The Department of Education today issued a resource document that present and describe 15 principles for state, district, and school staff; parents; and other stakeholders to consider when states, localities, and districts develop policies and procedures which should be in writing on the use of restraint and seclusion. This resource document discusses the context within which these principles were developed, lists the principles, and highlights the current state of practice and implementation considerations for each principle.
This presentation was delivered as a keynote talk at one of IQ's Security Industry Forum meetings on the 26th July 2013. The presentation is about the future of physical intervention training in the security industry sector and why there is a need for change and what form that change should be in.
SAMHSA webinar series on Promoting Alternatives to Seclusion and RestraintAllison Wohl
As part of its ongoing effort to promote alternatives to seclusion and restraint and other forms of coercive interventions among special populations, SAMHSA’s Promoting Alternatives to Seclusion and Restraint through Trauma-informed Practices, will host a 6-part webinar series to be followed by an ongoing virtual dialogue with presenters and experts in the field through SAMHSA’s BHTalk web site and subsequent written brief to inform the field on promising practices.
For more information along with the schedule and registration information, view the attached document.
Competency Orientation within Companies: The Challenge of Different Requirem...Andreas Schmidt
The document discusses the challenges of competency modeling within companies. It notes that competency definitions are contextual, purpose-driven, and need to evolve over time. It also addresses how to define a framework that allows for evolution while maintaining some interoperability between use cases, and how to account for emerging requirements and enable smooth transitions between uses.
Mhr submission to the mhc on seclusion and restraint reduction strategy finalGatewayMHProject
The document outlines a draft strategy and 18 actions to reduce the use of seclusion and physical restraint in mental health facilities in Ireland. Key aspects of the strategy include developing seclusion and restraint reduction plans for each facility, examining alternatives to seclusion like removing seclusion rooms, improving staffing levels, increasing staff training, involving advocates and service users, using data to monitor seclusion and restraint episodes, and improving debriefing practices. Facilities are asked to provide updates to the Mental Health Commission on their implementation of the strategy.
Empirical studies on the use of seclusion and restraint in psychiatric facilities have found mixed results. Several studies show higher rates of restraint for younger patients and those with psychosis or abnormal EEGs. Findings on the influence of sex and race are contradictory across studies. Facility characteristics like length of stay and patient census have also shown contradictory correlations with restraint rates. While seclusion and restraint can prevent injury in dangerous situations, they may cause physical and psychological trauma to both patients and staff.
The document discusses several challenges faced by transgender individuals, including high rates of stress during transition, unemployment, disability, and suicide attempts. It notes that transgender people often lose social support and experience discrimination. Additionally, the quality of healthcare services for transgender individuals is often poor. The document advocates for improving access to specialized healthcare providers and services to better meet the needs of the transgender community and reduce health disparities.
Position Paper - a case for change - restrictive practices in mental healthJackie Crowe
This document provides recommendations for reducing and eliminating the use of seclusion, restraint, and restrictive practices in mental health services. It begins with definitions of seclusion, restraint, and restrictive practices. It then outlines 4 recommendations: 1) educate practitioners about alternative strategies; 2) agree on uniform definitions, targets, and reporting; 3) evaluate seclusion and restraint interventions; and 4) take a national approach to regulating seclusion and restraint. Background information is also provided on the incidence of seclusion and restraint, the complexity of issues around their use, and contributions from those with lived experience.
This presentation was delivered as a keynote talk at one of IQ's Security Industry Forum meetings on the 26th July 2013. The presentation is about the future of physical intervention training in the security industry sector and why there is a need for change and what form that change should be in.
SAMHSA webinar series on Promoting Alternatives to Seclusion and RestraintAllison Wohl
As part of its ongoing effort to promote alternatives to seclusion and restraint and other forms of coercive interventions among special populations, SAMHSA’s Promoting Alternatives to Seclusion and Restraint through Trauma-informed Practices, will host a 6-part webinar series to be followed by an ongoing virtual dialogue with presenters and experts in the field through SAMHSA’s BHTalk web site and subsequent written brief to inform the field on promising practices.
For more information along with the schedule and registration information, view the attached document.
Competency Orientation within Companies: The Challenge of Different Requirem...Andreas Schmidt
The document discusses the challenges of competency modeling within companies. It notes that competency definitions are contextual, purpose-driven, and need to evolve over time. It also addresses how to define a framework that allows for evolution while maintaining some interoperability between use cases, and how to account for emerging requirements and enable smooth transitions between uses.
