Showing posts with label restraint and isolation. Show all posts
Showing posts with label restraint and isolation. Show all posts

Sunday, February 9, 2025

Isolation and retraint bills are a mixed bag


They don't end isolation. But they could help some children

A proposal to reduce isolation and restraint in Washington public schools that passed the House last year is being heard this week in both House and Senate committees.

It is a mixed bag. The Arc of King County supports the proposal overall, especially aspects that lift up effective, trauma informed practices and phase out isolation of our youngest learners. We are grateful to the bill sponsors and their dedication to ending these practices in our schools.

But we have concerns, and some of them are significant - namely a work-around that would allow isolation to continue as an aversive psychological or behavioral treatment in school.

OUR RECOMMENDATIONS

We want a bill that acknowledges the harm these practices cause to students and staff and reflects urgency in ending them. We want legislation that:

  • Continues the demonstration sites and makes recommended training easy to access
  • Phases out isolation at all schools, starting with grades preK-5, but continuing for older students
  • Limits exemptions to ending isolation and makes the time frame shorter 
  • Help schools collect and use data to inform staff training, improve student support and recovery, and guard against racial discrimination

Our analysis of the bill is below, followed by an outline of what the bill includes.

WHY WE OPPOSE ISOLATION

Isolation is harmful, causing suicidal ideation, trauma, and complex PTSD. It is often used with restraint to contain and then force children into isolation rooms. There is no evidence of educational, behavioral, or therapeutic value. Going back 15 years, the US Department of Education identified it as posing significant physical and psychological harm to children.

Isolation and restraint trigger cycles of escalating dysregulation, and are used disproportionately on students who are most vulnerable:

  • Students in foster care
  • Students who are homeless
  • Students with disabilities who need effective support to resolve problems and support communication

Data also shows isolation and restraint are used disproportionately on students who are Black/African American.

Isolation and restraint are expensive. Insurance, worker compensation, and legal costs all go down, and staff retention improves, at sites that have ended the practices.

Isolation involves placing children who are in distress into spaces alone, from which they cannot leave. It prevents or delays co-regulation with a trusted adult.

We are not talking about quiet spaces where students can choose to go to de-stress/re-regulate, and from which they can freely leave.

We agree educators need strategies to work with children with big, complex behavior. But relying on isolation and restraint isn’t the fix. They make things worse.

We want the state to stop sanctioning practices that don’t work, are expensive, and are dangerous for children and staff. We want our public schools to pivot – with urgency – to preventive, trauma-informed practices that HELP. 

All schools should be safe and free from harm.

You can read the bills here:

  • HB 1795 & SB 5654 - Addressing restraint or isolation of students in public schools and educational programs. Our outline of what is in the proposal follows our analysis, below.

  • Disability Rights Washington also has a great webpage with links to various reports and resources. We recommend reading the report they completed 2 years ago that reviewed our state’s data and included information pulled from site visits and interviews.


OUR ANALYSIS

What we like about HB 1795 & SB 5654 (some with concern)

PHASE OUT FOR YOUNGEST & TECHNICAL SUPPORT: We like that the companion bills phase out isolation for young students, and that the demonstration sites will continue. Those were set up under the Reducing Restraint & Eliminating Isolation (RREI) Project, a win from last year.

We want to know when isolation will end for older students, as well.

CONTRAINDICATE: We like that isolation and restraint cannot be used when they harm a student because of a documented condition. Essentially, families could get a doctor’s note.

We appreciate that since 8 out of 10 times isolation and restraint are used on young, disabled children, this “out” for families could theoretically prevent many instances. If we can’t get a clean bill that prohibits isolation, giving families a way to opt out their children is a good thing.

But … we worry students who are not already identified as disabled or health-impaired would be exposed to harm, and families will be unnecessarily burdened. Getting a doctor’s note telling educators NOT to use a psychologically harmful practice on their child shouldn’t be on the kindergarten parent’s to-do list.

