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Published on: November 16, 2015
Tied up and isolated in the schoolhouse
Wanda K Mohr1, Janice LeBel, Ronald O'Halloran
1School of Nursing, University of Medicine and Dentistry of New Jersey, Stratford, NJ, USA.
Summary
Restraints and seclusion in schools are dangerous and traumatizing, leading to injury and death. Their use has declined in mental health settings and should be reduced in schools through education and leadership.
Area of Science:
- Child Psychology
- Educational Psychology
- Public Health
Background:
- Historical investigations by the USGAO revealed widespread misuse and abuse of restraints and seclusion in mental health settings and schools.
- These practices are recognized as dangerous, traumatizing, and have resulted in severe injury and fatalities.
- The perception of restraints and seclusion has shifted from essential interventions to indicators of treatment failure.
Purpose of the Study:
- To provide background on the current debate surrounding restraints and seclusion in educational settings.
- To articulate the inherent dangers and dispel misinformation associated with these practices.
- To propose a leadership role for school nurses in minimizing the use of restraints and seclusion.
Main Methods:
- Review of historical data and reports from the USGAO.
- Analysis of current trends and challenges in the use of restraints and seclusion in schools.
- Literature review on the psychological and physical impacts of restraints and seclusion.
Main Results:
- Significant reduction in the use of restraints and seclusion in mental health settings due to regulatory changes, education, and leadership initiatives.
- Persistent concerns regarding the misuse and abuse of these practices in educational environments.
- Identification of knowledge gaps and misinformation surrounding the efficacy and safety of restraints and seclusion in schools.
Conclusions:
- Restraints and seclusion are harmful interventions with a history of misuse, necessitating a critical re-evaluation of their application in schools.
- Federal regulations, staff education, and strong leadership have proven effective in reducing these practices in mental health settings and offer a model for schools.
- School nurses are uniquely positioned to lead efforts in educating staff, implementing alternative strategies, and advocating for the reduction of restraints and seclusion to ensure student safety and well-being.
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