Mhr submission to the mhc on seclusion and restraint reduction strategy finalGatewayMHProject
The document outlines a draft strategy and 18 actions to reduce the use of seclusion and physical restraint in mental health facilities in Ireland. Key aspects of the strategy include developing seclusion and restraint reduction plans for each facility, examining alternatives to seclusion like removing seclusion rooms, improving staffing levels, increasing staff training, involving advocates and service users, using data to monitor seclusion and restraint episodes, and improving debriefing practices. Facilities are asked to provide updates to the Mental Health Commission on their implementation of the strategy.
Empirical studies on the use of seclusion and restraint in psychiatric facilities have found mixed results. Several studies show higher rates of restraint for younger patients and those with psychosis or abnormal EEGs. Findings on the influence of sex and race are contradictory across studies. Facility characteristics like length of stay and patient census have also shown contradictory correlations with restraint rates. While seclusion and restraint can prevent injury in dangerous situations, they may cause physical and psychological trauma to both patients and staff.
The document discusses several challenges faced by transgender individuals, including high rates of stress during transition, unemployment, disability, and suicide attempts. It notes that transgender people often lose social support and experience discrimination. Additionally, the quality of healthcare services for transgender individuals is often poor. The document advocates for improving access to specialized healthcare providers and services to better meet the needs of the transgender community and reduce health disparities.
Position Paper - a case for change - restrictive practices in mental healthJackie Crowe
This document provides recommendations for reducing and eliminating the use of seclusion, restraint, and restrictive practices in mental health services. It begins with definitions of seclusion, restraint, and restrictive practices. It then outlines 4 recommendations: 1) educate practitioners about alternative strategies; 2) agree on uniform definitions, targets, and reporting; 3) evaluate seclusion and restraint interventions; and 4) take a national approach to regulating seclusion and restraint. Background information is also provided on the incidence of seclusion and restraint, the complexity of issues around their use, and contributions from those with lived experience.
Supporting Transgender Students Mental Health (Outright 2011)Morganne Ray
1) The document discusses supporting the mental health of transgender students and outlines reasons why transgender youth may choose to access mental health care, such as supporting their coming out process or accessing medical transition services.
2) It addresses dominant assumptions about transgender youth and identities, such as assumptions that they will later regret transitions or that they must identify with the opposite gender from an early age.
3) Guidelines for therapists around supporting social and medical transitions are provided, including requirements for therapy, parental consent, and levels of physical transitioning such as hormones or surgery. Barriers to care and ways to support transgender youth are also discussed.
Seclusion and physical restraint reduction knowledge reviewGatewayMHProject
This document presents the Mental Health Commission's draft strategy to reduce the use of seclusion and physical restraint in approved mental health centres in Ireland. It provides background information on existing regulations around seclusion and restraint, international initiatives to reduce their use, and the strategy's methodology. The main body of the document identifies interventions shown by research to be effective in reducing seclusion and restraint, such as policy changes, leadership, staff training, use of data for monitoring, and involving patients. It then discusses applying these interventions in an Irish context and outlines specific actions for the Commission's strategy.
Information-seeking Behaviour of LGBTQ health professionalsMartin Morris
LGBTQ health professionals have information needs that may not be fully addressed by current online medical resources. The researchers conducted an online survey of 120 LGBTQ health professionals to understand their perspectives and information seeking behaviors. The survey found that over half believe online resources lack accurate LGBTQ health coverage. While attitudes have improved, many respondents still prefer discussing LGBTQ health topics with LGBTQ librarians due to perceived greater understanding. The researchers aim to continue analysis and interviews to improve library services and resources for this community.
The document discusses guidelines for the use of restraint and seclusion in healthcare settings. It defines restraint and seclusion and provides guidance on their appropriate uses in emergency situations. Risks of restraint are outlined, including injury, psychological impacts, and reduced mobility. Alternatives to restraint are recommended, including environmental changes, observation, and personal assistance devices. Medical and behavioral indications for restraint are described, along with safe application, monitoring, and discontinuation procedures.
This document outlines a hospital's policy on the use of restraints and seclusion. It defines restraint and seclusion, provides exceptions, and discusses preventing and guidelines for their use. Physician orders are required, including a face-to-face evaluation within 1 hour of initiation. Alternatives to restraint/seclusion are assessed initially, including patient-identified techniques. Staffing levels aim to minimize restraint/seclusion use.
This document discusses enhancing health care for transgender individuals. It begins by outlining some of the health issues transgender people face, such as discrimination, lack of access to care, and high HIV rates. It then discusses challenges to care like insensitivity from providers and lack of coverage for transition-related needs. Finally, it proposes strategies to improve care, such as acknowledging transgender identities, advocating for research and innovation, and limiting unnecessary surgeries on intersex infants. The overall goal is to make health care more culturally sensitive and address the actual needs of transgender communities.
