Code: JKAA-R
TIME OUT ROOMS AND THERAPEUTIC RESTRAINT
ADMINISTRATIVE PROCEDURE
These procedures are established for the purpose of meeting the
obligations of MSAD # 41 under state
law and local school board policies governing the use of designated time out
rooms and therapeutic restraint. These
procedures shall be interpreted in a manner consistent with state law and
regulations.
I. DEFINITIONS:
For purposes of these procedures, the terms
“designated time out room” and “therapeutic restraint” shall have the following
meanings:
A. “Designated time out room” means a designated time out room used specifically to
isolate a student for the purpose of bringing under control student behavior
that is dangerous or presents a risk of significant property damage. Dangerous behavior is behavior that, in the
judgment of those involved, presents a risk of injury or harm to that student
or to others, and cannot be controlled through interventions short of isolation
in the designated time out room.
This policy and any accompanying procedures do not
apply to interventions such as sending a student to the Principal’s office, to
any staff member’s room or office, or to any other such setting, but is instead
limited to use of a room specifically designated by the Superintendent of
Schools for the purpose of isolating students as described above. Use of this area to control student behavior
must comply with these procedures.
B. “Therapeutic Restraint” means physical restraint of a student for the purpose of
preventing that student from injuring him or herself or others, when such
restraint is undertaken in accordance with an individualized, written plan that
specifically calls for therapeutic restraint.
Therapeutic restraint as defined in these procedures should be
administered by personnel trained in that restraint.
School personnel should not use as a type of
therapeutic restraint any restraint that restricts the
free movement of the diaphragm or chest or that restricts the airway so as to
interrupt normal breathing or speech of students.
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Therapeutic restraint does not include any
intervention by any school official that would otherwise be governed by state
law on the use of reasonable force (20-A M.R.S.A. Section 4009), which includes
the use of a reasonable degree of force by school officials against a person
who is creating a disturbance, when the official believes that force is
necessary to control the disturbing behavior or to remove the person from the
scene of the disturbance.
II. DESIGNATION OF TIME OUT
ROOMS
A. If
the [Superintendent of Schools] determines that there is a need for a
designated time out room in a particular school building, he or she shall
designate the room to be used for that purpose, and shall ensure that said room
meets the requirements of these procedures.
The building principal shall be familiar with these procedures on the use
of the designated time out room, and shall ensure that staff understands the
proper use of that room. Once a room has
been designated specifically for this purpose, it shall not be used in any
manner that would be inconsistent with its use as a designated time out room.
B. Designated
time out rooms must be a minimum of 60 square feet, with adequate light, heat,
and ventilation and of normal room height.
The door to the timeout room may not be locked, latched or secured in
any way that would prevent the student from exiting the room. An unbreakable observation window shall be
located in a wall or door to permit continuous observation of the student and
any staff member in the timeout room.
III. USE OF DESIGNATED TIME
OUT ROOMS
A. The
designated time out room shall be used specifically for the purpose of
isolating a student to bring under control student behavior that is dangerous
or presents a risk of significant property damage. Dangerous behavior is behavior that presents
a risk of injury or harm to that student or to others, and cannot be controlled
through interventions short of isolation in the designated time out room. The designated time out room shall not be
used for punitive purposes, for staff convenience, or to control minor
misbehavior.
B. The
designated time out room shall be used only after less intrusive interventions
have failed to bring the student’s behavior under control.
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A student should remain in the designated time out
room only for the time necessary for the student to compose him or herself
sufficiently to return to the classroom with minimal risk that the behavior
will quickly re-occur, in the opinion of school officials monitoring the
intervention.
C. School
officials shall not keep a student in the designated time out room for more
than one hour. If the student continues
to present dangerous behaviors after this period of time, the placement in that
room may be continued only with written authorization of the building principal
or designee. In that event, the student’s parent or guardian should also be
called for the purpose of taking the student home for the remainder of that
school day.
D. Students
in a designated time out room shall be directly observed at all times by a
staff person.
E. School
officials monitoring a child in the designated time out room shall not secure
the door to that room in any manner, including holding the door so as to keep
the child shut in that room. In the event that a child who is actively
demonstrating dangerous behaviors attempts to leave the room, the staff member
may use restraint to ensure safety, and should attempt to arrange for emergency
personnel and the parents to be contacted.
F. If at any point during the child’s stay in the designated time
out room, the building principal or his/her designee believes that the child cannot
be maintained safely even in that setting, the building principal or designee
shall call the child’s parent to come pick up the child, and may also call
other emergency personnel for the purpose of taking custody of the child and
ensuring the child’s safety.
IV. DOCUMENTING USE OF THE
DESIGNATED TIME OUT ROOM
A. Each
time a child is placed in a designated time out room, a school
official involved in that decision shall document the action. The documentation must include the following:
the name of the student; the date and time of placing the child in the room;
the time that the placement ended; the antecedent events leading up to the
behavior requiring the placement; the behavior itself leading to the placement;
other types of intervention that may have been used; the names of staff members
involved in the incident; and the names of staff members who monitored the
child’s placement in the designated time out room. If a call is placed to the
family or to emergency personnel, that should be noted in the documentation as
well.
