PBIS Building Information

To participate in PBIS District Information reporting and Restraint & Seclusion Incidents building reporting, use the secure link that was emailed to your district superintendent.

PBIS and Restraint & Seclusion Reporting Start Page

Restraint and Seclusion Building Incidents
for School Year 2022-2023

The building level reporting includes training for student personnel as well as restraint incidents and seclusion incidents. There are worksheets on the PBIS homepage to help you collect data for each building before entering it online.

PBIS district information and school building reporting reporting for School Year School Year 2022-2023 is available starting June 5, 2023 and is due by August 4, 2023.

Restraint & Seclusion Building Level Data

PBIS Restraint & Seclusion Incident Reporting.

"*" indicates required fields

1Building Training

2Restraint Incidents

3Seclusion Incidents

4Review and Submit

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Number of Buildings

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Number of Buildings Submitted

School Building

Building Name (IRN)

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reporting for district

You are reporting students from

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birn

Effective for the 2022-2023 school year, the revised rule states after a student’s third incident of restraint or seclusion, a team will meet to discuss the need to conduct or review a functional behavioral assessment (FBA) and/or behavior intervention plan (BIP).

The meeting must occur within 10 school days of the third incident.
If the Student has an IEP or 504 Plan, the meeting must be with the student’s IEP or 504 Plan team.
If the Student is a general education student, the team must include the parent or guardian, an administrator or designee, a teacher of the student, at least one staff member involved in the incident(s) and any other appropriate staff members.

Has the school building developed a procedure to flag the third incident of restraint or seclusion for a student in order to ensure a meeting is held to discuss whether an FBA or BIP needs created or revised?*

Yes

Restraint Incidents

The definition of physical restraint is the use of physical contact that immobilizes or reduces the ability of a student to move their arms, legs, body or head freely. The term does not include a physical escort, mechanical restraint or chemical restraint. Physical restraint does not include brief physical contact for the following or similar purposes:

To break up a fight;
To knock a weapon away from a student’s possession;
To calm or comfort;
To assist a student in completing a task/response if the student does not resist the contact; or
Prevent imminent risk of injury to the student or others.

Guidance: A series of disruptive student actions involving agitation, behavior leading to restraint, seclusion, or a combination of restraint and seclusion should be considered one reported incident. For example, a student restrained two times during an incident because the student was not fully calm at the time of attempted release would be counted as one report. However, a one-hour period during which time the student has returned to calm or typical functioning for the student, followed by the student becoming newly agitated and requiring restraint, seclusion, or a combination of restraint and seclusion would then generate a new (additional) reported incident.

*The use of physical restraint must be used as a last resort and only when there is an immediate risk of physical harm to the student or others and no other safe or effective intervention is possible. See Ohio rule for full guidance and prohibited practices on restraint.

List total number of incidents of restraint, in this specific building, that occurred during the 2022-2023 school year.*

Please enter a number greater than or equal to 0.

Of the total number of incidents of restraint, did any involve students with an IEP?*

Yes

Enter the number of incidents of restraint for these 13 disability categories. The total is shown below and must not be greater than the total number of incidents. Please enter a number greater than or equal to 0.

Autism*

Please enter a number greater than or equal to 0.

Intellectual Disability*

Please enter a number greater than or equal to 0.

Deaf-Blindness*

Please enter a number greater than or equal to 0.

Deafness*

Please enter a number greater than or equal to 0.

Emotional Disturbance*

Please enter a number greater than or equal to 0.

Hearing Impairment*

Please enter a number greater than or equal to 0.

Multiple Disabilities*

Please enter a number greater than or equal to 0.

Orthopedic Impairment*

Please enter a number greater than or equal to 0.

Other Health Impairment*

Please enter a number greater than or equal to 0.

Specific Learning Disability*

Please enter a number greater than or equal to 0.

Speech or Language Impairment*

Please enter a number greater than or equal to 0.

Traumatic Brain Injury*

Please enter a number greater than or equal to 0.

Visual Impairments*

Please enter a number greater than or equal to 0.

Sum of disability categories for restraints.

The number above must not exceed the total number of incidents.

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Total restraints minus disability categories

If the number above is negative, then the sum of disabilities categories exceeds the total number of incidents.

The sum of disabilities categories exceeds the total number of incidents.

Provide the number of students who had multiple incidents of restraint.*

Please enter a number greater than or equal to 0.

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Total restraints minus multiple restraints

The number of students who had multiple incidents of restraints cannot be greater than the total number of incidents of restraints.

Guidance: Your district may conduct a Functional Behavioral Assessment (FBA) or Behavioral Intervention Plan (BIP) if any student repeatedly engages in dangerous behavior that leads to instances of restraint and/or seclusion, though a single instance of restraint and/or seclusion could necessitate a review or development of a FBA or BIP. This pertains to all students and is not exclusive to students with disabilities.

Of the total number of restraint incidents, provide the number of incidents which resulted in the creation or amendment of a functional behavioral assessment (FBA).*

Please enter a number greater than or equal to 0.

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Total restraints minus FBA

The number of incidents which resulted in the creation or amendment of a functional behavior assessment (FBA) cannot be greater than the total number of incidents of restraint.

Of the total number of restraint incidents, provide the number of incidents which resulted in the creation or amendment of a behavioral intervention plan (BIP).*

Please enter a number greater than or equal to 0.

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Total restraints minus BIP

The number of incidents which resulted in the creation or amendment of a behavioral intervention plan (BIP) cannot be greater than the total number of incidents of restraint.

