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Disabled Students Disproportionately Experience Physical Restraint, Activists Seek Relief From School Abuse

By KIMBERLY HEFLING   03/10/12 09:26 AM ET  AP

WASHINGTON -- Tens of thousands of students, most of them disabled, are strapped down or physically restrained in school, and disability advocates hope that a new Education Department report detailing the practice of "seclusion and restraint" will spur federal action to end it.

The report, compiled and made public for the first time by the department's civil rights arm, shows that 70 percent of students subjected to the techniques have disabilities. There are no current federal standards on the use of the techniques in schools.

The American Association of School Administrators says they are a last resort in protecting students and faculty from physical harm and keeping some children with behavioral problems in schools who might otherwise go into residential institutions. Advocates for the disabled say the use of seclusion and restraint is too accepted in schools and has led to abuse. They want Congress or the department to help curtail the practice.

They point to news reports and a Government Accountability Office study in 2009 illustrating cases of children as young as preschool age who were duct-taped to chairs and locked alone for hours. That report by Congress' investigative and auditing arm did not determine whether these types of allegations were widespread, but investigators did find "hundreds of cases of alleged abuse and death related to the use of these methods on schoolchildren during the past two decades."

In one recent case, the mother of a Kentucky boy with autism said that when she went to her son's school, she found him stuffed in a canvas duffel bag in the hallway. Connecticut lawmakers are considering a bill that would require the state to report how often special education students are isolated because of emotional outbursts. That follows incidents in Middletown, Conn., where special education students were allegedly isolated in "scream rooms" during outbursts.

Sasha Pudelski, government affairs manager at the school administrators association, said except in rare cases, school workers use seclusion and restraint safely and only when necessary. She said federal action isn't appropriate because the issue should be addressed at the local and state level, which is happening.

"We would never defend the heinous practices that are sometimes highlighted," Pudelski said.

The department's data from the 2009-2010 school year showed tens of thousands of instances in which the techniques were reportedly used. It also showed that that while black students represent 21 percent of students with disabilities, they account for 44 percent of students with disabilities who are subjected to mechanical restraints. It's unclear the circumstances or exact methods used in the cases.

People on both sides of the debate said the new numbers don't show a complete picture.

Because they are based on a survey that relied on self-reporting in about 85 percent of schools, activists said there are likely many more cases. Pudelski said it was the first time that schools were asked to compile the statistics, so there was confusion about how to count some situations, and therefore probably over-reporting.

Reece L. Peterson, a special education professor at the University of Nebraska who has testified before Congress on the topic, said there's a consensus among special educators about using seclusion and restraint only in emergencies where there's a threat of someone getting hurt.

Based on the department's new numbers, Peterson said, "there is some evidence that these things are being used on a basis more widely than simply these kind of emergency situations."

Reports of such incidents should be "minuscule," said Maureen Fitzgerald, director of disability rights at the Arc, which advocates for people with disabilities. Fitzgerald said when abuses occur, it's usually because workers aren't properly trained.

"They are put in situations where they're not trained, they don't have the support they need and things get out of control because they don't know how to manage the kids, and they do whatever they can to keep everybody calm and safe ... and that's when people start getting hurt," Fitzgerald said.

Fitzgerald's organization is among several disability organizations seeking passage of a bill by Sen. Tom Harkin, D-Iowa, that would prohibit the use of seclusion and allow restraints only in emergency situations and until the danger of serious bodily injury has passed. Rep. George Miller, D-Calif., has a similar bill in the House. Legislation to address the issue sponsored by Miller passed in 2010 but failed to get out of the Senate.

Activists also say the Education Department should be doing more to highlight and end the practice. In a report this past week, Curt Decker, the executive director of the National Disability Rights Network, wrote that the department hasn't provided "meaningful" leadership on the issue and has failed to issue clear guidance on when seclusion and restraint might violate the law.

"The guidance at a minimum must also limit the use of physical restraint or seclusion to circumstances when necessary to protect a child or others from imminent physical danger and not weaken existing protections in the states," Decker said.

Daren Briscoe, an Education Department spokesman, said the new data will be an "invaluable tool to illuminate trouble spots, highlight best practices, and pinpoint areas where teacher and principal training may be appropriate."