We would prefer a ban on isolation, just like we have a ban on corporal punishment.

PHASING OUT ISOLATION ROOMS: We want to see the padded cells removed from schools, and we appreciate that the bill attempts to address this. But as written, the bills allow schools to continue to build cells indefinitely “just in case” someone requests isolation as an aversive treatment. We want language that closes or repurposes all isolation rooms in public schools, by a given date.

OVERSIGHT: We appreciate the compliance and training in these bills. Schools are not given a simple pass to use these practices.


What we do NOT support:

ALLOWING ISOLATION ON REQUEST: We do not support allowing isolation to be used as an aversive intervention if a parent requests it. We appreciate the guardrails put on that (2 recommendations are needed), but we know parents are pressured to allow it as an aversive intervention. There is no evidence to support isolation as an educational, therapeutic, or behavioral intervention. There are effective, trauma-informed alternatives, backed by research.

EXTENDING EXEMPTIONS: In the bill, schools can continue to isolate young children for 6 years if they apply for an exemption. We can support time-limited exemptions IF it means schools are actively creating a plan, implementing crisis prevention strategies, and reducing isolation and restraint during that time.

We do not support extending exemptions beyond 2031. We prefer shorter exemptions of 2 to 3 years.

A note on the definition of isolation: This proposal changes the definition to add “involuntary separation.” When we talk about isolation, we often stress that it is involuntary to distinguish it from a student’s voluntary use of quiet space, from which they are free to leave. Some attorneys are concerned that schools could argue a student AGREED to enter a room from which they could not leave. They are asking that “involuntary” not be used in the legal definition. 

 

BILL OUTLINE

What HB 1795 and SB 5654 DO

Training & technical support

The bill extends demonstration projects, with the goal of eliminating student isolation and reducing student restraint (subject to funding)

  • Adds sites in central or eastern WA (subject to funding)
  • Requires sites to showcase certain practices, including:

o   behavior management

o   crisis de-escalation strategies

o   needs assessments

o   use of regulation spaces

o   reduced use of student isolation and restraint

o   inclusionary practices

o   incident data collection and reporting

  • Sites must build systems that incorporate positive, trauma-informed behavior support to prevent crisis escalation
  • Sites must improve data collection and reporting systems
  • Requires a report to the legislature by November 15, 2026

Restrictions on restraint

Restraint done to prevent imminent harm – such as stopping a child from running into traffic – is still allowable. But some types of restraint would be banned, including:

  • Chemical restraint by school staff

o   Chemical restraint is using medications to control behavior. Medications can only be given as prescribed

  • Mechanical restraint by school staff

o   Mechanical restraint includes handcuffs and zip ties

  • Physical restraint/escort that is life-threatening, restricts breathing, or restricts blood flow to the brain, including prone, supine, and wall restraint.

o   These types of restraint can be fatal.

  • Physical restraint when it is harmful to the student’s health due to their disability, health care needs, or medical or psychiatric condition

o   Must be documented in a health plan; behavior intervention plan; IEP; or 504 plan

  • Use of noxious sprays by school staff

 

Changes to isolation (also known as seclusion)

  • The bill would prohibit isolation when it is harmful to the student’s health due to their disability, health care needs, or medical or psychiatric condition.

o   Must be documented in a health plan; behavior intervention plan; IEP; or 504 plan

  • Parents or guardians may not consent, nor be asked to consent, to the use of isolation or restraint that is prohibited
  •  Isolation can be used when requested by a student’s parent or guardian and authorized by 2 licensed health officials

This is a major area of concern. Research shows long-term harm, including suicidal ideation, trauma, and complex PTSD. There is no evidence that using isolation/seclusion is effective in reducing complex behaviors.

  • Isolation of children in preschool and grades K-5 would be prohibited, starting in the 2027 school year, unless:
  • The school had an exemption
  • Parents gave written permission, and 2 qualified licensed health professionals recommended isolation and provided instructions to staff on when to isolate

This is a major area of concern. Research shows long-term harm, including suicidal ideation, trauma, and complex PTSD. There is no evidence that using isolation/seclusion is effective in reducing complex behaviors.


