HLS 11RS-454 ORIGINAL Page 1 of 8 CODING: Words in struck through type are deletions from existing guidelines; words underscored are additions. Regular Session, 2011 HOUSE CONCURRENT RESOLUTI ON NO. 31 BY REPRESENTATIVE STIAES BESE: Requests that the State Board of Elementary and Secondary Education make certain revisions to guidelines for the use of seclusion rooms and restraint of students with exceptionalities A CONCURRENT RESOLUTI ON1 To urge and request the State Board of Elementary and Secondary Education to make certain2 revisions to guidelines for the use of seclusion rooms and restraint of students with3 exceptionalities.4 WHEREAS, as stated in the Constitution of Louisiana, it is the goal of the public5 educational system to provide learning environments and experiences at all stages of human6 development that are humane, just, and designed to promote excellence in order that every7 individual may be afforded an equal opportunity to develop to his full potential; and8 WHEREAS, R.S. 17:7(5)(b), as enacted by Act No. 698 of the 2010 Regular Session9 of the Legislature, requires the State Board of Elementary and Secondary Education (BESE)10 to prepare and adopt guidelines for the appropriate use of seclusion, physical restraint, and11 mechanical restraint of students with exceptionalities; and12 WHEREAS, pursuant to R.S. 17:7(5)(b), BESE prepared "Guidelines for the Use of13 Seclusion Rooms and Restraint of Students with Exceptionalities", and these guidelines are14 posted on the website of the state Department of Education; and15 WHEREAS, certain changes should be made to these guidelines in order to fulfill the16 state's constitutional duty of affording every student an equal opportunity to develop to his17 full potential.18 HLS 11RS-454 ORIGINAL HCR NO. 31 Page 2 of 8 CODING: Words in struck through type are deletions from existing guidelines; words underscored are additions. THEREFORE, BE IT RESOLVED that the Legislature of Louisiana does hereby1 urge and request the State Board of Elementary and Secondary Education to make the2 following revisions to the "Guidelines for the Use of Seclusion Rooms and Restraint of3 Students with Exceptionalities", as posted on the state Department of Education website as4 of April 18, 2011:5 Guidelines for the Use of Seclusion Rooms and Restraint 6 of Students with Exceptionalities7 Act No. 6988 Regular Session, 20109 Guideline 1. 10 Definitions. As used in these guidelines, the following terms shall have the11 meanings specified herein: 12 (a) "Imminent risk of harm" means an immediate and impending threat of a13 person causing substantial physical injury to self or others. Violent action14 that is destructive of property may involve a substantial risk of injury to a15 person. 16 (b) "Mechanical restraint" means any device or object used to limit a person's17 movement, except that a protective or stabilizing device used exclusively in18 accordance with the device manufacturer's intended purposes either ordered19 by a person appropriately licensed to issue the order for the device or20 required by law shall not be considered to be a mechanical restraint. This21 term does not include any device used by a law enforcement officer, campus22 police officer, or school security officer in carrying out law enforcement23 duties. 24 (c) "Physical restraint" means bodily force used to substantially limit a25 person's movement, except that consensual, solicited, or unintentional contact26 and contact to provide comfort, assistance, or instruction shall the holding of27 a student for less than five minutes in any given hour or class period by a28 staff person for the protection of the student or others; the brief holding of a29 student by one adult for the purpose of calming or comforting the student that30 does not prevent the student's freedom of movement or normal access to his31 body; minimal physical contact for the purpose of safely escorting a student32 from one area to another; and minimal physical contact for the purpose of33 assisting the student in completing a task or response should not be deemed34 to be physical restraint.35 (d) "Positive Behavior Interventions and Support" means a systemic36 approach to embed evidence based practices and data driven decision making37 to improve school climate and culture.38 (e) "School employees" means teachers, paraprofessionals, providers of39 related services, administrators, and support staff.40 (f) "Seclusion room" means a room or other confined area used on an41 individual basis in which a student with an exceptionality is removed from42 the regular setting for a limited time as a behavior intervention strategy to43 allow the student the opportunity to regain control in a private setting and44 from which the student is prevented from leaving the area. 45 HLS 11RS-454 ORIGINAL HCR NO. 31 Page 3 of 8 CODING: Words in struck through type are deletions from existing guidelines; words underscored are additions. (g) "Student with an exceptionality" including a student with a disability, is1 any student who is evaluated according to state and federal regulation or2 policy and is deemed to have a mental disability, hearing impairment3 (including deafness), multiple disabilities, deaf-blindness, speech or language4 impairment, visual impairment (including blindness), emotional