704 KAR 7:160 1 USE OF PHYSICAL RESTRAINT AND SECLUSION IN PUBLIC SCHOOLS Fayette County Public Schools Agenda 2 Background Description of Handouts Benefits of Positive Behavior Supports and Interventions Schoolwide Positive Behavior Systems Behavior Management Strategies Effective Strategies for Responding to Problem Behavior Fayette County Public Schools Background 3 Enacted February 1, 2013 Designed to enhance safety for students and staff by: Limiting the use of physical restraint and seclusion Training teachers on more effective ways to improve student behavior Training teachers on how to safely conduct restraints when absolutely necessary. Fayette County Public Schools Handouts 4 Regulation FCPS Policy and Procedures List of each schools “core team” Fayette County Public Schools Benefits of PBS and Interventions 5 PBIS is not a curriculum — it is a framework to help schools identify needs, develop strategies, and evaluate practices. Implementing positive, instructional discipline strategies and systems is the most effective way to prevent decrease or eliminate problem student behavior. Fayette County Public Schools Four Key Principles 6 Predicting problem behavior Preventing problem behavior Maintaining consistency Monitoring the program Fayette County Public Schools School-wide Positive Behavior Systems 7 Fayette County Public Schools Elements of Positive Behavior Interventions and Supports 8 Teaching and reinforcing appropriate behavior so that everyone, the adults and the students, are engaging in instruction and prevention Following consistent plans when responding to problem behavior Using data to guide decision making Reinforces students for following the behavior expectations Fayette County Public Schools Multi-Tiered Behavior System 9 Our behavior POI is a multi-tiered system Primary (Universal) Prevention Secondary (Targeted) Prevention Tertiary (Intensive) Prevention Fayette County Public Schools PBIS Pyramid 10 Fayette County Public Schools Key Points for PBIS 11 A school-wide commitment is crucial to success. A leadership team that meets regularly is essential. Analyzing behavioral data for patterns helps to predict behavior problems. Fayette County Public Schools Preventing Problem Behavior 12 Routines and arrangements: Standing in the doorway during transitions Providing positive prompts before releasing students from class. Keeping doors to stairways open. Acknowledging students following rules. Consistently correcting students who behave inappropriately. Teach expectations and post throughout the school. Fayette County Public Schools Responding to Problems 13 Keys to responding appropriately to problems: Classroom vs. office referrals Develop a list of effective consequences Always have correction as part of the response Fayette County Public Schools Acknowledging Success 14 Ways to properly use reinforcement: Verbal praise Non-verbal praise (thumbs up) Public acknowledgement Privileges Token systems, classwide reinforcement Fayette County Public Schools Monitoring Success 15 Try to stay proactive instead of reactive Strive for a four to one ratio of positive to negative interactions Fayette County Public Schools Behavior Management Strategies 16 Adults’ actions are key… Awareness – think about how your actions affect students. Strive for a 4:1 ratio of positive reinforcement versus punishment/negative interactions. Fayette County Public Schools Building Positive Relationships 17 Quick strategies: Showing a genuine interest in students Providing age-appropriate feedback in a non-embarrassing way. Treating students with respect by using simple courtesy such as saying “thank you” and “please” Fayette County Public Schools When problem behaviors occur… 18 General strategies: Acknowledge appropriate behavior displayed by students. Speak privately to the student exhibiting problem behavior. Identify the problem without emotion. Present options. Ask the student to improve their behavior for their benefit (not yours) Acknowledge compliance Fayette County Public Schools Behavior Management – Schedule and Routines 19 Having a consistent schedule matters! Expectations for arrival times A sequence and planned duration of activities A routine for clean-up and transitions between activities Explanations for any schedule changes Fayette County Public Schools In addition… 20 All procedures are taught and practiced and feedback is given. Transitions between activities are smooth and without confusion. Transitions in and out of the classroom are clearly defined and practiced. Fayette County Public Schools Physical Arrangement 21 Characteristics of a well-designed classroom include: Clear expectations are communicated regarding acceptable behavior Expectations regarding behavior are posted clearly Transitions are smooth and without confusion Transitions in and out of the classroom that are clearly defined and practiced Students see teacher and teacher sees students at all times Fayette County Public Schools Teacher Proximity 22 Moving about the classroom frequently and maintaining a close proximity to the students can have a dramatic impact on student behavior. Hovering near a particular student or area where behavior problems may occur is an effective strategy. Fayette County Public Schools Positive Teaching Practices 23 Provide clearly specified goals and objectives Engage students throughout lessons Provide high levels of feedback Use verbal prompts along with physical demonstrations Use “natural models” Fayette County Public Schools Behavior Momentum 24 Strategy for increasing the likelihood of appropriate behavior by asking a student to do two or three things they typically want to do and then following up with a request for a behavior the student typically does not want to do. Fayette County Public Schools Additional strategies 25 Providing Choices Opportunities to Respond Prompts and Cues Fayette County Public Schools Effective Strategies for Responding to Problem Behavior 26 Fayette County Public Schools Why are these kids so angry? 