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10:42 AM on 05/19/2012
It is terrible to think any child would have to endure such treatment at school or anywhere. Knowing that schools continue today treating some students with no respect, degrading them in front of the class, and just being mean to them infuriates me. All the recent stories of teachers bullying students with special needs is low. Corporal punishment for students with special needs is as low or lower, especially when a child's behavior is diagnosis related or related to their home environment! A little love and compassion goes a long way. I am not saying all teachers and principals are bullies or not understanding because most of them are very compassionate and understanding. It's those that bully students and have to show their power that should be removed immediately from teaching students!!! Thank you kmclawson70 for speaking out on behalf of these innocent children.
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01:16 AM on 03/19/2012
As someone who has Cerebral Palsy, SCI and myriad of other problems, I can relate to this story. Growing up school for me was HELL. I wasn't taught the correct social skills, or had the ability to reach my full potential. (I was in something that was worse than remedial special ed. from K-grade 6.) I was isolated, hit, yelled at, ect. It was abuse and it took me along time to overcome it. I finally found my place in high school, where I wasn't treated like an invalid but as someone who could fit in, with the "normal" kids. I graduated a year early, and was able to go off to university where I studied disability advocacy, psychology, and law. Now that I have children and my youngest, who has autism, I have become his strongest proponent in making sure that he gets a quality and compassionate education that sadly I lost out on in my younger years. I will continue to fight for him and others if needed. Every child deserves a top notch education, and we need more people to fight for every child.
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WWJJD
I don't give a damn about my bad reputation!
03:18 PM on 03/19/2012
Love this. I am so sorry you were mistreated as a child, that it so horrible. I really like to hear about adults with disabilities and what worked and didn't work for them growing up. My Daughter is non-verbal but can use a speech augmentation device, so I am always asking her yes or no questions about school. She lights up when she goes to school and I have a good relationship with her teacher, who has told me several times that she loves my Daughter. Your son is lucky to have you for his Mom!!!!
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11:43 PM on 03/19/2012
Thank you for saying such kind words. I had it hard, this is true, but I refuse to allow my son to go through what I did. My father loves me, but he was clueless on how to deal with my disabilities and school. (My mother had her own issues, and therefore was indifferent, about the whole thing) I have become a crusader of sorts fighting for my son's educational rights. If I hear any negative from him with regards to school, I'm down there the next day, addressing it. They call me Sgt. Mum because of my gung-ho attitude. I found that I have to be though, if I want my son to have an education that I really didn't have. Keep fighting the good fight and really stand up for what you want for your daughter. Good luck! :)
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iwinagin
09:22 PM on 03/13/2012
I'm seeing a pattern developing here. Everybody who has ever worked with special needs children has the same opinion. Restraint and Isolation are necessary last resorts. I too work with special needs children and have been forced to restrain and seclude children many times in the last year. I've been bitten, hit, kicked and even attacked with knives and clubs within the past year. I can handle it I'm a 6'2" 280lb man, these same kids teacher is a 5'4" 130lb woman. During these children's fits they are capable of anything including murder.

Please don't take away our teachers right to defend themselves.

on the other hand duffle bags and duct tape are way out of line. There are measures that can be taken to restrain and seclude children that are not nearly so dangerous.
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Aldyth
Advocating for those who cannot defend themselves.
12:22 PM on 03/14/2012
Fanned and faved.

I've shared your experiences in the trenches. It's all about knowing the people we are working with and what works and doesn't work. It's having people available and systems in place to support the work so that no one makes really bad decisions about duct tape and duffle bags. You just shake your head and wonder, what the heck were they thinking?
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rini1946
01:38 AM on 03/19/2012
I do not think that these kids should be allowed in a regular class room . Not becasue I am cold but like you point out and few other people they disrupt the class we are ranked 50 or so in education in the United states. And this is one of the reasons. I do not want them put in jail cell but so not put them in classes with kids that can learn and slow them down.
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see-ellen2001
06:39 PM on 03/13/2012
First off, showing a wheelchair is very sensationalistic; disabilities are not a generic group. Certainly a student should not be left alone for extended periods of time. However, severe behaviour issues do happen and restraining by QUALIFIED staff is sometimes needed. Problem is who decides who is qualified. And do school boards want to pay for experienced, trained support staff.
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Marx Twain
America's homespun Marxist
01:55 PM on 03/13/2012
I think a clear analogy can be made between seclusion and restraints and prisons. Are prisons a great idea? Clearly not, they're brutal, awful places. But that doesn't mean we should just ban them and let every criminal free. If we want to reaseach and implement alternatives, I'm all for it, and there is an awful lot of research going on in this area. However, we can't just ban restraints and seclusions without some viable alternative.
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Marx Twain
America's homespun Marxist
12:15 PM on 03/13/2012
What blatant sensationalism, devoid of context. I work with severe needs children, and I've performed holds and isolated children numerous times, and every time I've done it, its been to prevent an out of control child. What do these activists suggest? Should we let these children assault other children? Should I stand by while a child beats themself bloody? The alternative to this is calling the cops on a child, and I can guarantee that having your kid tasered, wrestled to the ground, handcuffed, and then thrown in juvie with gangbangers and sex offenders is a hell of a lot more traumatic. Another truth, parents must sign consent forms before this happens.
03:24 PM on 05/24/2012
In Florida you do not have to give permission. My son has been restrained many times....for offenses that certainly did not demand such treatment. We have never signed for permission but was told that was just the way it was.
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jkevinm80
11:22 AM on 03/13/2012
You absolutely can not prohibit seclusion. You absolutely can prohibit isolation. There is never a reason to isolate a disabled child or young adult. They should always be accompanied and returned to the population once their disturbance has passed. This is a a safety issue for the disabled student and a distraction issue for all the others. To isolate someone for this behavior is counterproductive.

