         ing Harmful Restraint and Seclusion in Schools
                                                         Act (S. 2860) and Keeping All Students Safe Act (S.
                                                         3895). In April, 2011, h.R. 4247 was reintroduced
                                                         in the 112th Congress as h.R. 1381. And in Decem-
                                                         ber, 2011, S. 2020, Keeping All Students Safe Act,
                                                         was introduced in the 112th Congress. The shared
                                                         purposes of these bills were to (1) limit the use of re-
                                                         straint and seclusion in schools to cases where there




U.S. Department of Education Restraint and Seclusion: Resource Document                                          7
First, the GAO found that 
 

  there were no current 
 

  Federal regulations, but 
 

  a wide variety of diver­

  gent State regulations, 
 

  governing the use of 
 

  restraint and seclusion 
 

  in public and private 
 
                             Congressional Research Service Report
                                                        In October, 2010, the Congressional Research
  schools.
 
                                           Service issued a report to Congress titled The
                                                        Use of Seclusion and Restraint in Public Schools:
is imminent danger of physical injury to the student    The Legal Issues. The report focused on the legal
or others at school; (2) provide criteria and steps     issues regarding the use of seclusion and restraint in
for the proper use of restraint or seclusion; and (3)   schools, including their use with children covered
promote the use of positive reinforcement and other,    by the Individuals with Disabilities Education Act
less restrictive behavioral interventions               (IDEA) and with children not covered by IDEA. The
in school. These measures also would have autho-        report addressed (1) definitions (Civil Rights Data
rized support to States and localities in adopting      Collection definitions); (2) constitutional issues;
more stringent oversight of the use of restraint and    (3) IDEA judicial decisions related to seclusion and
seclusion in schools, and would have established        restraint; (4) State laws and policies; and (5) Federal
requirements for collecting data on the use of these    legislation.
practices in schools. Both the House and Senate
bills were introduced and debated by their respective
chambers in the 111th Congress, but only the
House bill had passed when the Congressional
session ended in December 2010. Therefore, no
legislation related to restraint and seclusion in
schools was enacted by the 111th Congress, nor
has action on such legislation been taken, to date,
in the 112th Congress.




U.S. Department of Education Restraint and Seclusion: Resource Document                                      8
terms Used in
        this Document

                                    The Department’s Office for Civil Rights
                                    (OCR) began collecting data on the
                                    use of restraint and seclusion in schools
                                    as part of the Department’s 2009-2010
                                    Civil Rights Data Collection (CRDC) and
                                    defined key terms related to restraint and
                                    seclusion.




U.S. Department of Education Restraint and Seclusion: Resource Document          9
References in this document to “restraint” encom-           the CRDC defines seclusion as:
pass the terms “physical restraint” and “mechanical         ■■	
                                                              	   The involuntary confinement of a student alone
restraint” as defined in the CRDC. References to                  in a room or area from which the student is
“seclusion” encompass “seclusion” as defined in the               physically prevented from leaving. It does not
CRDC. According to the gAO report, each of these                  include a timeout, which is a behavior man-
types of restraint is currently being used in schools.            agement technique that is part of an approved
                                                                  program, involves the monitored separation
the CRDC defines physical restraint as:                           of the student in a non-locked setting, and is
                                                                  implemented for the purpose of calming.
■■	
  	   A personal restriction that immobilizes or
      reduces the ability of a student to move his or       A copy of the 2009-2010 CRDC and the OCR
      her torso, arms, legs, or head freely. The term       definitions of restraint and seclusion can be found
      physical restraint does not include a physical
                                                            at the following Web site: http://www2.ed.gov/
      escort. Physical escort means a temporary
                                                            about/offices/list/ocr/whatsnew.html. Restraint and
      touching or holding of the hand, wrist, arm,
      shoulder, or back for the purpose of inducing         seclusion data are available at http://ocrdata.ed.gov.6
      a student who is acting out to walk to a safe
      location.

the CRDC defines mechanical restraint as:
■■	
  	   The use of any device or equipment to restrict a
      student’s freedom of movement. This term does
      not include devices implemented by trained
      school personnel, or utilized by a student that
      have been prescribed by an appropriate medical
      or related services professional and are used for
      the specific and approved purposes for which
      such devices were designed, such as:
      ■■	
        	   Adaptive devices or mechanical supports
            used to achieve proper body position,
            balance, or alignment to allow greater
            freedom of mobility than would be
            possible without the use of such devices
            or mechanical supports;
      ■■	
        	   Vehicle safety restraints when used as
            intended during the transport of a student
            in a moving vehicle;
                                                            6 As these terms are used in this document, “restraint” does
      ■■    Restraints for medical immobilization; or         not include behavioral interventions used as a response to
      ■■    Orthopedically prescribed devices that            calm and comfort (e.g., proximity control, verbal soothing)
                                                              an upset student and “seclusion” does not include classroom
            permit a student to participate in activities
                                                              timeouts, supervised in-school detentions, or out-of-school
            without risk of harm.                             suspensions.




U.S. Department of Education Restraint and Seclusion: Resource Document                                               10
fifteen Principles                      7




                                    The Department, in collaboration with
                                    SAMHSA, has identified 15 principles
                                    that we believe States, local school
                                    districts, preschool, elementary, and
                                    secondary schools, parents, and other
                                    stakeholders should consider as the
                                    framework for when States, localities,
                                    and districts develop and implement
                                    policies and procedures, which should
                                    be in writing related to restraint and
                                    seclusion to ensure that any use of
                                    restraint or seclusion in schools does
                                    not occur, except when there is a threat
                                    of imminent danger of serious physical
                                    harm to the student or others, and
                                    occurs in a manner that protects the
                                    safety of all children and adults at school.




U.S. Department of Education Restraint and Seclusion: Resource Document            11
The Department recognizes that States, localities,
and districts may choose to exceed the framework
set by the 15 principles by providing additional
                                                                    Every effort should
protections from restraint and seclusion.                           be made to prevent
fiftEEn PRinCiPlES                                                  the need for the use
1.		 Every effort should be made to prevent the 

  		
                                                                    of restraint and for
     need for the use of restraint and for the use of 

     seclusion.

               

                                                                    the use of seclusion.
2.		 Schools should never use mechanical restraints
  		
     to restrict a child’s freedom of movement, and               6.		 Restraint or seclusion should never be used 

                                                                    		
     schools should never use a drug or medication                     as punishment or discipline (e.g., placing in 

     to control behavior or restrict freedom of                        seclusion for out-of-seat behavior), as a means 

     movement (except as authorized by a licensed                      of coercion or retaliation, or as a convenience.
	
                                                                                                                       
	
     physician or other qualified health professional).           7.	 Restraint or seclusion should never be used in
                                                                    	
3.	 Physical restraint or seclusion should not be
  	                                                                   a manner that restricts a child’s breathing or
    used except in situations where the child’s                       harms the child.
    behavior poses imminent danger of serious                     8.	 The use of restraint or seclusion, particularly 

                                                                    	
    physical harm to self or others and other                         when there is repeated use for an individual 

    interventions are ineffective and should be                       child, multiple uses within the same classroom,
    discontinued as soon as imminent danger                           or multiple uses by the same individual, should
    of serious physical harm to self or others                        trigger a review and, if appropriate, revision
    has dissipated.                                                   of strategies currently in place to address
4.	 Policies restricting the use of restraint and
  	                                                                   dangerous behavior;8 if positive behavioral
    seclusion should apply to all children, not just                  strategies are not in place, staff should
    children with disabilities.                                       consider developing them.

5.	 Any behavioral intervention must be consistent
  	                                                               9.	 Behavioral strategies to address dangerous 

                                                                    	
    with the child’s rights to be treated with dignity                behavior that results in the use of restraint or 

    and to be free from abuse.                                        seclusion should address the underlying cause 

                                                                      or purpose of the dangerous behavior.
  

                                                                  10. Teachers and other personnel should be trained
                                                                      regularly on the appropriate use of effective
                                                                      alternatives to physical restraint and seclusion,
7 This Resource Document addresses the restraint or seclu-            such as positive behavioral interventions and
  sion of any student regardless of whether the student has a
                                                                      supports and, only for cases involving imminent
  disability. Federal laws, including the IDEA, the Americans
  with Disabilities Act of 1990, as amended, and Section 504          danger of serious physical harm, on the safe use
  of the Rehabilitation Act of 1973, as amended, must be fol-         of physical restraint and seclusion.
  lowed in any instance in which a student with a disability is
  restrained or secluded, or where such action is contemplated.   8 As used in this document, the phrase “dangerous behavior”
  This Resource Document does not, however, address the             refers to behavior that poses imminent danger of serious
  legal requirements contained in those laws.                       physical harm to self or others.




U.S. Department of Education Restraint and Seclusion: Resource Document                                                    12
11. Every instance in which restraint or seclusion is     Following is additional information about each of
    used should be carefully and continuously and         the 15 principles.
    visually monitored to ensure the appropriateness
    of its use and safety of the child, other children,   1.	 Every effort should be made to prevent the
                                                            	
    teachers, and other personnel.                            need for the use of restraint and for the use
                                                              of seclusion.
12. Parents should be informed of the policies on
    restraint and seclusion at their child’s school or        All children should be educated in safe, re-
    other educational setting, as well as applicable          spectful, and non-restrictive environments
    Federal, State, or local laws.                            where they can receive the instruction and
13. Parents should be notified as soon as possible            other supports they need to learn and achieve
    following each instance in which restraint or             at high levels. Environments can be structured
    seclusion is used with their child.                       to greatly reduce, and in many cases eliminate,
14. Policies regarding the use of restraint and               the need to use restraint or seclusion. SAMHSA
    seclusion should be reviewed regularly and                notes in its Issue Brief #1: Promoting Alterna-
    updated as appropriate.                                   tives to the Use of Seclusion and Restraint, that
15. Policies regarding the use of restraint and seclu-        with leadership and policy and programmatic
    sion should provide that each incident involving          change, the use of seclusion and restraint can be
    the use of restraint or seclusion should be docu-         prevented and in some facilities has been elimi-
    mented in writing and provide for the collection          nated. One primary method is to structure the
    of specific data that would enable teachers,              environment using a non-aversive effective be-
    staff, and other personnel to understand and              havioral system such as PBIS. Effective positive
    implement the preceding principles.
                                                              behavioral systems are comprehensive, in that
                                                              they are comprised of a framework or approach
                                                              for assisting school personnel in adopting and
                                                              organizing evidence-based behavioral interven-
                                                              tions into an integrated continuum that enhances
                                                              academic and social behavioral outcomes for
                                                              all students. The PBIS prevention-oriented
                                                              framework or approach applies to all students,
                                                              all staff, and all settings. When integrated with
                                                              effective academic instruction, such systems
                                                              can help provide the supports children need to
                                                              become actively engaged in their own learn-
                                                              ing and academic success. Schools success-
                                                              fully implementing comprehensive behavioral
                                                              systems create school-wide environments that
                                                              reinforce appropriate behaviors while reduc-
                                                              ing instances of dangerous behaviors that may
                                                              lead to the need to use restraint or seclusion. In




U.S. Department of Education Restraint and Seclusion: Resource Document                                       13
schools implementing comprehensive behav-
    ioral systems, trained school staff use preventive
    assessments to identify where, under what con-
                                                           Schools should never
    ditions, with whom, and why specific inappro-          use mechanical restraints
    priate behavior may occur, as well as implement
    de-escalation techniques to defuse potentially         to restrict a child’s free­
    violent dangerous behavior. Preventive assess-
    ments should include (1) a review of existing
                                                           dom of movement, and
    records; (2) interviews with parents, family           schools should never
    members, and students; and (3) examination of
    previous and existing behavioral intervention          use a drug or medica­
    plans. Using these data from such assessments          tion to control behavior
    helps schools identify the conditions when
    inappropriate behavior is likely to occur and the      or restrict freedom of
    factors that lead to the occurrence of these be-
    haviors; and develop and implement preventive
                                                           movement (except as
    behavioral interventions that teach appropriate        authorized by a licensed
    behavior and modify the environmental factors
    that escalate the inappropriate behavior. The use      physician or other quali­
    of comprehensive behavioral systems signifi-
    cantly decreases the likelihood that restraint or
                                                           fied health professional).
    seclusion would be used, supports the attain-
    ment of more appropriate behavior, and, when             professional acting under the scope of the
    implemented as described, can help to improve            professional’s authority under State law; and
    academic achievement and behavior.                       (2) administered as prescribed by the licensed
                                                             physician or other qualified health professional
2.		 Schools should never use mechanical
  		
