CPI Named as Approved Provider in Oregon

CPI has been named as an approved training provider in the state of Oregon, just as the effective date for Oregon HB 2939 is about to take effect on July 1, 2012.

Passed last summer, HB 2939 prohibits the use of mechanical, chemical, and prone restraints on students in public schools. It also states that physical restraint may be used only in some circumstances, following specific procedures.

The bill also requires immediate debriefing and parental notification when physical restraint or seclusion has been used, and data collection and reporting on the use of physical restraint and seclusion.

Learn more about CPI’s Nonviolent Crisis Intervention® training program and other specialized offerings.



Changes at Milwaukee County Mental Health Complex Reflect Shift in Therapeutic Philosophy

The Milwaukee County Mental Health Complex in WI has undergone changes including adding special, separate units for vulnerable and/or violent residents in an effort to de-escalate these individuals from stages of agitation, according to a recent article in the Milwaukee Journal Sentinel.

The complex will minimize use of seclusion and restraints on residents. Additionally, as part of the complex’s overhaul, staff have been retrained in caring for individuals who have experienced trauma.

The updated complex also includes a sensory room and a space for practicing yoga.

View “Specialized Units Show Change in Mental Health Complex’s Philosophy” in its entirety.


December Legislation Activity Update

CPI continues to monitor national legislation regarding restraint and seclusion. Here is a summary of the most recent activity.

Wyoming passed Chapter 42: Restraint and Seclusion in Schools, effective December 1, 2011. It requires public school staff training to prevent the use of restraint and seclusion; development of incident review and debriefing strategies; and documentation of each restraint or seclusion incident.

The Alabama State Board of Education passed updates to its administrative code, Chapter 290-3-1-.02(1)(f), Seclusion and Restraint for ALL Students, related to the use of physical restraint and seclusion in public schools, effective December 11, 2011.

The guidelines prohibit the use of physical restraints that restrict airflow to the lungs, and use of seclusion as defined in the code.

The guidelines also only allow for use of physical restraint if a student is a danger to self or others and not responsive to other behavioral interventions. Use of such restraint must be immediately terminated if the student is no longer a danger. Schools must develop and implement written policies, as well as train staff in use of new procedures.

Report Examines Restraint-Related Deaths

A new report from Equip for Equality, “National Review of Restraint Related Deaths of Children and Adults with Disabilities: The Lethal Consequences of Restraint,” examines over 60 restraint-related deaths in the US from 1999-2005.

The report identifies the factors that led to the fatalities, and identifies the need for immediate and ongoing staff training.

View “National Review of Restraint Related Deaths of Children and Adults with Disabilities: The Lethal Consequences of Restraint” in its entirety [PDF].


Report Reveals One in Four Inpatients Are Restrained in Ontario Care Facilities

Read Tony Jace’s latest entry in the CPI Executive Blog, “Report Reveals One in Four Inpatients Are Restrained in Ontario Care Facilities,” about a report released by the Canadian Institute for Health Information, which reveals startling facts about the use of restraint in Ontario health care facilities.


Foundation Funds Initiative to Limit Use of Restraint and Seclusion Among Youth

The Hogg Foundation for Mental Health at the University of Texas, Austin is funding an initiative in the state to help residential treatment centers adopt safer methods to manage the behavior of youth in their care.

The funding will provide the treatment centers with training, information, collaboration, and technical assistance, to help them provide trauma-informed care without the use of restraint and seclusion.

The new initiative will be coordinated by the Texas Network of Youth Services. As of 2010, there were 79 centers licensed by the Texas Department of Family and Protective Services that provide care for youth with emotional disturbances.

View “Hogg Foundation Funds New Initiative to Provide Safe, More Effective Alternatives to Seclusion and Restraint” in its entirety.