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Published by: api-28354031 on Jun 01, 2010
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05/31/2010

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Restraint & Seclusion:Northampton Public Schools PACRecommendations
Statement of principles
Human rightsSafety for students and staff Behavior is communication: unsafe behavior requires evaluation to determinecausesRestraint is a treatment failureRestraint is an emergency intervention and should not be used as a primaryinterventionIEPs should not contain restraint except in emergency safety plans The district can benefit from years of research and implementation of restraintreduction in inpatient and adult settings
Key components
Follow the law (emergency only, no mechanical restraint, no seclusion, training,documentation, parent notification)All restraints documented, whether <5 minutes or notNo prone restraintNo transport restraintBuilding-based supervision and accountability for restraint monitoring, prevention,and reductionDistrict-wide accountability for restraintFailure to document restraint is unacceptableRestraint triggers parental consent request for FBA, immediate review of behavioralinterventions
 
Public reporting of number of restraints, number of children involved in restraint,ages of children restrained
 
Professional Recommendations (Jurgensen, Cutler)
 Jurgensen:More training focused on de-escalation, particularly for staff working with children atrisk of restraintFBA procedures require review (entry criteria)Multiple restraints trigger review of placement Training to distinguish between emergency restraint and restraint as aninterventionPreventative restraint should be prohibitedOnly appropriately trained staff may intervene/”help” in a restraintStaff may not move a child as a part of restraintPhysical restraint monitor at every elementary school to “process” restraintsQuestions and concerns immediately referred to Pupil ServicesClarify role of director of health servicesDefine school nurse’s role in restraints, notify immediatelyCutler:All staff trained in MA restraint law; annual training and certificationProtocol that nurse checks students after restraint and documents findingsEnforcement: No children should be carriedEnforcement: No prone holds unless specific trainingEnforcement of deviation from use of approved, trained restraintsSchool-wide restraint log monitored by administrator, analysis of patternsClear hierarchy of supervisory rolesRevised form: Nurse’s signature, administrative review signature, indication of information to principal, indication of parental notification, signatures of all staff involved.All restraints, regardless of duration, written up and parents informed.

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