 Isolation would be allowable when:

  • Less restrictive interventions would be ineffective in stopping the imminent likelihood of serious harm to the student or to others

  • The least amount of force necessary is used to protect the student or another person from an imminent likelihood of serious harm to the student or to others

  • During the isolation, the student is under the constant visual supervision of the staff

  • The isolation of the student ends immediately upon the cessation of the imminent
    likelihood of serious harm to the student or to others; and

  • Beginning August 1, 2030, the staff isolating the student has received intensive crisis prevention and response training through an OSPI-approved program.
  Isolation for older students would not be phased out.

Continuing to allow isolation for older students is a major area of concern. Research shows long-term harm, including suicidal ideation, trauma, and complex PTSD. Data shows it is used disproportionately on youth in the foster care system; homeless youth; and Black/African American youth.

 

School exemptions

Schools that get an exemption can continue isolating young students. However, they must:
  • Engage in technical assistance
  • Provide training for staff
  • Request exemption by August 1, 2027

Exemptions expire on July 31, 2031, unless they are extended by OSPI. Extensions are granted until staff have received student behavior management and intensive crisis prevention and response training as described in the staff training plan.

Extending exemptions is a major concern. By 2031, schools will have had 6 years to create a plan and train key staff. We must consider the harm children are exposed to by allowing these practices to continue.

 

Follow-up procedures

  • Staff must notify the principal “as soon as practicable”
  • Principal must notify parents within 24 hours
  • Written documentation must be sent to parents within 3 business days

If an incident of prohibited restraint or isolation occurred:

  • The principal must notify the school district superintendent or chief administrator of the education provider
  • Notify OSPI within 3 business days
  • If services are being provided under contract, the party to the contract must be notified within 3 days

Behavior intervention plans (BIP)

  • As soon as practical, a functional behavior assessment must be done for the student, if one has not already been done
  • BIPs must be developed or modified

Incident reviews

  • The principal must review the incident with the student and parents and inform them of BIP requirements within 1 week of submitting the incident report
  • The student must be given an opportunity to meet with a counselor, nurse, psychologist, or social worker.
  • The staff team must review the incident and identify needed training, coaching, or assistance for staff who used, or directed the use of, isolation, restraint, or room clear
  • No less than monthly, the principal must submit a summary of the outcomes of team incident reviews to the district superintendent

Incident reports

  • The principal must work with staff to prepare a daily incident report.
  • At least annually, a summary of incident reports must be prepared that is disaggregated to look for trends. Summaries must be submitted to OSPI

Policies and procedures

  • Policies must be revised with input from specified groups
  • If district policy allows isolation of children in grades 6 to 12, policies and procedures must be submitted to OSPI annually
  • School boards must monitor the impact of policies, do trend analysis, and review the staff training plan

Training:

  • School board must undergo training every 4 years (developed by OSPI and available to school districts at no cost)
  • By Oct. 1, 2026, OSPI must develop a model training plan that covers student behavior management and OSPI-approved intensive crisis prevention and response
  • Educator preparation programs must include student behavior management

 

Compliance and technical assistance

OSPI must monitor and support compliance of school districts and education providers

Technical assistance must include:

  • Publishing guidance on best practice
  • Publishing a list of approved intensive crisis prevention and response training programs that are evidence-based, trauma-informed, student-centered, and proactive.
  • If funded, OSPI must distribute funds to educational service districts for regional coaches

School districts must make progress toward goals, or they may be put on a plan of improvement that includes targeted technical assistance and site visits

By Dec. 2025, OSPI, PESB and Paraeducator Board must submit to the legislature a joint plan for integrating into educator preparation programs and paraeducator standards of practice the elements of student behavior management.