P R E V E N T I N G T H E U S E O F E X C L U S I O N A N D R E S T R A...Steve Vitto
The document discusses seclusion and restraint in schools, providing definitions and examples of incidents that resulted in student deaths. It notes that over 85% of restraints are in response to noncompliance, and that forced compliance is not an effective behavior strategy. The state board of education adopted standards restricting seclusion and restraint to emergencies only, and requiring positive behavior support systems to prevent their use when possible. Districts must provide training to ensure emergency incidents are properly handled.
Arabic language. improving listening skills. By Bushra AlshakhlyBushra Alshakhly
This presentation discusses improving listening skills from the intermediate to advanced level in Arabic. It notes that while teachers try to prepare intermediate students, taking them to an advanced level poses bigger challenges. Some issues that affect higher-level listening comprehension include variable speech rates, cultural references, reduced/extended structures, and different verb forms/dialects. The presentation recommends practicing listening strategies, using authentic materials at appropriate levels, activating background knowledge, and creating an immersive environment to help students improve. Motivation is key, as is reminding students that Arabic is a rich, living language capable of engaging learners.
This document provides an overview and summary of seclusion and restraint standards and regulations for mental health treatment facilities in Florida. It defines key terms like seclusion and restraint, outlines consumer rights and prohibited uses. It describes requirements for staff training, personal safety plans, initiating seclusion or restraint through emergency treatment orders, monitoring requirements, documentation, and oversight. The goal is to ensure compliance with state rules regarding the use and reporting of seclusion and restraint events at state-contracted community mental health facilities.
Restraints and Seclusion: Challenge the AssumptionsJLundholm
The document discusses several assumptions about the use of restraints and seclusion in treatment facilities. However, the realities outlined show that restraints and seclusion have frequently resulted in injury and death. Numerous cases describe people, including children, who suffered fatal consequences from the misuse of these interventions. Research also indicates a lack of evidence for the therapeutic benefits of restraints and seclusion and suggests they are often used punitively rather than as a last resort for safety. Cultural biases may also influence their disproportionate use on certain groups.
This document contains a collection of news articles, research studies, and other resources related to mental health and transgender people. Some key points discussed include: the high rates of discrimination, harassment, and violence experienced by transgender people, which contributes to minority stress; the elevated rates of suicide attempts among transgender people; barriers transgender people face in accessing healthcare, including discrimination and lack of insurance coverage; and debates around anti-discrimination laws and policies regarding transgender bathroom access and school policies.
Comic Book Super Science: Science and Comics in the 20th CenturyJohn Borghi
This document lists and references over 100 comic books, graphic novels, and comic book characters that relate to science and scientific concepts such as physics, engineering, and technology. Some of the comics mentioned include Crisis on Infinite Earths, The Manhattan Projects, Amazing Spiderman, Action Comics featuring Superman, Detective Comics featuring Batman, Fantastic Four, X-Men, Avengers, and Watchmen. The document also references scientists like Albert Einstein, Richard Feynman, and Neil deGrasse Tyson who have been featured in comic books.
1. LGBTQ youth face higher risks of mental health issues like depression and suicide due to challenges with identity development and societal stigma. Family rejection and victimization can significantly increase suicide risks.
2. Mental health providers should offer affirming care to LGBTQ youth, being sensitive to their experiences of discrimination and trauma. Creating a supportive environment, asking non-judgmental questions, and providing resources can help address their needs.
3. Promoting family and social support for LGBTQ youth, in addition to developing their coping skills, can help build resiliency against mental health risks.
The document provides an overview of the Arabic language including its history, alphabet, grammar, and literature. Some key points:
- Arabic is a Semitic language with 28 letters written from right to left and has 3 forms: Classical, Modern Standard, and local dialects.
- Vowels are indicated with diacritical marks above or below consonants. The alphabet was developed between the 4th-8th centuries CE.
- Grammar differs from English with word order being verb-subject-object and nouns/adjectives having gender and plural forms.
- Classical Arabic literature flourished in the pre-Islamic and early Islamic periods with famous poets and the rise of poetry in Baghdad.
This chapter provides an overview of the purpose and scope of the manual. It discusses the role of Child Protective Services (CPS) in receiving and investigating reports of child abuse and neglect. It also notes that addressing neglect requires an interdisciplinary approach involving various community professionals. The manual aims to cover the definition, causes, impact, and prevention and intervention strategies related to child neglect in more detail than previous manuals in the series.
This document is an introduction to the Education for Sustainable Development Toolkit. It discusses how education can support communities' sustainability goals by modifying curriculums. It provides an overview of concepts like sustainable development, the priorities of ESD, and how to reorient education around knowledge, issues, skills, perspectives, and values related to sustainability. The document also addresses challenges to implementing ESD and the importance of managing organizational change when integrating sustainability into education.