disturbance,5 orthopedic impairment, other health impairment, specific learning disability,6 traumatic brain injury, autism, or as deemed to be gifted or talented, and as7 a result requires special education and related services. A student with an8 exceptionality may include, as determined by the local education agency9 (LEA), a student experiencing developmental delay ages three through eight.10 (h) "Written Procedures" The LEA should develop written procedures11 regarding appropriate responses to student behavior that may require12 immediate intervention. Such procedures should be provided to school staff13 and made available to parents of enrolled students. Such procedures should14 include, but not be limited to, methods for preventing student violence,15 self-injurious behavior, and suicide, including de-escalation of potentially16 dangerous behavior occurring among groups of students or with an individual17 student. 18 Guideline 2. 19 Seclusion room (or "Quiet Room" or "Cool Down Room")20 Purpose: 21 A professional educator understands the importance of a safe and orderly22 environment conducive to teaching and learning. Seclusion is ineffective23 when used as a form of discipline or punishment, but can be effective as a24 planned behavior strategy. A behavior intervention strategy is one that is25 planned to support an individual through a targeted behavior change-not to26 punish the individual until they comply. and it should not be used as a threat27 to control, bully, or gain compliance of a student's behavior. Seclusion28 should only be used as a last resort when de-escalation attempts have failed29 and the student continues to pose an imminent threat to self or others.30 Procedures: 31 The LEA should develop written procedures so that the use of seclusion is32 consistent and planned in advance. Such procedures should include, but need33 not be limited to, what behaviors trigger the use of seclusion, which staff can34 make a determination that a particular student should be secluded, how35 parents will be notified, what data is are to be kept and where, and how the36 building principal and/or other administrators will be notified.37 Use/Restrictions: 38 • Seclusion should be used only for behaviors that are destructive to39 property and may involve a substantial risk of injury to a person,40 aggressive toward others or severely disruptive to the class41 environment. self or others. Such behaviors as general42 noncompliance, self-stimulation, and academic refusal can should be43 responded to with less stringent and restrictive techniques. The44 seclusion room should be used only as a last resort if and when less45 restrictive means of controlling behavior have proven ineffective46 failed to stop the dangerous or violent actions of the student (such as47 Positive Behavior Supports, constructive and non-physic al48 de-escalation, and re-structuring the environment). Seclusion or49 physical restraint should never be used as a punitive form of50 HLS 11RS-454 ORIGINAL HCR NO. 31 Page 4 of 8 CODING: Words in struck through type are deletions from existing guidelines; words underscored are additions. discipline or as a threat to control, bully, or gain compliance of a1 student's behavior.2 • No student with an exceptionality should be subjected to3 unreasonable, unsafe, or unwarranted use of seclusion rooms.4 Therefore, a child should be placed in a seclusion room only as a5 behavior intervention strategy and not for purposes of discipline or6 punishment, or for the convenience of staff. 7 • A student with an exceptionality should not be placed in a seclusion8 room if the child is known to have any medical or psychological9 condition that a licensed health care provider has indicated, in a10 written statement that is provided to the school and that is on file with11 the school, precludes this action. 12 • A student with an exceptionality should not be placed in a seclusion13 room except by a school employee who has had training in the14 appropriate use of seclusion rooms, including getting a student to a15 seclusion room, placing a student in a seclusion room, and16 supervising a student while the student is in the room. 17 • While a student with a disability is in a seclusion room, the school18 employee who is supervising the student should have the ability to19 see and hear the student at all times. 20 • Not more than one student with an exceptionality should be placed21 in the same seclusion room at the same time.22 • A If a student shall not be is secluded or restrained, for more than the23 student should be continuously monitored. after the initiation of the24 seclusion except in extraordinary circumstances where an imminent25 threat of serious physical injury or death still exists as determined by26 trained school staff. Such monitoring shall be documented at least27 every fifteen minutes, and actions should be adjusted accordingly28 based on such monitoring.29 • Students with an exceptionality shall should be removed from30 seclusion as soon as the reasons justifying the use of seclusion31 subside.32 Notification: If a student is secluded, the parent must should be notified as33 soon as possible and in writing within 24 hours, and such notification should34 include along with the reason for seclusion, the seclusion procedures, the35 names and titles of staff involved, and the length of time for seclusion. 