Unfortunately, in many jurisdictions, minimally trained helpers and non-professional staff make these decisions with little or no supervision. This is as much an issue of appropriate resources as it is one of training. Until we begin to recognize the true cost of teaching the disabled in our schools, the problem will only get worse, not better. I say this, coming from a system that I thnk does a pretty good job of dealing with these issues in spite of the constraints on talent and resources.
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Katrin55
A man's reach should exceed his grasp
09:28 AM on 03/13/2012
There's a lot of anger in the comments. On the one hand there are those who seem to be saying that having a disabled child is a personal choice and that choice should not be foisted on the larger society. On the other, there are those who posit that society, as a whole, has a (moral? ethical?) responsibility to support its neediest members.
I wish there could be a calmer, more dispassionate discourse about what we, as a society, believe and want to support with our money as well as our mouths.
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cyanmanta
Thinking outside the box is for smart people...
06:53 AM on 03/13/2012
Well, the statistics quoted at the beginning of the article are misleading because the Americans with Disabilities Act has an insanely broad-reaching definition of what constitutes a disability. A casual reader will naturally assume that all the students who fall under the 70% statistic are physically disabled; but for all we know, many of them have only minor learning disorders or attention deficits, and there's no evidence that "disabled" students are being singled out for this kind of mistreatment in any meaningful way. The ADA has made the term "disabled" mean almost nothing at all, so I can't really take these sorts of numbers seriously anymore when I read them.
11:02 PM on 03/12/2012
I don't see a problem with a safe room where the disabled child and an attendant can retreat hopefully so the child can be recomposed and when calmed return to their friends in the classroom. I have a 9 year old granddaughter who is a very noble. kind and generous child but she would be tremendously upset by a violent outburst or screaming in the classroom. Is she less important than the child with the disability? Often it is the overstimulation of a classroom environment that unsettles the disabled child so a safe and quiet retreat is absolutely appropriate. Duffle bags and zip ties are not and I can't imagine the horror of a school that uses such tactics. But in fairness to all the other children there has to be some consensus for handling an outburst beyond cruel restraint or no action at all. Surely this can be handled to the advantage of all children. Why does it seem so hard to arrive at a common sense solution?
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WWJJD
I don't give a damn about my bad reputation!
01:14 AM on 03/13/2012
What a wonderful comment. There has to be a better way for ALL children!
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Ashok Hegde
12:21 PM on 03/13/2012
What do you suggest a teacher, or a school does with a violent student? (or threateningly violent)
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GlennWatson
Two million fans
10:18 PM on 03/12/2012
"That follows incidents in Middletown, Conn., where special education students were allegedly isolated in "scream rooms" during outbursts."---

