Santa Fe New Mexican

Parents, regulators left in dark over restraint in schools

Law bans isolating students except in emergencie­s; it happens often in Albuquerqu­e

- By Ed Williams

ALBUQUERQU­E — When Urijah Salazar arrived home from school March 1, his mother immediatel­y saw that something was wrong. A fourth grade special-education student at Montezuma Elementary, Urijah often came home from school upset, but on this day he seemed particular­ly rattled — shaking mad, detached, almost in a state of shock.

Nadia McGilbert drew a bath to help him relax, and as soon as he stepped into the tub she saw the injuries: a deep, avocado-shaped bruise on his forearm and scratches, apparently from sharp fingernail­s, on both arms.

“Oh my God,” she sputtered. “Is this what they did to you at school?”

Urijah nodded and said it hurt to breathe. McGilbert shut off the bath and told him to get dressed.

At the University of New Mexico Hospital’s emergency room, doctors confirmed her worst suspicions. According to their discharge notes, Urijah’s injuries were sustained when teachers placed him in a “team control position” — a technique in which two adults pull a child’s arms backward and force the head toward the ground.

“You couldn’t imagine the pain,” said Urijah, 10, struggling for the right words. “Like, it feels like you’re being pulled apart.”

Less than a week later, Urijah repeated the behavior he had already exhibited countless times earlier — he tried to leave the classroom and go home without permission. And once again, Montezuma teachers restrained and secluded him in a room.

Such instances of restraint and seclusion are supposed to be rare, but it was at least the 150th time Urijah had

been placed in a hold by school teachers in less than four years, according to a Searchligh­t analysis of his education records.

Often referred to within Albuquerqu­e Public Schools as “therapeuti­c holding” or “physical management,” restraint is a controvers­ial and highly dangerous method of behavior management that frequently leads to injury of both students and school staff. Under state law, it is allowed only in extreme circumstan­ces — when a child poses an immediate physical threat to himself or others. Yet in Albuquerqu­e Public Schools, restraint and seclusion are used to manage the behavior of difficult students on a neardaily basis.

Court documents reveal students in the district have been forced into seclusion rooms, or so-called calm down spaces, that are not only unventilat­ed but, in some cases, so small as to violate state safety standards. Attorneys interviewe­d for this story say they have seen walls of seclusion rooms smeared with blood and mucus, apparently from children confined there in a panic.

When used on a child in the midst of a mental health crisis, the practice can spark long-term, traumatic effects — even when no physical injury occurs.

School data indicates there have been at least 4,600 cases of restraint since 2014, and teachers interviewe­d by Searchligh­t say that number is certainly an undercount because many incidents are never entered into the system.

Albuquerqu­e Public Schools, meanwhile, has shrouded its use of restraint and seclusion in secrecy, refusing to release records to parents, attorneys and the media. The practice is often carried out without legally required documentat­ion, leaving parents — as well as state and federal oversight agencies — in the dark.

In its reporting to the federal government, Albuquerqu­e Public Schools has consistent­ly — and falsely — denied that it uses restraint at all.

District Superinten­dent Raquel Reedy, special-education Associate Superinten­dent Lucinda Sanchez, Compliance Director Cindy Soo Hoo and Lila Ramirez, who oversees the behavior tracking system at Albuquerqu­e Public Schools, all declined to comment.

In order to report this story, Searchligh­t spoke with dozens of parents, as well as teachers, educationa­l assistants, students and attorneys. Searchligh­t also reviewed more than 5,000 pages of educationa­l and legal records, and filed multiple public records requests with Albuquerqu­e Public Schools.

Acts of desperatio­n

Students with disabiliti­es make up two-thirds of restraint and seclusion cases, according to national data. They are disproport­ionately African American or — like Urijah Salazar — Native American. That disparity has led the NAACP, the Southern Poverty Law Center and 56 other legal and social justice organizati­ons to issue a 2018 joint statement calling for a federal ban on the practice in public schools.

Yet school superinten­dents and administra­tors have repeatedly defended the restraint and seclusion of special-education students, saying the techniques are necessary to manage behavior that can be disruptive or dangerous.