COPS DEC Promising Practices - Printed VersionEric Nation
This document provides guidance on implementing a collaborative approach to help drug endangered children. It discusses the National Alliance for Drug Endangered Children, which works to identify and respond to children living in dangerous drug environments through multi-disciplinary partnerships. The document outlines how to build DEC organizations at the state level, raise awareness of the issue, and share tools and best practices for implementing collaborative DEC approaches, including memorandums of understanding, protocols, training, and efforts to institutionalize the approach. The overall goal is to protect children from the risks of abuse and neglect often associated with living in homes involved in drug use and distribution.
Global Medical Cures™ | Sun Safety for America's Youth Toolkit (Skin Cancer P...Global Medical Cures™
Global Medical Cures™ | Sun Safety for America's Youth Toolkit (Skin Cancer Prevention)
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
A model for engaging youth in evidence informed policy and program developmentDr Lendy Spires
This document provides a model for engaging youth in evidence-informed policy and program development. It describes a process for bringing together youth, researchers, and policymakers to examine research and apply the perspectives and experiences of youth. The goal is for youth to inform public policy and program recommendations. The model draws on past youth engagement projects and aims to guide single engagement events, while allowing for continuous advisory roles. It emphasizes facilitating the process and allowing participants to directly experience and produce best practices for meaningful youth engagement.
Supporting Transgender Students Mental Health (Outright 2011)Morganne Ray
1) The document discusses supporting the mental health of transgender students and outlines reasons why transgender youth may choose to access mental health care, such as supporting their coming out process or accessing medical transition services.
2) It addresses dominant assumptions about transgender youth and identities, such as assumptions that they will later regret transitions or that they must identify with the opposite gender from an early age.
3) Guidelines for therapists around supporting social and medical transitions are provided, including requirements for therapy, parental consent, and levels of physical transitioning such as hormones or surgery. Barriers to care and ways to support transgender youth are also discussed.
Seclusion and physical restraint reduction knowledge reviewGatewayMHProject
This document presents the Mental Health Commission's draft strategy to reduce the use of seclusion and physical restraint in approved mental health centres in Ireland. It provides background information on existing regulations around seclusion and restraint, international initiatives to reduce their use, and the strategy's methodology. The main body of the document identifies interventions shown by research to be effective in reducing seclusion and restraint, such as policy changes, leadership, staff training, use of data for monitoring, and involving patients. It then discusses applying these interventions in an Irish context and outlines specific actions for the Commission's strategy.
Information-seeking Behaviour of LGBTQ health professionalsMartin Morris
LGBTQ health professionals have information needs that may not be fully addressed by current online medical resources. The researchers conducted an online survey of 120 LGBTQ health professionals to understand their perspectives and information seeking behaviors. The survey found that over half believe online resources lack accurate LGBTQ health coverage. While attitudes have improved, many respondents still prefer discussing LGBTQ health topics with LGBTQ librarians due to perceived greater understanding. The researchers aim to continue analysis and interviews to improve library services and resources for this community.
The document discusses guidelines for the use of restraint and seclusion in healthcare settings. It defines restraint and seclusion and provides guidance on their appropriate uses in emergency situations. Risks of restraint are outlined, including injury, psychological impacts, and reduced mobility. Alternatives to restraint are recommended, including environmental changes, observation, and personal assistance devices. Medical and behavioral indications for restraint are described, along with safe application, monitoring, and discontinuation procedures.
This document outlines a hospital's policy on the use of restraints and seclusion. It defines restraint and seclusion, provides exceptions, and discusses preventing and guidelines for their use. Physician orders are required, including a face-to-face evaluation within 1 hour of initiation. Alternatives to restraint/seclusion are assessed initially, including patient-identified techniques. Staffing levels aim to minimize restraint/seclusion use.
This document discusses enhancing health care for transgender individuals. It begins by outlining some of the health issues transgender people face, such as discrimination, lack of access to care, and high HIV rates. It then discusses challenges to care like insensitivity from providers and lack of coverage for transition-related needs. Finally, it proposes strategies to improve care, such as acknowledging transgender identities, advocating for research and innovation, and limiting unnecessary surgeries on intersex infants. The overall goal is to make health care more culturally sensitive and address the actual needs of transgender communities.
P R E V E N T I N G T H E U S E O F E X C L U S I O N A N D R E S T R A...Steve Vitto
The document discusses seclusion and restraint in schools, providing definitions and examples of incidents that resulted in student deaths. It notes that over 85% of restraints are in response to noncompliance, and that forced compliance is not an effective behavior strategy. The state board of education adopted standards restricting seclusion and restraint to emergencies only, and requiring positive behavior support systems to prevent their use when possible. Districts must provide training to ensure emergency incidents are properly handled.
