Current through Register Vol. 51, No. 6, December 1, 2024
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
156.160(1)(h) and
158.444(1)
give the Kentucky Board of Education the authority to promulgate administrative
regulations related to medical inspection, physical and health education and
recreation, and other regulations necessary or advisable for the physical
welfare and safety of the public school children. This administrative
regulation establishes the requirements for the use of physical restraint and
seclusion in districts and the notification and data reporting requirements for
the use of physical restraint and seclusion in districts and does not prohibit
the lawful exercise of law enforcement duties by sworn law enforcement
officers.
Section 1. Definitions.
(1) "Aversive behavioral interventions" means
a physical or sensory intervention program intended to modify behavior that the
implementer knows would cause physical trauma, emotional trauma, or both, to a
student even when the substance or stimulus appears to be pleasant or neutral
to others and may include hitting, pinching, slapping, water spray, noxious
fumes, extreme physical exercise, loud auditory stimuli, withholding of meals,
or denial of reasonable access to toileting facilities.
(2) "Behavioral intervention" means the
implementation of strategies to address behavior that is dangerous or
inappropriate, or otherwise impedes the learning of the students.
(3) "Chemical restraint" means the use of
medication to control behavior or restrict a student's freedom of movement that
includes over-the-counter medications used for purposes not specified on the
label but does not include medication prescribed by a licensed medical
professional and supervised by qualified and trained individuals in accordance
with professional standards.
(4)
"Dangerous behavior" means behavior that presents an imminent danger of
physical harm to self or others but does not include inappropriate behaviors
such as disrespect, non-compliance, insubordination, or out of seat
behaviors.
(5) "De-escalation"
means the use of behavior management techniques intended to:
(a) Mitigate and defuse dangerous behavior of
a student; or
(b) Reduce the
imminent danger of physical harm to self or others.
(6) "Emancipated youth" means a student under
the age of eighteen (18) who is or has been married or has by court order or
otherwise been freed from the care, custody, and control of the student's
parents.
(7) "Emergency" means a
sudden, urgent occurrence, usually unexpected but sometimes anticipated, that
requires immediate action.
(8)
"Mechanical restraint" means the use of any device or equipment to restrict a
student's freedom of movement, but does not include:
(a) A device implemented by trained school
personnel or utilized by a student that has been prescribed by an appropriate
medical or related services professional that is used for the specific and
approved purposes for which the device was designed;
(b) An adaptive device or mechanical support
used to achieve proper body position, balance, or alignment to allow greater
freedom of mobility than would be possible without the use of the device or
mechanical support;
(c) A vehicle
safety restraint if used as intended during the transport of a student in a
moving vehicle;
(d) Restraint for
medical immobilization; or
(e) An
orthopedically prescribed device that permits a student to participate in
activities without risk of harm.
(9) "Parent" means a natural parent, a
guardian, or an individual acting as a parent in the absence of a parent or a
guardian of the student.
(10)
"Physical Restraint" means a personal restriction that immobilizes or reduces
the ability of a student to move the student's torso, arms, legs, or head
freely, but does not include:
(a) Temporary
touching or holding of the hand, wrist, arm, shoulder, or back for the purpose
of encouraging a student to move voluntarily to a safe location;
(b) A behavioral intervention, such as
proximity control or verbal soothing, used as a response to calm and comfort an
upset student;
(c) Less restrictive
physical contact or redirection to promote student safety; or
(d) Physical guidance or prompting when
teaching a skill or redirecting the student's attention.
(11) "Positive behavioral supports" means a
school-wide systematic approach to embed evidence-based practices and
data-driven decision-making to:
(a) Improve
school climate and culture in order to achieve improved academic and social
outcomes;
(b) Increase learning for
all students, including those with the most complex and intensive behavior
needs;
(c) Encompass a range of
systemic and individualized positive strategies to reinforce desired
behaviors;
(d) Diminish
reoccurrence of inappropriate or dangerous behaviors; and
(e) Teach appropriate behaviors to
students.
(12) "Prone
restraint" means the student is restrained in a face down position on the floor
or other surface, and physical pressure is applied to the student's body to
keep the student in the prone position.
(13) "School personnel" means teachers,
principals, administrators, counselors, social workers, psychologists,
paraprofessionals, nurses, librarians, school resource officers, sworn law
enforcement officers, and other support staff who are employed in a school or
who perform services in the school on a contractual basis.
