Parenting Children with Special Needs Blog

10/31/07

What Do You Think About TimeOut Rooms at School?

Posted by : Julie in Parenting Children with Special Needs Blog at 08:54 am , 619 words, 248 views  
Categories: Policies, Laws, and Systems
This article from today’s Tallahassee Democrat reports a parent challenging the use of time out rooms in her school district. The article reports that the 7-year-old girl, with learning disabilities, had been placed in the time out room at least six times since the beginning of the school year.

The girl has since become fearful of being in any room with the door shut and will no long close the bathroom door.

The Advocacy Center for Persons with Disabilities has filed a formal complaint with the school district on behalf of the child. Of course school officials report that there is nothing wrong with the use of these seclusion rooms and that they have been using them for 20 years.

The rooms, 36 square feet in size, are not “locked” per se, but the person on the inside can not get out on their own without being released by the adult on the outside or by an activated fire alarm.

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Ok – so what do you think? Should schools use seclusion rooms?

Check out this story from Sumner County in Tennessee, where the system has 16 such rooms, some as small as a broom closet.

I’m very curious to hear what you, dear readers, make of the use of seclusion rooms. Do you think they help children to learn self-regulation skills and to self-calm? Or are they more likely to increase the child’s anxiety and make them want to avoid school?

The use of restraint and seclusion is really a medical intervention, and within the psychiatric community it is closely monitored, and at time hotly debated. The main difference I see between the way that psychiatric professionals administer seclusion (and restraint) and the way schools do, is that medical professionals are generally much better at de-escalating and assessing a child’s states.

For example, during her current hospitalization, there are times that LuLu is removed to the “quiet room” in the unit. She is accompanied by two adults, but one adult enters the room with her, and the other one monitors the room from the outside. The sole purpose of this trip is de-escalation of her behaviors so that she can process what’s going on and work on self-regulation. There is nothing in any procedure or demeanor leading up to these situations that imply punishment. There is no “do this or you’ll go to the quiet room” type threats. There is just a quick assessment of the situation, decisive action, and once she’s regulated, she is released.

Don’t get me wrong. I do believe there is an advantage to giving a child a chance to get away from a situation and regroup. And I do believe there is a need for an adult (like a teacher or parent) to send a child away from the room when their behaviors are escalating and becoming dangerous. I also believe that if the adult in charge is getting emotionally involved and their feelings are escalating, then something needs to be done to allow the adult to self-regulate as well. Sometimes telling your child to go to his/her room is more about giving you, the parent, a chance to regroup than it is about consequencing a child. In fact, sending a child to any type of seclusion or “time out” should never be about consequencing a child. It should be about teaching self-regulation and about maintaining safety.

So, what do you think? Should schools be able to use seclusion rooms? Under what conditions? Should it be written into the child’s IEP? Should the parents be notified?


Related Articles:
Are Time Out Rooms Inhuman?
NYS Regs Allow Schools to use "Adversive Interventions"
When Discipline Starts a Fight

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Comments, Pingbacks:

Comment from: Toni-EvinNRobsMom [Member] Email
Hi Julie,
No, I don't like the idea of these "timeout" rooms. I don't like the idea of someone other than myself or a family member "punishing" my kids. That is what I am here for. I'm sure there are kids out there that have issues with small, confined spaces, & I'm sure that this form of a timeout doesn't help with that.
PermalinkPermalink 10/31/07 @ 11:27
Comment from: radiant_tanya [Member] Email
C., my youngest attends a self-contained school program with programs for EBD and Autistic/Spectrum kids (C. is in the EBD program). Each classroom has a time out room with a similar locking system to the one you describe -- although they look a lot cleaner and nicer than the above picture! I think they use the rooms very judicisouly and very well. Kids who need time apart to calm down can go in there with the door open at will and come out at will. Sometimes the teacher sends a child there but the first option is always with the door open. When the door has to be locked the teachers can monitor the child in the room from anywhere in the classroom via closed circuit tv and they have a remote release for the door. I know they use this room with the door closed as a last resort only because C. has run out of the building and headed toward the street upon occassion when they have been trying to use other methods to help her de-escalate. They have also very occassionally restrained physically her when she was harming herself, but they let her go as soon as she calms down enough not to self-harm (or attach others) and they always call me immediately to let me know the details of the incident. All that being said, I am well aware that C.'s program is the exception not the rule -- especially in our dear state and region of the country. But I don't want to advocate for any tools to be thrown out wholsale IF (!) the staff using them are well-trained, competent and compassionate individuals. Its asking a lot, I know, but I can dream big! :)
PermalinkPermalink 10/31/07 @ 11:40
Comment from: radiant_tanya [Member] Email
In reviewing my post above, I see it is full of spelling errors -- some Freudian! :) I meant to say "...as soon as she calms down enough no to self-harm (or attack others)...." not "attach others" -- God forbid we should restrain her from attaching! LOL!
PermalinkPermalink 10/31/07 @ 11:44
Comment from: NCOZADD@aol.com [Member] Email
For "normal and healthy kids, time out areas in a supervised enviroment are fine, in my opinion. However, especially with kids who already have challenges, being isolated and locked away is ill-advised at best, and amounts to cruel punishment that feeds into the challenges that prompted the isolation in the first place. The fact that it is being administered by non-medical personnel just compounds the issue.