                                                             acting under the scope of the professional’s
     restraints to restrict a child’s freedom of
                                                             authority under State law.
     movement, and schools should never use a
     drug or medication to control behavior or           3.		 Physical restraint or seclusion should not be
                                                           		
     restrict freedom of movement (except as                  used except in situations where the child’s
     authorized by a licensed physician or other              behavior poses imminent danger of serious
     qualified health professional).                          physical harm to self or others and other
                                                              interventions are ineffective and should be
    Schools should never use mechanical restraints
                                                              discontinued as soon as imminent danger of
    to restrict a child’s freedom of movement. In             serious physical harm to self or others has
    addition, schools should never use a drug or              dissipated.
    medication to control behavior or restrict free-
                                                             Physical restraint or seclusion should be
    dom of movement unless it is (1) prescribed by
                                                             reserved for situations or conditions where
    a licensed physician, or other qualified health




U.S. Department of Education Restraint and Seclusion: Resource Document                                     14
there is imminent danger of serious physical
    harm to the child, other children, or school or
    program staff. These procedures should not
    be used except to protect the child and others
    from serious harm and to defuse imminently
    dangerous situations in the classroom or other
    non-classroom school settings (e.g., hallways,
    cafeteria, playground, sports field), and only
    should be used by trained personnel. Physical
    restraint or seclusion should not be used as a
    response to inappropriate behavior (e.g., disre-
    spect, noncompliance, insubordination, out of
    seat) that does not pose imminent danger of se-
                                                              in the school, all staff who work directly or
    rious physical harm to self or others, nor should
                                                              indirectly with children, and across all settings
    a child be restrained and secluded simultane-
                                                              under the responsibility of the school.
    ously as this could endanger the child. In ad-
    dition, planned behavioral strategies should be       5.		 Any behavioral intervention must be consis-
                                                            		
    in place and used to: (1) de-escalate potentially          tent with the child’s rights to be treated with
    violent dangerous behavior; (2) identify and               dignity and to be free from abuse.
    support competing positive behavior to replace
    dangerous behavior; and (3) support appropri-             Every child deserves to be treated with dignity,
    ate behavior in class and throughout the school,          be free from abuse, and treated as a unique
    especially if a student has a history of escalating       individual with individual needs, strengths, and
    dangerous behavior.                                       circumstances (e.g., age, developmental level,
                                                              medical needs). The use of any technique that is
4.		 Policies restricting the use of restraint and
  		
                                                              abusive is illegal and should be reported to the
     seclusion should apply to all children, not
                                                              appropriate authorities. Schools should con-
     just children with disabilities.
                                                              sider implementing an evidence-based school-
    Behavior that results in the rare use of restraint        wide system or framework of positive behav-
    or seclusion -- that posing imminent danger of            ioral interventions and supports. Key elements
    serious physical harm to self or others -- is not         of a school-wide system or framework include
    limited to children with disabilities, children           (1) universal screening to identify children at
    with a particular disability, or specific groups          risk for behavioral problems; (2) use of a con-
    of children (e.g., gender, race, national origin,         tinuum of increasingly intensive behavioral and
    limited English proficiency, etc.) without dis-           academic interventions for children identified
    abilities. Thus, to the extent that State and local       as being at risk; (3) an emphasis on teaching
    policies address the use of restraint or seclusion,       and acknowledging school-wide and individual
    those policies, including assessment and pre-             expected behaviors and social skills; and (4)
    vention strategies, should apply to all children          systems to monitor the responsiveness of




U.S. Department of Education Restraint and Seclusion: Resource Document                                       15
individual children to behavioral and academic
    interventions. Increases in children’s academic
    achievement and reductions in the frequency
    of disciplinary incidents can be realized when
    school-wide frameworks are implemented
    as designed and are customized to match the
    needs, resources, context, and culture of
    students and staff.

6.		 Restraint or seclusion should never be used
  		
     as punishment or discipline (e.g., placing
     in restraint for out-of-seat behavior), as a
     means of coercion, or retaliation, or as a
     convenience.                                            school rules; (2) noncompliance with staff di-
                                                             rections; (3) the use of inappropriate language;
    Restraint or seclusion should not be used as             (4) to “punish” a child for inappropriate behav-
    routine school safety measures; that is, they            ior; or (5) staff to have an uninterrupted time
    should not be implemented except in situations           together to discuss school issues.
    where a child’s behavior poses imminent danger
    of serious physical harm to self or others and       7.		 Restraint or seclusion should never be used
                                                           		
    not as a routine strategy implemented to address          in a manner that restricts a child’s breathing
    instructional problems or inappropriate behavior          or harms the child.
    (e.g., disrespect, noncompliance, insubordina-
                                                             Prone (i.e., lying face down) restraints or other
    tion, out of seat), as a means of coercion or
                                                             restraints that restrict breathing should never be
    retaliation, or as a convenience. Restraint or
                                                             used because they can cause serious injury or
    seclusion should only be used for limited peri-
                                                             death. Breathing can also be restricted if loose
    ods of time and should cease immediately when
                                                             clothing becomes entangled or tightened or if
    the imminent danger of serious physical harm to
                                                             the child’s face is covered by a staff member’s
    self or others has dissipated. Restraint or seclu-
                                                             body part (e.g., hand, arm, or torso) or through
    sion should not be used (1) as a form of punish-
                                                             pressure to the abdomen or chest. Any restraint
    ment or discipline (e.g., for out-of-seat behav-
                                                             or seclusion technique should be consistent with
    ior); (2) as a means to coerce, retaliate, or as a
                                                             known medical or other special needs of a child.
    convenience for staff; (3) as a planned behavior-
                                                             School districts should be cognizant that certain
    al intervention in response to behavior that does
                                                             restraint and seclusion techniques are more re-
    not pose imminent danger of serious physical
                                                             strictive than others, and use the least restrictive
    harm to self or others; or (4) in a manner that
                                                             technique necessary to end the threat of immi-
    endangers the child. For example, it would be
                                                             nent danger of serious physical harm. A child’s
    inappropriate to use restraint or seclusion for
                                                             ability to communicate (including for those
    (1) failure to follow expected classroom or
                                                             children who use only sign language or other




U.S. Department of Education Restraint and Seclusion: Resource Document                                       16
forms of manual communication or assistive            techniques, so that appropriate behavior is more
    technology) also should not be restricted unless      likely to occur and inappropriate and dangerous
    less restrictive techniques would not prevent         behavior is less likely to occur.
    imminent danger of serious physical harm to
    the student or others. In all circumstances,          When restraint or seclusion is repeatedly used
    the use of restraint or seclusion should never        with a child, used multiple times within the
    harm a child.                                         same classroom, or used multiple times by the
                                                          same individual, a review of the student’s BIP
8.		 The use of restraint or seclusion, particu-
  		                                                      should occur, the prescribed behavioral strate-
     larly when there is repeated use for an indi-        gies should be modified, if needed; and staff
     vidual child, multiple uses within the same          training and skills should be re-evaluated. The
     classroom, or multiple uses by the same              need for the review is based on the individual
     individual, should trigger a review and, if          needs of the child and the determination should
     appropriate, a revision of behavioral strate-        include input from the family; a review could be
     gies currently in place to address dangerous         necessitated by a single application of restraint
     behavior; if positive behavioral strategies          or seclusion. This review may entail conduct-
     are not in place, staff should consider devel-       ing another FBA to refine the BIP or examining
     oping them.                                          the implementation of the current plan. If the
                                                          student has a history of dangerous behavior and
    In cases where a student has a history of dan-        has been subjected to restraint or seclusion, a
    gerous behavior for which restraint or seclu-         review and plan should be conducted prior to
    sion was considered or used, a school should          the student entering any program, classroom, or
    have a plan for (1) teaching and supporting           school. In all cases the reviews should consider
    more appropriate behavior; and (2) determining        not only the effectiveness of the plan, but also
    positive methods to prevent behavioral escala-        the capability of school staff to carry out the
    tions that have previously resulted in the use of     plan. Furthermore, if restraint or seclusion was
    restraint or seclusion. Trained personnel should      used with a child who does not have an FBA
    develop this plan in concert with parents and         and BIP, an FBA should be conducted and, if
    relevant professionals by using practices such as     needed, a BIP developed and implemented that
    functional behavioral assessments (FBAs) and          incorporates positive behavioral strategies for
    behavioral intervention plans (BIPs). An FBA is       that child, including teaching positive behav-
    used to analyze environmental factors, including      iors. The long-term goal of FBAs and BIPs is to
    any history of trauma (e.g., physical abuse), that    develop and implement preventive behavioral
    contribute to a child’s inappropriate (e.g., disre-   interventions, including increasing appropriate
    spect, noncompliance, insubordination, out-of-        positive behaviors, that reduce the likelihood
    seat) behaviors. FBA data are used to develop         that restraint or seclusion will be used with a
    positive behavioral strategies that emphasize         child in the future.
    redesigning environmental conditions, which
    may include changes in staff approaches and




U.S. Department of Education Restraint and Seclusion: Resource Document                                 17
9.		 Behavioral strategies to address dangerous
  		                                                         behavior; (3) adding antecedents that
     behavior that results in the use of restraint           maintain appropriate behavior; (4) removing
     or seclusion should address the underlying              consequences that maintain or escalate
     cause or purpose of the dangerous behavior.             dangerous behaviors; (5) adding consequences
                                                             that maintain appropriate behavior; and (6)
    Behavioral strategies, particularly when imple-          teaching alternative appropriate behaviors,
    mented as part of a school-wide program of               including self regulation techniques, to replace
    positive behavioral supports, can be used to             the dangerous behaviors.
    address the underlying causes of dangerous
    behavior and reduce the likelihood that restraint    10. Teachers and other personnel should be
    or seclusion will need to be used. Behavior does         trained regularly on the appropriate use of
    not occur in a vacuum but is associated with             effective alternatives to physical restraint
    conditions, events, requirements, and character-         and seclusion, such as positive behavioral
    istics of a given situation or setting. An FBA can       interventions and supports and, only for
    identify the combination of antecedent factors           cases involving imminent danger of serious
    (factors that immediately precede behavior)              physical harm, on the safe use of physical
                                                             restraint and seclusion.