(14) "School resource officer" is defined in
KRS
158.441(2).
(15) "Seclusion" means the involuntary
confinement of a student alone in a room or area from which the student is
prevented from leaving but does not mean classroom timeouts, supervised
in-school detentions, or out-of-school suspensions.
(16) "Student" means any person enrolled in a
preschool, school level as established in
703
KAR 5:240, Section 5, or other educational program
offered by a local public school district.
(17) "Supine restraint" means the student is
restrained in a face up position on the student's back on the floor or other
surface, and physical pressure is applied to the student's body to keep the
student in the supine position.
(18) "Timeout" means a behavior management
technique that is part of an approved program, involves the monitored
separation of the student in a non-locked setting, and is implemented for the
purpose of calming.
Section
2.
(1) Each local school district
shall establish policies and procedures that:
(a) Ensure school personnel are aware of and
parents are notified how to access the policies and procedures regarding
physical restraint and seclusion;
(b) Are designed to ensure the safety of all
students, school personnel, and visitors;
(c) Require school personnel to be trained in
accordance with the requirements outlined in Section 6 of this administrative
regulation;
(d) Outline procedures
to be followed during and after each use of physical restraint or seclusion,
including notice to parents, documentation of the event in the student
information system, and a process for the parent or emancipated youth to
request a debriefing session;
(e)
Require notification, within twenty four (24) hours, to the Kentucky Department
of Education and local law enforcement in the event of death, substantial risk
of death, extreme physical pain, protracted and obvious disfigurement or
protracted loss or impairment of the function of a bodily member, organ, or
mental faculty resulting from the use of physical restraint or
seclusion;
(f) Outline a procedure
by which parents may submit a complaint regarding the physical restraint or
seclusion of their child, which shall require the district and school to
investigate the circumstances surrounding the physical restraint or seclusion,
make written findings, and if appropriate, take corrective action;
and
(g) Outline a procedure to
regularly review data on physical restraint and seclusion usage and revise
policies as needed.
(2)
Each local school district shall revise existing policies or develop policies
consistent with this administrative regulation within ninety (90) calendar days
of the effective date of this administrative regulation.
Section 3.
(1) Physical restraint shall not be used in a
public school or educational program:
(a) As
punishment or discipline;
(b) To
force compliance or to retaliate;
(c) As a substitute for appropriate
educational or behavioral support;
(d) To prevent property damage, except as
permitted under KRS Chapter 503;
(e) As a routine school safety measure;
or
(f) As a convenience for
staff.
(2) School
personnel shall not impose the following on any student at any time:
(a) Mechanical restraint;
(b) Chemical restraint;
(c) Aversive behavioral
interventions;
(d) Physical
restraint that is life-threatening;
(e) Prone or supine restraint; or
(f) Physical restraint if they know that
physical restraint is contraindicated based on the student's disability, health
care needs, or medical or psychiatric condition.
(3) Physical restraint may only be
implemented in a public school or educational program if:
(a) The student's behavior poses an imminent
danger of physical harm to self or others and as permitted under
KRS
503.050,
503.070,
and
503.110;
(b) The physical restraint does not interfere
with the student's ability to communicate in the student's primary language or
mode of communication, unless the student uses sign language or an augmentative
mode of communication as the student's primary mode of communication and the
implementer determines that freedom of the student's hands for brief periods
during the restraint appears likely to result in physical harm to self or
others;
(c) The student's physical
and psychological well-being is monitored for the duration of the physical
restraint;
(d) Less restrictive
behavioral interventions have been ineffective in stopping the imminent danger
of physical harm to self or others, except in the case of a clearly unavoidable
emergency situation posing imminent danger of physical harm to self or others;
and
(e) School personnel
implementing the physical restraint are appropriately trained as required by
Section 6(3) of this administrative regulation, except to the extent necessary
to prevent physical harm to self or others in clearly unavoidable emergency
circumstances where other school personnel intervene and summon trained school
personnel as soon as possible.
(4) When implementing a physical restraint,
school personnel shall use only the amount of force reasonably believed to be
necessary to protect the student or others from imminent danger of physical
harm.