Number of students suspended due to behavior that led to restraint.*

Please enter a number greater than or equal to 0.

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Total restraints minus students suspended

The number of students suspended due to behavior that led to restraint cannot be greater than the total number of incidents of restraint.

Number of students expelled due to behavior that led to restraint.*

Please enter a number greater than or equal to 0.

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Total restraints minus students expelled

The number of students expelled due to behavior that led to restraint cannot be greater than the total number of incidents of restraint.

Number of reported restraint incidents that resulted in an injury to a student.*

Please enter a number greater than or equal to 0.

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Total restraints minus injury to a student

The number of reported restraint incidents that resulted in an injury to a student cannot be greater than the total number of incidents of restraint.

Number of reported restraint incidents that resulted in an injury to a staff member.*

Please enter a number greater than or equal to 0.

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Total restraints minus injury to a staff member

The number of reported restraint incidents that resulted in an injury to a staff member cannot be greater than the total number of incidents of restraint.

Seclusion Incidents

Seclusion is defined as the involuntary isolation of a student in a room, enclosure, or space from which the student is prevented from leaving by physical restraint or by a closed door or other physical barrier.

Guidance: Seclusion does not include incidents when the student voluntarily moves to a separate location to calm down or reduce sensory overload as part of a behavior plan or de-escalation plan, and the student is not prevented from leaving the area.

List the total number of incidents of seclusion, in the specific building, that occurred during the 2022-2023 school year.*

Please enter a number greater than or equal to 0.

Of the total number of incidents of seclusion, did any involve students with an IEP?*

Yes

Enter the number of incidents of seclusion for these 13 disability categories. The total is shown below and must not be greater than the total number of incidents. Please enter a number greater than or equal to 0.

Autism*

Please enter a number greater than or equal to 0.

Intellectual Disability*

Please enter a number greater than or equal to 0.

Deaf-Blindness*

Please enter a number greater than or equal to 0.

Deafness*

Please enter a number greater than or equal to 0.

Emotional Disturbance*

Please enter a number greater than or equal to 0.

Hearing Impairment*

Please enter a number greater than or equal to 0.

Multiple Disabilities*

Please enter a number greater than or equal to 0.

Orthopedic Impairment*

Please enter a number greater than or equal to 0.

Other Health Impairment*

Please enter a number greater than or equal to 0.

Specific Learning Disability*

Please enter a number greater than or equal to 0.

Speech or Language Impairment*

Please enter a number greater than or equal to 0.

Traumatic Brain Injury*

Please enter a number greater than or equal to 0.

Visual Impairments*

Please enter a number greater than or equal to 0.

Sum of disability categories for seclusions.

The number above must not exceed the total number of incidents.

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Total seclusion minus disability categories.

If the number above is negative, then the sum of disabilities categories exceeds the total number of incidents.

The sum of disabilities categories exceeds the total number of incidents.

Provide the number of students who had multiple incidents of seclusion.*

Please enter a number greater than or equal to 0.

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Total seclusions minus multiple seclusions

The number of students who had multiple incidents of seclusions cannot be greater than the total number of incidents of seclusions.

Guidance: Your district may conduct a Functional Behavioral Assessment (FBA) or Behavioral Intervention Plan (BIP) if any student repeatedly engages in dangerous behavior that leads to instances of restraint and/or seclusion, though a single instance of restraint and/or seclusion could necessitate a review or development of a FBA or BIP. This pertains to all students and is not exclusive to students with disabilities.

Of the total number of seclusion incidents, provide the number of incidents which resulted in the creation or amendment of a functional behavioral assessment (FBA).*

Please enter a number greater than or equal to 0.

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Total seclusions minus FBA

The number of seclusion incidents which resulted in the creation or amendment of a functional behavior assessment (FBA) cannot be greater than the total number of incidents of seclusion.

Of the total number of seclusion incidents, provide the number of incidents which resulted in the creation or amendment who of a behavioral intervention plan (BIP).*

Please enter a number greater than or equal to 0.

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Total seclusion minus BIP

The number of seclusion incidents which resulted in the creation or amendment of a behavioral intervention plan (BIP) cannot be greater than the total number of incidents of seclusion.

Number of students suspended due to behavior that led to seclusion.*

Please enter a number greater than or equal to 0.

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Total seclusions minus students suspended

The number of students suspended due to behavior that led to seclusion cannot be greater than the total number of incidents of seclusion.

Number of students expelled due to behavior that led to seclusion.*

Please enter a number greater than or equal to 0.

Hidden

Total seclusions minus students expelled

The number of students expelled due to behavior that led to seclusion cannot be greater than the total number of incidents of seclusion.

Number of reported seclusion incidents that resulted in an injury to a student.*

Please enter a number greater than or equal to 0.

Hidden

Total seclusions minus injury to a student

The number of reported seclusion incidents that resulted in an injury to a student cannot be greater than the total number of incidents of seclusion.

Number of reported seclusion incidents that resulted in an injury to a staff member.*

Please enter a number greater than or equal to 0.

Hidden

Total seclusions minus injury to a staff member

The number of reported seclusion incidents that resulted in an injury to a staff member cannot be greater than the total number of incidents of seclusion.

Connected by the Management Council

PBIS Building Information

Restraint and Seclusion Building Incidentsfor School Year 2022-2023

Restraint & Seclusion Building Level Data

School Building

Restraint Incidents

Seclusion Incidents

Review and Submit

Restraint and Seclusion Building Incidents
for School Year 2022-2023