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 I N T

What is Seclusion and Restraint & Why should I care??

Supporting Student Behavior: Standards for the Emergency Use of Seclusion and Restraint Awareness Training Muskegon Area Intermediate School District Presented by Steven Vitto, M.A., Behavioral Specialist, M.A.I.S.D. Certified Crisis Prevention Trainer (CPI) Certified Therapeutic Crisis Intervention Trainer (TCI) Certified State of Michigan PBS Coach and Trainer Certified Balanced & Restorative Justice Trainer (BARJ)

Andrew ,[object Object],Died from traumatic asphyxia and chest compression. Face-down restraint with arms crossed over chest.

Angie ,[object Object],Stopped breathing after being placed in prone restraint position. Death being ruled a homicide

Chase ,[object Object],Asphyxiation by a prone restraint He was restrained for refusing to stop talking and not following instructions . According to an autopsy he died after suffocating on his own vomit.

Chris ,[object Object],Asphyxiation by prone restraint He was restrained 4 times … in his last 24 hours

Edith ,[object Object],Restraint Asphyxia – She was looking at a family photograph when a male aide instructed her to hand over the "unauthorized" personal item. The dispute escalated into a face-down floor restraint

Gareth ,[object Object],Died of asphyxiation by a prone restraint Restrained by three staff members on his 4th day at the facility

Isaiah ,[object Object],Four youths witnessed his death. Students say staff sat on him for three hours until he passed out and died.

Jonathan ,[object Object],Restrained in a van while staff were running errands. Though he was clearly having difficulties breathing they continued running their errands… for another 1½ hours .

Mark ,[object Object],Asphyxiation while being forcibly restrained by 3 staff in a prone position

Sakena ,[object Object],Suffocation during face down restraint with staff member laying across her back.

Travis ,[object Object],The autopsy indicated he died because of the face-down on the ground restraint. Restrained 1½ hours. Denied request for asthma meds.

Omega ,[object Object],He died after being restrained by staff in prone position with arms behind his back. June 3, 2007

Robert ,[object Object],Asphyxiation while restrained after a dispute about his… missing teddy bear He was restrained for 10 minutes, face down on the floor. The staffer who restrained the boy left him lying, unresponsive, on the floor

Reality ,[object Object],[object Object],[object Object],[object Object]

Reality ,[object Object],[object Object]

The Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TERMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Physical Restraint ,[object Object],RESTRICTIONS IN STATE GUIDELINES

What is Physical Assistance ,[object Object]

What is physical management? ,[object Object],RESTRICTIONS IN STATE GUIDELINES

What is a physical escort? ,[object Object],RESTRICTIONS IN STATE GUIDELINES

What is mechanical restraint? Mechanical Restraint is the use of any device, article, garment, or material attached or adjacent to the student's body, which the student cannot easily remove, and that restricts freedom of movement PROHIBITED IN STATE GUIDELINES

What is seclusion? ,[object Object],RESTRICTIONS IN STATE GUIDELINES

What is time-out? ,[object Object]

What is an emergency? ,[object Object],RESTRICTIONS IN STATE GUIDELINES

What is a Emergency Safety Intervention? ,[object Object],RESTRICTIONS IN STATE GUIDELINES

What is Prone Restraint? ,[object Object],PROHIBITED IN STATE GUIDELINES

What is supine restraint? ,[object Object]

State Board of Education Policy on Seclusion and Restraint ,[object Object]

Context for the Policy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Supporting Student Behavior: Standards for the Emergency Use of Seclusion and Restraint (Supporting Student Behavior) document ,[object Object],[object Object],[object Object],[object Object]

The Supporting Student Behavior document is rooted in best practices and drafted in the belief that: ,[object Object],[object Object],[object Object],[object Object]

Legal Context of the Policy ,[object Object],[object Object]

State Board of Education Policy on Positive Behavior Support ,[object Object]

Impact of School-wide PBS on Seclusion and Restraint ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Are classroom response cost systems contributing to defiance and aggression? ,[object Object],[object Object],[object Object],[object Object]

Training on Policy ,[object Object],[object Object]

TRAINING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Training Components ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Comprehensive Training for Key Identified Personnel ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TRAINING CONTINUED ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Part Two Standards for Seclusion and Restraint

Definitions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Justification for Use ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Corporal Punishment ,[object Object],[object Object]

Limitations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prohibited Practices ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Use of Physical Force under the Corporal Punishment Statute ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Procedures for Use ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Procedures for Use (continued)

Duration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Debriefing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Emergency Intervention Plan (EIP) for Seclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Emergency Intervention Plan (EIP) for Restraint

EIP for Restraint (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Documentation and Reporting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Data Collection System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SCENARIO #1 ,[object Object],Physical Management

SCENARIO # 2 ,[object Object],Physical Escort

Scenario # 3 ,[object Object],Physical Escort

Scenario # 4 ,[object Object],Physical Restraint

Scenario # 5 ,[object Object],PHYSICAL MANAGEMENT

Scenario # 6 ,[object Object],PHYSICAL MANAGEMENT

Scenario * 7 ,[object Object],MECHANICAL RESTRAINT

Scenario # 8 ,[object Object],PHYSICAL RESTRAINT

Scenario # 9 ,[object Object],Physical Restraint Physical Escort Seclusion

Other Potential Scenarios ,[object Object],[object Object],[object Object],[object Object]

Acceptable Use of Restraint in Schools ,[object Object],Unacceptable Use of Restraint in Schools ,[object Object]

Functional Behavior Assessment & Behavior Intervention Planning ,[object Object],[object Object],[object Object],[object Object]

Functional Behavioral Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

In Other Words ,[object Object],[object Object]

Is it a Behavior Intervention Plan (BIP)? ,[object Object],[object Object]

Comprehensive Training In Restraint Is Important for Schools ,[object Object],[object Object],[object Object],[object Object]

THE REVISED SCHOOL CODE (EXCERPT) Act 451 of 1976 ,[object Object]

THE REVISED SCHOOL CODE ,[object Object],[object Object],[object Object],[object Object],[object Object]

THE REVISED SCHOOL CODE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Risks ,[object Object],[object Object],[object Object]

Risks ,[object Object],[object Object]

Signs of Physical Distress ,[object Object],[object Object],[object Object],[object Object],[object Object]

Signs of Physical Distress ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Signs of Physical Distress ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Signs of Physical Distress ,[object Object],[object Object],[object Object],[object Object]

Resources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PBS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Editor's Notes