27 Three types of anger: Expressive Passive Implosive Fayette County Public Schools Expressive Anger Characteristics • Overt/Wants you to know • Doesn’t seem to care about • • • • • consequences May want attention Can be cultural or gender based Easy to recognize In control of emotions but not behavior Needs to talk about what caused anger Strategies Low-moderate skill level required for good response Teachable; will respond to anger management instruction Passive Anger Characteristics Strategies Hides anger Never confront alone; Knows how to avoid witness are invaluable Get consensus before reporting. consequences In control of emotions and behavior Needs to talk about what CAUSED the anger Carefully plotted Implosive Anger Characteristics Hides anger inside Wants consequences Ambivalent or flat affect Behavior dictated by out of control emotions Knows he/she is angry May be sarcastic, bitter Can’t explain actions Strategies • Coach, don’t confront. • Offer assistance carefully. • Do not use negative feedback. • Increase positive interactions • Condition yourself to find good in the child. • May need professional help or hospitalization Phases of Escalation Students differ in terms of specific behaviors exhibited and the amount of time it takes to move through a phase. As educators it is our goal to use our knowledge of these seven phases of escalation to understand a student’s behavior and to intervene as early as possible in the process. 5. Peak INTENSITY 4. Acceleration 6. De-escalation 3. Agitation 2. Trigger 7. Recovery 1. Calm TIME THINKING ABILITY 5. Peak INTENSITY Phase 1: Calm 4. Acceleration 6. De-escalation 3. Agitation 2. Trigger 7. Recovery 1. Calm TIME 1. 2. 3. 4. 5. 6. On Task Follows rules and expectations Responsive to praise Initiates behavior Goal oriented Accepts praise Strategies: Phase One Calm 1. Structure 2. Quality Instruction 3. Attention 5. Peak INTENSITY Phase 2: Trigger 4. Acceleration 6. De-escalation 3. Agitation 2. Trigger 7. Recovery 1. Calm TIME 1. Conflicts a. Denial of something they need b. Something negative is inflicted on them 2. Changes in routine 3. Provocations 4. Pressure 5. Interruptions 6. Ineffective problem solving 7. Errors 8. Corrections Strategies: Phase Two Triggers 1. Formal strategies for problem-solving 2. Individual Problem Solving Plan 3. Pre-Correction Plan 5. Peak INTENSITY Phase 3: Agitation 4. Acceleration 6. De-escalation 3. Agitation 2. Trigger 7. Recovery 1. Calm TIME 1. Eyes dart or may stare into space 2. Language nonconversational or subdued 3. Busy hands or hands contained 4. In and out of groups or withdraws from groups 5. Off task/On task or totally off task “Frozen” Strategies: Phase Three Agitation 1. Aim to reduce anxiety 2. Give space & time 3. Preferred activities 4. Teacher proximity 5. Independent activities 6. Movement activities 7. Plan ahead: Involve student in the plan. 5. Peak Acceleration INTENSITY Phase 4: 4. Acceleration 6. De-escalation 3. Agitation 2. Trigger 7. Recovery 1. Calm TIME 1. 2. 3. 4. 5. 6. 7. 8. 9. Questioning and arguing Non-compliance and defiance Off task Provoking students Compliance (with inappropriate behaviors) Whining and crying Avoidance and escape Threats and intimidation Verbal abuse Strategies: Phase Four Acceleration 1. Avoid escalating prompts. 2. Maintain calmness, respect and detachment. 3. Utilize crisis prevention strategies. 4. Allow a “face-saving” way out 5. Peak INTENSITY Phase 5: Peak 4. Acceleration 6. De-escalation 3. Agitation 2. Trigger 7. Recovery 1. Calm TIME 1. 2. 3. 4. 5. 6. 7. 8. Physical abuse Assault Self-abuse Severe tantrums Hyperventilation Screaming Running Violence Strategies: Phase Five Peak 1. Short term interventions 2. Crisis plan 3. Focus on safety 3. Long term interventions 5. Peak De-escalation INTENSITY Phase 6: 4. Acceleration 6. De-escalation 3. Agitation 2. Trigger 7. Recovery 1. Calm TIME 1. 2. 3. 4. 5. 6. 7. Confusion Reconciliation Withdrawal 8. Denial Blaming others Responsive to directions Responsive to manipulative or mechanical tasks Easily re-escalated Strategies: Phase Six De-Escalation 1. Minimize demands and attention. 2. Allow some time to cool down. 3. Engage in independent work or structured task such as counting items, sorting, etc. 4. Complete exit paperwork. 5. Restore environment. 6. Emphasize fresh start. 5. Peak INTENSITY Phase 7: Recovery 4. Acceleration 6. De-escalation 3. Agitation 2. Trigger 7. Recovery 1. Calm TIME 1. Eagerness for independent work or 2. 3. 4. 5. 6. activity Subdued in group work Subdued in class work Defensive Sleeping Avoidance of de-briefing Strategies: Phase Seven Recovery 1. Provide strong focus on normal routines. 2. Facilitate transition back to engagement. 3. Acknowledge prior successful handling of similar situations. 4. Communicate expectation that the student can succeed and your willingness to help. 5. Establish a plan with specific steps. 6. De-brief. 