In December 2014, the Massachusetts' Department of Elementary
and Secondary Education (DESE) officially adopted revisions to the
commonwealth's regulations governing physical restraint in public
education programs at 603 CMR 46.00.1 This article will
discuss the changes imposed by the revised regulations to current
school practices, including forecasting challenges that may surface
when the revised regulations become effective on Jan. 1, 2016.
By way of background, the use of physical restraint in schools
has been and continues to be limited to scenarios where a student's
behavior threatens imminent, serious, physical harm to
himself/herself or others. Physical restraint is an emergency
procedure of last resort. No educator or parent ever wants to reach
the point where physical restraint of a child is necessary;
however, emergencies can and do arise in school. The law is also
clear that public education program staff can use reasonable force
-- such as an appropriate physical restraint procedure -- to
protect themselves, their students and other members of the school
community.
What is a physical restraint?
Both DESE and the public commenters focused a great deal of
attention on revising the definitions section of the regulations.
Under the current regulations, only nine terms are specifically
defined. The revised regulations define 14 terms. Several
definitions have also been expanded to include specific examples.
For instance, the current regulations prohibit the use of
mechanical restraint but exempt "protective or stabilizing devices
ordered by a physician" from that category.2 Under the
revised regulations, DESE has expanded that exemption and lists
several concrete examples, including vehicle safety restraints,
restraints for medical immobilization and orthopedic devices.
One of the most important new definitions in the revised
regulations is for the common practice of "time out." The current
regulations define and prohibit seclusion restraint with the caveat
that "the use of time-out procedures during which a staff member
remains accessible to the student shall not be considered seclusion
restraint."3 However, time out is not currently defined,
which allows the unfortunate interpretation students can be
arbitrarily removed from class and confined alone. The revised
regulations clarify that time out is a behavioral support strategy
in which a student temporarily separates from the learning activity
or the classroom, either by choice or by staff direction, for the
purposes of calming. The new definition further specifies that
students must be continuously observed during time out, they must
have staff immediately available, and time-out must occur in a
clean, safe, sanitary space. While this definition echoes standard
practice in most schools, for the first time, it also provides
families an idea of what students are entitled to expect from a
time out.
It is clearly hoped that expanding the definitions will lead to
fewer disagreements between DESE, schools, parents and the public
about what is or is not a physical restraint. Unfortunately, more
regulatory language also provides increased fodder for legal
parsing and ambiguity. For example, the revised regulations are
clear that a time out is not seclusion restraint and that a student
must be continuously observed during a time out. But if the staff
member is called away by an emergency, leaving the student
unobserved for a few moments, does that time out become a seclusion
restraint? Schools and families may need to work through that type
of debate after Jan. 1, 2016.
Reporting of physical restraints
Somewhat surprisingly, the current regulations do not require
school staff to report a physical restraint to either the principal
or the student's family unless the restraint lasts longer than five
minutes or results in injury.4 This can lead to
understandable alarm when a child comes home and reports being
restrained without any other context.
Beginning in January 2016, the new regulations will require
school to provide the student's family with verbal and written
notice of every physical restraint, as well as an opportunity to
comment on information in the physical restraint report. By
contrast, schools will only be required to send reports of an
individual restraint to DESE if the restraint resulted in an
injury. DESE will instead monitor the use of the physical restraint
in the aggregate, by reviewing monthly logs and annual data
collected by the public education program.
Hopefully, the increased obligation placed on schools to report
physical restraints will reassure families, promote school and
family collaboration, and assist in monitoring school-wide
trends.
Data collection and review
The revised regulations also include several new provisions to
ensure that the use of physical restraint is monitored and tracked
for individual students, for discrete programs, and for whole
school districts. Each week, principals5 will be
required to review their logs to determine if any student has been
restrained multiple times in the past week. If so, the principal
must convene a review team to analyze and draft a plan to reduce
use of restraint for that particular student. On a monthly basis,
principals6 also will be required to review restraint
data across the program or school in order to spot any trends or
patterns. Lastly, the schools will annually report data on physical
restraint to DESE and that agency has the discretion to launch
further investigations if warranted.
Conclusion
Many public education programs are currently re-drafting
policies, re-working internal procedures and re-training staff in
anticipation of implementing the revised physical restraint
regulations. One large concern for schools is the amount of time
and staffing necessary to meet the new reporting and data review
obligations. After these changes go into effect, families of
students who are restrained in school will be much better informed.
Hopefully that will enable schools and families to better work
together to avoid physical restraints for individual students and
practice restraints safely when
necessary.
1Full text of the revised regulations is available on
the DESE website at www.doe.mass.edu/lawsregs.
2603 CMR 46.02
3Id.
4603 CMR 46.06(1)
5The revised regulations define "principal" as the
instructional leader or headmaster of a public education program,
or his or her designee. Therefore, schools have some flexibility in
designating individual(s) to complete the data review and reporting
tasks required by the revised regulations.
6See note 4, supra.