Beginning December 2025, OSPI must add to its annual report on placements of students with disabilities at authorized entities: (1) the number of students with disabilities in authorized entities within the state and outside the state; and (2) an analysis of whether placement decisions are influenced by requirements related to student isolation and restraint.

By September 1, 2026, the OSPI must submit to the Legislature the report of a research entity contracted to analyze the impacts of room clears on students and to summarize best practices on the use of room clears.

Tuesday, October 31, 2023

School board candidates answer: Do they support isolating kids?


The Arc is working to end isolation* and limit restraint in schools, so we asked local school board candidates in King County about the issue.

  • Are they worried about use of isolation and restraint in their school district?
  • Do they support ending isolation, chemical restraint, prone (floor) restraint, and supine (wall) restraint?
  • Do they want to invest in training for alternatives to restraint and isolation?  
  • And, what should voters know about their commitment to keeping everyone, including students with disabilities, safe in school? 

We shared this background information to educate them about the issue.

We heard back from 14 candidates in Auburn, Federal Way, Highline, Kent, Lake Washington, Northshore, Seattle, and Tahoma school districts. 

  • Most (11) were worried about use of isolation and restraints in their school district.
  • Most (12) supported ending the practices; 1 did not want to end isolation and certain types of restraint; another wasn't sure
  • Several cited work underway in their school district to implement trauma-informed and therapeutic alternatives. Several also cited personal experience with the practices and its impact on them or a loved one.
  • All supported investing in training on alternatives to restraint and isolation

We link to the responses, below. Candidates are organized by school district, which listed alphabetically. The Arc of King County does not endorse candidates. We asked about restraint and isolation and are sharing responses to educate candidates about the practices and to help voters assess what candidates knew or thought about the practices.

*Nationally, the practice is often referred to as seclusion. Washington state uses the term isolation.


Auburn School District

Auburn School District, No. 1

Sheila McLaughlin

McLaughlin questionnaire 

McLaughlin supports ending isolation and certain types of restraint.
“I believe in the work we are doing
in the Auburn School District to include students with disabilities in general ed classrooms and what we are doing to prevent the needs for restraints in our classrooms.  More work always need done, but we are doing good work here in Auburn.”


Auburn School District, No. 2

Arlista Holman

No questionnaire response

 

Auburn School District, No. 3

Valerie Gonzales

Gonzalez questionnaire

Gonzalez supports ending isolation and certain types of restraint.
“The Auburn school district board directors approved the adoption of a new training program called "Safety cares." This program is a way to train staff how to safely manage difficult behaviors by use of prevention and de-escalation techniques and how to avoid the use of any form of restraints or any form of isolation when encountering such situations involving students presenting with physically escalating behaviors. I believe if relationships are built, and staff are properly trained, the use of any type of restraint would become very rare to non-existent in any district. There may be special situations to prevent harm to another person, the child, or staff. Those cases would be seen only on rare occasions and other plans should be proven to have been properly used as ineffective interventions and me ones put in place."

Dirk Dearinger

No questionnaire response

 

Auburn School District, No.  4

Laura Theimer

Bellevue School District

No responses


Enumclaw School District

No responses


Federal Way School District

Federal Way School District, No. 2

Jennifer Jones

No questionnaire response

 

Daniel Kukhar

No questionnaire response

 

Federal Way School District, No. 3

Luckisha Phillips

No questionnaire response

 

Christopher Dowllar

No questionnaire response

 

Federal Way School District, No. 5

Gavin Downing

No questionnaire response

 

Joan Marie Murphy

Murphy questionnaire response

Murphy does not support ending isolation and certain types of restraint.
"I have taught in Federal Way School District as a special ed teacher ancertain types of restraint.d have been trained and used de-escalation methods.  I found that asking the kiddo: "Hey, what's going on?" gives them a chance to verbalize , and moves them out of their emotive state."


