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<section article="ged" article_name="Education" number="7-1102" title_number="7" title_name="Public Schools" subtitle_number="11" subtitle_name="Student Behavior Intervention">
  <level label="a">
    <text>This section does not apply to the Juvenile Services Education Program.</text>
  </level>
  <level label="b">
    <text>A public agency may not use seclusion as a behavioral health intervention for a student.</text>
  </level>
  <level label="c">
    <text>Neither a public agency nor a nonpublic school may use physical restraint on a student as a behavioral health intervention unless:</text>
    <level label="1">
      <text>Physical restraint is necessary to protect the student or another individual from imminent serious physical harm; and</text>
    </level>
    <level label="2">
      <text>Other, less intrusive, nonphysical interventions have failed or been demonstrated to be inappropriate for the student.</text>
    </level>
  </level>
  <level label="d">
    <level label="1">
      <text>A nonpublic school may not use seclusion as a behavioral health intervention for a student unless:</text>
      <level label="i">
        <text>Seclusion is necessary to protect the student or another individual from imminent serious physical harm;</text>
      </level>
      <level label="ii">
        <text>Other, less intrusive interventions have failed or been demonstrated to be inappropriate for the student;</text>
      </level>
      <level label="iii">
        <text>A health care practitioner who qualifies under subsection  (e) of this section is on site and is directly observing the student during the seclusion;</text>
      </level>
      <level label="iv">
        <text>The health care practitioner concludes that seclusion is not contraindicated for the physical, psychological, or psychosocial health of the student;</text>
      </level>
      <level label="v">
        <text>If the door to the room in which the student is being secluded has a locking mechanism, the locking mechanism is engaged only if held in place by an individual or, if operated electronically, automatically releases in the case of an active fire alarm; and</text>
      </level>
      <level label="vi">
        <text>The period of seclusion lasts the lesser of:</text>
        <level label="1">
          <text>30 minutes; or</text>
        </level>
        <level label="2">
          <text>A point in time during which the student no longer poses a threat of imminent serious physical harm.</text>
        </level>
      </level>
    </level>
    <level label="2">
      <level label="i">
        <text>For a student who has an individualized education program and is placed in seclusion, the individualized education program team, in consultation with the health care practitioner who observed the seclusion, shall review the student’s physical, psychological, and psychosocial health history to determine whether seclusion is contraindicated for the student.</text>
      </level>
      <level label="ii">
        <text>A determination under this paragraph shall be made:</text>
        <level label="1">
          <text>At each annual review of the student’s individualized education program; and</text>
        </level>
        <level label="2">
          <text>Within 10 days of a student’s placement being changed.</text>
        </level>
      </level>
    </level>
    <level label="3">
      <level label="i">
        <text>If a student’s behavior is adversely affected after being placed in seclusion, the nonpublic school shall convene a pupil personnel meeting on an expedited basis or at the earliest opportunity to discuss alternative behavioral health treatments.</text>
      </level>
      <level label="ii">
        <text>If the behavior of a student with an individualized education program is adversely affected after being placed in seclusion, the student’s individualized education program team shall convene a meeting on an expedited basis or at the earliest opportunity to discuss alternative behavioral health treatments.</text>
      </level>
    </level>
  </level>
  <level label="e">
    <text>Before a health care practitioner may use seclusion as a behavioral health intervention for a student in a nonpublic school, the health care practitioner shall:</text>
    <level label="1">
      <level label="i">
        <text>Be a physician, licensed to practice under Title 14 of the Health Occupations Article;</text>
      </level>
      <level label="ii">
        <text>Be a psychologist, licensed to practice under Title 18 of the Health Occupations Article;</text>
      </level>
      <level label="iii">
        <text>Be a clinical social worker, licensed to practice under Title 19 of the Health Occupations Article;</text>
      </level>
      <level label="iv">
        <text>Be a registered nurse, licensed to practice under Title 8 of the Health Occupations Article; or</text>
      </level>
      <level label="v">
        <text>Be a clinical professional counselor, licensed under Title 17 of the Health Occupations Article;</text>
      </level>
    </level>
    <level label="2">
      <text>Have received training in all topics required under COMAR 13A.08.04.06, in effect on June 30, 2022; and</text>
    </level>
    <level label="3">
      <text>Be clinically familiar with a student.</text>
    </level>
  </level>
</section>
