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Action on Restraint and Seclusion


New Manual – The Right to be Safe In School: Advocacy and Litigation Strategies to Combat the Use of Restraint and Seclusion  Combat Use Cover  Combat Use Cover

Written By:  Kristine Sullivan, Esq. Edited by: Alice K. Nelson, Jodi Siegel, Leslie Seid Margolis, and Denise Stile Marshall

This manual is intended as a practice guide for attorneys and advocates representing children with disabilities who have been injured or damaged by such unsound techniques in the educational setting.

 COPAA Member Download (No Charge, must login to Member Area)   

 Non Member – $30.00  – Purchase and Download


COPAA is concerned about the use of restraints, seclusion and aversive interventions as part of educational programs for children with disabilities. Restraints, seclusion and aversive interventions are neither educational nor effective. Instead, their harms and dangers are well-documented. Inappropriately used, they amount to child abuse.

Restraints include physical force, mechanical devices or drugs that temporarily restrict freedom of movement or control behavior. Seclusion includes the use of locked rooms or other spaces from which students are unable to leave voluntarily. Aversive procedures use painful stimuli in response to behaviors that are deemed unacceptable by their caregivers. All aversive techniques have in common the application of physically or emotionally painful stimuli.

Children should receive effective positive behavior supports developed within a comprehensive, professionally-developed plan of behavioral accommodations, supports, and interventions. But, too often school personnel who have not been thoroughly trained in research-validated methods for promoting positive behavior change and crisis de-escalation resort to inappropriate abusive methods. Abusive methods not only place the student at risk of serious physical and psychological harm, but also violate his or her dignity and right to be free from abusive treatment.

Although some states have standards and regulations regarding restraints, seclusion and aversive interventions, the existing laws are not uniform and may not be enforced. Other states provide little or no protection for children at all. Because there is no monitoring on a national level, the full extent of death, injuries, and harm from the use of these techniques is unknown.

Every child is entitled to be treated with dignity and respect. No child with a disability should be subjected to abusive treatment under the guise of providing educational services. Civilized nations protect the human rights of all of their citizens and residents, particularly those who are unable to advocate for themselves, including children.

December, 2011 – COPAA sends letter of support to Senator Harkin for S. 2020, Keeping All Students Safe ActThis bill would promote the development of effective intervention and prevention practices that do not impose restraints and seclusion; protect all students from physical or mental abuse, aversive behavioral interventions that compromise health and safety, and any restraint imposed for purposes of coercion, discipline or convenience, or as a substitute for appropriate educational or positive behavioral interventions and supports. Importantly the bill also works to ensure the safety of all students and school personnel and promote positive school culture and climate.

April, 2011 – COPAA supports the Introduction of the HR 1381 Keeping All Students Safe Act and sends a letter of support and thank you to Representative Miller.

March, 2011  COPAA updates COPAA Declaration of Principles Opposing the Use of Restraint, Seclusion and Aversive Interventions

COPAA Picture of COPAA Report Unsafe inthe SchoolHouseSeptember 2010 – COPAA expresses grave concern regarding S. 3895 because the bill would allow restraint and seclusion as planned interventions in a student’s IEP. 

September 2010 – COPAA members write issue brief regarding the importance of prohibiting the use of restraint and seclusion as planned interventions, written for the APRAIS Coalition .

March 2010 – COPAA applauds the House of Representatives for passing H.R. 4247, the Keeping All Students Safe in School Act. This bill will implement minimum standards to protect all schoolchildren from the dangers of restraint, seclusion, and aversives. H.R. 4247 passed by a vote of 262 to 153.

November 2009 – COPAA applauds the Department of Education’s proposed changes and expansions to the Civil Rights Data Collection (CDRC) and urges further clarification and expansion of categories under Restraint and Seclusion.

May, 2009 – COPAA report Unsafe In The Schoolhouse: Abuse Of Children With Disabilities asking Congress to stop the use of restraints, seclusion, and aversives upon children with disabilities in school.

May, 2009 - COPAA submits a letter for the record to the House Education Committee as part of its hearings on Examining the Abusive and Deadly Use of Seclusion and Restraint in Schools.

January, 2009 – COPAA releases Statement Endorsing Legislation to End Abuse.

June, 2008 – COPAA issued COPAA Declaration of Principles Opposing the Use of Restraint, Seclusion and Aversive Interventions (updated March, 2011). 

Research  

Brown, F., Michaels, C.C., Oliva, C.M., & Woolf, S.  Personal paradigm shifts among ABA and PBS experts: Comparisons in treatment acceptability.  Journal of Positive Behavior Interventions, 10, 212-227. (2008).

Bradshaw, C.P. et al., The Impact of School-wide Positive Behavioral Interventions and Supports (PBS) on the Organizational Health of Elementary Schools, 23 School Psychology Quarterly 462, 462-73 (2008).; J.R. Nelson et al., Teaching Good Behavior in the Whole School, 30 Teaching Exceptional Children 4, 4-9 (1998).

Carr, E.G., Horner, R., Turnbull, A., et. al., Positive Behavior Support for People with Developmental Disabilities: A Research Synthesis. American Association on Mental Retardation. (1999)

Center for Social and Emotional Education School Climate Research Study, available at http://nscc.csee.net/effective/school_climate_research_summary.pdf.

The Council for Children with Behavioral Disorders A Division of the Council for Exceptional Children POSITION SUMMARY ON The Use of Physical Restraint Procedures in School Settings  http://www.state.ky.us/agencies/behave/misc/CCBD%20Position%20on%20Use%20of%20Restraint%207-8-09.pdf

The Council for Children with Behavioral Disorders A Division of the Council for Exceptional Children POSITION SUMMARY ON The Use of Seclusion in School Settings  http://www.state.ky.us/agencies/behave/misc/CCBD%20Position%20on%20Use%20of%20Seclusion%207-8-09.pdf

Crisis Prevention Institute, Inc., Risks of Restraint: Understanding Restraint–Related Positional Asphyxia (2005), available at http://www.resa.net/downloads/special_education_guidelines/behavior_intervention.pdf.