Highline School District

Highline School District No. 401, Director District No. 1

Stephanie Tidholm

No questionnaire response

 

Michael T. Lewis

No questionnaire response


Highline School District No. 401, Director District No. 4

Melissa Petrini

No questionnaire response

 

Carlos M. Ruiz

No questionnaire response


Highline School District No. 401, Director District No. 4

Azeb Hagos

Hagos questionnaire response

Hagos supports ending isolation and certain types of restraint.
She did not comment on what voters should know about her commitment to keeping everyone safe in school.

 

Issaquah School District

No responses


Kent School District

Kent School District No. 415, Director District No. 1

Andy Song

No questionnaire response


Kent School District No. 415, Director District No. 2

Andy Carter

No questionnaire response

 

Meghin Margel

No questionnaire response


Kent School District No. 415, Director District No. 3

Leslie Kae Hamada

No questionnaire response

 

Donald Cook

Cook questionnaire response

Cook is not sure if he supports ending isolation and certain types of restraint.
“I believe in providing a safe space for all students and staff in every school. The reason I chose "Not sure" for my response is due to experiences relayed to me from classroom teachers in our district. I do not wish for any student to be restrained at any time, but I also understand the extreme difficulty in handling a violent student in the moment. My goal is to make these types of options unnecessary by providing an appropriate amount of trained professionals who can handle a situation that currently might require these types of options due to the lack of trained staff. If our state legislators will commit to providing funding at appropriate levels to end these practices, I fully support the changes required in our schools to make that happen.”


Lake Washington School District

Lake Washington School District No. 414, Director District No. 1

Eric Laliberte

No questionnaire response


Andy Market

No questionnaire response

 

Lake Washington School District No. 414, Director District No. 2

Lisa Guthire

No questionnaire response


Lake Washington School District No. 414, Director District No. 5

Lindsey Yocum

Yocum questionnaire response

Yocum supports ending isolation and certain types of restraint.
“I am fully committed to ensuring that ALL students are able to learn in safe environments. Our district has policies in place to deal with reports of restraint and isolation, but I also know that laws established by Washington State will benefit all students in our state. As a teacher, I've witnessed restraint and isolation being used against marginalized students. As a mom to an IDD child who is minimally verbal, this is something that truly worries me and is always on my mind. Our state and district need additional training for staff, better evaluations of our learning environments for all students, and a need for less punitive measures.”

 

Janel Schermerhorn

Schermerhorn questionnaire response

Schermerhorn supports ending isolation and certain types of restraint.
“Often when people take inappropriate actions, it's the result of inadequate resources, training or education. Appropriate management of student actions is one of the many components of inclusive education that need to be reviewed in partnership with stakeholders to ensure that the classroom environment, teacher training, and allocated resources set students and teachers up for success.”

 

Mercer Island School District

No responses


Northshore School District

Northshore School District No. 417, Director District No. 2

Elisabeth Sotak

Sotak questionnaire response

Sotak supports ending isolation and certain types of restraint.
I am committed to creating policies which require training around behavior management, alternatives to removing children from their least restrictive environment and reassessing what gaps in skills educators have where they feel the need to touch or inhibit a child in ways that do not support a child's social emotional and physical well being. Behavior is communication and what tools do we need as adults to understand and support skill building for our children who need support and understanding and a plan to keep them safe the most? Those children who are impulsive, who have trauma, whose behavior doesn't fit neatly into the expectations of neurotypical society. Children often communicate in difficult ways, it is the adult caring for and teaching the child to figure out how to unlock that child's potential and give them skills to get their needs met safely and without restraint."