                                                             Positive behavioral strategies should be in place
                                                             in schools and training in physical restraint
                                                             and seclusion should first emphasize that every
                                                             effort should be made to use positive behav-
                                                             ioral strategies to prevent the need for the use
                                                             of restraint and seclusion. School personnel
                                                             working directly with children should know the
                                                             school’s policies and procedures for the safe
                                                             use of physical restraint and seclusion, includ-
                                                             ing both proper uses (e.g., as safety measures
                                                             to address imminent danger of physical harm)
    and consequences (factors that immediately               and improper uses (e.g., as punishment or to
    follow behavior) that are associated with the            manage behavior) of these procedures. In addi-
    occurrence of inappropriate behavior. Infor-             tion, school personnel should be trained in how
    mation collected through direct observations,            to safely implement procedures for physical
    interviews, and record reviews help to identify          restraint and seclusion and only trained person-
    the function of the dangerous behavior and               nel should employ these interventions; as well
    guide the development of BIPs. A complete BIP            as how to collect and analyze individual child
    should describe strategies for (1) addressing            data to determine the effectiveness of these pro-
    the characteristics of the setting and events;           cedures in increasing appropriate behavior and
    (2) removing antecedents that trigger dangerous          decreasing inappropriate behavior. These data




U.S. Department of Education Restraint and Seclusion: Resource Document                                     18
should inform the need for additional
    training, staff support, or policy change,             Behavioral strategies, particu­
    particularly when data indicate repeated use
    of these interventions by staff.                       larly when implemented as
                                                           part of a school-wide program
    School personnel also should receive training
    on the school’s policies and procedures for the        of positive behavioral sup­
    timely reporting and documentation of all in-          ports, can be used to address
    stances in which restraint or seclusion are used.
    At a minimum, training on the use of physical
                                                           the underlying causes of
    restraint and seclusion and effective alternatives     dangerous behavior and
    should be provided at the beginning and middle         reduce the likelihood that
    of each school year. however, such training
    should be conducted more often if there are en-
                                                           restraint or seclusion will
    rolled students with a history or high incidence       need to be used.
    of dangerous behavior who may be subjected
    to physical restraint or seclusion procedures. In
    addition, school administrators should evaluate          Use and prevention training should be accom-
    whether staff who engage in multiple uses of             panied by regular supervised practice. Like
    restraint or seclusion need additional training.         quarterly fire drills, all staff members should be
    All school personnel should receive comprehen-           expected to regularly and frequently review and
    sive training on school-wide programs of posi-           practice approaches to prevent the conditions
    tive behavioral supports and other strategies,           that result in the use of restraint or seclusion
    including de-escalation techniques, for prevent-         and in the use of specific and planned physical
    ing dangerous behavior that leads to the use of          restraint or seclusion procedures. A team
    restraint or seclusion. Training for principals          of trained personnel should monitor practice
    and other school administrators should cover             sessions to check for adherence to and
    how to develop, implement, and evaluate the ef-          documentation of planned procedures.
    fectiveness of school-wide behavioral programs.
                                                         11. Every instance in which restraint or
    Training for teachers, paraprofessionals, and
                                                             seclusion is used should be carefully and
    other personnel who work directly with children
                                                             continuously and visually monitored to
    should be ongoing and include refreshers on
                                                             ensure the appropriateness of its use and the
    positive behavior management strategies, proper
                                                             safety of the child, other children, teachers,
    use of positive reinforcement, the continuum
                                                             and other personnel.
    of alternative behavioral interventions, crisis
    prevention, de-escalation strategies, and the safe       If restraint or seclusion is used, the child
    use of physical restraint and seclusion.                 should be continuously and visually observed
                                                             and monitored while he or she is restrained or
                                                             placed in seclusion. Only school personnel who




U.S. Department of Education Restraint and Seclusion: Resource Document                                      19
have received the required training on the use           to injure him- or herself or others. School staff
    of restraint and seclusion should be engaged in          should either be inside the area or outside by a
    observing and monitoring these children. Moni-           window or another adjacent location where staff
    toring should include a procedural checklist and         can continuously observe the child and confirm
    recordkeeping procedures. School staff engaged           that the child is not engaging in self-injurious
    in monitoring should be knowledgeable re-                behavior. When a child is in seclusion, trained
    garding (1) restraint and seclusion procedures           school staff should constantly watch the child.
    and effective alternatives; (2) emergency and            Such observation and monitoring is critical in
    crisis procedures; (3) strategies to guide and           determining when the imminent danger of seri-
    prompt staff members engaged in restraint or             ous physical harm to self or others has dissipat-
    seclusion procedures; and (4) procedures and             ed so that the restraint or seclusion can be im-
    processes for working as a team to implement,            mediately discontinued. Proper observation and
    monitor, and debrief uses of restraint or seclu-         monitoring and written documentation of the
    sion. Monitoring staff should receive training           use of restraint or seclusion helps to ensure the
    to ensure that the use of physical restraint or          continued safety of the child being restrained or
    seclusion does not harm the child or others, and         secluded as well as the safety of other children
    that procedures are implemented as planned.              and school personnel.
    For example, those observing the application of
    a restraint should confirm that the restraint does   12. Parents should be informed of the policies
    not cause harm to the child, such as restricting         on restraint and seclusion at their child’s
    the child’s breathing. Continuous monitoring of          school or other educational setting, as well
    restraint includes, for example: (1) continuous          as applicable Federal, State or local laws.
    assessment of staff and student status, includ-
                                                             All parents should receive, at least annually,
    ing potential physical injuries; (2) termination
                                                             written information about the policies and
    of restraint or seclusion when imminent danger
                                                             procedures for restraint and seclusion issued by
    of serious physical harm to self or others has
                                                             the State, district, or school. This information
    dissipated; (3) evaluation of how procedures
                                                             should be included, for example, in the district’s
    are being implemented; and (4) consideration
                                                             or school’s handbook of policies and proce-
    of opportunities for redirection and defusing the
                                                             dures or other appropriate and widely distrib-
    dangerous behavior. In developing procedures,
                                                             uted school publications. Schools, districts, and
    States, districts, and schools should consider
                                                             States are encouraged to involve parents when
    having school health personnel promptly assess
                                                             developing policies and procedures on restraint
    the child after the imposition of restraints or
                                                             and seclusion. These written descriptions
    seclusion.
                                                             should include the following: (1) a statement
    Trained school staff should also inspect and             that mechanical restraint should not be used,
    prepare the seclusion area before a child is             that schools should never use a drug or medica-
    placed in seclusion. For example, the area               tion to control behavior or restrict freedom of
    should be free of any objects a child could use          movement (except as authorized by a licensed




U.S. Department of Education Restraint and Seclusion: Resource Document                                     20
and family members should be notified
                                                             immediately. In addition, preventive strategies
  In addition, preventive                                    to reduce the likelihood that restraint or seclu-
  strategies to reduce the                                   sion will need to be used with a child should be
                                                             established, documented, and communicated
  likelihood that restraint                                  to the child’s parents. Parents also should be
  or seclusion will need                                     encouraged to work with schools and districts
                                                             to ensure planned behavioral strategies are in
  to be used with a child                                    place and used to (1) de-escalate potentially
                                                             violent dangerous behavior; (2) identify and
  should be established,                                     support competing positive behavior to replace
  documented, and                                            dangerous behavior; and (3) support appropri-
                                                             ate behavior in class and throughout the school,
  communicated to the                                        especially if a student has a history of escalating
                                                             dangerous behavior.
  child’s parents.
                                                         13. Parents should be notified as soon as possible
    physician or other qualified health professional),       following each instance in which restraint or
    and physical restraint and seclusion should not          seclusion is used with their child.
    be used except in situations where the child’s
                                                             Parents should be informed about the school’s
    behavior poses an imminent danger of serious
                                                             procedures for promptly notifying parents and
    physical harm to self or others and should be
                                                             documenting each time that restraint or seclu-
    discontinued as soon as the imminent danger of
                                                             sion is used with their child. The meaning of
    serious physical harm to self or others has dissi-
                                                             “as soon as possible” notification should be
    pated; (2) definitions of restraint and seclusion;
                                                             determined by the State, district, or school and
    (3) information on the procedures for determin-
                                                             included in the information on restraint and
    ing when restraint or seclusion can and cannot
                                                             seclusion that is provided to parents. Document-
    be properly used in school settings; (4) infor-
                                                             ing that parents have been notified as soon as
    mation on the procedural safeguards that are in
                                                             possible, ideally on the same school day, when
    place to protect the rights of children and their
                                                             restraint or seclusion has been used ensures that
    parents; (5) a description of the alignment of a
                                                             parents are fully informed about their child’s
    district’s and school’s policies and procedures
                                                             behavior and the school’s response and helps
    with applicable State or local laws or regula-
                                                             parents participate as informed team members
    tions; (6) procedures for notifying parents when
                                                             who can work with their child’s teachers
    restraint or seclusion has been used with their
                                                             and other school staff to determine whether
    child; and (7) procedures for notifying parents
                                                             the behavioral supports at school and at home,
    about any changes to policies and procedures
                                                             including prevention and de-escalation
    on restraint or seclusion. If policy or procedural
                                                             strategies, are effective.
    changes are made during the school year staff




U.S. Department of Education Restraint and Seclusion: Resource Document                                      21
14. Policies regarding the use of restraint and
    seclusion should be reviewed regularly and
    updated as appropriate.

    States, districts, and schools should not only
    establish and publish policies and procedures
    on the use of restraint and seclusion, but also
    should periodically review and update them as
    appropriate. This review should be conducted
    by a team (that includes parents) with expertise
    related to PBIS, and educating and supporting
    students with dangerous behaviors in schools
    and community settings. The review should          15. Policies regarding the use of restraint and
    consider and examine (1) available data on             seclusion should provide that each incident
    the use of these practices and their outcomes          involving the use of restraint or seclusion
    (i.e., the review should examine the frequency         should be documented in writing and provide
    of the use of restraint and the use of seclusion       for the collection of specific data that would
    across individual children, groups of children         enable teachers, staff, and other personnel
    (e.g., gender, race, national origin, disability       to understand and implement the preceding
    status and type of disability, limited English         principles.
    proficiency, etc.)), settings, individual staff,
                                                           Each incident of the use of restraint and of the
    and programs and consider whether policies for
                                                           use of seclusion should be properly documented
    restraint and seclusion are being applied con-
                                                           for the main purposes of preventing future need
    sistently; (2) the accuracy and consistency with
                                                           for the use of restraint or seclusion and creat-
    which restraint and seclusion data are being
                                                           ing a record for consideration when developing
    collected, as well as the extent to which these
                                                           a plan to address the student’s needs and staff
    data are being used to plan behavioral interven-
                                                           training needs. For example, a school should
    tions and staff training; (3) whether procedures
                                                           maintain a written log of incidents when re-
    for using these practices are being implemented
                                                           straint or seclusion is used. Appropriate school
    with fidelity; (4) whether procedures continue
                                                           staff should prepare a written log entry describ-
    to protect children and adults; and (5) whether
                                                           ing each incident, including details of the child’s
    existing policies and procedures for restraint
                                                           dangerous behavior, why this behavior posed
    and seclusion remain properly aligned with
                                                           an imminent danger of serious physical harm
    applicable State and local laws. The school
                                                           to self or others, possible factors contributing
    should maintain records of its review of restraint
                                                           to the dangerous behavior, the effectiveness
    and seclusion data and any resulting decisions
                                                           of restraint or seclusion in de-escalating the
    or actions regarding the use of restraint and
                                                           situation and staff response to such behavior.
    seclusion.
                                                           Best practices and existing State policies and




U.S. Department of Education Restraint and Seclusion: Resource Document                                    22
procedures indicate that documentation of each         of restraint and seclusion incidents across indi-
    use of restraint or seclusion frequently includes      vidual children, groups of children (e.g., gender,
    (1) start and end times of the restraint or seclu-     race, national origin, disability status and type
    sion; (2) location of the incident; (3) persons        of disability, limited English proficiency, etc.),
    involved in the restraint or seclusion; (4) the        settings, individual staff, and programs, as well
    time and date the parents were notified; (5) pos-      as the number and proportion of children who
    sible events that triggered the behavior that led      were restrained or placed in seclusion since
    to the restraint or seclusion; (6) prevention, re-     the last meeting and for the year to date. Such
    direction, or pre-correction strategies that were
    used during the incident; (7) a description of the
    restraint or seclusion strategies that were used
    during the incident; (8) a description of any
                                                          States, districts, and
    injuries or physical damage that occurred during      schools should not only
    the incident; (9) how the child was monitored
    during and after the incident; (10) the debriefing    establish and publish
    that occurred with staff following the incident;
    (11) the extent to which staff adhered to the
                                                          policies and procedures
    procedural implementation guidelines (if estab-       on the use of restraint
    lished by the State, district, or school); and (12)
    follow-up that will occur to review or develop        and seclusion, but also
    the student’s BIP.                                    should periodically review
    For individual children, these data should be         and update them as
    periodically reviewed to determine whether
    (1) there are strategies in place to address the      appropriate.
    dangerous behavior at issue; (2) the strategies
    in place are effective in increasing appropriate
    behaviors; and (3) new strategies need to be           reviews should be used to determine whether
    developed, or current strategies need to be            state, district, and school policies are being
    revised or changed to prevent reoccurrences            properly followed, whether procedures are
    of the dangerous behavior(s).                          being implemented as intended, and whether
                                                           the school staff should receive additional train-
    Data on the frequency of use of restraint and
                                                           ing on the proper use of restraint and seclusion
    seclusion for all children should be periodi-
                                                           or PBIS. States, districts, and schools should
    cally reviewed at school leadership meetings,
                                                           consider making these data public, ensuring that
    grade-level meetings, and other meetings of
                                                           personally identifiable information is protected.
    school staff. Data to be reviewed at these meet-
    ings should include information, consistent with
    privacy laws, about the frequency and duration