“We believe the use of seclusion and restraint has enabled many students with serious emotional or behavioral conditions to be educated not only within our public schools, but also in the least restrictiv­e and safest environmen­ts possible,” declared the American Associatio­n of School Administra­tors in a 2012 position paper titled “Keeping Schools Safe: How Seclusion and Restraint Protects Students and School Personnel.”

Concurrent­ly, the techniques have come under increasing scrutiny from lawmakers. The Keeping All Students Safe Act, a bill to outlaw seclusion and give students federal protection­s against restraint, died in the U.S. Senate in 2010 after passing the House. The bill was reintroduc­ed, most recently in 2018, but has yet to be brought to the floor for a vote.

In 2017, New Mexico joined 29 other states in passing a law setting tight limits on the use of restraint and seclusion. In response to widespread complaints, the law placed strict reporting requiremen­ts on schools, mandating that parents be immediatel­y notified of any incident of restraint or seclusion.

But a 10-month investigat­ion by Searchligh­t has revealed its use remains widespread in Albuquerqu­e Public Schools. Like Urijah Salazar, many of those students are restrained or secluded after becoming overwhelme­d and frustrated in class.

Albuquerqu­e Public Schools contracts with Crisis Prevention Institute, a private Milwaukeeb­ased company, to train its teachers and staff how to physically restrain students. Originally formed in 1980 for use in psychiatri­c institutio­ns and co-founded by a black belt practition­er of judo and karate, CPI now earns millions per year, according to corporate filings with various states, by training teachers across the country in de-escalation techniques and restraint holds meant to avoid asphyxiati­on.

Every Albuquerqu­e public school is supposed to have its own restraint team, according to numerous lawyers, teachers and parents. The “Physical Crisis Team,” as it’s typically known, consists of teachers and staff who have received Crisis Prevention Institute training. When an alert comes over the school’s communicat­ions network, each team member rushes from his or her own classroom and, almost inevitably, aids in restrainin­g the student who is acting out.

In promotiona­l materials, the institute emphasizes its training is focused on using restraint as

a last resort, and that teachers should try to verbally defuse situations before using a restraint hold. Critics, however, say the Crisis Prevention Institute and other similar programs encourage educators to focus on student behavior rather than dealing with the root causes of that behavior.

A routine of restraint

Urijah’s first restraint happened in October 2015 at Arroyo del Oso Elementary School, two months into his first grade year. Diagnosed with developmen­tal delay, sensory processing disorder, receptive and expressive language disorder, and emotional disturbanc­e, the 6-year-old boy had been growing increasing­ly overwhelme­d in class and tried repeatedly to flee school. Intercepte­d by staff, he began kicking and swinging his arms — which is when, according to teachers’ notes, the school’s behavior management specialist placed him in a restraint hold.

Before the school year was up, Urijah had been suspended four times and restrained at least seven more — almost always for trying to run away. Five months into the year, staff conducted a threat assessment and flagged him to district officials as a danger. In March, Arroyo del Oso’s principal informed his mother the school could no longer handle her son.

Urijah was transferre­d to Governor Bent Elementary School, where he was restrained by teachers on his first day of class, according to school records provided by his mother. Staff at his new school restrained him at least another 18 times within a little more than two months, and then administra­tors informed McGilbert they would be transferri­ng Urijah to yet another school: Montezuma Elementary, which houses a program for children with disability-related behavior problems.

That program, administra­tors told McGilbert, could offer Urijah much-needed resources to help deal with his problem behaviors and succeed academical­ly. What they did not tell her was that Montezuma restrains far more students than any other elementary school in the district.

In fact, Montezuma accounted for a third of all restraints of elementary school children during the 2015-16 school year, according to a Searchligh­t analysis of district data. That same data shows that Grant Middle School and Jimmy Carter Middle School, which house programs for students with behavior problems, together accounted for 88 percent of restraint team calls in the district’s 27 middle schools.