36 Size and characteristics37 • Each seclusion room to be used for any particular child should be of38 a size that is appropriate to the student's chronological and39 developmental age, size, and behavior. 40 • Each seclusion room should have a ceiling height that is comparable41 to the ceiling height of the other rooms in the building in which it is42 located and should be equipped with heating, cooling, ventilation,43 and lighting systems that are comparable to the systems that are in44 use in the other rooms of the building in which it is located. 45 HLS 11RS-454 ORIGINAL HCR NO. 31 Page 5 of 8 CODING: Words in struck through type are deletions from existing guidelines; words underscored are additions. • Each seclusion room should be free of any object that poses a danger1 to the student with an exceptionality who is being placed in the room.2 • Any seclusion room should not be locked while in use with a student3 with an exceptionality. In the event that a student and staff person4 struggle to the point of a student escaping the room and being5 considered a serious threat, additional staff persons should be called6 for assistance.7 • A seclusion room should have an observation window.8 Guideline 3. 9 Physical restraint and mechanical restraint10 Purpose:11 Restraint should be used only if a student presents a threat of imminent risk12 of harm to self or others and only as a last resort to protect the safety of all13 involved.14 Written Policy:15 The LEA should develop policy regarding restraint that provides a16 description and explanation of the method(s) of physical restraint, a17 description of training requirements, reporting requirements and follow-up18 procedures, and a procedure for receiving and investigating complaints19 regarding restraint practices.20 Use/Restrictions:21 • A student with an exceptionality should not be subjected to any form22 of mechanical restraint.23 • No school employee should use physical restraint on any student with24 an exceptionality except in accordance with the written policy of the25 LEA. 26 • No student with an exceptionality should be subjected to27 unreasonable, unsafe, or unwarranted use of physical restraint. Only28 the degree of restraint necessary to stop dangerous behavior should29 be used.30 • Physical restraint should not be used for discipline, punishment, or31 the convenience of staff.32 • A school employee should use physical restraint on a student with an33 exceptionality only if the student's behavior presents an imminent34 risk of harm. 35 • Each school employee applying physical restraint should use a36 method of physical restraint in which the employee has received37 training and should apply the physical restraint in a manner that is38 proportionate to the circumstances and to the student's size and age39 and the severity of the student's behavior. 40 • A student with an exceptionality should not be physically restrained41 if the child is known to have any medical or psychological condition42 that a licensed health care provider has indicated, in a written43 HLS 11RS-454 ORIGINAL HCR NO. 31 Page 6 of 8 CODING: Words in struck through type are deletions from existing guidelines; words underscored are additions. statement that is provided to the school and that is on file with the1 school, precludes this action. 2 • A student with an exceptionality should not be physically restrained3 except by a school employee who has had training in the appropriate4 use of physical restraint. 5 • School employees should be provided training in crisis intervention6 methods that include verbal de-escalation procedures, using an7 appropriate method of physical restraint and in determining the8 circumstances in which the use of physical restraint is appropriate.9 Staff utilizing restraints should receive intensive, nationally10 recognized training in the use of seclusion or physical restraints.11 Training should include:12 (1) A continuum of prevention techniques, including13 evidence-based techniques shown to be effective in the prevention of14 physical restraint.15 (2) Evidence-based techniques shown to be effective16 in keeping both school personnel and students safe when17 imposing physical restraint.18 (3) Evidence-based skills training that involves19 positive behavioral interventions and supports, safe physical20 escort, conflict prevention, understanding antecedents,21 de-escalation, and conflict management.22 (4) First aid and cardiopulmonary resuscitation.23 (5) Environmental management.24 (6) A continuum of de-escalation techniques.25 (7) Nationally recognized physical management and26 restraint practices, including but not limited to techniques that27 allow restraint in an upright or sitting position and28 information about the dangers created by prone restraint.29 (8) Methods to explain the use of restraint to the30 student who is to be restrained and to his family.31 (9) Appropriate documentation and notification32 procedures.33 (10) Training and certification for school personnel34 in these techniques and skills which shall occur at a frequency35 determined by the local school district or the program36 utilized.37 • A student shall should not be secluded or restrained for more than38 fifteen minutes after the