U.S. Department of Education Restraint and Seclusion: Resource Document                                   23
federal agency
                                    Efforts to address
                                        Concerns
                                    To date, Federal efforts to address
                                    concerns about the use of restraint
                                    and seclusion in schools have included
                                    the following four interrelated policy
                                    initiatives: (1) articulating principles to
                                    emphasize that physical restraint and
                                    seclusion should not be used except to
                                    protect a child or others from imminent
                                    danger of serious physical harm; (2)
                                    developing a dear colleague letter and
                                    this Resource Document that will be
                                    used to provide States, districts, and
                                    schools with information related to the
                                    proper and improper use of restraint
                                    and seclusion; (3) collecting, analyzing,
                                    and publishing restraint and seclusion
                                    incident data from every State; and
                                    (4) publishing State regulations, policies,
                                    and guidance on the use of restraint
                                    and seclusion.



U.S. Department of Education Restraint and Seclusion: Resource Document           24
A summary of these Federal efforts is                     Review of State Policies and Procedures
presented below.
                                                          The Department’s Regional Comprehensive Techni-
                                                          cal Assistance Centers collected information on the
DEPaRtmEnt Of EDUCatiOn                                   policies and procedures on restraint and seclusion
EffORtS                                                   in each of the 50 States, eight territories, Bureau of
                                                          Indian Education, and District of Columbia. These
letters from the Secretary                                data were summarized and presented in a public re-
Secretary of Education Arne Duncan issued two             port released in February 2010 and updated through
letters articulating the Department’s position on the     a review of State Web sites in August 2011.
use of restraint and seclusion.

The first letter was sent to Chief State School Offi-
cers on July 31, 2009 urging each State to review its
                                                            The first letter was sent to
current policies and guidelines on the use of restraint     Chief State School Officers
and seclusion in schools, and, if appropriate, to           on July 31, 2009 urging each
develop or revise them to ensure the safety of
students. The letter highlighted a school-wide system       State to review its current
of PBIS as an important preventive approach that            policies and guidelines on the
can increase the capacity of school staff to support
                                                            use of restraint and seclusion
children with complex behavioral needs, thus reduc-
ing the instances that require the use of restraint         in schools, and, if appropriate,
and seclusion. The letter also explained that the           to develop or revise them to
Department would be contacting each State to
discuss the State’s plans to ensure the proper use
                                                            ensure the safety of students.
of restraint and seclusion to protect the safety of
children and others at school.
                                                          Office for Civil Rights
On December 8, 2009, the Secretary sent a letter to
Chairman Dodd, Chairman Miller, and Representa-           The Department’s OCR enforces certain civil rights
tive McMorris Rodgers. This letter expressed the          laws prohibiting discrimination on the basis of
Department’s appreciation of Congressional efforts        race, color, national origin, sex, and disability by
to limit the use of restraint and seclusion. The let-     recipients of Federal financial assistance from the
ter also articulated a list of nine principles that the   Department and certain public entities. In September
Secretary believed would be useful for Congress to        2009, OCR announced in the Federal Register that
consider in the context of any legislation on restraint   it would include, for the first time, questions on
and seclusion. Additionally, the letter informed          restraint and seclusion in the Civil Rights Data
Congress that the Department was reviewing                Collection (CRDC). The CRDC now collects
information about each State’s laws, regulations,         school- and district-level information about students
policies, and guidance on restraint and seclusion.        in public schools that includes (1) the number of




U.S. Department of Education Restraint and Seclusion: Resource Document                                       25
students by race/ethnicity, sex, Limited English Pro-      reward of problem behavior; (4) establish and apply
ficiency (LEP) status, and disability status subjected     consistently a multi-tiered continuum of evidence-
to physical restraint; (2) the number of students by       based behavioral practices that supports behavioral
race/ethnicity, sex, LEP status, and disability status     success for all students, especially those students
subjected to mechanical restraint; (3) the number of       with more complex behavior support challenges;
students by race/ethnicity, sex, LEP status, and dis-      (5) collect and use data continuously to screen and
ability status subjected to seclusion; and (4) the total   monitor progress of all students, make instructional
number of incidents of physical restraint, mechani-        and behavioral decisions, and solve problems; and
cal restraint, and seclusion by disability status. The     (6) invest in the organizational infrastructure and
data collection tables can be found at http://ocrdata.     capacity to enable effective, efficient, and relevant
ed.gov/Downloads.aspx. The CRDC restraint and              implementation of evidence-based practices. These
seclusion data are available at http://ocrdata.ed.gov.     six core principles offer school administrators,
The data were released in two parts, in September          teachers, and other school staff practical guidelines
2011 and March 2012.                                       for implementing comprehensive behavioral systems
                                                           that help prevent the need to use restraint and seclu-
Office of Special Education Programs                       sion in school.
OSEP has a long history of investments in national
centers and projects that support school-wide behav-
ioral frameworks in schools. Notably, in 1997, OSEP
began funding the Technical Assistance Center on
Positive Behavioral Interventions and Supports. The
ongoing work of this center has led to the develop-
ment and implementation of School-wide Positive
Behavioral Interventions and Supports (SWPBIS).
Now widely used throughout the country, SWPBIS
is a framework for organizing evidence-based be-
havioral interventions into an integrated, multi-tiered
continuum that maximizes academic and behavioral
outcomes for all students.
                                                           A growing body of evaluation and experimental
SWPBIS is organized around six core principles:
                                                           research supports the following conclusions about
(1) invest first in the prevention of the social
                                                           the impact of SWPBIS implementation. Schools
behavior that impedes student academic and social
                                                           throughout the country are able to adopt and imple-
success in schools; (2) build a positive whole-
                                                           ment SWPBIS practices. When SWPBIS is imple-
school social culture by defining, teaching, and
                                                           mented as intended, schools experienced reductions
acknowledging clearly defined behavioral
                                                           in problem behaviors (e.g., behavior that results in
expectations for all students; (3) establish and
                                                           office referrals, suspensions). SWPBIS implementa-
apply consistently a continuum of consequences
                                                           tion enhances the impact of effective instruction on
for problem behavior that prevents the inadvertent




U.S. Department of Education Restraint and Seclusion: Resource Document                                       26
Restraints and Seclusion Resources
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Restraints and Seclusion Resources