Schools apparently still haven't learned that they cannot treat children with a cookie cutter approach, and still expect success across the board.
PermalinkPermalink 10/31/07 @ 11:45
Comment from: lilraskels [Member] Email · http://lilraskels.blogspot.com
Heck no! They should not be allowed to put our kids in closed rooms, isn't that abuse?? That is what they call it when they place children that have been locked in basements or closets. I think not there is no need there are other means out there than to put them in a closed space.
lilraskels.blogspot.com
PermalinkPermalink 10/31/07 @ 16:14
Comment from: Sunbonnet Sue [Member] Email
our school has two rooms called "recovery rooms." Our boy spent quite a bit of 2nd grade and part of 3rd grade in there. We had it set up so the school called me each time he had to go, and I would drive to the school.

Sometimes when I arrived at the school, I would have to help locate Max, and use a two man transport method to get him to the recovery room. The procedure was written into his IEP, along with goals towards self-regulation.

There were many mistakes, and our dear principal was famous for losing her cool, Max did know how to yank her chain big time. Once he wiped a booger on her, another time he threw a bottle of water at her when he saw there were pops in the fridge too. This was after he had calmed down. (right) He did many other crazy things, the woman is a saint in my book.

The PE teacher is a great big lug of a fella, he was usually the best for calming Max, who has issues with women anyhow. The thing that helped the most was getting his meds right, the tweaking part took about 18 months.

Now he's great, 4th grade teacher and this years have never seen the behaviors. The 3rd grade teacher was fabulous, really tuned in to our boy, helping him learn to feel safe and regulated. She kind of learned to "speak Max" and then helped the rest of the staff figure things out.

I did tons of coaching over the phone with her, some with last years gal, and a little this year. Max is aware of what a great school he has and is already sweating middle school - two years away!
PermalinkPermalink 10/31/07 @ 16:27
Comment from: miriam [Member] Email · http://www.growingjwards.blogspot.com
Do they use these for kids in the mainstream programs and kids without disabilities? Do they train the teachers on how to administer the time there?

It seems to me a this is one treatment I would have to completely trust the judgment of the teachers in order to give them the OK.

I don't have a special needs child, so I must admit the idea of using isolation is a little shocking to me. I understand that it is helpful when done correctly, and with the proper circumstance (not as a coercive tactic) but I have doubts about teachers receiving enough training to do this across the board.

Like the other commenter, the fact that children are removed from homes for improperly punishing them with small space isolation comes to my mind.
PermalinkPermalink 10/31/07 @ 18:23
Comment from: miriam [Member] Email · http://www.growingjwards.blogspot.com
Also, they mentioned 36 square feet but that nasty room in the photo is clearly much smaller. Are there minimum size, lighting, cleanliness and monitoring requirements?
PermalinkPermalink 10/31/07 @ 18:24
Comment from: Sunbonnet Sue [Member] Email
in our case (which is the only experience we have) the recovery room was used to keep our child safe. The other students too.

Even tho we had been in the school for many years before Max enrolled in Kindergarten, it was not until his second grade year we became aware they even had a recovery room. It's a room just like any other classroom, but about 12'X12,one is completely empty, the other has some therapeutic tools, like a bean bag, sand tray, fish tank, stuff like that. Our boy was always in the empty one, due to a tendency to self-injure, as well as pitch objects at others and spew cuss words.

When our child had an incident, the teacher would call the office for help, wait for the crisis team to arrive, evacuate the rest of the class. Once Max was removed to a safe location and the classroom set to rights, then the regular teacher returned with the rest of the students.
PermalinkPermalink 10/31/07 @ 19:20
Comment from: getting old [Member] Email
we do not have time out rooms here, anywhere in any program.... you can no longer use physical floor restraints either (take the kid down and hold them on the floor)

in Oklahoma they had padded room that did not lock

we actually do have class evacuation drills and use it when one kid goes off, but she can never be left alone....

they do things differently other places

they could get by without it

PermalinkPermalink 10/31/07 @ 19:57
Comment from: John [Member] Email
It is risky even with normal kids. Many kids and adults have a fear of being confined in small apaces. Teachers are not trained to evaluate when and how to use this tool.

My middle son has a number of disorders, and the middle school elected to use a broom closet as a time out area for him. There is a god, the very high strung vice principal who was so sure of what to do with him (usually the worng idea) got to deal with him doing his best ODD every day. They wanted to get nasty about damage to the cleaning equipment, I got involved and we had a discussion about really dumb decision making, and how one should empty out the closet before putting the child in. When we got on to the dangerous cleaning supplies in the closet, they abruptly decided not to use it any more.

Sue, I love the bogger story. Restraint is rarely cost free. John
PermalinkPermalink 10/31/07 @ 23:46
Comment from: Sunbonnet Sue [Member] Email
John, great call on the cleaning products! Our kids should not be used to play a game of school based hot-potato!

the booger thing was kinda......educational for everyone. Our principal tended to sink back into punishment-dominance-control techniques. Not surprising, as this has been the working model for many years.

She was/is very open to new stuff, and would adjust herself accordingly. but when it came to crunch time, she was every bit as human as the rest of us.

As a parent, when the school calls, the principal meets you at the front door saying, "I've been teaching 25 years, and never seen anything like I've just seen," then you know you've entered uncharted territory!

Recovery rooms must be well thought out, their use clearly defined. They are simply tools. When used correctly, they can be helpful tools. Used in the wrong way by untrained folks, well, injury is likely. Parental involvement is crucial!

It's a real blessing to have been part of this process in our community. now that the school has deciphered the mind-set of our traumatized children, they're using similar techniques across the building. This in turn significantly reduces the use of the aforementioned recovery rooms.

Additionally, it's now spreading to our (large) church. Things are shifting for our culture, slowly, slowly......not looking forward to the junior high transition! Our families are pretty much carving the path for the families who follow. Sadly, with the drug, sex and alcohol culture, there are many, many children coming.
PermalinkPermalink 11/01/07 @ 08:04
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