Miller, J.A. D.P. Hunt, & M.A. Georges, Reduction of Physical Restraints in Residential Treatment Facilities, 16 Journal of Disability Policy Studies 202, 202-08 (2006).

Turnbull, H.R. III et al., IDEA Requirements for Use of PBS: Guidelines for Responsible Agencies, 3 Journal of Positive Behavior Interventions 11, 11-18 (Winter 2001).

Knoster, T., et al., Using Timeout in an Effective Manner (Suana Wessendorf, Iowa Dept. of Ed. 2003).

Cooper, J.O., Heron, T.E., & Heward, W.L. Applied Behavior Analysis (2nd ed.). Upper Saddle River: NJ. (2007).

Durand, V. M., & Carr, E. G. Social influences on “self-stimulatory” behavior: Analysis and treatment application. Journal of Applied Behavior analysis, 20-119-132. (1987).

Eber, L. et. al., Wraparound as a Tertiary Level Intervention for Students with Emotional/Behavioral Needs, 40 Positive Behavior Interventions & Support 16, 16-23 (2008). 

Evans, I.M. & Meyer L.H., An Educative Approach to Behavior Problems: A Practical Decision Model for Interventions with Severely Handicapped Learners (Brookes 1985).; A.M. Donnellan et al., Progress Without Punishment: Effective Approaches for Learners with Behavior Problems. (Teachers College Press 1988).

Ferleger,D. Human Services Restraint: Its Past and Future INTELLECTUAL AND DEVELOPMENTAL DISABILITIES VOLUME 46, NUMBER 2: 154–165 (2008) 

Hodas G.R, Responding to Childhood Trauma: The Promise and Practice of Trauma Informed. (2006),  available at http://www.nasmhpd.org/nasmhpd_collections/collection5/publications/ntac_pubs/Responding%20to%20Childhood%20Trauma%20-%20Hodas.pdf.

Horner et al., Towards a Technology of ‘Nonaversive Behavioural Support’, Research and Practice for Persons with Severe Disabilities, 125, 125- 32 (1990).

Horner, R. &  Sugai, G. School-wide positive behavior support. Implementers’ blueprint and self-assessment. Eugene, OR: University of Oregon, OSEP Center on Positive Behavior Support (2004), available at http://www.osepideasthatwork.org/toolkit/pdf/SchoolwideBehaviorSupport.pdf

LeBel, J. & Goldstein R., The Economic Cost of Using Restraint and the Value Added by Restraint Reduction or Elimination, 56 Psychiatric Services, 1109, 1109 – 14 (Sept. 2005).

Mace, F. C. The significance and future of functional analysis methodologies. Journal of Applied Behavior Analysis, 27, 385-392. (1994).

Miller D.E.., The Management of Misbehavior by Seclusion, 4(1) Residential Treatment for Children and Youth 63, 63-73 (1986).

Millstein K.H &. Cotton N.S, Predictors of the Use of Seclusion on an Inpatient Child Psychiatric Unit, 29 Journal of the American Academy of Child & Adolescent Psychiatry 256, 256-64 (1990).

Mohr ,W. K. &. Anderson, J.A, Faulty Assumptions Associated With the Use of Restraints With Children, 14 Journal of Child and Adolescent Psychiatric Nursing 141, 141-51 (July-Sept. 2001).

National Center for Education Statistics, U.S. Dept. of Ed. and the Bureau of Justice Statistics, U.S. Dept. of Justice, Indicators of School Crime and Safety. (2007), available at http://nces.ed.gov/programs/crimeindicators/crimeindicators2007/intro.asp

National School Safety Center, Working Together to Create Safe Schools (1999), available at http://www.schoolsafety.us/pubfiles/working_together.pdf.

National Executive Training Institute (NETI). Training Curriculum for the Reduction of Seclusion and Restraint. Alexandria, VA: National Technical Assistance Center (NTAC), National Association of State Mental Health Program Directors (NASMHPD).

Repp, A.C.; Felce, D. & Barton, L.E. Basing the treatment of stereotypic and self-abusive behavior on hypotheses of their causes. Journal of Applied Behavior Analysis, 21, 281-290 (1988).

Repp A.C., & Singh, N.N., Current Perspectives in the Use of Nonaversive and Aversive Interventions for Persons with Developmental Disabilities. Sycamore, IL: Sycamore Press, 1990)

Ryan J.B, Peterson, R., Tetreault, G., van der Hagen, E. Reducing the Use of Seclusion and Restraint in a Day School Program. In Nunno M, et.al., For Our Own Safety: Examining the Safety of High-Risk Interventions for Children and Young People, Child Welfare League of America, 201-215. (2008)

Ryan, J.B., Robbins, K., Peterson, R.L. & Rozalski, M. Review of State Policies Concerning the Use of Physical Restraint Procedures in Schools. Education and Treatment of Children, 32(3), 487-504 (2009).

Safron, S.P., Oswald, K. Positive Behavior Supports: Can Schools Reshape Disciplinary Practices? Vol. 69, No. 3, pp. 361-373.003 Council for Exceptional Children.  (2003) 

 Websites

http://familiesagainstrestraintandseclusion.blogspot.com/

www.tash.org/aprais

www.ourchildrenleftbehind.org

http://www.wrightslaw.com/info/abuse.index.htm

http://www.advocacyinstitute.org/advocacyinaction/RestraitSeclusion.shtml

http://www.ndrn.org/issues/an/rs.htm


 
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