7. Seek to reach closure. Establishing a core team 47 Regulation requires each school designate a core team who is designated to respond to dangerous behavior and to implement physical restraint, if needed. Core team receives additional training. All school personnel will be notified who are the members of the core team. Fayette County Public Schools 704 KAR 7:160 Use of Physical Restraint and Seclusion in Public Schools 48 All school districts must establish and implement policies and procedures regarding restraint and seclusion that do the following: Ensures school personnel are aware of and parents are notified how to access the policies and procedures regarding physical restraint and seclusion Requires school personnel to be trained in accordance with the requirements outlined in Section 6 of the administrative regulation Fayette County Public Schools • Outlines procedures to be followed during and after each use of physical restraint or seclusion, including notice to parents, documentation of the event in the student information system, and a process for the parent or emancipated youth to request a debriefing session • Requires notification within twenty-four (24) hours to the Kentucky Department of Education and local law enforcement in the event of death, substantial risk of death, extreme physical pain, protracted and obvious disfigurement or protracted loss or impairment of the function of a bodily member, organ, or mental faculty resulting from the use of physical restraint or seclusion • Outlines a procedure by which parents may submit a complaint regarding the physical restraint or seclusion of their child, which shall require the district and school to investigate the circumstances surrounding the physical restraint or seclusion, make written findings, and, if appropriate, take correction action Fayette County Public Schools 49 • Outlines a procedure to regularly review data on physical restraint and seclusion usage and revise policies as needed • As required by Section 6 (1), all school personnel shall be trained in state administrative regulations and school district policies and procedures regarding physical restraint and seclusion. • All certified and non-certified school personnel shall be trained annually to use an array of positive behavioral supports and interventions to accomplish the following: *Increase appropriate student behaviors *Decrease inappropriate or dangerous student behaviors *Respond to dangerous behavior Fayette County Public Schools 50 Limitations on the Use of Seclusion 51 704 KAR 7:160 defines seclusion as the involuntary confinement of a student alone in a room or area from which the student is prevented from leaving but does not mean classroom timeouts, supervised in-school detentions, or outof-school suspension. Seclusion may only be implemented in a public school or educational program under the following conditions: The student’s behavior poses an imminent danger of physical harm to self or others The student is visually monitored for the duration of the seclusion Less restrictive interventions have been ineffective in stopping the imminent danger of physical harm to self or others School personnel implementing the seclusion are appropriately trained to use seclusion Fayette County Public Schools Limitations on the Use of Seclusion 52 Seclusion shall not be used: As punishment or discipline To force compliance or to retaliate As a substitute for appropriate educational or behavioral support To prevent property damage in the absence of imminent danger of physical harm to self or others As a routine school safety measure As a convenience for staff As a substitute for timeout As defined in 704 KAR 7:160, "Timeout" means a behavior management technique that is part of an approved program, involves the monitored separation of the student in a non-locked setting, and is implemented for the purpose of calming. Fayette County Public Schools Limitations on the Use of Seclusion 53 The use of seclusion shall end as soon as: The student’s behavior no longer poses an imminent danger of physical harm to self or others or A medical condition occurs putting the student at risk of harm A setting used for seclusion shall: Be free of objects and fixtures with which a student could inflict physical harm to self or others Provide school personnel a view of the student at all times Provide adequate lighting and ventilation Have an unlocked and unobstructed door Have at least an annual fire and safety inspection Be reviewed by district administration to ensure programmatic implementation of guidelines and data related to its use. Fayette County Public Schools Limitations on the Use of Physical Restraint 54 When choosing the trainer for the core team, school districts must refer to the following requirements regarding physical restraint: Physical restraint shall not be used: As punishment or discipline To force compliance or to retaliate As a substitute for appropriate educational or behavioral support To prevent property damage, except as permitted under KRS Chapter 503 As a routine school safety measure As a convenience for staff Fayette County Public Schools Limitations on the Use of Physical Restraint 55 School Personnel Shall Not Impose the Following On Any Student at Any Time: Mechanical restraint Chemical restraint Aversive behavioral interventions Physical restraint that is life threatening Prone or supine restraint Physical restraint if they know that physical restraint is contraindicated based on the student’s disability, health care needs, or medical or psychiatric condition Fayette County Public Schools Limitations on the Use of Physical Restraint 56 Physical Restraint May Only be Implemented In a Public School or Educational Program