Teacher- and Administrator-Reported Mechanical Restraint Use in Schools
- 15 September 2025
- journal article
- Published by SAGE Publications in Behavioral Disorders
- Vol. 51 (4) , 207-215
Abstract
Students with disabilities are subjected to coercive measures more frequently than typically developing students. While mechanical restraint, a procedure that restricts movement by using a device (e.g., belt, strap), is illegal to use in public schools in many states, some teachers may not be aware of that. There is no study to date examining teacher- or administrator-reported use of mechanical restraint events in school settings. The current study explored the frequency of teacher- and administrator-reported mechanical restraint use, types and prevalence of devices used, and sociodemographic variables associated with mechanical restraint use. Ninety-six Prekindergarten through 12th grade teachers and 160 administrators (e.g., principals, special education coordinators) in the United states completed an online, self-report survey. Most teachers ( n = 77) and administrators ( n = 129) reported the crisis management team using only their physical body during restraint events. Fifteen teachers and 23 administrators reported at least one device being used during at least one restraint event. A variety of types of devices and a range of prevalence of device use were reported. No sociodemographic variables were associated with teacher- or administrator-reported device use. Implications for policy and practice are provided.Keywords
This publication has 21 references indexed in Scilit:
- Teacher Experiences of Restraint Events and School District Policies on the Use of Restraint with Children With DisabilitiesBehavioral Disorders, 2024
- A systematic review of interventions to reduce mechanical restraint in adult mental health inpatient settingsInternational Journal of Mental Health Nursing, 2023
- Effects of Ending the Use of Seclusion and Mechanical Restraint in the Pennsylvania State Hospital System, 2011–2020Psychiatric Services, 2023
- A 26-Year Study of Restraint Fatalities Among Children and Adolescents in the United States: A Failure of Organizational Structures and ProcessesChild & Youth Care Forum, 2021
- Association of physical injury and mental health: Results from the national comorbidity survey- adolescent supplementJournal of Psychiatric Research, 2017
- The impact of psychological factors on recovery from injury: a multicentre cohort studySocial Psychiatry and Psychiatric Epidemiology, 2016
- Determinants of social desirability bias in sensitive surveys: a literature reviewQuality & Quantity, 2011
- Mechanical Restraint-Which Interventions Prevent Episodes of Mechanical Restraint?-A Systematic ReviewPerspectives in Psychiatric Care, 2011
- Physical Restraint of Students with Behavior Disorders in Day Treatment and Residential SettingsBehavioral Disorders, 2008
- Maximizing the Implementation Quality of Evidence-Based Preventive Interventions in Schools: A Conceptual FrameworkAdvances in School Mental Health Promotion, 2008