(5) The use of physical
restraint shall end as soon as:
(a) The
student's behavior no longer poses an imminent danger of physical harm to self
or others; or
(b) A medical
condition occurs putting the student at risk of harm.
Section 4.
(1) Seclusion shall not be used in a public
school or educational program:
(a) As
punishment or discipline;
(b) To
force compliance or to retaliate;
(c) As a substitute for appropriate
educational or behavioral support;
(d) To prevent property damage in the absence
of imminent danger of physical harm to self or others;
(e) As a routine school safety
measure;
(f) As a convenience for
staff; or
(g) As a substitute for
timeout.
(2) Seclusion
may only be implemented in a public school or educational program if:
(a) The student's behavior poses an imminent
danger of physical harm to self or others;
(b) The student is visually monitored for the
duration of the seclusion;
(c) Less
restrictive interventions have been ineffective in stopping the imminent danger
of physical harm to self or others; and
(d) School personnel implementing the
seclusion are appropriately trained to use seclusion.
(3) The use of seclusion shall end as soon
as:
(a) The student's behavior no longer poses
an imminent danger of physical harm to self or others; or
(b) A medical condition occurs putting the
student at risk of harm.
(4) A setting used for seclusion shall:
(a) Be free of objects and fixtures with
which a student could inflict physical harm to self or others;
(b) Provide school personnel a view of the
student at all times;
(c) Provide
adequate lighting and ventilation;
(d) Be reviewed by district administration to
ensure programmatic implementation of guidelines and data related to its
use;
(e) Have an unlocked and
unobstructed door; and
(f) Have at
least an annual fire and safety inspection.
Section 5.
(1) All physical restraints and seclusions
shall be documented by a written record of each use of seclusion or physical
restraint and be maintained in the student's education record. Each record of a
use of physical restraint or seclusion shall be informed by an interview with
the student and shall include:
(a) The
student's name;
(b) A description
of the use of physical restraint or seclusion and the student behavior that
resulted in the physical restraint or seclusion;
(c) The date of the physical restraint or
seclusion and school personnel involved;
(d) The beginning and ending times of the
physical restraint or seclusion;
(e) A description of any events leading up to
the use of physical restraint or seclusion including possible factors
contributing to the dangerous behavior;
(f) A description of the student's behavior
during physical restraint or seclusion;
(g) A description of techniques used in
physically restraining or secluding the student and any other interactions
between the student and school personnel during the use of physical restraint
or seclusion;
(h) A description of
any behavioral interventions used immediately prior to the implementation of
physical restraint or seclusion;
(i) A description of any injuries to
students, school personnel, or others;
(j) A description as to how the student's
behavior posed an imminent danger of physical harm to self or others;
(k) The date the parent was notified;
(l) A description of the
effectiveness of physical restraint or seclusion in de-escalating the
situation;
(m) A description of the
school personnel response to the dangerous behavior;
(n) A description of the planned positive
behavioral interventions which shall be used to reduce the future need for
physical restraint or seclusion of the student; and
(o) For any student not identified as
eligible for services under either Section 504 of the Rehabilitation Act or the
Individuals with Disabilities Education Act, documentation of a referral under
either law or documentation of the basis for declining to refer the
student.
(2) If the
student is not an emancipated youth, the parent of the student shall be
notified of the physical restraint and seclusion verbally or through electronic
communication, if available to the parent, as soon as possible within
twenty-four (24) hours of the incident. If the parent cannot be reached within
twenty-four (24) hours, a written communication shall be mailed to the parent
via U.S. mail.
(3) The principal of
the school shall be notified of the seclusion or physical restraint as soon as
possible, but no later than the end of the school day on which it
occurred.
(4) The physical
restraint or seclusion record as outlined in subsection (1) of this section
shall be completed by the end of the next school day following the use of
seclusion or physical restraint.
(5) If the parent or emancipated youth
requests a debriefing session under Section 2(1)(d) of this administrative
regulation, a debriefing session shall be held after the imposition of physical
restraint or seclusion upon a student.
(6) The following persons shall participate
in the debriefing session:
(a) The implementer
of the physical restraint or seclusion;
(b) At least two (2) of any other school
personnel who were in the proximity of the student immediately before or during
the physical restraint or seclusion;
(c) The parent of an unemancipated
student;
(d) The student, if the
parent requests or if the student is an emancipated youth; and
(e) Appropriate supervisory and
administrative school personnel, which may include appropriate Admissions and
Release Committee members, Section 504 team members, or response to
intervention team members.