  • 1. RestRaint and seclusion: ResouRce document u.s. department of education
  • 2. This document was produced under U.S. Department of Education Contract No. ED-OSE-09-O-0058 with the American Institutes for Research. Renee Bradley served as the contracting officer’s representative. This resource document contains websites and resources created by a variety of organizations. These websites and resources are provided for the user’s convenience. No official endorsement by the U.S. Department of Education of any product, commodity, service or enterprise mentioned in this report or on websites referred to in this report is intended or should be inferred. The views expressed herein do not necessarily represent the positions or policies of the Department of Education and no official endorsement of them by the Department is intended or should be inferred. U.S. Department of Education Arne Duncan Secretary May, 2012 This report is in the public domain. Authorization to reproduce it in whole or in part is granted. While permission to reprint this publication is not necessary, the citation should be: U.S. Department of Education, Restraint and Seclusion: Resource Document, Washington, D.C., 2012. This resource is available on the Department’s Web site at: www.ed.gov/policy/restraintseclusion On request, this publication is available in alternate formats, such as Braille, large print or compact disc. For more information, contact the Department’s Alternate Format Center at 202-260-0852 or 202-260-0818. All photos are from Getty Images. U.S. Department of Education Restraint and Seclusion: Resource Document ii
  • 3. THE SECRETARY OF EDUCATION WAShINgTON, DC 20202 May 15, 2012 As education leaders, our first responsibility must be to ensure that schools foster learning in a safe and healthy environment for all our children, teachers, and staff. To support schools in fulfilling that responsibility, the U.S. Department of Education has developed this document that describes 15 principles for States, school districts, schools, parents, and other stakeholders to consider when developing or revising policies and procedures on the use of restraint and seclusion. These principles stress that every effort should be made to prevent the need for the use of restraint and seclusion and that any behavioral intervention must be consistent with the child’s rights to be treated with dignity and to be free from abuse. The principles make clear that restraint or seclusion should never be used except in situations where a child’s behavior poses imminent danger of serious physical harm to self or others, and restraint and seclusion should be avoided to the greatest extent possible without endangering the safety of students and staff. The goal in presenting these principles is to help ensure that all schools and learning environments are safe for all children and adults. As many reports have documented, the use of restraint and seclusion can have very serious consequences, including, most tragically, death. Furthermore, there continues to be no evidence that using restraint or seclusion is effective in reducing the occurrence of the problem behaviors that frequently precipitate the use of such techniques. Schools must do everything possible to ensure all children can learn, develop, and participate in instructional programs that promote high levels of academic achievement. To accomplish this, schools must make every effort to structure safe environments and provide a behavioral framework, such as the use of positive behavior interventions and supports, that applies to all children, all staff, and all places in the school so that restraint and seclusion techniques are unnecessary. I hope you find this document helpful in your efforts to provide a world-class education to America’s children. Thank you for all you do to support our schools, families, and communities and for your work on behalf of our nation’s children. Arne Duncan U.S. Department of Education Restraint and Seclusion: Resource Document iii
  • 4. Contents Restraint and Seclusion: Resource Document.......................................... 1 Background ................................................................................................. 4 Other Significant Federal Activity Regarding the Use of Restraint and Seclusion in Schools........................................................ 6 U.S. government Accountability Office Report ........................................... 6 Congressional Hearings and Proposed Legislation....................................... 7 Congressional Research Service Report ....................................................... 8 Terms Used in This Document ................................................................... 9 The CRDC defines physical restraint as: .................................................... 10 The CRDC defines mechanical restraint as: ............................................... 10 The CRDC defines seclusion as:................................................................. 10 Fifteen Principles .......................................................................................11 Fifteen Principles ........................................................................................ 12 Federal Agency Efforts to Address Concerns......................................... 24 Department of Education Efforts ................................................................ 25 Letters from the Secretary........................................................................... 25 Review of State Policies and Procedures.................................................... 25 Office for Civil Rights ................................................................................ 25 Office of Special Education Programs........................................................ 26 Department of Health and Human Services Efforts ................................... 27 Children’s health Act.................................................................................. 27 SAMHSA.................................................................................................... 28 Attachment A............................................................................................. 29 Attachment B............................................................................................. 33 Federal Resources ....................................................................................... 34 Associated Resources.................................................................................. 36 U.S. Department of Education Restraint and Seclusion: Resource Document iv
  • 5. Restraint and Seclusion: Resource Document 1 School should be a safe and healthy environment in which America’s children can learn, develop, and participate in instructional programs that promote high levels of academic achievement. U.S. Department of Education Restraint and Seclusion: Resource Document 1
  • 6. The foundation of any discussion about the use of restraint and seclusion is that every effort should be made to structure environments and provide supports so that restraint and seclusion are unnecessary. As many reports have documented, the use of restraint and seclusion can, in some cases, have very seri- ous consequences, including, most tragically, death. There is no evidence that using restraint or seclusion is effective in reducing the occurrence of the prob- lem behaviors that frequently precipitate the use of such techniques. Physical restraint or seclusion should not be used freedom of movement.2 In addition, schools should except in situations where the child’s behavior poses never use a drug or medication to control behavior imminent danger of serious physical harm to self or or restrict freedom of movement unless it is (1) others and restraint and seclusion should be avoided prescribed by a licensed physician, or other qualified to the greatest extent possible without endanger- health professional acting under the scope of the ing the safety of students and staff. Schools should professional’s authority under State law; and (2) never use mechanical restraints to restrict a child’s administered as prescribed by the licensed physician or other qualified health professional acting under the scope of the professional’s authority under State 1 The U.S. Department of Education issues this Resource law. Teachers, administrators, and staff understand Document to provide guidance, and describe fifteen prin- that students’ social behavior can affect their aca- ciples that States, school districts, school staff, parents, and other stakeholders may find helpful to consider when States, demic learning. In many high-performing schools localities, and districts develop practices, policies, and effective academic instruction is combined with procedures on the use of restraint and seclusion in schools. effective behavior supports to maximize academic Our goal in providing this information is to inform States and school districts about how they can help to ensure that engagement and, thus, student achievement. schools are safe learning environments for all students. As Students are more likely to achieve when they are guidance, the extent to which States and school districts (1) directly taught school and classroom routines implement these principles in furtherance of that goal is a matter for State and local school officials to decide using and social expectations that are predictable and their professional judgment, especially in applying this contextually relevant; (2) acknowledged clearly information to specific situations and circumstances. This and consistently for their displays of positive document does not set forth any new requirements, does not create or confer any rights for or on any person or require academic and social behavior; and (3) treated by specific actions by any State, locality, or school district. 2 As the definition on page six of this document makes clear, We are interested in making this document as informative “mechanical restraint” as used in this document does not and useful as possible. If you are interested in commenting include devices implemented by trained school personnel, on this document, please e-mail your comments to Restraint. or utilized by a student that have been prescribed by an Seclusion@ed.gov or write to us at the following address: appropriate medical or related services professional and are US Department of Education, 550 12th Street SW, PCP used for the specific and approved purposes for which such Room 4160, Washington, DC 20202-2600. devices were designed. U.S. Department of Education Restraint and Seclusion: Resource Document 2
  • 7. others with respect. (Algozzine, R., Wang, C., and Violette, C., 2011; McIntosh, K., Chard, D., Boland, Restraint or seclusion should J., and horner, R., 2006). Building effective behavioral supports in schools also involves several not be used as routine school ongoing interrelated activities, including (1) invest- safety measures; that is, they ing in the whole school rather than just students with problem behavior; (2) focusing on preventing the should not be implemented development and occurrence of problem behavior; except in situations where (3) reviewing behavioral data regularly to adapt a child’s behavior poses school procedures to the needs of all students and their families; and (4) providing additional academic imminent danger of serious and social behavioral supports for students who are physical harm to self or not making expected progress (Sugai, g., horner, others and not as a routine R., Algozzine, R., Barrett, S., Lewis, T., Anderson, C., Bradley, R., Choi, J. h., Dunlap, g., Eber, L., strategy implemented to george, h., Kincaid, D., McCart, A., Nelson, M., address instructional Newcomer, L., Putnam, R., Riffel, L., Rovins, M., Sailor, W., Simonsen, B. (2010)). problems or inappropriate behavior (e.g., disrespect, Positive behavior interventions and supports (PBIS) is a multi-tiered school-wide approach to establish- noncompliance, insubordina­ ing the social culture that is helpful for schools to tion, out of seat), as a means achieve social and academic gains while minimizing of coercion or retaliation, or problem behavior for all children. Over 17,000 schools across the country are implementing PBIS, as a convenience. which provides a framework for decision-making that guides the implementation of evidence-based reductions in the behaviors that lead to office disci- academic and behavioral practices throughout the plinary referrals, suspensions, and expulsions. While entire school, frequently resulting in significant the successful implementation of PBIS typically results in improved social and academic outcomes, it will not eliminate all behavior incidents in a school (Bradshaw, C., Mitchell, M., and Leaf, P. (2010); Muscott, h., and Mann, E. (in press); Lassen, S., Steele, M., and Sailor, W. (2006)). however, PBIS is an important preventive framework that can increase the capacity of school staff to support all children, including children with the most complex behavioral needs, thus reducing the instances that require intensive interventions. U.S. Department of Education Restraint and Seclusion: Resource Document 3
  • 8. Background On July 31, 2009, Secretary of Education Arne Duncan sent a letter to Chief State School Officers stating that he was deeply troubled about the current use and effects of restraint and seclusion, which were the subject of testimony before the Education and Labor Committee in the U.S. House of Representatives’ hearing examining the abusive and potentially deadly application of restraint and seclusion techniques in schools. U.S. Department of Education Restraint and Seclusion: Resource Document 4
  • 9. In his letter, Secretary Duncan encouraged each State to review its current policies and guidelines on the use of restraint and seclusion in schools to help ensure that every student is safe and protected, and, if appropriate, to develop or revise its policies and guidelines. In addition, Secretary Duncan urged the Chiefs to publicize these policies and guidelines so that administrators, teachers, and parents understand and consent to the limited circumstances under which these techniques may be used; ensure that parents are notified when these interventions occur; provide the resources needed to successfully implement the policies; and hold school districts Additionally, in 2009, the Substance Abuse and accountable for adhering to the guidelines. The letter Mental health Services Administration (SAMhSA) went on to highlight the use of PBIS as an important of the U.S. Department of Health and Human preventive approach that can increase the capacity Services (DhhS), asked the Department’s Office of the school staff to support children with the of Special Education Programs (OSEP) to review most complex behavioral needs, thus reducing the a paper commissioned by SAMHSA (with the as- instances that require intensive interventions. sistance of an expert work group) addressing the Subsequently, the U.S. Department of Education issue of restraint and seclusion in schools. Based on (the Department) asked its regional Comprehensive Secretary Duncan’s letter to the Chief State School Centers to collect each State’s statutes, regulations, Officers and the experiences of SAMhSA with policies, and guidelines regarding the use of restraint reducing, and in some cases eliminating, the use and seclusion, and posted that information on the of restraint and seclusion in mental health facilities, Department’s Web site.3 Additionally, the Depart- the Department determined that it would be ben- ment’s Office for Civil Rights revised the Civil eficial to all children if information and technical Rights Data Collection beginning with school year assistance were provided to State departments of 2009-2010 to require reporting of the total number education, local school districts, and preschool, of students subjected to restraint or seclusion disag- elementary, and secondary schools regarding limit- gregated by race/ethnicity, sex, limited English profi- ing the use of restraint and seclusion to situations ciency status, and disability, and to collect the total involving imminent danger of serious physical harm number of times that restraint or seclusion occurred.4 to children or others.5 3 A revised version of that information is included in this document as Attachment A. 5 More detail about these efforts is included later in this 4 These data are available at http://ocrdata.ed.gov. document. U.S. Department of Education Restraint and Seclusion: Resource Document 5
