2014-2015 Hernando County Reporting Restraint / Seclusion

(for Students with Disabilities and 504 Plans)

Guidelines Training

Terri CooperSEDNET Region 13

Who is SEDNET ?The Multiagency Network for Students with

Emotional/Behavioral Disabilities

•Works with other agencies to create and facilitate a network of stakeholders committed to providing quality care to children with or at risk of E/BD.•Created by the Florida Legislature in 1984.•A statewide discretionary project funded by the Department of Education.•19 regions across the state.•www.sednetfl.info

DOE Indicators for SEDNETIndicator 1

Increase Graduation rate for Students with EB/DIndicator 2

Decrease Drop-out rate for Students with EB/DIndicator 4

Reduce Out of School Suspension for Students with EB/D

Indicator 14Improve Post-School Outcomes for Students with EB/D

Continuing Education Employment Continuing Education and Employment

ObjectivesReview DefinitionsDescribe Monitoring of Data

Collection/ReportingReview Training PolicyReview Hernando County’s Plan for Reducing

RestraintsReview Incident/Data Collection and Reporting

ProceduresShare Reporting Restraint and Seclusion

WikiFAQs

Physical Restraint…..is only used to prevent injury to the student and

others.

should only be used in emergency situations when an imminent risk of serious injury or death to the student or others exist.

is used in a manner that conveys dignity and respect for the student.

is a LAST RESORT !!!

ConcernsRestraint is being used as a behavioral

intervention (for noncompliance, threats, or disruption) instead of an emergency safety procedure

The use of restraint may reinforce or strengthen the problem behavior

Restraint is implemented independent of a function-based behavior intervention plan

When restraint is used, there is a failure to use data to analyze & address the cause of the precipitating behavior

Some Definitions

Physical Restraint Physical force that immobilizes or reduces

the ability of a student to move his or her torso, arms, legs, or head freely.

(Office of Civil Rights)

Physical Restraint MUST be Reported.

Physical Transport Any physical force or exertion needed in

order to propel a student into motion while immobilizing their arms and torso with one or more persons assisting.

Physical Transport Must be reported.

Physical Escort A temporary touching or holding of the hand,

wrist, arm, shoulder, or back for the purpose of inducing a student who is acting out to walk to a safe location.

Does NOT have to be reported as a restraint.

Mechanical RestraintThe use of any device or equipment to restrict

a student’s freedom of movement.unless the student has a prescription or

it’s use is included in the IEP.Does not include

Adaptive devices used to achieve proper body position, balance, or alignment

Seat beltsRestraints for medical immobilization

Does not include the use of an SRO’s handcuffs

SeclusionThe involuntary confinement of a student alone in a

room or area from which the student is prevented from leaving.The student is taken to a room or area against

their willThe student is alone in the room or areaThe student is physically prevented from leaving

the room or areaDoes not include a Time-Out

HCSB prohibits the use of Seclusion with any student!!!!

Time Out A behavior management technique that

involves the monitored separation of a student in a non-locked setting and is implemented for the purpose of calming.Physical force or threats may not be used to place a student in Time Out

Monitoring of Restraint /Seclusion Procedure at the Classroom Level

A school-based administrator who has been trained in reporting restraints and seclusions is ...Responsible for investigating the restraintCollecting the necessary dataNotifying parents on the day of the restraintReporting the data on the state-wide web siteProviding technical assistance to the teacher

Monitoring of Restraint /Seclusion Procedure at the School Building Level

A school-based administrator who has been trained in reporting restraints and seclusions will….Report restraints of SWD or students with a 504

to the Director of ESE/Student Services immediately.

Complete and submit Restraint Reports

Monitoring of Restraint /Seclusion Procedure at the School Building Level

Documentation of the restraint will be maintained at the classroom level by the classroom teacher.

Documentation of the restraint will be maintained at the School Building Level by the trained administrator.Each student who has had an incident of physical

restraint will have a separate file kept in the Principal’s office containing all necessary documentation required by the two Procedure checklists.

These files will be reviewed at least annually by District Staff.