Northshore School District No. 417, Director District No. 3

Han Tran 

No questionnaire response

 

Myriam Juritz

Juritz questionnaire response

Juritz supports ending isolation and certain types of restraint.
“This is a difficult area overall. I believe the law is a big step in the right direction. I am committed to do what is best for our students and families, so I have reached out to families to understand their point of view. Some parents have acknowledged that their "daughter has been isolated a few times, the biggest time was for the right reasons. This was to avoid injury for herself and to the para, and to keep her from running off the campus (which she would have done).” I am committed to appropriate professional development. As mentioned before, parents have shared that “[they] have witnessed the isolation of a student by a large group of teachers. This child was restrained when he should not have been. Had the paras and teacher known how to work within the scope of his disability, the restraint would not have been required." I am committed to transparency. Again, as a follow up from the previous conversation, it was shared with me that “even more startling was that the school did not report the isolation. [This parent] told the mother [she is friends with her]. She then did not get a report from the school even when asked. She had to get legal involved in order to get the reports."


Renton School District

No responses

 

Riverview School District

No responses

 

Seattle School District

Seattle School District No. 1, Director District No. 1

Liza Rankin

Rankin questionnaire response

Rankin supports ending isolation and certain types of restraint.
"In my first term on the Seattle School Board, I have demonstrated my commitment to student safety through leading on gun violence prevention efforts, advocacy for increased support for student mental health, and I lead the changes in SPS policy to eliminate isolation and limit restraint. I have also worked with advocates from across the state to reduce isolation and restraint in all school districts, and have been endorsed by Guy Stephens, founder and Executive Director of Alliance Against Seclusion and Restraint who says, ‘Liza is committed to reducing and eliminating restraint and seclusion and creating safer and more inclusive schools for all children, teachers, and staff.’

 

Debbie Carlsen

Carlsen questionnaire response

Carlsen supports ending isolation and certain types of restraint.
“I am committed to advocating for policies like eradicating restraint and isolation and other policies that support student safety. I support educators to be trained in Universal Design to help prevent disruptive behaviors in the classroom. To learn more about my commitment to safety, especially for students with disabilities please go to my Disability Justice page https://debbie4seattleschools.org/disability-justice...”

 

Seattle School District No. 1, Director District No. 2

Christina Posten

No questionnaire response


Lisa Rivera Smith

Rivera Smith questionnaire response

Rivera Smith supports ending isolation and certain types of restraint.
"As the parent of a student with an IEP, I know the fear that students like mine will not receive an educational experience on par with their non-disabled peers. So we need to be intentional about making our schools safe and welcoming for those throughout the beautiful spectrum of abilities found in our student body. I agree with the Crisis Response Workgroup’s recommendation to eliminate isolation and chemical restraint; improve access to student supports; increase training in de-escalation practices, and improve incident reporting."

Seattle School District No. 1, Director District No. 3

Evan Briggs
Briggs questionnaire response

Briggs supports ending isolation and certain types of restraint.
“I adamantly oppose the use of isolation and restraint on students and recognize that these methods can cause lasting trauma, especially to children already experiencing marginalization within our school district. If elected I pledge to uphold and enforce the policies recently put in place by the current board to end the practice of isolation and restraint in schools.”

 

Ben Gitenstein

No questionnaire response

 

Seattle School District No. 1, Director District No. 6

Gina Topp

No questionnaire response


Maryanne Wood

No questionnaire response

 

Shoreline School District

No responses

 

Skykomish School District

No responses

 

Snoqualimie School District

No responses

 

Tahoma School District

Tahoma School District No. 409, Director District No. 2

Michael Wiggins

No questionnaire response

 

Tahoma School District No. 409, Director District No. 3

Malia Hollowell

No questionnaire response


Stephen “Dutch” Deutschman

No questionnaire response


Tahoma School District No. 409, Director District No. 4

Pete Miller

Miller questionnaire response

Miller supports ending isolation and certain types of restraint.
"My daughter is on the autism spectrum, and in her first few years of school, she had some severe sensory sensitivity and behavioral outbursts. This led to faculty needing to redirect her, mostly using positive alternatives, but sometimes using restraint. I have first-hand experience with this issue. I am proud to say that our school district has taken steps to remove restraint from our system and I
will continue to advocate for that."


Vincent Powell

No questionnaire response


Tukwila School District

No responses

 

Vashon Island School District

No responses