Arabic language. improving listening skills. By Bushra AlshakhlyBushra Alshakhly
This presentation discusses improving listening skills from the intermediate to advanced level in Arabic. It notes that while teachers try to prepare intermediate students, taking them to an advanced level poses bigger challenges. Some issues that affect higher-level listening comprehension include variable speech rates, cultural references, reduced/extended structures, and different verb forms/dialects. The presentation recommends practicing listening strategies, using authentic materials at appropriate levels, activating background knowledge, and creating an immersive environment to help students improve. Motivation is key, as is reminding students that Arabic is a rich, living language capable of engaging learners.
This document provides an overview and summary of seclusion and restraint standards and regulations for mental health treatment facilities in Florida. It defines key terms like seclusion and restraint, outlines consumer rights and prohibited uses. It describes requirements for staff training, personal safety plans, initiating seclusion or restraint through emergency treatment orders, monitoring requirements, documentation, and oversight. The goal is to ensure compliance with state rules regarding the use and reporting of seclusion and restraint events at state-contracted community mental health facilities.
Restraints and Seclusion: Challenge the AssumptionsJLundholm
The document discusses several assumptions about the use of restraints and seclusion in treatment facilities. However, the realities outlined show that restraints and seclusion have frequently resulted in injury and death. Numerous cases describe people, including children, who suffered fatal consequences from the misuse of these interventions. Research also indicates a lack of evidence for the therapeutic benefits of restraints and seclusion and suggests they are often used punitively rather than as a last resort for safety. Cultural biases may also influence their disproportionate use on certain groups.
This document contains a collection of news articles, research studies, and other resources related to mental health and transgender people. Some key points discussed include: the high rates of discrimination, harassment, and violence experienced by transgender people, which contributes to minority stress; the elevated rates of suicide attempts among transgender people; barriers transgender people face in accessing healthcare, including discrimination and lack of insurance coverage; and debates around anti-discrimination laws and policies regarding transgender bathroom access and school policies.
Comic Book Super Science: Science and Comics in the 20th CenturyJohn Borghi
This document lists and references over 100 comic books, graphic novels, and comic book characters that relate to science and scientific concepts such as physics, engineering, and technology. Some of the comics mentioned include Crisis on Infinite Earths, The Manhattan Projects, Amazing Spiderman, Action Comics featuring Superman, Detective Comics featuring Batman, Fantastic Four, X-Men, Avengers, and Watchmen. The document also references scientists like Albert Einstein, Richard Feynman, and Neil deGrasse Tyson who have been featured in comic books.
1. LGBTQ youth face higher risks of mental health issues like depression and suicide due to challenges with identity development and societal stigma. Family rejection and victimization can significantly increase suicide risks.
2. Mental health providers should offer affirming care to LGBTQ youth, being sensitive to their experiences of discrimination and trauma. Creating a supportive environment, asking non-judgmental questions, and providing resources can help address their needs.
3. Promoting family and social support for LGBTQ youth, in addition to developing their coping skills, can help build resiliency against mental health risks.
The document provides an overview of the Arabic language including its history, alphabet, grammar, and literature. Some key points:
- Arabic is a Semitic language with 28 letters written from right to left and has 3 forms: Classical, Modern Standard, and local dialects.
- Vowels are indicated with diacritical marks above or below consonants. The alphabet was developed between the 4th-8th centuries CE.
- Grammar differs from English with word order being verb-subject-object and nouns/adjectives having gender and plural forms.
- Classical Arabic literature flourished in the pre-Islamic and early Islamic periods with famous poets and the rise of poetry in Baghdad.
This chapter provides an overview of the purpose and scope of the manual. It discusses the role of Child Protective Services (CPS) in receiving and investigating reports of child abuse and neglect. It also notes that addressing neglect requires an interdisciplinary approach involving various community professionals. The manual aims to cover the definition, causes, impact, and prevention and intervention strategies related to child neglect in more detail than previous manuals in the series.
This document is an introduction to the Education for Sustainable Development Toolkit. It discusses how education can support communities' sustainability goals by modifying curriculums. It provides an overview of concepts like sustainable development, the priorities of ESD, and how to reorient education around knowledge, issues, skills, perspectives, and values related to sustainability. The document also addresses challenges to implementing ESD and the importance of managing organizational change when integrating sustainability into education.
COPS DEC Promising Practices - Printed VersionEric Nation
This document provides guidance on implementing a collaborative approach to help drug endangered children. It discusses the National Alliance for Drug Endangered Children, which works to identify and respond to children living in dangerous drug environments through multi-disciplinary partnerships. The document outlines how to build DEC organizations at the state level, raise awareness of the issue, and share tools and best practices for implementing collaborative DEC approaches, including memorandums of understanding, protocols, training, and efforts to institutionalize the approach. The overall goal is to protect children from the risks of abuse and neglect often associated with living in homes involved in drug use and distribution.
