Survey of Strategies to Prevent Restraint and Seclusion

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Share with other implementers how the PBIS framework supports your district and/or school in preventing restraint and seclusion. Data will be aggregated and used for action planning to support coaches. Individual names and school names will be kept private. Send us any additional or personal questions at support@midwestpbis.org

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Is your district/school using its PBIS framework to address restraint and seclusion? *

Select the best fit

Yes, we were already addressing restraint and seclusion practices through our PBIS

Yes, we are just now starting to address restraint and seclusion through our PBIS

N/A: We do not have PBIS in place at our school

Which core features of PBIS are in place to prevent restraint and seclusion within your school?

Select all that apply

Practice: School-wide expectations and rules for all students and staff are in place

Practice: Explicit teaching of school-wide expectations and social-emotional-behavioral skills is in place

Practice: Providing positive, specific feedback at high ratio is in place

Practice: Direct instruction of appropriate replacement behavior

Practice: Function based behavior intervention and safety plans are in place for students with intensive behaviors

Practice: Direct instruction and reinforcement of de-escalation and self-regulation strategies is in place

System: Updated school-wide crisis plan

System: Clear and frequent communication and professional develop to teachers on practices within crisis plan

System: An identified team utilizes restraint and seclusion data for problem solving

System: On-going professional development and coaching in place to support staff in preventative classroom practices

System: On-going professional development and coaching in place to support staff in de-escalation strategies

Data: Aggregated school-wide data is collected for restraint and seclusion events

Data: Decision rules for entry, progress monitoring, and exit are clear for all advanced tiered interventions to ensure early access and reponse

Data: Individual student plans are monitored for response on regular basis

Data: Individual student plans are monitored for fidelity of implementation of function based strategies

How else have/are you using PBIS to address restraint and seclusion?

What additional supports could Midwest PBIS Network provide to improve your efforts?

Your Name:

What is your role?

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School Name

District Name and State

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