  • 10. The purpose of this Resource Document is to pres- and refined the principles. The Department and the ent and describe 15 principles for State, district, and Department of Health and Human Services urge school staff; parents; and other stakeholders to con- States, local districts, and schools to adopt policies sider when States, localities, and districts develop that consider these 15 principles as the framework policies and procedures, which should be in writing for the development and implementation of policies on the use of restraint and seclusion. The principles and procedures related to restraint and seclusion to are based on the nine principles that Secretary of help ensure that any use of restraint or seclusion in Education Arne Duncan articulated in a 2009 letter schools does not occur, except when there is a threat to Chairman Christopher Dodd, Chairman george of imminent danger of serious physical harm to the Miller, and Representative Cathy McMorris Rodgers student or others, and occurs in a manner that pro- in response to proposed legislation on restraint and tects the safety of all children and adults at a school. seclusion. In his letter, the Secretary affirmed the The goal in presenting these principles is to help Department’s position that restraint and seclusion ensure that all schools and all learning environments should not be used except when necessary to protect are safe for all children and adults. This Resource a child or others from imminent danger of serious Document discusses the context within which physical harm. Since the Secretary issued his 2009 these principles were developed, lists the principles, letter, the Department, working with the Department and highlights the current state of practice and of health and human Services, further developed implementation considerations for each principle. Additionally, this document provides a synopsis of ongoing efforts by Federal agencies to address In cases where a student national concerns about using restraint and seclusion in schools. Two attachments at the end of this docu- has a history of dangerous ment provide information about State policies on the behavior for which restraint use of restraint and seclusion in our nation’s public or seclusion was considered schools and an annotated resource guide on the use of restraint and seclusion in schools. or used, a school should have a plan for: (1) teaching OthER SignifiCant fEDERal and supporting more aCtivity REgaRDing thE USE appropriate behavior; and Of REStRaint anD SEClUSiOn in SChOOlS (2) determining positive methods to prevent behavioral U.S. government accountability Office Report escalations that have The U.S. house of Representatives’ Committee on previously resulted in the Education and Labor requested the U.S. Government use of restraint or seclusion. Accountability Office (gAO) to review the avail- able evidence on the use of restraint and seclusion U.S. Department of Education Restraint and Seclusion: Resource Document 6
  • 11. that resulted in death and abuse at public and private GAO reported that there were no reliable national schools and treatment centers. The GAO reviewed data on when and how often restraint and seclusion applicable Federal and State laws, interviewed are being used in schools, or on the extent of abuse knowledgeable State officials and recognized resulting from the use of these practices in educa- experts, and examined available evidence of abuse tional settings nationally. however, the gAO identi- allegations from parents, advocacy organizations, fied several hundred cases of alleged abuse, includ- and the media for the period between 1990 and ing deaths that were related to the use of restraint or 2009. These evidence reviews also involved the seclusion of children in public and private schools. examination of selected closed cases, including Finally, the gAO provided detailed documentation police and autopsy reports and school policies on of the abuse of restraint or seclusion in a sample of restraint or seclusion related to these cases. 10 closed cases that resulted in criminal convictions, findings of civil or administrative liability, or a large The gAO report, titled Examining the Abusive and financial settlement. The gAO further observed that Deadly Use of Seclusion and Restraint in Schools problems with untrained or poorly trained staff were (issued May 19, 2009), included three sets of find- often related to many instances of alleged abuse. ings. First, the gAO found that there were no current Federal regulations, but a wide variety of divergent Congressional hearings and Proposed State regulations, governing the use of restraint and legislation seclusion in public and private schools. Second, the The GAO report was presented to the U.S. House of Representatives’ Committee on Education and Labor at a hearing on restraint and seclusion on May 19, 2009. Testimony at this and other hearings, together with related work by the Committee, led to the drafting of proposed Federal legislation on the use of restraint and seclusion in schools. The 111th Congress considered legislation on the use of restraint and seclusion in schools. The House bill (h.R. 4247) was titled Keeping All Students Safe Act, and two Senate bills were introduced, Prevent- ing Harmful Restraint and Seclusion in Schools Act (S. 2860) and Keeping All Students Safe Act (S. 3895). In April, 2011, h.R. 4247 was reintroduced in the 112th Congress as h.R. 1381. And in Decem- ber, 2011, S. 2020, Keeping All Students Safe Act, was introduced in the 112th Congress. The shared purposes of these bills were to (1) limit the use of re- straint and seclusion in schools to cases where there U.S. Department of Education Restraint and Seclusion: Resource Document 7
  • 12. First, the GAO found that there were no current Federal regulations, but a wide variety of diver­ gent State regulations, governing the use of restraint and seclusion in public and private Congressional Research Service Report In October, 2010, the Congressional Research schools. Service issued a report to Congress titled The Use of Seclusion and Restraint in Public Schools: is imminent danger of physical injury to the student The Legal Issues. The report focused on the legal or others at school; (2) provide criteria and steps issues regarding the use of seclusion and restraint in for the proper use of restraint or seclusion; and (3) schools, including their use with children covered promote the use of positive reinforcement and other, by the Individuals with Disabilities Education Act less restrictive behavioral interventions (IDEA) and with children not covered by IDEA. The in school. These measures also would have autho- report addressed (1) definitions (Civil Rights Data rized support to States and localities in adopting Collection definitions); (2) constitutional issues; more stringent oversight of the use of restraint and (3) IDEA judicial decisions related to seclusion and seclusion in schools, and would have established restraint; (4) State laws and policies; and (5) Federal requirements for collecting data on the use of these legislation. practices in schools. Both the House and Senate bills were introduced and debated by their respective chambers in the 111th Congress, but only the House bill had passed when the Congressional session ended in December 2010. Therefore, no legislation related to restraint and seclusion in schools was enacted by the 111th Congress, nor has action on such legislation been taken, to date, in the 112th Congress. U.S. Department of Education Restraint and Seclusion: Resource Document 8
  • 13. terms Used in this Document The Department’s Office for Civil Rights (OCR) began collecting data on the use of restraint and seclusion in schools as part of the Department’s 2009-2010 Civil Rights Data Collection (CRDC) and defined key terms related to restraint and seclusion. U.S. Department of Education Restraint and Seclusion: Resource Document 9
  • 14. References in this document to “restraint” encom- the CRDC defines seclusion as: pass the terms “physical restraint” and “mechanical ■■ The involuntary confinement of a student alone restraint” as defined in the CRDC. References to in a room or area from which the student is “seclusion” encompass “seclusion” as defined in the physically prevented from leaving. It does not CRDC. According to the gAO report, each of these include a timeout, which is a behavior man- types of restraint is currently being used in schools. agement technique that is part of an approved program, involves the monitored separation the CRDC defines physical restraint as: of the student in a non-locked setting, and is implemented for the purpose of calming. ■■ A personal restriction that immobilizes or reduces the ability of a student to move his or A copy of the 2009-2010 CRDC and the OCR her torso, arms, legs, or head freely. The term definitions of restraint and seclusion can be found physical restraint does not include a physical at the following Web site: http://www2.ed.gov/ escort. Physical escort means a temporary about/offices/list/ocr/whatsnew.html. Restraint and touching or holding of the hand, wrist, arm, shoulder, or back for the purpose of inducing seclusion data are available at http://ocrdata.ed.gov.6 a student who is acting out to walk to a safe location. the CRDC defines mechanical restraint as: ■■ The use of any device or equipment to restrict a student’s freedom of movement. This term does not include devices implemented by trained school personnel, or utilized by a student that have been prescribed by an appropriate medical or related services professional and are used for the specific and approved purposes for which such devices were designed, such as: ■■ Adaptive devices or mechanical supports used to achieve proper body position, balance, or alignment to allow greater freedom of mobility than would be possible without the use of such devices or mechanical supports; ■■ Vehicle safety restraints when used as intended during the transport of a student in a moving vehicle; 6 As these terms are used in this document, “restraint” does ■■ Restraints for medical immobilization; or not include behavioral interventions used as a response to ■■ Orthopedically prescribed devices that calm and comfort (e.g., proximity control, verbal soothing) an upset student and “seclusion” does not include classroom permit a student to participate in activities timeouts, supervised in-school detentions, or out-of-school without risk of harm. suspensions. U.S. Department of Education Restraint and Seclusion: Resource Document 10
  • 15. fifteen Principles 7 The Department, in collaboration with SAMHSA, has identified 15 principles that we believe States, local school districts, preschool, elementary, and secondary schools, parents, and other stakeholders should consider as the framework for when States, localities, and districts develop and implement policies and procedures, which should be in writing related to restraint and seclusion to ensure that any use of restraint or seclusion in schools does not occur, except when there is a threat of imminent danger of serious physical harm to the student or others, and occurs in a manner that protects the safety of all children and adults at school. U.S. Department of Education Restraint and Seclusion: Resource Document 11
  • 16. The Department recognizes that States, localities, and districts may choose to exceed the framework set by the 15 principles by providing additional Every effort should protections from restraint and seclusion. be made to prevent fiftEEn PRinCiPlES the need for the use 1. Every effort should be made to prevent the of restraint and for need for the use of restraint and for the use of seclusion. the use of seclusion. 2. Schools should never use mechanical restraints to restrict a child’s freedom of movement, and 6. Restraint or seclusion should never be used schools should never use a drug or medication as punishment or discipline (e.g., placing in to control behavior or restrict freedom of seclusion for out-of-seat behavior), as a means movement (except as authorized by a licensed of coercion or retaliation, or as a convenience. physician or other qualified health professional). 7. Restraint or seclusion should never be used in 3. Physical restraint or seclusion should not be a manner that restricts a child’s breathing or used except in situations where the child’s harms the child. behavior poses imminent danger of serious 8. The use of restraint or seclusion, particularly physical harm to self or others and other when there is repeated use for an individual interventions are ineffective and should be child, multiple uses within the same classroom, discontinued as soon as imminent danger or multiple uses by the same individual, should of serious physical harm to self or others trigger a review and, if appropriate, revision has dissipated. of strategies currently in place to address 4. Policies restricting the use of restraint and dangerous behavior;8 if positive behavioral seclusion should apply to all children, not just strategies are not in place, staff should children with disabilities. consider developing them. 5. Any behavioral intervention must be consistent 9. Behavioral strategies to address dangerous with the child’s rights to be treated with dignity behavior that results in the use of restraint or and to be free from abuse. seclusion should address the underlying cause or purpose of the dangerous behavior. 10. Teachers and other personnel should be trained regularly on the appropriate use of effective alternatives to physical restraint and seclusion, 7 This Resource Document addresses the restraint or seclu- such as positive behavioral interventions and sion of any student regardless of whether the student has a supports and, only for cases involving imminent disability. Federal laws, including the IDEA, the Americans with Disabilities Act of 1990, as amended, and Section 504 danger of serious physical harm, on the safe use of the Rehabilitation Act of 1973, as amended, must be fol- of physical restraint and seclusion. lowed in any instance in which a student with a disability is restrained or secluded, or where such action is contemplated. 8 As used in this document, the phrase “dangerous behavior” This Resource Document does not, however, address the refers to behavior that poses imminent danger of serious legal requirements contained in those laws. physical harm to self or others. U.S. Department of Education Restraint and Seclusion: Resource Document 12
  • 17. 11. Every instance in which restraint or seclusion is Following is additional information about each of used should be carefully and continuously and the 15 principles. visually monitored to ensure the appropriateness of its use and safety of the child, other children, 1. Every effort should be made to prevent the teachers, and other personnel. need for the use of restraint and for the use of seclusion. 12. Parents should be informed of the policies on restraint and seclusion at their child’s school or All children should be educated in safe, re- other educational setting, as well as applicable spectful, and non-restrictive environments Federal, State, or local laws. where they can receive the instruction and 13. Parents should be notified as soon as possible other supports they need to learn and achieve following each instance in which restraint or at high levels. Environments can be structured seclusion is used with their child. to greatly reduce, and in many cases eliminate, 14. Policies regarding the use of restraint and the need to use restraint or seclusion. SAMHSA seclusion should be reviewed regularly and notes in its Issue Brief #1: Promoting Alterna- updated as appropriate. tives to the Use of Seclusion and Restraint, that 15. Policies regarding the use of restraint and seclu- with leadership and policy and programmatic sion should provide that each incident involving change, the use of seclusion and restraint can be the use of restraint or seclusion should be docu- prevented and in some facilities has been elimi- mented in writing and provide for the collection nated. One primary method is to structure the of specific data that would enable teachers, environment using a non-aversive effective be- staff, and other personnel to understand and havioral system such as PBIS. Effective positive implement the preceding principles. behavioral systems are comprehensive, in that they are comprised of a framework or approach for assisting school personnel in adopting and organizing evidence-based behavioral interven- tions into an integrated continuum that enhances academic and social behavioral outcomes for all students. The PBIS prevention-oriented framework or approach applies to all students, all staff, and all settings. When integrated with effective academic instruction, such systems can help provide the supports children need to become actively engaged in their own learn- ing and academic success. Schools success- fully implementing comprehensive behavioral systems create school-wide environments that reinforce appropriate behaviors while reduc- ing instances of dangerous behaviors that may lead to the need to use restraint or seclusion. In U.S. Department of Education Restraint and Seclusion: Resource Document 13
  • 18. schools implementing comprehensive behav- ioral systems, trained school staff use preventive assessments to identify where, under what con- Schools should never ditions, with whom, and why specific inappro- use mechanical restraints priate behavior may occur, as well as implement de-escalation techniques to defuse potentially to restrict a child’s free­ violent dangerous behavior. Preventive assess- ments should include (1) a review of existing dom of movement, and records; (2) interviews with parents, family schools should never members, and students; and (3) examination of previous and existing behavioral intervention use a drug or medica­ plans. Using these data from such assessments tion to control behavior helps schools identify the conditions when inappropriate behavior is likely to occur and the or restrict freedom of factors that lead to the occurrence of these be- haviors; and develop and implement preventive movement (except as behavioral interventions that teach appropriate authorized by a licensed behavior and modify the environmental factors that escalate the inappropriate behavior. The use physician or other quali­ of comprehensive behavioral systems signifi- cantly decreases the likelihood that restraint or fied health professional). seclusion would be used, supports the attain- ment of more appropriate behavior, and, when professional acting under the scope of the implemented as described, can help to improve professional’s authority under State law; and academic achievement and behavior. (2) administered as prescribed by the licensed physician or other qualified health professional 2. Schools should never use mechanical acting under the scope of the professional’s restraints to restrict a child’s freedom of authority under State law. movement, and schools should never use a drug or medication to control behavior or 3. Physical restraint or seclusion should not be restrict freedom of movement (except as used except in situations where the child’s authorized by a licensed physician or other behavior poses imminent danger of serious qualified health professional). physical harm to self or others and other interventions are ineffective and should be Schools should never use mechanical restraints discontinued as soon as imminent danger of to restrict a child’s freedom of movement. In serious physical harm to self or others has addition, schools should never use a drug or dissipated. medication to control behavior or restrict free- Physical restraint or seclusion should be dom of movement unless it is (1) prescribed by reserved for situations or conditions where a licensed physician, or other qualified health U.S. Department of Education Restraint and Seclusion: Resource Document 14