Policy for Training on Restraint or Seclusion

Hernando County uses Nonviolent Crisis Intervention (CPI) to train personnel with regard to the use of restraint. This is the only HCSB approved program.

Initial training is offered twice a year district wide.

CPI certification is valid for one year.Annual refreshers are offered in order

to maintain certification.

Policy for Training continuedThe district allows the following to receive

the entire two (2) day training program:AdministratorsESE teachersCounselorsBehavior Analysts/SpecialistsRegular Education teachers as needed.

Paraprofessionals may receive the (2) day training if they have been approved by the Director of ESE/SS.

CPI Restraints approved by HCSB 1. Children’s Control Position

2. Team Control Position 3. Transport Position 4. Interim Control Position

Only staff with current CPI certification are allowed to use these restraints!

Children’s Control Positionsm

Team Control Positionsm

Transport Positionsm

Interim Control Positionsm

Policy for Reducing Restraint/Seclusion

Hernando County had 19 reported incidents of restraint in the 2012-2013 school year including 6 reports for Hernando County students in residential placements.

Hernando County had 4 reported incidents of restraint in the 2013-2014 school year including 4 reports for Hernando County students in residential placements.

Hernando County has 1 reported incidents of restraint in the 2014-2015 school year.

Hernando County’s goal is to reduce the number of restraints for the 2014-2015 school year by 1 percent.

2013 2014 20150

2

4

6

8

10

12

14

16

18

20

HCRes. Pl.Total

Plan for Reducing continued Hernando County does not use ….

Seclusion or mechanical restraints.Restraints that restrict breathing.“Prone” or “Supine” restraints.

All CPI restraints are standing restraints only

If a student falls or sits during a restraint, disengage and reassess if there is an imminent risk of death or injury .

Plan for Reducing continuedRestraint data will be reviewed and analyzedWhen data show multiple restraint incidents per

student, staff members and/or school, District staff will meet to determine the need for District support.Once a need has been identified, technical

assistance will be provided.Implement student-specific strategies such as:

Reviewing IEPs/504 plansConducting evaluations/re-evaluations and FBAsEvaluating effectiveness of BIPs and health care

plansIntroduce or strengthen multi-tiered systems of

support (MTSS), including school-wide PBS.

Plan for Reducing continuedProvide additional professional

development training in PBS, Crisis Management, Conflict Prevention

Problem solve with school administrators to make data-driven decisions regarding school environments. (RtI:B Database)

Behavior analysts/specialists will facilitate a debriefing activity with the school personnel involved to review incidents of restraint and identify prevention strategies.

Incident/Data Collection ProcedurePlease see the forms page on the Wiki for

copies of all the necessary forms needed to complete the incident report

http://reportingrestraintandseclusion.wikispaces.com/These forms will always be available on the

Wiki, but you can download them to a folder on your desktop or make hardcopies.

FAQ’sQ: Do restraints that happen beyond the hours

of the typical school day have to be reported?

A: YES. Districts are advised to report all incidents of restraint.

Q: Do restraints by SROs have to be reported?

A: YES If such an incident rises to the level of an

arrest or Baker Act, that would constitute the end of the restraint.

Q: An SRO uses handcuffs on a student. Does this have to be reported as a restraint?

A: No The use of handcuffs by an SRO is interpreted

as “detainment” and not a restraint.

Q: If a restraint occurs in school-based child care, the homes of students receiving hospital/homebound, home placement, or in private schools, does it have to be reported?

A: YES, unlessThe parent is restraining the student, orThe parent is paying for school-based child

care

Questions ???

Thank You for your Participation !! Thanks to Kristin Hope

for her valuable assistance in creating this Wiki !!

Terri CooperCooper_s1@hcsb.k12.flus

(352)797-7022 ext.213

www.sednetfl.info

The Multiagency Network for Students with Emotional/Behavioral Disabilities (SEDNET) is a special project funded by the Florida Department of Education,

Division of Public Schools, Bureau of Exceptional Education and Student Services, through federal assistance under the Individuals with Disabilities

Education Act (IDEA), Part B.

Please feel free to contact me with questions or concerns