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Basket Holds & Take Downs: Restraints in Public Schools Need More Scrutiny

Basket Holds & Take Downs: Restraints in Public Schools Need More Scrutiny

By this fall, US Department of Education has said that it will issue guidelines to school districts about the use of restraints, seclusion and other aversive procedures in US public schools. Let’s hope the US’s top special education official, Alexa Posny, sticks to her word. Right now, regulation of such procedures is left to local and state supervision, and the results have been disturbing and sometimes fatal (more about some cases here). Further, while the Education Department says that “only properly trained” staff and personnel should use restraint and seclusion, it does not specify the kind of training, who conducts the training, or what kinds of techniques are used.

Time and again, I’ve heard of parents saying their children with disabilities have been restrained with such procedures as the basket hold or the more ominous-sounding (because it involves just what it says it is) take down. These procedures must only be used in last-resort crisis management situations when it’s very clear that a child’s and the staff’s safety is under concern.

However, such procedures need to FIRST — I’m using all caps because this point is regularly overlooked — SPELLED OUT in a child’s Individualized Education Plan (IEP). It must be understood by all parties that restraints and other aversive techniques are a LAST RESORT. Every time one is used, the child’s parents must be contact on the same day via a written report, and the child should be examined by a school nurse in the event that she or he has been injured as a result of the restraining procedure. If restraints and such practices are regularly used, a meeting must be held IMMEDIATELY to review the teaching procedures and the students’ behavior plan — because, if you’re regularly restraining a child, you’re not addressing the underlying reasons for the child becoming so upset. These reasons could simply be that a child is tired or frustrated, or have sensory overload and a headache, all of which a child with disabilities like my son (who was restrained so frequently in one New Jersey school district that he used to pretend to do a basket hold on himself), be unable to communicate too well, especially in times of stress.

Charlie can have some very difficult behaviors and part of his behavior plan does include the use of restraints but only in crisis situations. His teachers are trained by behavior consultants who work at the school and know him and who have specific experience in teaching and working with children and individuals with disabilities.

In California — my home state, where we hope Charlie might live someday as he has no siblings to take care of him when he’s an adult — Assemblyman Roger Hernández, Democrat of San Gabriel Valley, introduced a bill in February to ban the use of isolation rooms and impose strict limits on the use of restraints. As the New York Times reports, that bill was tabled, due to “stiff opposition from the California Department of Education, the California Teachers Association, the California School Boards Association and the California Alliance of Child and Family Services, which represents more than 130 foster homes and other agencies for troubled youth.”

More than half the incidents involving restraint and other aversive procedures reported in California in the 2009-10 school year have occurred in the Bay Area, and most of them in Alameda, Contra Costa and San Francisco Counties. The New York Times takes a look at some of the agencies school districts have hired to train staff (who, if they’re like the special education teacher population in New Jersey, are largely female). Since May 12, 2011, the San Francisco Unified School District has been contracting with a company called Handle With Care Behavior Management System to train staff (teachers, therapists, administrators), who then train other staff (such as aides and paraprofessionals) in the “proper” use of restraints on students and students with disabilities. Notes the New York Times about the background of Handle with Care’s founder:

Bruce Chapman, the company’s founder and president, is a onetime psychiatric-hospital technician who said he had developed his “take down” restraint during a confrontation with an aggressive patient and refined it as a martial arts devotee who earned a black belt.

The basis for Chapman’s qualifications are his experiences as a psychiatric technician in the in-patient unit at Pennsylvania Hospital in Philadelphia and also in martial arts training. The San Mateo County Office of Education uses an organization called the Crisis Prevention Institute to train teachers and staff in restraint techniques; its founder AlGene Caraulia Sr.’s background in in martial arts. Another founder, Gene Wyka, has a bachelor’s degree in psychology. Crisis Prevention Institute has trained staff in group homes, prisons, elderly homes and schools.

School districts need to be transparent about who is providing the training for using such potentially dangerous techniques, especially as these will be used on children and, in particular, children with disabilities, many of whom are not able to communicate what is happening to them. Such requirements for transparency, and about keeping parents fully and routinely informed about the use of restraints and such procedures has to be part of any federal guidelines. You can be sure, once the Department of Education issues the promised guidelines about restraints and other aversive procedures this fall, I’ll be reading and reporting on what they say, and what they don’t.

Related Care2 Coverage

Disabled Children Abused and Beaten in State Institutions

Why Are Children Being Handcuffed at School?

US Dept of Education Will Issue Guidelines About Restraints & Seclusion in Schools

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Photo of school in San Mateo, CA, by JoeInSouthernCA

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12:30AM PST on Dec 23, 2011


6:38AM PDT on Jul 14, 2011

Thanks for the article.

3:44PM PDT on Jul 10, 2011

I am 58 years old. I do not believe that teachers have been using restraints on children, unconscionable! When I was a nasty little brat, I would be sent to a corner or my butt tanned. I do not believe it was abuse in any way as these things were never done viciously by aid nor teacher.

Troubled children or the disabled need special attention not abuse. Removing them from mainstream educational opportunities creates alienation between them and their peers at a time when socialization is so very important to build balanced skills in dealing with other human beings. Restraint, isolation and abuse is not appropriate.

Teachers have their hands full just looking after 'normal' brats. How can we demand they get specialty training to deal with disruptive kids when our school boards need to provide the tools their current budgets do not allow?

9:08AM PDT on Jul 10, 2011

We tell children that they shouldn't be violent, that violence should not be used as a first or even a last resort. And then what happens? Some inept teacher beats a child down. Honestly, if a teacher can't outsmart a kid and has to resort to violence then he shouldn't be a teacher.
The teaching profession is a predominately middle class profession with a union that's as strong as the catholic church. Traditionally institutionally racist and classist. I wonder what percent of the 'restrained' are black and/or poor. Or is it endemic. (in use in all schools) this is where the argument for cameras in schools come into play of which the footage is accessible to the parents as well as school boards. This in itself is not the solution, non vient solutions are there and should be explored and used. This barbaric practise of bullying children has got to stop!

12:28AM PDT on Jul 10, 2011

Wonderful article. Thank you.

11:48PM PDT on Jul 9, 2011

I doubt that the trainers presented in the article start from the premise that physical restraints have no place in schools which is where I think any responsible training program should start. I agree that parents should be kept informed but that is after-the-fact. Teachers need training in alternatives to restraints and they are only permissible as a last resort.

10:37PM PDT on Jul 9, 2011

some children should not be in public school with other children they are to dangerous. they need one on one care that can't be done at the local school. it's not fair to the disabled child or any others that have to be in the same classroom. if teachers can't restrain them then they shouldn't be there at all.

8:31PM PDT on Jul 9, 2011

@Carolee W
"Some children need attention. If they can not get positive attention, they will get negative.
"What one reinforces (recognizes), one strengthens." What one ignores, one weakens."

When you are in a room with 13 kids by yourself, and they ALL need constant one-to-one attention, and since you can't provide that by yourself.......

...then please stand there and state that while one of them starts throwing tables and chairs at you. What, you would just "ignore" it to extinguish it? You'll be dead.

3:37PM PDT on Jul 9, 2011

Abolish the Republican Party!

3:33PM PDT on Jul 9, 2011

Teacher and aide frustration worries me a lot. No matter what anyone says about not bringing problems from home to work, it happens. A long day with children having difficulties can cause an over escalation on the part of adults. It can also depending on the day, lead to escalation on the children's behaviors so a perfect storm occurs.

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