Wednesday, November 25, 2009

Education

Students Suffer Abusive Restraint, GAO Says

Struggling to control special-needs students sometimes leads teachers to use risky techniques

Posted July 7, 2009

Clarification added on 07/10/09: The article was expanded to note that since changing to the positive reinforcement system, Centennial School has rarely had to call for police assistance.

Roger Pierangelo, executive director of the National Association of Special Education Teachers, attributes teachers' abuse of restraint and seclusion techniques to a combination of inexperience, stress, and the lack of proper training. Though his students in the special education and literacy department at Long Island University are taught not to use the techniques under any circumstances, some teachers in programs at other universities are given no formal guidance on the dangers of the techniques yet still will use them in moments of frustration with students. Although such moments can come frequently for special education teachers, stress is not an excuse for abusing a student, Pierangelo says. And many of the teachers who use the most dangerous restraints, ones that restrict students' breathing, often fail to try other, less harmful techniques first, he added. "[Teachers'] use of the restraint is often a reactive response, an impulse, not a decision made using logic."

There are alternatives teachers can use to handle classroom confrontations with students. George Sugai teaches at the University of Connecticut's Neag School of Education and is one of the country's leading advocates for policies that promote the encouragement of positive student behaviors. For example, teachers following such policies will go out of their way to compliment students who succeed at minor tasks like walking down the hall quietly or raising their hands in class to get permission to talk. When students misbehave or become unruly, teachers calmly explain what the students are doing wrong and what they should do to correct their behavior, a simple approach that teaches positive behavior through encouragement and can quell bad behavior without the use of force, Sugai says. While restraint and seclusion should be among schools' emergency procedures, Sugai says he does not condone use of the techniques on a regular basis because no research exists to suggest they can effectively alter student behavior. A long history of research does, however, validate the worth of policies that promote positive student behavior. Some of this research has been conducted by the Center for Positive Behavioral Interventions and Supports, a research and training facility affiliated with the Office of Special Education Policy that Sugai codirects.   

Data from the approximately 9,000 schools whose faculty and staff members have been trained by the center to teach and encourage positive student behavior show decreased numbers of office referrals, suspensions, and students needing specialized instruction among the school's special education students. The data also show improved student attendance and increased time spent on academic instruction, while teachers, students, and parents affiliated with the schools' special education programs report an improved school climate and stronger relationships between students and staff.

One Pennsylvania school for severely disabled and emotionally disturbed students that began using positive reinforcement techniques exclusively about 10 years ago appears to be reaping the benefits. When Michael George accepted a new job as director of Lehigh University's Centennial School in 1998, he stepped into the most violent environment he says he has ever encountered at work or in his personal life. Centennial students often behaved aggressively, and teachers routinely responded in turn—sometimes two or three at a time—by holding down the kicking, thrashing, screaming students in dangerous physical restraints, according a 2005 article published in Psychology in the Schools by University of Albany psychology professor David Miller, Centennial School psychologist Julie Fogt, and George. Though the school had a population of just about 80 students, teachers performed 1,064 physical restraints during the academic year before George arrived—an average of about 13 restraints per student throughout the year, the article states. When teachers used more than 100 restraints in the first 20 days of George's first school year at Centennial, he decided to put an end to the conflict. 

Reader Comments

Centennial School physical restraints

My name is David N. Miller, and I was one of the co-authors mentioned in the article above by U.S. News and World Report. I think its important to provide a piece of clarification regarding this article, specifically in reference to its statements about the use of physical restraints at Centennial School. In the note added on 7/10 that begins the article, it states that "Centennial School has rarely had to call for police assistance". To put this in better perspective, the reader should know that Centennial School almost never calls the police - this occurs perhaps once or twice per year on average(many public schools call the police much more often). Further, on those (extremely rare) cases where the police have been called, it has often been at the request of parents rather than the school. Centennial School is a model program for schools serving students with emotional and behavioral disorders in the nation and attracts visitors from all over the country.

restraints, positive behaviour program, biological causes

I would be much more impressed with George's results, if they weren't calling the police, and telling the child that "they are sorry that their behaviour caused them to have to call the police, and that they will miss them while they are gone."!!!

This is NOT part of a positive behaviour approach! It is just substituting one negative response for another negative response. Are the police restraining them? Putting them in hand-cuffs? Putting them in juvenile detention center, or jail-where they are more likely to learn additional poor behaviours, or, especially if they are on the autism spectrum, to be at risk of being abused (physically, mentally, emotionally, sexually), further traumatized, drugged excessively/inappropriately, and be at a higher risk for suicide.

I am not impressed that suspension rates are down, after hearing this information. It makes me wonder what kind of games may be played with manipulation of the statistics! For example, what happens when you factor in the days missing, due to being placed elsewhere (detention center, jail, hospitalization program, etc.)? Is there an increased drop-out rate?

As a teacher, I know the difficulty of teaching when there are large numbers of children with severe behavioural issues. As an advocate, I am appalled at the number of people with autism, MR, mental/emotional health issues, etc., who end up in jail, instead of getting appropriate treatment! Google Pfeiffer Treatment center, or other studies regarding medical treatment for heavy metals, (such as lead and mercury, which can cause MR, and look at links between metsls and anger/violence), and vitamin supplementation, and how it can affect behaviour. As a parent of a child with autism, I would advise Kilmer to google the Autism Research Institute, the DAN protocol, the Feingold diet, TACA, biomed or alternative interventions, etc.

P.S.-I am NOT trying to minimize the effects of trauma, or to say that the school was making a good choice in placing a 4 year-old in that type of restraint,especially without even discussing it with the parent! I believe that schools should try for a positive approach. However, I also believe that changing the behaviours should begin with healing the body, including the brain, and that it is appalling that our society is not studying these issues in a meaningful way (I believe this is due to the fact that big pharma companies can't make money on these interventions, so there is no reason for them to spend millions of dollars setting up studies- and many reasons for them to discredit these ideas-especially if components of vaccines, such as thimerosal, aluminum, etc., or antibiotics, or commonly used over the counter drugs,or antibiotics, or drugs used to induce or speed up labor, or various psychiatric meds, could possibly be shown to have links to, or be causative factors in autism, or other severe behavioural or cognitive problems).

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