  • 19. there is imminent danger of serious physical harm to the child, other children, or school or program staff. These procedures should not be used except to protect the child and others from serious harm and to defuse imminently dangerous situations in the classroom or other non-classroom school settings (e.g., hallways, cafeteria, playground, sports field), and only should be used by trained personnel. Physical restraint or seclusion should not be used as a response to inappropriate behavior (e.g., disre- spect, noncompliance, insubordination, out of seat) that does not pose imminent danger of se- in the school, all staff who work directly or rious physical harm to self or others, nor should indirectly with children, and across all settings a child be restrained and secluded simultane- under the responsibility of the school. ously as this could endanger the child. In ad- dition, planned behavioral strategies should be 5. Any behavioral intervention must be consis- in place and used to: (1) de-escalate potentially tent with the child’s rights to be treated with violent dangerous behavior; (2) identify and dignity and to be free from abuse. support competing positive behavior to replace dangerous behavior; and (3) support appropri- Every child deserves to be treated with dignity, ate behavior in class and throughout the school, be free from abuse, and treated as a unique especially if a student has a history of escalating individual with individual needs, strengths, and dangerous behavior. circumstances (e.g., age, developmental level, medical needs). The use of any technique that is 4. Policies restricting the use of restraint and abusive is illegal and should be reported to the seclusion should apply to all children, not appropriate authorities. Schools should con- just children with disabilities. sider implementing an evidence-based school- Behavior that results in the rare use of restraint wide system or framework of positive behav- or seclusion -- that posing imminent danger of ioral interventions and supports. Key elements serious physical harm to self or others -- is not of a school-wide system or framework include limited to children with disabilities, children (1) universal screening to identify children at with a particular disability, or specific groups risk for behavioral problems; (2) use of a con- of children (e.g., gender, race, national origin, tinuum of increasingly intensive behavioral and limited English proficiency, etc.) without dis- academic interventions for children identified abilities. Thus, to the extent that State and local as being at risk; (3) an emphasis on teaching policies address the use of restraint or seclusion, and acknowledging school-wide and individual those policies, including assessment and pre- expected behaviors and social skills; and (4) vention strategies, should apply to all children systems to monitor the responsiveness of U.S. Department of Education Restraint and Seclusion: Resource Document 15
  • 20. individual children to behavioral and academic interventions. Increases in children’s academic achievement and reductions in the frequency of disciplinary incidents can be realized when school-wide frameworks are implemented as designed and are customized to match the needs, resources, context, and culture of students and staff. 6. Restraint or seclusion should never be used as punishment or discipline (e.g., placing in restraint for out-of-seat behavior), as a means of coercion, or retaliation, or as a convenience. school rules; (2) noncompliance with staff di- rections; (3) the use of inappropriate language; Restraint or seclusion should not be used as (4) to “punish” a child for inappropriate behav- routine school safety measures; that is, they ior; or (5) staff to have an uninterrupted time should not be implemented except in situations together to discuss school issues. where a child’s behavior poses imminent danger of serious physical harm to self or others and 7. Restraint or seclusion should never be used not as a routine strategy implemented to address in a manner that restricts a child’s breathing instructional problems or inappropriate behavior or harms the child. (e.g., disrespect, noncompliance, insubordina- Prone (i.e., lying face down) restraints or other tion, out of seat), as a means of coercion or restraints that restrict breathing should never be retaliation, or as a convenience. Restraint or used because they can cause serious injury or seclusion should only be used for limited peri- death. Breathing can also be restricted if loose ods of time and should cease immediately when clothing becomes entangled or tightened or if the imminent danger of serious physical harm to the child’s face is covered by a staff member’s self or others has dissipated. Restraint or seclu- body part (e.g., hand, arm, or torso) or through sion should not be used (1) as a form of punish- pressure to the abdomen or chest. Any restraint ment or discipline (e.g., for out-of-seat behav- or seclusion technique should be consistent with ior); (2) as a means to coerce, retaliate, or as a known medical or other special needs of a child. convenience for staff; (3) as a planned behavior- School districts should be cognizant that certain al intervention in response to behavior that does restraint and seclusion techniques are more re- not pose imminent danger of serious physical strictive than others, and use the least restrictive harm to self or others; or (4) in a manner that technique necessary to end the threat of immi- endangers the child. For example, it would be nent danger of serious physical harm. A child’s inappropriate to use restraint or seclusion for ability to communicate (including for those (1) failure to follow expected classroom or children who use only sign language or other U.S. Department of Education Restraint and Seclusion: Resource Document 16
  • 21. forms of manual communication or assistive techniques, so that appropriate behavior is more technology) also should not be restricted unless likely to occur and inappropriate and dangerous less restrictive techniques would not prevent behavior is less likely to occur. imminent danger of serious physical harm to the student or others. In all circumstances, When restraint or seclusion is repeatedly used the use of restraint or seclusion should never with a child, used multiple times within the harm a child. same classroom, or used multiple times by the same individual, a review of the student’s BIP 8. The use of restraint or seclusion, particu- should occur, the prescribed behavioral strate- larly when there is repeated use for an indi- gies should be modified, if needed; and staff vidual child, multiple uses within the same training and skills should be re-evaluated. The classroom, or multiple uses by the same need for the review is based on the individual individual, should trigger a review and, if needs of the child and the determination should appropriate, a revision of behavioral strate- include input from the family; a review could be gies currently in place to address dangerous necessitated by a single application of restraint behavior; if positive behavioral strategies or seclusion. This review may entail conduct- are not in place, staff should consider devel- ing another FBA to refine the BIP or examining oping them. the implementation of the current plan. If the student has a history of dangerous behavior and In cases where a student has a history of dan- has been subjected to restraint or seclusion, a gerous behavior for which restraint or seclu- review and plan should be conducted prior to sion was considered or used, a school should the student entering any program, classroom, or have a plan for (1) teaching and supporting school. In all cases the reviews should consider more appropriate behavior; and (2) determining not only the effectiveness of the plan, but also positive methods to prevent behavioral escala- the capability of school staff to carry out the tions that have previously resulted in the use of plan. Furthermore, if restraint or seclusion was restraint or seclusion. Trained personnel should used with a child who does not have an FBA develop this plan in concert with parents and and BIP, an FBA should be conducted and, if relevant professionals by using practices such as needed, a BIP developed and implemented that functional behavioral assessments (FBAs) and incorporates positive behavioral strategies for behavioral intervention plans (BIPs). An FBA is that child, including teaching positive behav- used to analyze environmental factors, including iors. The long-term goal of FBAs and BIPs is to any history of trauma (e.g., physical abuse), that develop and implement preventive behavioral contribute to a child’s inappropriate (e.g., disre- interventions, including increasing appropriate spect, noncompliance, insubordination, out-of- positive behaviors, that reduce the likelihood seat) behaviors. FBA data are used to develop that restraint or seclusion will be used with a positive behavioral strategies that emphasize child in the future. redesigning environmental conditions, which may include changes in staff approaches and U.S. Department of Education Restraint and Seclusion: Resource Document 17
  • 22. 9. Behavioral strategies to address dangerous behavior; (3) adding antecedents that behavior that results in the use of restraint maintain appropriate behavior; (4) removing or seclusion should address the underlying consequences that maintain or escalate cause or purpose of the dangerous behavior. dangerous behaviors; (5) adding consequences that maintain appropriate behavior; and (6) Behavioral strategies, particularly when imple- teaching alternative appropriate behaviors, mented as part of a school-wide program of including self regulation techniques, to replace positive behavioral supports, can be used to the dangerous behaviors. address the underlying causes of dangerous behavior and reduce the likelihood that restraint 10. Teachers and other personnel should be or seclusion will need to be used. Behavior does trained regularly on the appropriate use of not occur in a vacuum but is associated with effective alternatives to physical restraint conditions, events, requirements, and character- and seclusion, such as positive behavioral istics of a given situation or setting. An FBA can interventions and supports and, only for identify the combination of antecedent factors cases involving imminent danger of serious (factors that immediately precede behavior) physical harm, on the safe use of physical restraint and seclusion. Positive behavioral strategies should be in place in schools and training in physical restraint and seclusion should first emphasize that every effort should be made to use positive behav- ioral strategies to prevent the need for the use of restraint and seclusion. School personnel working directly with children should know the school’s policies and procedures for the safe use of physical restraint and seclusion, includ- ing both proper uses (e.g., as safety measures to address imminent danger of physical harm) and consequences (factors that immediately and improper uses (e.g., as punishment or to follow behavior) that are associated with the manage behavior) of these procedures. In addi- occurrence of inappropriate behavior. Infor- tion, school personnel should be trained in how mation collected through direct observations, to safely implement procedures for physical interviews, and record reviews help to identify restraint and seclusion and only trained person- the function of the dangerous behavior and nel should employ these interventions; as well guide the development of BIPs. A complete BIP as how to collect and analyze individual child should describe strategies for (1) addressing data to determine the effectiveness of these pro- the characteristics of the setting and events; cedures in increasing appropriate behavior and (2) removing antecedents that trigger dangerous decreasing inappropriate behavior. These data U.S. Department of Education Restraint and Seclusion: Resource Document 18
  • 23. should inform the need for additional training, staff support, or policy change, Behavioral strategies, particu­ particularly when data indicate repeated use of these interventions by staff. larly when implemented as part of a school-wide program School personnel also should receive training on the school’s policies and procedures for the of positive behavioral sup­ timely reporting and documentation of all in- ports, can be used to address stances in which restraint or seclusion are used. At a minimum, training on the use of physical the underlying causes of restraint and seclusion and effective alternatives dangerous behavior and should be provided at the beginning and middle reduce the likelihood that of each school year. however, such training should be conducted more often if there are en- restraint or seclusion will rolled students with a history or high incidence need to be used. of dangerous behavior who may be subjected to physical restraint or seclusion procedures. In addition, school administrators should evaluate Use and prevention training should be accom- whether staff who engage in multiple uses of panied by regular supervised practice. Like restraint or seclusion need additional training. quarterly fire drills, all staff members should be All school personnel should receive comprehen- expected to regularly and frequently review and sive training on school-wide programs of posi- practice approaches to prevent the conditions tive behavioral supports and other strategies, that result in the use of restraint or seclusion including de-escalation techniques, for prevent- and in the use of specific and planned physical ing dangerous behavior that leads to the use of restraint or seclusion procedures. A team restraint or seclusion. Training for principals of trained personnel should monitor practice and other school administrators should cover sessions to check for adherence to and how to develop, implement, and evaluate the ef- documentation of planned procedures. fectiveness of school-wide behavioral programs. 11. Every instance in which restraint or Training for teachers, paraprofessionals, and seclusion is used should be carefully and other personnel who work directly with children continuously and visually monitored to should be ongoing and include refreshers on ensure the appropriateness of its use and the positive behavior management strategies, proper safety of the child, other children, teachers, use of positive reinforcement, the continuum and other personnel. of alternative behavioral interventions, crisis prevention, de-escalation strategies, and the safe If restraint or seclusion is used, the child use of physical restraint and seclusion. should be continuously and visually observed and monitored while he or she is restrained or placed in seclusion. Only school personnel who U.S. Department of Education Restraint and Seclusion: Resource Document 19