(7) The debriefing session shall occur as
soon as practicable, but not later than five (5) school days following the
request of the parent or the emancipated youth, unless delayed by written
mutual agreement of the parent or emancipated youth and the school.
(8) The debriefing session shall include:
(a) Identification of the events leading up
to the seclusion or physical restraint;
(b) Consideration of relevant information in
the student's records and information from teachers, parents, other school
district professionals, and the student;
(c) Planning for the prevention and reduction
of the need for seclusion or physical restraint, with consideration of
recommended appropriate positive behavioral supports and interventions to
assist school personnel responsible for implementing the student's IEP, or
Section 504 plan, or response to intervention plan, if applicable, and
consideration of whether positive behavioral supports and interventions were
implemented with fidelity; and
(d)
For any student not identified as eligible for services under either Section
504 of the Rehabilitation Act or the Individuals with Disabilities Education
Act, consideration of a referral under either law and documentation of the
referral or documentation of the basis for declining to refer the
student.
(9) All
documentation utilized in the debriefing session shall become part of the
student's education record.
Section
6.
(1)
(a) All school personnel shall be trained in
state administrative regulations and school district policies and procedures
regarding physical restraint and seclusion.
(b) All school personnel shall be trained
annually to use an array of positive behavioral supports and interventions to:
1. Increase appropriate student
behaviors;
2. Decrease
inappropriate or dangerous student behaviors; and
3. Respond to dangerous behavior.
(c) This training may be delivered
utilizing web-based applications.
(d) This training shall include:
1. Appropriate procedures for preventing the
need for physical restraint and seclusion, including positive behavioral
supports and interventions;
2.
State administrative regulations and school district policies and procedures
regarding physical restraint and seclusion;
3. Proper use of positive
reinforcement;
4. The continuum of
use for alternative behavioral interventions;
5. Crisis prevention;
6. De-escalation strategies for responding to
inappropriate or dangerous behavior, including verbal de-escalation, and
relationship building; and
7.
Proper use of seclusion as established in Section 4 of this administrative
regulation, including instruction on monitoring physical signs of distress and
obtaining medical assistance if necessary.
(2) All school personnel shall receive annual
written or electronic communication from the district identifying core team
members in the school setting who have been trained to implement physical
restraint.
(3) A core team of
selected school personnel shall be designated to respond to dangerous behavior
and to implement physical restraint of students. The core team, except school
resource officers and other sworn law enforcement officers, shall receive
additional yearly training in the following areas:
(a) Appropriate procedures for preventing the
use of physical restraint except as permitted by this administrative
regulation;
(b) A description and
identification of dangerous behaviors that may indicate the need for physical
restraint and methods for evaluating the risk of harm in individual situations,
in order to determine whether the use of physical restraint is safe and
warranted;
(c) Simulated experience
of administering and receiving physical restraint, and instruction regarding
the effect on the person physically restrained, including instruction on
monitoring physical signs of distress and obtaining medical
assistance;
(d) Instruction
regarding documentation and notification requirements and investigation of
injuries; and
(e) Demonstration by
core team members of proficiency in the prevention and use of physical
restraint.
Section
7. The following data shall be reported by the district in the
student information system related to incidents of physical restraint and
seclusion:
(1) Aggregate number of uses of
physical restraint;
(2) Aggregate
number of students placed in physical restraint;
(3) Aggregate number of uses of
seclusion;
(4) Aggregate number of
students placed in seclusion;
(5)
Aggregate number of instances of substantial risk of death, extreme physical
pain, protracted and obvious disfigurement or protracted loss or impairment of
the function of a bodily member, organ, or mental faculty to students related
to physical restraint and seclusion;
(6) Aggregate number of instances of
substantial risk of death, extreme physical pain, protracted and obvious
disfigurement or protracted loss or impairment of the function of a bodily
member, organ, or mental faculty to school personnel related to physical
restraint and seclusion; and
(7)
Aggregate number of instances in which a school resource officer or other sworn
law enforcement officer is involved in the physical restraint or seclusion of a
student.
STATUTORY AUTHORITY:
KRS
156.160(1)(h),
156.070,
158.444(1)