What is the maximum duration for a standard personal restraint (non-prone/supine) applied to a child?

• A. Five minutes
• B. Fifteen minutes
• C. Thirty minutes
• D. Sixty minutes

Answer: (C)

The maximum duration for a standard personal restraint (not in a prone/supine position) is 30 minutes. This limit exists because restraints carry real risks of physical injury and distress, so they’re kept as brief as possible while staff work to de-escalate the situation and keep the child safe. While restrained, the child must be continuously observed, with attention to breathing, circulation, and overall well-being, and staff should release the child as soon as it is safe to do so or once the risk has diminished. Use the least restrictive method and document thoroughly, including who was involved, the reason for the restraint, start and end times, and the child’s condition. If the child remains a danger after 30 minutes, policy requires escalation—consult with a supervisor, reassess the situation, and pursue alternative safety plans or appropriate assistance.