Global Medical Cures™ | Sun Safety for America's Youth Toolkit (Skin Cancer P...Global Medical Cures™
Global Medical Cures™ | Sun Safety for America's Youth Toolkit (Skin Cancer Prevention)
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
A model for engaging youth in evidence informed policy and program developmentDr Lendy Spires
This document provides a model for engaging youth in evidence-informed policy and program development. It describes a process for bringing together youth, researchers, and policymakers to examine research and apply the perspectives and experiences of youth. The goal is for youth to inform public policy and program recommendations. The model draws on past youth engagement projects and aims to guide single engagement events, while allowing for continuous advisory roles. It emphasizes facilitating the process and allowing participants to directly experience and produce best practices for meaningful youth engagement.
A model for engaging youth in evidence informed policy and program developmentDr Lendy Spires
This document presents a model for engaging youth in evidence-informed policy and program development. It describes establishing objectives, principles and values, considerations for collaborators, executing engagement activities, and sustaining engagement over time. The model draws on experiences engaging youth to examine research and apply their perspectives to policy recommendations. It aims to inject youth as stakeholders in governance processes, recognizing their right to participate in decisions affecting them.
A model for engaging youth in evidence informed policy and program developmentDr Lendy Spires
This document presents a model for engaging youth in evidence-informed policy and program development. It was created based on pilot youth engagement projects from the Public Health Agency of Canada as well as the experience of The Students Commission of Canada. The model involves examining research through the lens of youth experiences to make policy and program recommendations. It provides guidance for single event youth engagement activities and outlines considerations for initiating the activity, roles of collaborators, executing the activity, desired qualities, outcomes, and sustaining engagement. The goal is to meaningfully involve youth in decisions that affect them.
This document provides definitions and concepts related to child protection and child safeguarding. It defines key terms like child protection, child safeguarding measures, child abuse, and various types of abuse such as physical, sexual, and emotional abuse. It also discusses abuse of disabled children and other forms of abuse linked to beliefs, technology, and abuse of trust. The document aims to establish a common understanding of terminology used in training materials on safeguarding children in emergencies.
This document outlines the Healthy School Communities Model, which aims to better align health and education in schools. It discusses the traditional Coordinated School Health model and its drawbacks, including that health has often been viewed and operated separately from education. The Healthy School Communities model instead seeks to integrate health into the core mission and operations of schools by making it a central part of school improvement efforts. This is achieved through 9 levers of change focused on leadership, data use, professional development, community partnerships and more. The goal is to improve student and staff health, well-being, and academic outcomes through a holistic, systems-level approach.
This document provides an introduction to the Principles of Caregiving training materials for direct care workers in Arizona. It was created through a partnership between state agencies and organizations to establish a standardized training program. The materials cover important topics for caregivers and direct support professionals, and address the competencies required for such roles in Arizona. Learners can take either individual modules or a full course to prepare for state certification tests.
This document is a resource notebook created for exceptional children in schools. It begins with definitions of key terms like exceptional children, impairment, handicap, and disability. It explains that exceptional children have physical or learning abilities that differ significantly from the norm. The document then discusses why we label and classify exceptional children, and why laws governing their education are necessary. Specifically, it outlines laws like the Individuals with Disabilities Education Act that were enacted to ensure equal access to education for children with disabilities following discrimination and segregation in previous decades. The remainder of the notebook provides strategies, resources and accommodations for various disabilities and conditions, as well as information on relevant laws.
The H2P consortium implemented several promising practices around online assessment and career guidance as their first strategy. At Ashland Community and Technical College, online health career information from the Virtual Career Network was integrated into mandatory digital literacy and college skills courses, exposing more students to healthcare career options. Students responded positively in course assignments about exploring careers on the VCN site. Pine Technical and Community College used the VCN as a web-based career guidance tool to help shape students' healthcare career choices and improve enrollment and advising processes. Cincinnati State College incorporated various online career assessments into career exploration courses to help students determine the best fit for their interests and skills.
The Multi-faceted Right to Education_4[1]Tangul Hincal
This document provides a guide for implementing and monitoring the right to education, with a focus on girls' education. It discusses the legal framework for the right to education as established in international conventions. It also explains why girls' education is especially important, outlines obstacles to implementing it, and provides tools for overcoming those obstacles. Finally, it addresses monitoring the right to education on an ongoing basis to respond to changing needs. The overall goal is to explain the benefits of girls' education and provide guidance for efforts to promote it.