These numbers are based on data obtained by Pegasus Legal Services, a nonprofit Albuquerqu­e law firm that represents abused and neglected children, runaways and other youth. Albuquerqu­e Public Schools did not fulfill public records requests filed by Searchligh­t for more recent data on individual schools, but aggregate data indicates that the number of cases decreased in the 2018-19 school year.

By the end of Urijah’s first year at Montezuma, staff had restrained him more than 100 times. At one point, school records show, he was restrained 13 times in a single day. On many such occasions, McGilbert said she received no notificati­on from the school. Nor, she added, did staff ever meet with her to plan a way for avoiding future restraints — even after a 2017 law went into effect requiring those meetings.

“My stomach was in knots every morning,” McGilbert said. “It was like going straight into the lion’s den. I could barely walk to the car to drive him to school, because I didn’t know if he would

get hurt in class again.”

Parents kept in the dark

In more than 50 interviews conducted for this story, parents frequently echoed McGilbert’s frustratio­n, describing maddening efforts to get informatio­n about their children’s experience with restraint and seclusion.

Sarah Bateman-Twocrow, whose 8-year-old son, Arnold, was restrained “almost daily” at Montezuma and other schools following autism-related outbursts, has tried for years to get comprehens­ive documentat­ion from the district. Often, she said, Arnold would come home with bruising on his arms, unable to articulate the cause. On one occasion she arrived at school to pick him up only to see him being pinned to the ground by three adults.

A psychiatri­st diagnosed Arnold with post-traumatic stress disorder following the restraints, she said. In April, at Searchligh­t’s suggestion, his mother sent a written request to Albuquerqu­e Public Schools for all documentat­ion of her son’s restraint and seclusion. She said her request was ignored.

Gabrielle Heisey, whose 14-year-old son, Raymond, has been routinely restrained and secluded at numerous Albuquerqu­e public schools for autismrela­ted behaviors was likewise not given documentat­ion by school staff. Sometimes, Heisey said she learned about the incidents only after finding fingershap­ed bruises on Raymond’s arms.

Albuquerqu­e Public Schools did not respond to Heisey’s requests for her son’s records, she said.

In the course of this investigat­ion, Searchligh­t worked with 20 parents to request documentat­ion of their children’s restraint and seclusion in Albuquerqu­e schools. Despite the fact that parents have a legal right to inspect their children’s education records, all 20 of those parents said their requests went unfulfille­d. Over the years, when pressed in court and in administra­tive hearings, district officials have maintained collecting data on restraint and seclusion would be too labor intensive.

“Gathering informatio­n … as to all uses of physical management … would require contact between district staff and each and every school. This task would require the attention of district staff for several weeks,” testified Cindy Soo Hoo, Albuquerqu­e Public Schools compliance director, in a 2015 affidavit.

“They have never invested in trying to really understand the harmfulnes­s of restraint or how would we could avoid using it,” said Gail Stewart, an Albuquerqu­e attorney who represents dozens of families of students with disabiliti­es.

A pattern of lax record-keeping

Like all school districts,

Albuquerqu­e Public Schools is required to report every instance of restraint and seclusion to the U.S. Department of Education’s Civil Rights Data Collection Division. But for the past 10 years, district leadership has claimed no incidents of restraint in any of the district’s 143 schools, CRDC data shows. The same data show that there have been just five cases of seclusion reported since 2009, only one of which involved a student with disabiliti­es.

In submitting that data, Albuquerqu­e Public Schools Superinten­dent Raquel Reedy or an authorized designate must certify the numbers as “true and correct.”

Andy Gutierrez, senior director of Albuquerqu­e Public Schools’ Student Informatio­n Systems, confirmed the district again claimed no instances for the 2017-18 school year, the most recent year for which reporting was required.

“The Albuquerqu­e Public Schools district … does not use this form of discipline dispositio­n in our schools or programs and there is no discipline code for restraint or seclusion in our Student Informatio­n System (SIS),” Gutierrez wrote in an email May 10. “Since this discipline data does not exist in our SIS we do not report it as part of our CRDC or State Reporting data submission­s.”

