Use of Restrictive Procedures 2016-2017

District Summary Data

Please complete and submit this form electronically – do not submit a scanned copy.

For questions about filling out this form, please contact Ross Oden in the Division of Compliance and
Assistance, ross.oden@state.mn.us or 651-582-8450.
District Name: SWMetro Intermediate District District #: 288
District Contact: Jen Worshek Phone: 952-567-8247 Email: jworshek@swmetro.k12.mn.us
298 Total number of special education students served by the district during the school year
(whether currently enrolled or not).
185 Total number of uses / incidents 1 of restrictive procedures (both physical holding and
seclusion) during the school year (including during ESY services, as applicable).
34 Total number of special education students upon whom a restrictive procedure was used.
6 Total number of special education students upon whom restrictive procedures were used 10 or
more school days during the school year.

Physical Holding
75 Total number of uses / incidents1 of physical holding. Use of force covered by Minnesota
Statute, section 121A.582 (“reasonable force”) must be documented and reported when the
actions meet the definition of “physical holding” under Minnesota Statute, section 125A.0941(c). 2

Seclusion
110 Total number of uses / incidents1 of seclusion. Use of force covered by Minnesota Statute,
section 121A.582 (“reasonable force”) must be documented and reported when the actions
meet the definition of “seclusion” under Minnesota Statute, section 125A.0941(g).2

Training Needs
How can MDE be a resource for your district as you address and support the behavioral needs of
students? This may include, but is not limited to, training for staff related to positive supports, the
reduction of restrictive procedures, discipline, regulations and laws, assistance in accessing other
resources (CTSS, grants, other funding sources) and/or other forms of technical assistance and training.

1
An example on “uses” / “incidents” of restrictive procedures: In an emergency, a student is physically held from 10:00 a.m.to
10:03 a.m. while being transported to the seclusion room. The student is secluded for 3 minutes before appearing calm. At 10:06
a.m. staff open the door to the seclusion room and the student immediately charges, attempting to hit staff. The door to the

seclusion room is closed again. The student remains in seclusion for 4 minutes and at 10:10 a.m. the door is opened and staff are

able to process with the student. This is reported as one use of physical holding and two uses of seclusion.

2
See Minn. Stat. § 125A.0942, subd. 6(b).

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 District Summary Data – Restrictive Procedures 2016-2017

Demographics
Physically Held Students– In each category, provide the number of special education students upon
whom physical holding was used (except for the “injuries” category, which is for the number of injuries
sustained).
Disability Disability Fed. Inst. Setting Fed. Inst. Setting Fed. Inst. Setting
20 ASD 1 OHD 0 01 0 11 0 32
0 DB 0 PI 0 02 0 12 0 33
0 DHH 2 SMI 0 03 0 13 0 34
0 DCD - MM 0 SLD 34 04 0 14 0 41
5 DCD - SP 0 SLI 0 05 0 15 0 42
0 DD - 0-2 0 TBI 0 06 0 16 0 43
0 DD - 3-6 0 VI 0 07 0 17 0 44
6 EBD 0 08 0 31 0 45

Age Race/Eth. Race/Eth. Gender Injuries

0 0-5 0 Amer. Indian 29 White 29 Male 1 Staff
6 6-10 0 Asian 0 Other 5 Female 0 Student
22 11-15 4 Black
6 16-21 1 Hispanic

Page 2 of 2 Rev. May 2017