1. To define Emergency Safety Interventions (ESI):  Seclusion  Restraint  History and Purpose 2. To identify the requirements of the ESI regulations and discuss basic prevention. 3. To discuss what to do if an ESI occurs.

 The use of seclusion or physical restraint when a student presents an immediate danger to self or others.  Violent action that is destructive of property may necessitate the use of an ESI.

 Emergency Safety Intervention (ESI)  Emergency  Immediate danger  Safety  Student harming self or others  Intervention  Restraint or seclusion should only be used for limited periods of time and should cease immediately when the immediate danger of harm to self or others has dissipated

Seclusion is not a place, it is a process...  Identifiable when three criteria are met: 1. The student is placed in an enclosed area by adults. 2. The student is purposefully isolated from adults and peers. 3. The student is prevented from leaving, or reasonably believes that the student will be prevented from leaving the enclosed area.

Restraint can be…  Chemical: Prohibited  The use of medication to control a student’s violent physical behavior or restrict a student’s freedom of movement.  Mechanical: Prohibited (Unless**) - Must Be Reported  The use of any device or object used to limit a student’s movement.  **Must be ordered by an appropriately licensed professional for that particular student, for that particular purpose.  Physical: Must Be Reported  The use of bodily force used to substantially limit a student’s movement.

 Face-down (prone) physical restraint  Face-up (supine) physical restraint  Physical restraint that obstructs airway  Physical restraint that impacts student’s primary mode of communication  Restraining hands of student who signs  Gagging a student  Covering student mouth with tape

 NOT discipline:  Restraint or seclusion should never be used as punishment or discipline (e.g., placing in seclusion for out-of-seat behavior), as a means of coercion or retaliation, or as a convenience.  NOT part of behavior plan:  Should not be included as a planned intervention for a specific student under foreseeable circumstances.  NOT an acceptable alternative to prevention

 In July of 2009, Secretary of Education Arne Duncan sent a letter to Chief State School Officers.  Stated that he was deeply troubled about the current use and effects of restraint and seclusion, which were the subject of testimony before the Education and Labor Committee in the U.S. House of Representatives.  Recent hearings had examined the abusive and potentially deadly application of restraint and seclusion techniques in schools.

 The regulations on the use of Emergency Safety Interventions (ESI) with all students went into effect in Kansas on April 19,  The regulations do require training:  All school personnel are required to be trained, including administrative assistants, office personnel, bus drivers, lunch room staff, custodians, etc.  The regulations do not require that every staff member be trained in the most restrictive behavior intervention techniques, i.e. the use of restraint.

 Reporting and documentation will be required for all students:  General Educational AND Special Education:  Student ID #  Date of the incident  Type and duration of the use of an Emergency Safety Intervention in minutes  School personnel who participated in or supervised the intervention  Any use of ESI should be reported:  First: To School Administration  Copies of all documentation must be provided to superintendent on at least biannual basis.  Then: To Parents or Guardians within 2 school days  Also: To KSDE via KAN-DIS**:  **Current Procedure…Subject to Change: Schools should report the use of ESI on all students quarterly even if there are zero (0) incidents to report.

 Each district must have a policy.  Each district must have a local dispute resolution policy:  Policies must be available on district website with links on all individual school pages AND one of the following:  Each school’s code of conduct  School safety plan  Student handbook

 All school personnel should be aware of the requirements of the regulations to report ESI’s to the administration.  Most school personnel will need a review of the requirements of the regulations and a more in-depth knowledge of prevention techniques, de-escalation techniques, and positive behavioral intervention strategies.  Few school personnel will need a review of the requirements, training on prevention, de-escalation, and positive behavior interventions strategies, and training in the most restrictive behavioral intervention techniques, i.e. restraint

 The intention of the regulation is to educate school personnel about the dangers of using an ESI with a student.  The use of an ESI should never be taken lightly and always be the last step taken.  There is no prohibition on the use of seclusion and physical restraint.  If an ESI is used with a student, school personnel must follow the documentation and reporting process set out in the regulations and in our district’s policies and procedures.

 In cases where a student has a history of dangerous behavior for which restraint or seclusion was considered or used, a school should have a plan for:  (1) teaching and supporting more appropriate behavior.  (2) determining positive methods to prevent behavioral escalations that have previously resulted in the use of restraint or seclusion.

 District policies must include school personnel training consistent with nationally recognized training programs on the use of ESIs.  Training must address:  Prevention techniques  De-escalation techniques  Positive behavioral intervention strategies  Training must meet the needs of all, some, and few personnel as appropriate to their duties and potential need to use an ESI.  Schools and programs must maintain documentation on training provided and those who attended.

 Using an ESI is reactive:  It is only used when a student places themselves or others at risk of immediate harm.  ESI is outside a tiered intervention system:  Not an planned intervention for Tier 2 or Tier 3  Any student can have a safety emergency:  ESI applies to ALL students  If an ESI occurs:  Document it: by informing your administration.