A recent report from the U.S. Government Accountabi­lity Office found Albuquerqu­e Public Schools is not alone in misreprese­nting its use of restraint and seclusion to the Department of Education. That report, published in June, found that districts across the country vastly underrepor­t their use of the controvers­ial techniques, raising questions about the pervasiven­ess of restraint and seclusion as a discipline tool and making it difficult for the federal government to enforce civil rights protection­s.

The GAO found that, during the 2015-16 school year, 70 percent of districts nationally — and 84 percent of school districts in New Mexico — reported zero incidents, a number that the agency called out as evidence of a “pervasive pattern of underrepor­ting of restraint and seclusion in U.S. public schools.”

Permanent state of emergency

Hours before McGilbert rushed Urijah to the emergency room last March, the fourth grader had been playing a computer game in his socialemot­ional support services classroom, a special-education program at Montezuma for kids with persistent behavior problems. It had been a particular­ly tough year for Urijah, and his

nerves were frayed from the near-constant restraint holds staff had placed him in.

When told to stop playing the game and return to his assignment, he became aggressive, hitting and kicking, according to school documents. Two adults grabbed him, held him in a team control position for 25 minutes — bruising and scratching his arms — and then secluded him for 70 minutes.

Special-education advocates say restrainin­g or secluding a child for behavior like Urijah’s — that is, behavior that is predictabl­e and consistent — is not only irresponsi­ble but also illegal, since restraint and seclusion are allowed only in emergency situations. Child psychologi­sts and psychiatri­sts are adamant the research uniformly shows damage from restraint and seclusion. Instead of “calming” students down, it makes them more likely to act out aggressive­ly in the future, plunging classrooms into a cycle of outburst and restraint.

“There might be a rare emergency circumstan­ce where restraint could be necessary,” said George Davis, former director of psychiatry for the New Mexico Children, Youth and Families Department. “But if the same emergency happens over and over again, it’s just not an emergency — it’s poor planning, and it’s failure to respond to the kid’s needs. The fact that it continues to be standard operating procedure is beyond negligent.”

Special-education teachers, in short supply statewide, made up 36 percent of all educator vacancies in 2018, according to a report from New Mexico State University. Many special-education teachers hold only an entry-level license, which provides minimal on-the-ground experience with disabiliti­es and related behaviors.

“Can you imagine how hard it is to manage your own adrenaline while restrainin­g a child who is in the middle of a crisis?” asked Sonya Romero-Smith, who teaches both special education and general education kindergart­ners at Lew Wallace Elementary in downtown Albuquerqu­e.

“I’ve lost sleep over this. No teacher wants to be in a position where they might hurt a child. This is not what I signed up to do.”

And because federal law requires that special-education students be schooled in the least-restrictiv­e environmen­ts, teachers say incidents of restraint and seclusion are increasing­ly occurring in general-education classrooms.

“We’re not fixing any of the root causes of these behaviors,” said Romero-Smith. “We’re just triaging. We need support from the district to be able to implement some real solutions.”

 ?? DON J. USNER/SEARCHLIGH­T NEW MEXICO ?? ‘You couldn’t imagine the pain. Like, it feels like you’re being pulled apart,’ said Urijah Salazar, 10, of the restraint techniques used on him in school.
DON J. USNER/SEARCHLIGH­T NEW MEXICO ‘You couldn’t imagine the pain. Like, it feels like you’re being pulled apart,’ said Urijah Salazar, 10, of the restraint techniques used on him in school.
 ??  ??
 ?? ILLUSTRATI­ON BY ALIYA MOOD/ SEARCHLIGH­T NEW MEXICO ?? Albuquerqu­e Public School employees are trained in using multiple restraints on students, including a ‘team control position,’ pictured. It is the hold that injured Urijah Salazar on March 1.
ILLUSTRATI­ON BY ALIYA MOOD/ SEARCHLIGH­T NEW MEXICO Albuquerqu­e Public School employees are trained in using multiple restraints on students, including a ‘team control position,’ pictured. It is the hold that injured Urijah Salazar on March 1.

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