This document provides an overview of the Storm Water Management Model (SWMM) user's manual for version 5.0. SWMM is a dynamic rainfall-runoff simulation model used to simulate runoff quantity and quality in urban areas. It accounts for various hydrologic processes that produce urban runoff and routes runoff through drainage systems. The manual describes SWMM's capabilities, how to install and use the program, and provides guidance on its conceptual model, user interface, project setup, object properties, running simulations, and viewing results.
This document summarizes findings from a study of best practices for starting charter schools. Interviews were conducted with organizations that provide support to new charter schools in 11 states, as well as founders of 19 successful charter schools in Georgia, Tennessee, and Florida. The report identifies numerous effective strategies in areas such as mission focus, governance, leadership, academic programming, operations, resource acquisition, facilities, talent management, external relations, accountability, and student recruitment. Adopting many of these practices appears to be important for new charter schools to get off to a strong start.
This document provides a toolkit to help schools develop effective referral pathways to address students' mental health needs. It was developed by experts in school mental health under a contract with SAMHSA. The toolkit contains three chapters that provide guidance on assessing a school's current referral system, implementing a multi-tiered problem-solving approach to promote mental health, and building effective partnerships between schools and community mental health providers. The goal is to help schools establish sustainable mental health support systems using evidence-based practices.
This document discusses culture of safety in schools in Bangladesh. It notes that education sectors are often hardest hit by disasters and that schools lack proper safety measures to protect students. While some initiatives have begun to raise awareness and conduct drills, safety practices are not mandatory. The research aims to investigate how school safety can be prioritized in policy to minimize disaster impacts and ensure children's right to continuous, safe education. It argues that establishing a culture of safety should be required in all schools through guidelines, audits, and mandatory drills to protect students from both natural and human-made hazards.
This document introduces the 2011 Resource Guide, which was created by the U.S. Department of Health and Human Services and other organizations to help prevent child abuse and neglect. The guide focuses on five protective factors that research shows reduces the risk of abuse and neglect: nurturing and attachment, knowledge of parenting and child development, parental resilience, social connections, and access to concrete supports. It provides tools and strategies for integrating these protective factors into programs and systems to strengthen families and communities. The commissioner expresses that prevention efforts are less costly than intervention and thanks readers for their work in building promising futures for children.
Similar to Restraints and Seclusion Resources (20)
This document is a class action complaint filed in federal district court against Oregon state officials regarding employment services for people with intellectual and developmental disabilities. It alleges that thousands of such individuals are unnecessarily segregated in sheltered workshops in violation of the ADA and Rehabilitation Act, and seeks injunctive relief requiring the state to provide supported employment services to allow integration into the community. It introduces the eight named plaintiff individuals and organizational plaintiff United Cerebral Palsy of Oregon and Southwest Washington, describes sheltered workshops and supported employment, and outlines the legal claims and requested relief.
Statement of interest filed Lane v. KitzhaberAllison Wohl
Statement of Interest that the Civil Rights Division filed in Oregon District Court last Friday making clear that the Department of Justice interprets the integration mandate of Title II of the ADA to apply to the unnecessary placement of people with disabilities in segregated sheltered workshops
This issue brief discusses students with disabilities who are at greatest risk of poor employment outcomes after high school. Research has found that students with disabilities often have difficulty finding employment after leaving school. The brief aims to identify specific risk factors for poor employment through analysis of a national dataset. It also seeks to determine what schools can do to help mitigate risks, such as increasing vocational education and integration with non-disabled peers. The goal is to generate new knowledge that can inform more effective school interventions to improve postschool job prospects for high-risk students.
This issue brief discusses students with disabilities who are at greatest risk of poor employment outcomes after high school. Decades of research show that students with disabilities often have difficulty finding employment after leaving school. The brief aims to identify the specific factors that put certain students at highest risk of unemployment through analysis of a national dataset. It also seeks to determine what schools can do to help mitigate risks, such as increasing vocational education opportunities and integration with non-disabled peers. The goal is to generate new knowledge that can inform more effective school interventions and strategies to improve postschool job prospects for students facing the greatest challenges.
This issue brief discusses students with disabilities who are at greatest risk of poor employment outcomes after high school. Decades of research show that students with disabilities often have difficulty finding employment after leaving school. The brief aims to identify the specific combinations of risk factors that put students most at risk of unemployment. It will analyze data on these high-risk students to determine what factors are alterable at the school level to improve their post-school employment prospects, such as involvement in vocational education programs or integration with non-disabled peers. The goal is to generate new knowledge that can inform more effective school interventions and strategies to help these high-risk students transition successfully to employment.