  • 24. have received the required training on the use to injure him- or herself or others. School staff of restraint and seclusion should be engaged in should either be inside the area or outside by a observing and monitoring these children. Moni- window or another adjacent location where staff toring should include a procedural checklist and can continuously observe the child and confirm recordkeeping procedures. School staff engaged that the child is not engaging in self-injurious in monitoring should be knowledgeable re- behavior. When a child is in seclusion, trained garding (1) restraint and seclusion procedures school staff should constantly watch the child. and effective alternatives; (2) emergency and Such observation and monitoring is critical in crisis procedures; (3) strategies to guide and determining when the imminent danger of seri- prompt staff members engaged in restraint or ous physical harm to self or others has dissipat- seclusion procedures; and (4) procedures and ed so that the restraint or seclusion can be im- processes for working as a team to implement, mediately discontinued. Proper observation and monitor, and debrief uses of restraint or seclu- monitoring and written documentation of the sion. Monitoring staff should receive training use of restraint or seclusion helps to ensure the to ensure that the use of physical restraint or continued safety of the child being restrained or seclusion does not harm the child or others, and secluded as well as the safety of other children that procedures are implemented as planned. and school personnel. For example, those observing the application of a restraint should confirm that the restraint does 12. Parents should be informed of the policies not cause harm to the child, such as restricting on restraint and seclusion at their child’s the child’s breathing. Continuous monitoring of school or other educational setting, as well restraint includes, for example: (1) continuous as applicable Federal, State or local laws. assessment of staff and student status, includ- All parents should receive, at least annually, ing potential physical injuries; (2) termination written information about the policies and of restraint or seclusion when imminent danger procedures for restraint and seclusion issued by of serious physical harm to self or others has the State, district, or school. This information dissipated; (3) evaluation of how procedures should be included, for example, in the district’s are being implemented; and (4) consideration or school’s handbook of policies and proce- of opportunities for redirection and defusing the dures or other appropriate and widely distrib- dangerous behavior. In developing procedures, uted school publications. Schools, districts, and States, districts, and schools should consider States are encouraged to involve parents when having school health personnel promptly assess developing policies and procedures on restraint the child after the imposition of restraints or and seclusion. These written descriptions seclusion. should include the following: (1) a statement Trained school staff should also inspect and that mechanical restraint should not be used, prepare the seclusion area before a child is that schools should never use a drug or medica- placed in seclusion. For example, the area tion to control behavior or restrict freedom of should be free of any objects a child could use movement (except as authorized by a licensed U.S. Department of Education Restraint and Seclusion: Resource Document 20
  • 25. and family members should be notified immediately. In addition, preventive strategies In addition, preventive to reduce the likelihood that restraint or seclu- strategies to reduce the sion will need to be used with a child should be established, documented, and communicated likelihood that restraint to the child’s parents. Parents also should be or seclusion will need encouraged to work with schools and districts to ensure planned behavioral strategies are in to be used with a child place and used to (1) de-escalate potentially violent dangerous behavior; (2) identify and should be established, support competing positive behavior to replace documented, and dangerous behavior; and (3) support appropri- ate behavior in class and throughout the school, communicated to the especially if a student has a history of escalating dangerous behavior. child’s parents. 13. Parents should be notified as soon as possible physician or other qualified health professional), following each instance in which restraint or and physical restraint and seclusion should not seclusion is used with their child. be used except in situations where the child’s Parents should be informed about the school’s behavior poses an imminent danger of serious procedures for promptly notifying parents and physical harm to self or others and should be documenting each time that restraint or seclu- discontinued as soon as the imminent danger of sion is used with their child. The meaning of serious physical harm to self or others has dissi- “as soon as possible” notification should be pated; (2) definitions of restraint and seclusion; determined by the State, district, or school and (3) information on the procedures for determin- included in the information on restraint and ing when restraint or seclusion can and cannot seclusion that is provided to parents. Document- be properly used in school settings; (4) infor- ing that parents have been notified as soon as mation on the procedural safeguards that are in possible, ideally on the same school day, when place to protect the rights of children and their restraint or seclusion has been used ensures that parents; (5) a description of the alignment of a parents are fully informed about their child’s district’s and school’s policies and procedures behavior and the school’s response and helps with applicable State or local laws or regula- parents participate as informed team members tions; (6) procedures for notifying parents when who can work with their child’s teachers restraint or seclusion has been used with their and other school staff to determine whether child; and (7) procedures for notifying parents the behavioral supports at school and at home, about any changes to policies and procedures including prevention and de-escalation on restraint or seclusion. If policy or procedural strategies, are effective. changes are made during the school year staff U.S. Department of Education Restraint and Seclusion: Resource Document 21
  • 26. 14. Policies regarding the use of restraint and seclusion should be reviewed regularly and updated as appropriate. States, districts, and schools should not only establish and publish policies and procedures on the use of restraint and seclusion, but also should periodically review and update them as appropriate. This review should be conducted by a team (that includes parents) with expertise related to PBIS, and educating and supporting students with dangerous behaviors in schools and community settings. The review should 15. Policies regarding the use of restraint and consider and examine (1) available data on seclusion should provide that each incident the use of these practices and their outcomes involving the use of restraint or seclusion (i.e., the review should examine the frequency should be documented in writing and provide of the use of restraint and the use of seclusion for the collection of specific data that would across individual children, groups of children enable teachers, staff, and other personnel (e.g., gender, race, national origin, disability to understand and implement the preceding status and type of disability, limited English principles. proficiency, etc.)), settings, individual staff, Each incident of the use of restraint and of the and programs and consider whether policies for use of seclusion should be properly documented restraint and seclusion are being applied con- for the main purposes of preventing future need sistently; (2) the accuracy and consistency with for the use of restraint or seclusion and creat- which restraint and seclusion data are being ing a record for consideration when developing collected, as well as the extent to which these a plan to address the student’s needs and staff data are being used to plan behavioral interven- training needs. For example, a school should tions and staff training; (3) whether procedures maintain a written log of incidents when re- for using these practices are being implemented straint or seclusion is used. Appropriate school with fidelity; (4) whether procedures continue staff should prepare a written log entry describ- to protect children and adults; and (5) whether ing each incident, including details of the child’s existing policies and procedures for restraint dangerous behavior, why this behavior posed and seclusion remain properly aligned with an imminent danger of serious physical harm applicable State and local laws. The school to self or others, possible factors contributing should maintain records of its review of restraint to the dangerous behavior, the effectiveness and seclusion data and any resulting decisions of restraint or seclusion in de-escalating the or actions regarding the use of restraint and situation and staff response to such behavior. seclusion. Best practices and existing State policies and U.S. Department of Education Restraint and Seclusion: Resource Document 22
  • 27. procedures indicate that documentation of each of restraint and seclusion incidents across indi- use of restraint or seclusion frequently includes vidual children, groups of children (e.g., gender, (1) start and end times of the restraint or seclu- race, national origin, disability status and type sion; (2) location of the incident; (3) persons of disability, limited English proficiency, etc.), involved in the restraint or seclusion; (4) the settings, individual staff, and programs, as well time and date the parents were notified; (5) pos- as the number and proportion of children who sible events that triggered the behavior that led were restrained or placed in seclusion since to the restraint or seclusion; (6) prevention, re- the last meeting and for the year to date. Such direction, or pre-correction strategies that were used during the incident; (7) a description of the restraint or seclusion strategies that were used during the incident; (8) a description of any States, districts, and injuries or physical damage that occurred during schools should not only the incident; (9) how the child was monitored during and after the incident; (10) the debriefing establish and publish that occurred with staff following the incident; (11) the extent to which staff adhered to the policies and procedures procedural implementation guidelines (if estab- on the use of restraint lished by the State, district, or school); and (12) follow-up that will occur to review or develop and seclusion, but also the student’s BIP. should periodically review For individual children, these data should be and update them as periodically reviewed to determine whether (1) there are strategies in place to address the appropriate. dangerous behavior at issue; (2) the strategies in place are effective in increasing appropriate behaviors; and (3) new strategies need to be reviews should be used to determine whether developed, or current strategies need to be state, district, and school policies are being revised or changed to prevent reoccurrences properly followed, whether procedures are of the dangerous behavior(s). being implemented as intended, and whether the school staff should receive additional train- Data on the frequency of use of restraint and ing on the proper use of restraint and seclusion seclusion for all children should be periodi- or PBIS. States, districts, and schools should cally reviewed at school leadership meetings, consider making these data public, ensuring that grade-level meetings, and other meetings of personally identifiable information is protected. school staff. Data to be reviewed at these meet- ings should include information, consistent with privacy laws, about the frequency and duration U.S. Department of Education Restraint and Seclusion: Resource Document 23
  • 28. federal agency Efforts to address Concerns To date, Federal efforts to address concerns about the use of restraint and seclusion in schools have included the following four interrelated policy initiatives: (1) articulating principles to emphasize that physical restraint and seclusion should not be used except to protect a child or others from imminent danger of serious physical harm; (2) developing a dear colleague letter and this Resource Document that will be used to provide States, districts, and schools with information related to the proper and improper use of restraint and seclusion; (3) collecting, analyzing, and publishing restraint and seclusion incident data from every State; and (4) publishing State regulations, policies, and guidance on the use of restraint and seclusion. U.S. Department of Education Restraint and Seclusion: Resource Document 24
  • 29. A summary of these Federal efforts is Review of State Policies and Procedures presented below. The Department’s Regional Comprehensive Techni- cal Assistance Centers collected information on the DEPaRtmEnt Of EDUCatiOn policies and procedures on restraint and seclusion EffORtS in each of the 50 States, eight territories, Bureau of Indian Education, and District of Columbia. These letters from the Secretary data were summarized and presented in a public re- Secretary of Education Arne Duncan issued two port released in February 2010 and updated through letters articulating the Department’s position on the a review of State Web sites in August 2011. use of restraint and seclusion. The first letter was sent to Chief State School Offi- cers on July 31, 2009 urging each State to review its The first letter was sent to current policies and guidelines on the use of restraint Chief State School Officers and seclusion in schools, and, if appropriate, to on July 31, 2009 urging each develop or revise them to ensure the safety of students. The letter highlighted a school-wide system State to review its current of PBIS as an important preventive approach that policies and guidelines on the can increase the capacity of school staff to support use of restraint and seclusion children with complex behavioral needs, thus reduc- ing the instances that require the use of restraint in schools, and, if appropriate, and seclusion. The letter also explained that the to develop or revise them to Department would be contacting each State to discuss the State’s plans to ensure the proper use ensure the safety of students. of restraint and seclusion to protect the safety of children and others at school. Office for Civil Rights On December 8, 2009, the Secretary sent a letter to Chairman Dodd, Chairman Miller, and Representa- The Department’s OCR enforces certain civil rights tive McMorris Rodgers. This letter expressed the laws prohibiting discrimination on the basis of Department’s appreciation of Congressional efforts race, color, national origin, sex, and disability by to limit the use of restraint and seclusion. The let- recipients of Federal financial assistance from the ter also articulated a list of nine principles that the Department and certain public entities. In September Secretary believed would be useful for Congress to 2009, OCR announced in the Federal Register that consider in the context of any legislation on restraint it would include, for the first time, questions on and seclusion. Additionally, the letter informed restraint and seclusion in the Civil Rights Data Congress that the Department was reviewing Collection (CRDC). The CRDC now collects information about each State’s laws, regulations, school- and district-level information about students policies, and guidance on restraint and seclusion. in public schools that includes (1) the number of U.S. Department of Education Restraint and Seclusion: Resource Document 25
  • 30. students by race/ethnicity, sex, Limited English Pro- reward of problem behavior; (4) establish and apply ficiency (LEP) status, and disability status subjected consistently a multi-tiered continuum of evidence- to physical restraint; (2) the number of students by based behavioral practices that supports behavioral race/ethnicity, sex, LEP status, and disability status success for all students, especially those students subjected to mechanical restraint; (3) the number of with more complex behavior support challenges; students by race/ethnicity, sex, LEP status, and dis- (5) collect and use data continuously to screen and ability status subjected to seclusion; and (4) the total monitor progress of all students, make instructional number of incidents of physical restraint, mechani- and behavioral decisions, and solve problems; and cal restraint, and seclusion by disability status. The (6) invest in the organizational infrastructure and data collection tables can be found at http://ocrdata. capacity to enable effective, efficient, and relevant ed.gov/Downloads.aspx. The CRDC restraint and implementation of evidence-based practices. These seclusion data are available at http://ocrdata.ed.gov. six core principles offer school administrators, The data were released in two parts, in September teachers, and other school staff practical guidelines 2011 and March 2012. for implementing comprehensive behavioral systems that help prevent the need to use restraint and seclu- Office of Special Education Programs sion in school. OSEP has a long history of investments in national centers and projects that support school-wide behav- ioral frameworks in schools. Notably, in 1997, OSEP began funding the Technical Assistance Center on Positive Behavioral Interventions and Supports. The ongoing work of this center has led to the develop- ment and implementation of School-wide Positive Behavioral Interventions and Supports (SWPBIS). Now widely used throughout the country, SWPBIS is a framework for organizing evidence-based be- havioral interventions into an integrated, multi-tiered continuum that maximizes academic and behavioral outcomes for all students. A growing body of evaluation and experimental SWPBIS is organized around six core principles: research supports the following conclusions about (1) invest first in the prevention of the social the impact of SWPBIS implementation. Schools behavior that impedes student academic and social throughout the country are able to adopt and imple- success in schools; (2) build a positive whole- ment SWPBIS practices. When SWPBIS is imple- school social culture by defining, teaching, and mented as intended, schools experienced reductions acknowledging clearly defined behavioral in problem behaviors (e.g., behavior that results in expectations for all students; (3) establish and office referrals, suspensions). SWPBIS implementa- apply consistently a continuum of consequences tion enhances the impact of effective instruction on for problem behavior that prevents the inadvertent U.S. Department of Education Restraint and Seclusion: Resource Document 26