Abstract
Background
The literature regarding the use of restraint and seclusion in schools is scant, perhaps due to the controversial nature of the topic. With few exceptions, schools have not published policies or data regarding these procedures even when doing so would further the discussion about standards for staff training, student safety, and benchmarks for ongoing improvement.
Objective
The present descriptive study details how a special education school approached the problem of maintaining safety for its lower, middle, and high school students, the majority of whom have autistic spectrum disorders. Its purpose was to describe the monitoring of crisis intervention episodes in a large educational day facility and to report occurrence and duration data of restraint and seclusion.
Methods
Data comparing student gender and Federal Census Code classifications in the lower/middle school and high school across two time periods were tabulated. The number and duration of restraint and seclusion episodes from 2002 to 2007 in each school were summarized.
Results
Examination of 6 years of aggregate crisis management data revealed that lower/middle school students are restrained more frequently than high school students. Duration rates of both restraint and seclusion were variable regardless of setting, a finding consistent with available studies, mostly from inpatient and residential settings.
Conclusions
The authors concluded that most children and adolescents with aggressive and self-injurious behaviors can be safely managed in a day school setting. The present analysis of aggregate crisis intervention data may represent the first benchmarks for comparison with other special education programs.
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References
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.
Baker, P. A., & Bissmire, D. (2000). A pilot study of the use of physical intervention in crisis management of people with intellectual disabilities who present challenging behavior. Journal of Applied Research in Intellectual Disabilities, 13(1), 38–45. doi:10.1046/j.1468-3148.2000.00004.x.
Child Welfare League of America. (2004). Achieving better outcomes for children and families: Reducing restraint and seclusion. Washington, DC: Child Welfare League of America.
Colton, D. (2008). Leadership’s and program’s role in organizational and cultural change to reduce seclusions and restraints. In M. A. Nunno, D. M. Day, & L. B. Bullard (Eds.), For our own safety: Examining the safety of high-risk interventions for children and young people (pp. 143–166). Arlington, VA: Child Welfare League of America.
Council for Children with Behavior Disorders. (2009a). CCBD position on the use of physical restraint procedures in school settings. Retrieved 13 July 2009, from http://ccbd.net/documents/CCBD%20Position%20on%20Use%20of%20Restraint%207-8-09.pdf.
Council for Children with Behavior Disorders. (2009b). CCBD position on the use of seclusion procedures in school settings. Retrieved 13 July 2009, from http://ccbd.net/documents/CCBD%20Position%20on%20Use%20of%20Seclusion%207-8-09.pdf.
Education for All Handicapped Children Act of 1975, Pub. L. No. 94-142, §§ 1400–1461, 89 Stat. 773 (1975).
Fogt, J. B., George, M. P., Kern, L., White, G. P., & George, N. L. (2008). Physical restraint of students with behavior disorders in day treatment and residential settings. Behavior Disorders, 34(1), 4–13.
Grace, N. C., Kahng, S. W., & Fisher, W. W. (1994). Balancing social acceptability with treatment effectiveness of an intrusive procedure: A case report. Journal of Applied Behavior Analysis, 27(1), 171–172. doi:10.1901/jaba.1994.27-171.
Individuals with Disabilities Education Improvement Act of 2004, Pub. L. No. 108-446, §§1400 et seq, 118 Stat. 2647 (2004).
Katsiyannis, A., & Smith, C. R. (2003). Disciplining students with disabilities: Legal trends and the issue of interim alternative settings. Behavioral Disorders, 28(4), 410–418.
Leidy, B. D., Haugaard, J. J., Nunno, M. A., & Kwartner, J. K. (2006). Review of restraint data in a residential treatment center for adolescent females. Child & Youth Care Forum, 35(5–6), 339–352. doi:10.1007/s10566-006-9021-z.
Magee, S. K., & Ellis, J. (2001). The detrimental effects of physical restraint as a consequence for inappropriate classroom behavior. Journal of Applied Behavior Analysis, 34(4), 501–504.
Martin, A., Krieg, H., Esposito, F., Stubbe, D., & Cardona, L. (2008). Reduction of restraint and seclusion through collaborative problem solving: A five-year prospective inpatient study. Psychiatric Services, 59(12), 1406–1412. doi:10.1176/appi.ps.59.12.1406.
Masters, K. J., Bellonci, C., Bernet, W., Arnold, V., Beitchman, J., Benson, R. S., et al. (2002). Practice parameter for the prevention and management of aggressive behavior in child and adolescent psychiatric institutions, with special reference to seclusion and restraint. Journal of the American Academy of Child and Adolescent Psychiatry, 41(2 Suppl), 4S–25S.
McCue, R. E., Urcuyo, L., Lilu, Y., Tobias, T., & Chambers, M. J. (2004). Reducing restraint use in a public psychiatric inpatient service. The Journal of Behavioral Health Services and Research, 31(2), 217–224. doi:10.1097/00075484-200404000-00009.
Mcintyre, L. L. (2004). The transition to school: Adaptation in young children with and without developmental delays. ProQuest Information & Learning. Dissertation Abstracts International Section A: Humanities and Social Sciences, 64(7) (2004-99001-107).
Mohr, W. K., Mahon, M. M., & Noone, M. J. (1998). A restraint on restraints: The need to reconsider the use of restrictive interventions. Archives of Psychiatric Nursing, 12(2), 95–106.
National Disability Rights Network. (2010). School is not supposed to hurt: Update on progress in 2009 to prevent and reduce restraint and seclusion in schools. Washington, DC: Author.
No Child Left Behind Act. Public Law No. 107-110, § 115 Stat. 1425 (2001).
Nunno, M. A., Day, D. M., & Bullard, L. B. (Eds.). (2008). For our own safety: Examining the safety of high-risk interventions for children and young people. Arlington, VA: Child Welfare League of America.
Professional Crisis Management Association. (2002). A cognitive-behavioral approach: Instructor manual. Sunrise, FL: Publisher.
Rodriguez, E. (2002). Autopsy: Pressure killed student. American-Statesman Staff.
Ruhl, K. L., & Hughes, C. A. (1985). The nature and extent of aggression in special education settings serving behaviorally disordered students. Behavioral Disorders, 10(2), 95–104.
Rules for the Administration of the Protection of Persons from Restraint Act, Col. §§26-20-101 to -109 (2009).
Ryan, J. B., & Peterson, R. L. (2004). Physical restraint in school. Behavioral Disorders, 29(2), 154–168.
Ryan, J. B., Peterson, R. L., Tetreault, G., & van der Hagen, E. (2008). Reducing the use of seclusion and restraint in a day school program. In M. A. Nunno, D. M. Day, & L. B. Bullard (Eds.), For our own safety: Examining the safety of high-risk interventions for children and young people (pp. 201–215). Arlington, VA: Child Welfare League of America.
Weiss, E. M. (1998). Deadly restraint: A nationwide pattern of death. Hartford Courant.
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Villani, V.S., Parsons, A.E., Church, R.P. et al. A Descriptive Study of the Use of Restraint and Seclusion in a Special Education School. Child Youth Care Forum 41, 295–309 (2012). https://doi.org/10.1007/s10566-011-9165-3
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DOI: https://doi.org/10.1007/s10566-011-9165-3