COPAA rejects the conclusions of the American Association of School Administrators that seclusion and restraint protect students and school personnel. Data shows that these practices are disproportionately used on students with disabilities and minorities. While restraint may be needed to prevent injury, current laws do not sufficiently regulate seclusion and restraint. Federal legislation is needed to protect all students from potential abuse, as hundreds of documented cases show children have been injured and some have even died due to these practices.
The National Council on Disability (NCD) sent recommendations and principles regarding Medicaid managed care for individuals with disabilities to the Centers for Medicare and Medicaid Services (CMS). The recommendations offer suggestions to address issues with managed care arrangements and make a series of recommendations to improve success. The accompanying principles articulate guidelines that must be followed to ensure people with disabilities benefit from managed care. NCD developed the recommendations and principles with NASDDDS to inform decision-makers on managed care for people with disabilities as Medicaid reforms expand managed care models.
The document provides information about ABLE Accounts, which are tax-advantaged savings accounts for people with disabilities. ABLE Accounts allow for savings to be used for qualified disability expenses without jeopardizing needs-based benefits like Medicaid. Key points include that ABLE Accounts were created by the ABLE Act to help individuals save for disability-related expenses, funds can be used for housing, transportation, education, and health care, and savings will not impact SSI or Medicaid eligibility until $100,000 is reached in the account.
ABLE Act Briefing, Thursday, February 16thAllison Wohl
A panel of experts will brief congressional staff on February 16th from noon to 1:30pm in room B-339 of the Rayburn House Office Building on the ABLE Act, which calls for tax-free savings accounts for the disabled. Congressman Ander Crenshaw and Senator Robert Casey authored the legislation, and Congressman Crenshaw and Chris Van Hollen will introduce the panel of experts, which includes representatives from Autism Speaks, The Arc, National Disability Institute, National Down Syndrome Society, and congressional staff.
ABLE Act Briefing, Thursday, February 16thAllison Wohl
A Congressional staff briefing will be held on February 16 from noon to 1:30 PM in Room B-339 of the Rayburn House Office Building to explain the ABLE Act, which proposes tax-free savings accounts for the disabled. Congressman Ander Crenshaw and Senator Robert Casey introduced the legislation and a panel of experts including representatives from Autism Speaks, The Arc, and other disability organizations will outline the impact of the bill.
Serena lowe presentation on team legislation afp 2011Allison Wohl
The TEAM legislation seeks to establish a coordinated approach to investing public resources to improve opportunities for youth with disabilities transitioning to adulthood. It includes three bills that aim to reform IDEA transition services, create state infrastructure for transitions within disability services agencies, and promote systems change through grants for integrated employment and education outcomes. The goal is national systemic reform across education, vocational rehabilitation, Medicaid, and other agencies to prioritize self-direction, blending of funding, and full community integration for transition-age youth with disabilities.
Serena lowe presentation on team legislation afp 2011Allison Wohl
The TEAM legislation seeks to establish a coordinated approach to investing public resources to improve opportunities for youth with disabilities transitioning to adulthood. It includes three bills that aim to reform IDEA transition services, create state infrastructure for transitions within disability services agencies, and promote systems change through grants for integrated employment and education outcomes. The goal is national systemic reform across education, vocational rehabilitation, Medicaid, and other agencies to prioritize self-direction, coordinated funding, and full community integration for transition-age youth with disabilities.
Changing The Disability Poverty Paradigm(1)Allison Wohl
Check out presentation that CPSD\'s Executive Director, Serena Lowe, gave today at the NDI Real Economic Impact Tour today at the Boston Federal Reserve
Changing the disability poverty paradigm(1)Allison Wohl
- The document discusses poverty and disability in the United States, noting that people with disabilities experience the highest rates of poverty of any subpopulation. It presents data showing that 27.9% of people with disabilities lived in poverty in 2010.
- It argues that a "cyclical dependency model" results in long-term impoverishment for people with disabilities, while a "self-sufficiency investment model" enables independence and community participation. Community-based services are more cost-effective than institutionalization and can help people with disabilities work and be self-sufficient.
- The document calls for transformational leadership and a shift toward policies that focus on the abilities of people with disabilities rather than their limitations in order to promote
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
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The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
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Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
How to Make a Field Mandatory in Odoo 17Celine George
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
Reimagining Your Library Space: How to Increase the Vibes in Your Library No ...Diana Rendina
Librarians are leading the way in creating future-ready citizens – now we need to update our spaces to match. In this session, attendees will get inspiration for transforming their library spaces. You’ll learn how to survey students and patrons, create a focus group, and use design thinking to brainstorm ideas for your space. We’ll discuss budget friendly ways to change your space as well as how to find funding. No matter where you’re at, you’ll find ideas for reimagining your space in this session.
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
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