Which scenario would trigger a triggered review for the use of a personal restraint as an emergency behavior intervention for a specific child?

• A. The same child is personally restrained four times within a seven-day period
• B. The same child is personally restrained twice within a seven-day period
• C. The same child is personally restrained once in a 30-day period
• D. A different child is personally restrained four times within a seven-day period

Answer: (A)

Frequent use of a personal restraint on the same child within a short window signals a need to review how the emergency behavior intervention is being used and whether it's effective and safe. When the same child is restrained four times in seven days, that level of frequency triggers a review to examine the circumstances, ensure all less intrusive options were considered, and determine if changes are needed to the behavior plan, staff responses, or supports in place.

The other scenarios don’t meet that specific threshold for the same child: two restraints in seven days is not enough to trigger a review, one restraint in thirty days is not, and four restraints on a different child would trigger a review for that child, not the one in question.