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PHYSICAL AND DRUG RESTRAINTS
'Chemical cosh' threat to violent
pupils
Some of Scotland’s most vulnerable schoolchildren will
have to be controlled using the “chemical cosh” Ritalin because staff
fear prosecution if they use physical restraint, ministers were warned
last night. A special school head said lack of official guidance on how
to restrain violent youngsters left staff open to allegations of
assault, and the increased use of drugs might be the only way of dealing
with the problem.
Graham Bell, the chief executive of Kibble Education
and Care Centre in Paisley, said his staff were using force around five
times a week and, as a result, facing an average of one assault
allegation to police a month. Bell, whose school offers a last chance
before secure accommodation to 100 boys with severe behavioural
problems, said he could not tolerate the safety and liberty of his staff
being put at risk and that the widespread use of Ritalin might be the
consequence. Bell is angry that the Scottish Executive has still not
issued official guidance on approved restraint techniques to special
schools more than a decade after they were promised. Ministers have
promised “action” before the end of the year, but that amounts only to
the launch of a consultation, with no fixed date for guidelines to be in
place.
It emerged last week that Kerelaw School, Ayrshire, is
to close following the suspension or transfer of 23 staff amid
allegations of assault against youngsters. Some new staff said they had
not been trained how to restrain pupils safely. The allegations have led
to comparisons with the “pindown” scandal in England during the early
1990s, when carers used excessive force and solitary confinement to
control children. Victims of the regime, used on children in
Staffordshire County Council’s care, won compensation of almost £2m
after a damning report into the procedure. Following the scandal, care
homes in Scotland were promised detailed guidance on how to control
violent or unruly children, but these have still not been delivered.
There are around 1,000 pupils in specialist schools for children with
behavioural problems in Scotland. Teachers at the Kibble centre say they
put themselves at risk of abuse claims every time they have to use force
against a violent child. This often involves several members of staff
holding the pupil down in a restrictive position.
Bell said: “It’s important to point out that we use
techniques to calm the situation down and stop young people becoming
aggressive. Using force is always the last resort and our methods
emphasise the safety of young people. But if we don’t, how else do we
provide structure? We would be criminally negligent if we refused to do
it. It’s protecting young people from themselves and protecting everyone
else. It is very important young people feel safe, and they only feel
safe if adults are in control.” Staff were constantly in an “impossible
situation” where they were trying to protect themselves and other
children, Bell said. “However, we still have around one complaint every
month from a pupil who alleges abuse in these situations, although these
are usually proved untrue.” A handful of children at Kibble already
receive Ritalin to alleviate hyperactivity. Bell warned use of the drug
could rise to 85% — a figure experienced in care homes in the US —
unless guidance was issued.
He said: “If we don’t have guidelines then we face a
situation here where more children will end up being drugged and locked
up. We don’t want to lock children up and use psychotropic drugs, but if
we don’t do anything we just leave it to individual staff to decide
what’s right and what’s wrong. Is that fair on the children and staff?”
Bell admitted three members of his own staff are currently being
investigated. In one recent case, a staff member dealing with a violent
pupil who was threatening assault placed a chair between himself and the
pupil, who later claimed the teacher had hit him with it. The teacher
was subsequently charged and the matter reported to the procurator
fiscal. The fiscal took no action. Over the intervening period, however,
the issue hung over the teacher, threatening his career. The charge
remains on his file.
Bell added: “We have been asking for guidance since
1995 and it still hasn’t happened. So I am really worried it will slip
again.” Kibble is an independent organisation founded in 1859 and is now
the biggest centre of its kind in the UK. It has around 100 pupils, all
boys. All have been referred through Children’s Panels — some for petty
offending, drug or alcohol abuse and self-harm and others for more
serious problems including worrying sexual behaviour. The boys live in
residential units and are monitored round the clock, although not kept
under lock and key. Pupils sent to the school are on their last chance
before secure accommodation, and local authorities pay up to £170,000 a
year for placements. Kerelaw, which is run by Glasgow City Council, has
been at the centre of a series of allegations. Inspectors were called in
by the council in June after allegations from present and former pupils
about several welfare issues, including what were said to be
“inappropriate” restraint procedures. Earlier this week, police said a
55-year-old man was being reported to the procurator fiscal in
connection with the allegations. The school will close in March. Kerelaw
staff refused to comment on the issue.
Fiona Hyslop, SNP education spokeswoman, said:
“Best practice guidelines should be issued if they are needed.
“We can’t have people trying to create their own rules, particularly
following the situation at Kerelaw. Without guidelines the system is
open to abuse by staff and pupils.”
A spokesman for the Scottish Conservatives said: “This seems an
intolerable situation and for the sake of pupils and staff it is
important that this is drawn to the attention of the Education
Minister, Peter Peacock.” The Scottish Executive said last night it
would issue draft guidelines for consultation by the end of the
year, which would be the subject of a consultation. It is unclear
exactly when final guidance will be published. The Departments of
Health and Education for England and Wales published guidelines two
years ago, emphasising training, legal considerations and risk
assessment.
Kate Foster
17 October 2004
http://news.scotsman.com/index.cfm?id=1207132004
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