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Missouri HB 432 – Use of Restraints on Students 

The State of Missouri passed House Bill 432 in 2021. This legislation set new guidelines on the use of restraints when working with students in schools. Below is a summary of the effects of HB 432 as well as information on how Safety-Care can be used to help ensure the safety of staff and students.

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Plain Missouri State Outline for Blog
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80% Reduction
in patient injuries
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57% Decrease
in staff-related injuries
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30% Reduction
in restraint & seclusion hours

How to Implement Safety-Care? 

1. Register for a Safety-Care Trainer class or call us to request a closed session for your organization. We regularly conduct classes in all 50 states and Canada.

2. Complete your class to become a certified Safety-Care Trainer for your organization. We bring you to fluency using an errorless teaching methodology.

3. You train and certify your staff in Safety-Care’s effective techniques.

4. Our Master Trainers are available by phone, email, or video to help your organization with any questions or concerns while using or implementing Safety-Care.

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Legal Requirements

Summary: 

Effective: June 24, 2021 

Last Updated: December, 2024

The State of Missouri passed House Bill 432 in 2021. This legislation set new guidelines on the use of restraints when working with students in schools. Below is a summary of the effects of HB 432 as well as information on how Safety-Care can be used to help ensure the safety of staff and students.

How Safety-Care aligns: Numerous education organizations throughout the United States and Canada rely upon QBS and our Safety-Care training to provide their staff members with the training they need to help maintain a safe and healthy environment. Safety-Care provides a comprehensive, supportive approach to incident prevention, de-escalation, and management. Your Staff will learn practical strategies for helping students that use evidence-based practices consistent with PBIS (Positive Behavior Interventions and Supports) and ABA (Applied Behavior Analysis).  

Safety-Care can meet the requirements of Departmental Requirements in the following ways: 

3. For all school years beginning on or after July 1, 2022, no school district, charter school, or publicly contracted private provider shall use any mechanical, physical, or prone restraint technique that:  

(1) Obstructs views of the student’s face;  
(2) Obstructs the student’s respiratory airway, impairs the student’s breathing or respiratory capacity, or restricts the movement required for normal breathing to cause positional or postural asphyxia;  
(3) Places pressure or weight on or causes the compression of the student’s chest, lungs, sternum, diaphragm, back, abdomen, or genitals;  
(4) Obstructs the student’s circulation of blood;  
(5) Involves pushing on or into the student’s mouth, nose, eyes, or any part of the face or involves covering the face or body with anything including, but not limited to, soft objects such as pillows, blankets, or washcloths;  
(6) Endangers the student’s life or significantly exacerbates the student’s medical condition;  
(7) Is purposely designed to inflict pain;  
(8) Restricts the student from communicating. If an employee physically restrains a student who uses sign language or an augmentative mode of communication as the student’s primary mode of communication, the student shall be permitted to have the student’s hands free of restraint for brief periods unless an employee determines that such freedom appears likely to result in harm to self or others.  

5. Before July 1, 2022, each school district, charter school, and publicly contracted private provider shall ensure that their written policy that addresses the use of restrictive behavioral interventions requires the following:  

(1) Any student placed in seclusion or restraint shall be removed from such seclusion or restraint as soon as the school district, charter school, or publicly contracted private provider determines that the student is no longer an imminent danger of physical harm to self or others;  

(2) All school district, charter school, and publicly contracted private provider personnel shall annually review the policy and procedures involving the use of seclusion and restraint. Personnel who use seclusion or restraint shall annually complete mandatory training in the specific seclusion and restraint techniques the school district, charter school, or publicly contracted private provider uses under this section;  

(3) (a) Each time seclusion or restraint is used for a student, the incident shall be monitored by a member of the school district, charter school, or publicly contracted private provider personnel, and a report shall be completed by the school district, charter school, or publicly contracted private provider. 

Why Safety-Care?

Benefits & Differentiators

In addition to Safety-Care being highly cost-effective, you get: 

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Skills to effectively prevent, minimize, & manage behavioral challenges with dignity, safety, & the possibility of change

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Decreases in staff and patient injuries and reduction in restraint & seclusion time

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Instructional procedures based on decades of evidence-based research & compatible with ABA, PBIS & reinforcement-based environments

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Customizable program for your setting, staff & clientele, with a strong focus on preventative via non-intrusive, replacement behaviors

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Extremely rigorous standards grounded in errorless teaching methodology

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Small, intimate class sizes backed by unlimited support & resources

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How Is Safety-Care So Effective?

A Genuine Focus on Implementing & Managing Positive Behavioral Skills

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Proactive, environmental management recommendations 

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Understanding of evocative effects of staff behavior

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In-depth analysis of antecedents and proactive antecedent interventions 

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Evidence-based reinforcement procedures 

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Required competency in de-escalation skills 

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Humane, non-invasive touch and QBS Check™ strategies 

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Evidence-based teaching procedures 

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Applicable to a wide array of settings, conditions & challenging behavior

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