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B. This
written documentation shall be provided to the building principal or designee
within two school days of the incident itself.
If possible, the parents should be notified of the incident on the same
day of the child’s placement in the designated time out room, or as soon as
possible thereafter.
V. USE OF THERAPEUTIC RESTRAINT
A. Therapeutic
restraint as covered by these procedures shall be used only for the purpose of
preventing a student from injuring him or herself or others, when such
restraint is undertaken in accordance with an individualized, written plan that
specifically calls for therapeutic restraint. Therapeutic restraint as covered
by these procedures shall be used only after less intrusive interventions have
failed to bring the student’s behavior under control.
B.
Attempts shall be made to
involve the parents in developing an individualized, written plan that
specifically calls for therapeutic restraint.
For students with disabilities, the student’s IEP Team or 504 Team may
develop such a plan if the Team determines it is appropriate to do so.
C.
Therapeutic restraint as
covered by these procedures shall involve the least amount of physical contact
that is required to bring the behavior under control, and should be implemented
by persons who have successfully completed an appropriate training program in
the identification and de-escalation of potentially harmful behaviors and the
safe use of passive physical therapeutic restraints.
D.
School personnel should not use
as a type of therapeutic restraint any restraint that restricts the free
movement of the diaphragm or chest or that restricts the airway so as to
interrupt normal breathing or speech of students.
E. At
least two adults should be involved in the use of therapeutic restraint as
covered by these procedures, and if possible, both adults should have completed
an appropriate training program. In the event that an emergency situation
prevents the presence of two adults for the therapeutic restraint, one
individual may undertake the intervention and his/her conduct shall be
protected to the full extent allowed by state law on the use of reasonable
force in emergencies (20-A M.R.S.A. Section 4009). If an untrained adult is involved in the
intervention, his/her conduct shall also be protected to the full extent
allowed by state law on the use of reasonable force in emergencies.
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F. The
school district shall maintain a list of all personnel with restraint training,
and the list shall include the date and type of training and the name and
qualifications of the trainer.
G. The
use of therapeutic restraint as covered by these procedures should not exceed
one hour in length. If the student is
still presenting dangerous behaviors after that time, the use of therapeutic
restraint may be continued with written authorization of the building principal
or designee. In that event, the
student’s parent or guardian should also be called for the purpose of taking
the student home for the remainder of that school day.
H. If
at any point during the therapeutic restraint, the building principal or
his/her designee believes that the child cannot be maintained safely even with
that restraint, the building principal or designee shall call the child’s
parent to come pick up the child, and may also call other emergency personnel
for the purpose of taking custody of the child and ensuring the child’s safety.
I.
Should involved staff believe
that a student has been injured during a therapeutic restraint, the staff
member shall follow school procedures in reporting that injury to the school
nurse or others, as soon as reasonably practicable. School officials should document any physical
injury to a student arising from a therapeutic restraint in a manner consistent
with documentation of other student injuries at school.
J. In
the event that school officials use restraint on a child in any manner
inconsistent with these procedures, that intervention shall be protected to the
full extent permitted by state law on the use of reasonable force (20-A
M.R.S.A. Section 4009).
VI. DOCUMENTING USE OF THERAPEUTIC
RESTRAINT
A. Each
time a child is subject to therapeutic restraint as covered by these
procedures, a school official involved in that decision shall
document the action. The documentation
must include the following: the name of the student; the date and time of the
restraint; the time that the restraint ended; the antecedent events leading up
to the behavior requiring the restraint; the behavior itself requiring the
restraint; other types of intervention that may have been used; the names of
staff members involved in the incident; and the names of staff members who
participated in the restraint. If a call
is placed to the family or to emergency personnel, that should be noted in the
documentation as well.
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B. This
written documentation shall be provided to the building principal or designee
within two school days of the incident itself.
If possible, the parents shall be notified of the incident on the same
day that therapeutic restraint is used on the child, or as soon as possible
thereafter.
VII. PROHIBITION OF AVERSIVE THERAPY
A.
School officials shall not use
aversive therapy on a student to modify or change that student’s behavior. “Aversive therapy” is the application of
unusual, noxious or potentially hazardous substances, stimuli or procedures to
a student. Aversive therapies include
the use of water spray, hitting, pinching, slapping, noxious fumes, extreme
physical exercise, or embarrassing costumes or signs.
B. The
use of mechanical or chemical restraints by school officials is prohibited by
these procedures. These procedures do
not prohibit protective equipment or devices that are part of a treatment plan
prescribed by a physician or psychologist for treatment of a chronic condition.
Legal References: 20-A M.R.S.A.
Section 4502(5) (M)
Ch. 33 (Me. Dept. of Ed. Rules)
20-A M.R.S.A. Section
4009
Maine
DOE Commissioner’s Administrative Letter,
September 10, 2010
First reading: January 5, 2011
Adopted: February 10, 2011
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