Right, they should be allowed to scream in the regular classroom so the other students can enjoy it and take break from learning and stuff.
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MJinCanada
Safe from zombies until my 2nd cup of coffee
12:16 AM on 03/13/2012
But you don't just shut a young child away from everyone in isolation. That's not going to calm a kid down.
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GlennWatson
Two million fans
12:10 PM on 03/13/2012
It will calm the rest of the class down.
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Ashok Hegde
12:22 PM on 03/13/2012
It's not just that student the school has an obligation to...it's the other students. They deserve a respectful environment to learn in.
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Eva Woywod
10:01 PM on 03/12/2012
The real problem is we have teachers (regular and special ed)...many of which are dedicated and do their best...in classrooms...be it an inclusive classroom or just a special needs one...who are not recv. proper and timely training to handle all the needs that they must of all the students in the class - couple that with lack of aides in the class and a dwindling budgets...not to mention that as long as the Individual w/Disabilities Education Act (IDEA) has been on the books it has been an underfunded mandate - then on many state levels the compliance review of districts in their state in non-existent PLUS the way the system is set up - is a state dept of ed has many school districts found in non compliance on the state level - if there are many complaints and due processes..they then worry about the feds coming in for a compliance review - HOWEVER - the review process of states on the fed level is also a nightmare ...it's a complete and utter mess- and in the end...the children...the reason each of those people are working and have an income ...SUFFER -
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08:42 PM on 03/12/2012
I was mortified when I read of Aaron Hatcher ( http://www.huffingtonpost.com/2012/03/06/aaron-hatcher-special-nee_n_1324433.html ). I found the report detailing the case of Melanie Pickins, the abusive teacher mentioned in the article about Aaron: http://iepadvocate4you.blogspot.com/2011/08/fulton-county-report-of-investigation.html

In the latter case, Jake, the student, is severely mentally disabled. His mother refused to transfer him to another school where he would benefit from staff with more intense training in managing severely impaired students. That does NOT excuse the behaviour of the teacher. Do severely impaired children, those who are not capable of learning, have an automatic right which supersedes the rights of ALL other students (those with and without disabilities)? If a child is seriously disruptive to a class when does it become okay to consider removing them from the class? If a student poses a threat of physical harm to others is it not the correct response to remove them?

No, I don't believe people with disabilities should be closeted away or that a disruptive child should be isolated without supervision. Yes, I believe children with disabilities benefit from being mainstreamed. I also believe there is little benefit in mainstreaming severely impaired children who act out. The disruption and physical dangers in doing so by far outweigh their 'right' to go to a 'normal' school. It is unfortunate that Jake's mom didn't see that.
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GOODDOC1
"civil war" is an oxymoron
03:43 AM on 03/13/2012
These students will be mainstreamed when they become adults, unless you want them all to be locked away in institutions. So when should schools begin mainstreaming them? And when should so-called "normal" students" start learning about people who are different from them? Should people be separated forever?
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Ashok Hegde
12:23 PM on 03/13/2012
People who are violent, or threaten violence, for whatever reason (including disability), should be separated, yes.
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12:34 PM on 03/13/2012
Re-read my post. It is entirely beneficial for mainstreaming in many cases. It is NOT, however, beneficial in cases of severely impaired individuals where acting out is a problem. There simply is not sufficient assistance available for them in a general school setting. Did you even bother to read either of the links I posted? I don't think you did. There was simply no benefit in 'mainstreaming' for a student suffering Jake's level of impairment. It is detrimental for Jake, the other students and the staff. His mother is clearly selfish in making her stand that he remain at a school ill equipped to assist him.
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08:32 PM on 03/12/2012
Here is what is incredibly sad about this situation for many students, with or without disabilities: we do have enough resources in our country to provide what they need, with the people they need, but we have decided to spend resources elsewhere. Someday we will have to face the truth that we decided to put things and power and money over people and that will be a very sad day of deep regret and wishing we could go back and do it all differently.
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jimbarry1946
Very Catholic, very conservative, proud Buckeye
07:32 PM on 03/12/2012
Being in public school is a great thing for many special needs students, BUT there are far too many that are there for no other reason than to give their parents a respite from being with them 24/7. They will get no actual benefit because they aren't even aware where they are. I know this sounds harsh, but it is true. I have personally seen it over and over. If they were in a setting where they belong, they could be handled more appropriately.
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WWJJD
I don't give a damn about my bad reputation!
07:42 PM on 03/12/2012
"in a setting where they belong" Says everything about you.
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Ardessa
Honest Sinner, not Lying Hypocrite
11:32 PM on 03/12/2012
Trust me, I worked with special needs children.. and so do belong in a "special setting" I've dealt with children whom are so mentally unstable that they have no business being in a regular school with minimum supervision. why? Because they escalate to violence in an instant, and before you know they slam another student or teacher to the floor and kick them in the face until they break their eye socket. Most people have not met the parent at their wits end with a child who attacks them, do not know how it is to fear for their lives, and then have to make the decision to send them to a place where they can be managed, and where they can hopefully be taught calming and social skill that may help them to someday be able to be part of the society. So yes, it says a lot about people like Jimbarry1946... It says he's actually put thought to the issue.