when: The student’s behavior poses an imminent danger of physical harm to self or others and as permitted under: KRS 503.050 KRS 503.070 KRS 503.110 The physical restraint does not interfere with the student’s ability to communicate in the student’s primary language or mode of communication, unless the student uses sign language or an augmentative mode of communication as the student’s primary mode of communication and the implementer determines that freedom of the student’s hands for brief periods during the restraint appears likely to result in physical harm to self or others. Fayette County Public Schools • The student’s physical and psychological wellbeing is monitored for the duration of the physical restraint. • Less restrictive behavioral interventions have been ineffective in stopping the imminent danger of physical harm to self or others, except in the case of a clearly unavoidable emergency situation posing imminent danger of physical harm to self or others. • School personnel implementing the physical restraint are appropriately trained as required by Section 6(3) (Core Team Training) of this administrative regulation, except to the extent necessary to prevent physical harm to self or others in clearly unavoidable emergency circumstances where other school personnel intervene and summon trained school personnel as soon as possible. • Implementing a physical restraint, school personnel shall use only the amount of force reasonably believed to be necessary to protect the student or others from imminent danger of physical harm. Fayette County Public Schools 57 Limitations on the Use of Physical Restraint 58 The use of physical restraint shall end as soon as the following conditions occur: The student’s behavior no longer poses an imminent danger of physical harm to self or others A medical condition occurs putting the student at risk of harm Fayette County Public Schools Warning Signs 59 Warning Signs of Student Emotional Distress Uncontrollable crying or screaming Extreme withdrawal Irrational statements Urination, defecation, or vomiting Warning Signs of Serious Physical Injury Complaints of pain Bleeding Complaints of severe pain with obvious reddening, swelling or abrasions Signs of broken or dislocated joints/bones Warning Signs of Asphyxia Panting, shallow breaths, or hyperventilation Unconsciousness or unresponsiveness to regular verbal checks Darkening of skin around mouth or nose, and in hands or fingernails Fayette County Public Schools Recording and Reporting Data 60 THE FOLLOWING INFORMATION MUST BE REPORTED by the district in the Kentucky Student Information System: Aggregate number of uses of physical restraint. Aggregate number of students placed in physical restraint. Aggregate number of uses of seclusion. Aggregate number of students placed in seclusion. Aggregate number of instances of substantial risk of death, extreme physical pain, protracted and obvious disfigurement or protracted loss or impairment of the function of a bodily member, organ, or mental faculty to students related to physical restraint and seclusion. Aggregate number of instances of risk of death, extreme physical pain, protracted and obvious disfigurement or protracted loss or impairment of the function of a bodily member, organ, or mental faculty to school personnel related to physical restraint and seclusion. Aggregate number of instances in which a school resource officer or other sworn law enforcement officer is involved in the physical restraint or seclusion of a student. Fayette County Public Schools Policy 09.2211 61 STUDENTS 09.2212 Use of Physical Restraint Use of physical restraint or seclusion by school personnel is subject to 704 KAR 7:160. However, nothing in this policy prohibits the exercise of law enforcement duties by sworn law enforcement officers. DEFINITIONS Physical Restraint means a personal restriction that immobilizes or reduces the ability of a student to move the student’s torso, arms, legs, or head freely. Seclusion means the involuntary confinement of a student alone in a room or area from which the student is prevented from leaving, but does not mean classroom timeouts, supervised in-school detentions, or out-of-school suspensions. PHYSICAL RESTRAINT All School Personnel Use of physical restraint by all school personnel is permitted when a student’s behavior poses an imminent danger of physical harm to self or others in clearly unavoidable emergency circumstances. In such situations, staff who have not had core team training may physically restrain students, but shall summon core trained school personnel as soon as possible. In all situations involving use of physical restraint (including restraint by core trained personnel): The student shall be monitored for physical and psychological well being for the duration of the restraint. Personnel shall use only the amount of force reasonably believed necessary to protect the student or others from imminent danger of physical harm. Core Trained Personnel School personnel who have undergone core team training may also use physical restraint after less restrictive behavioral interventions have been ineffective in stopping misbehavior as noted below: In nonemergency circumstances when a student’s behavior poses an imminent danger of physical harm to self or others; As provided in KRS 503.050 (including when personnel believe physical restraint is necessary to protect themselves against the use or imminent use of unlawful physical force); Fayette County Public Schools Procedures: 09.2211.AP21 62 Fayette County Public Schools