initiation of the restraint except in39 extraordinary circumstances where an imminent threat of serious40 physical injury or death still exists as determined by trained school41 staff.42 • Students with an exceptionality shall should be released from43 physical restraint as soon as the reasons justifying the use of physical44 restraint subside.45 • Physical restraints shall should be used so as not to cause physical46 injury to the student and so as to cause the least possible discomfort.47 Restraints should not be used in a way that interferes with breathing48 or communicating. Caution should be used when using prone49 restraints.50 Notification:51 HLS 11RS-454 ORIGINAL HCR NO. 31 Page 7 of 8 CODING: Words in struck through type are deletions from existing guidelines; words underscored are additions. If a child is physically restrained, the parent must should be notified as soon1 as possible and in writing within 24 hours, and such notification should2 include along with the reason for using physical restraint, the restraint3 procedures, the names and titles of the staff involved, and the length of time4 the child was physically restrained. The director or supervisor of special5 education should be notified when a child is restrained.6 Guideline 4. 7 Revision of a Student's Functional Behavioral Assessment (FBA) and8 Behavior Intervention Plan (BIP)9 An FBA should be considered whenever a student is secluded or restrained.10 Any For any student subject to the use of seclusion or physical restraint on11 more than one occasion in a semester shall have a new FBA conducted12 within ten days and a BIP written or modified within days of the completion13 of the FBA that specifically prioritizes the use positive behavior14 interventions and supports. Progress monitoring at regular, frequent15 intervals shall be a specific component of the new or revised BIP. The PBIS16 team leader and behavior specialist assigned at the student's school shall17 actively participate in the FBA and drafting of the BIP. and whose behavior18 continues or escalates, the data should be reviewed at least every three19 weeks. If the FBA already includes the target behavior for which the student20 has been secluded or restrained, the FBA should be updated. If the behaviors21 are of high frequency and serious intensity, the Behavioral22 Support/Intervention Plan should be updated to reflect that adequate levels23 of intervention are occurring and being appropriately implemented. Data24 should reflect adequate progress monitoring. 25 Guideline 5. 26 Seclusion rooms and physical restraint--- reports and notification. 27 • When any student with an exceptionality is placed in a seclusion28 room or is subjected to physical restraint, the procedures for parental29 notification should be implemented. 30 • As soon as possible after use of the seclusion room or physical31 restraint, the school employee who used the seclusion room or32 physical restraint, or an employee who witnessed its use, should33 document the use of the seclusion room or the physical restraint.34 This documentation should be completed no later than the school day35 following the day on which the seclusion room or physical restraint36 is used, and a copy of the documentation provided to the parent of the37 student when the documentation is completed.38 •Notification: If a child is secluded or restrained, the parent should be39 notified as soon as possible and in writing within 24 hours, and such40 notification should include the reason for using seclusion or physical41 restraint, the seclusion or restraint procedures, the names and titles of42 the staff involved, and the length of time the child was secluded or43 physically restrained. The director or supervisor of special education44 should be notified when seclusion or restraint is used.45 Guideline 6.46 Oversight47 • The LEA should develop an oversight policy to implement the48 restraint and seclusion guidelines. The policy may include forming49 a school or district committee to review restraint and seclusion data,50 HLS 11RS-454 ORIGINAL HCR NO. 31 Page 8 of 8 CODING: Words in struck through type are deletions from existing guidelines; words underscored are additions. such as frequency of use of restraint and seclusion, and to review1 interventions and their effectiveness.2 • The committee should include a central office administrator such as3 the director/supervisor of special education, the LEA's PBIS4 coordinator, the students and parents (when confidentiality is not an5 issue), the school principal, mental health professionals who work6 with the child, regular and special education teachers. and other7 members of IEP teams.8 • The state Department of Education will develop and implement a9 technical assistance and training program to be offered to all LEA10 staff, parents, advocates, and other appropriate groups.11 BE IT FURTHER RESOLVED that copies of this Resolution be transmitted to the12 president of the State Board of Elementary and Secondary Education and to the state13 superintendent of education.14 DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] Stiaes HCR No. 31 Requests that the State Bd. of Elementary and Secondary Education make certain revisions to guidelines for the use of seclusion rooms and restraint of students with exceptionalities.