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the courant. | Day One | Day Two | Day Three |
Day Four | Day Five | Reform | Forum | Database | Links | Home
Data Key:
N/A -- Information not available
P -- Physical restraint hold | M -- Mechanical restraint | S -- Seclusion
H -- Hospital | R -- Residential facility
The database below is organized by state, and then chronologically within each state.
A S St
Me
Da
tho Institution
Name g e at
te
e x e
d
Camp
2/
1
A
os,
F
2/
5
Z
Edith
98
2/
Ward,
4
C 14
Charl
M
5
A /9
es
2
Jadee
3/
d,
2
C 15
M
Zouha 2
A /9
ir
2
2/
Kiefer 3
C
M
3/
, Marc 8
A
93
7/
T.,
4
C 13
Laura
F
7
A /9
jean
4
11
Webb
3
C /1
,
M
6
A 9/
Barry
94
unide
4/
3
C
ntifie
M
1/
3
A
d
95
Jacks
4/
on,
4
C
M
5/
Rober 2
A
96
t
Diaz,
4/
Josep
4
C 30
h
M
0
A /9
Richa
6
rd
Kand
9/
a,
C 20
6 M
Jimm
A /9
y
7
unide
2
C N/
ntifie
M
0
A A
d
T
y
Notes on death
p
e
Cause of death
Asphyxiation
P
Desert
Hills
Center
Restrained after not
R giving staff a family
photo.
M
Brotman
Memorial
Hospital
No autopsy; a doctor
Medicated and
signed the death
H
restrained for 11 hours. certificate stating Ward
died of heart failure
M
Strapped face down on Napa County sheriff's
Napa State
H a mattress after eight coroner listed cause of
Hospital
hours of restraint.
death as "undetermined"
M
East Bay
Hospital
M
John
Face down on bed and
George
H placed in five-point
Psychiatric
restraints.
Pavilion
M
Valley
Medical
Center
M
Died after being
Napa State
Cerebral and cerebellar
H restrained overnight in
Hospital
hypoxia
a chair with waistbelt.
M
East Bay
Hospital
P
Fairview
Restrained face down
Developme R
on bed.
ntal Center
M
M
Restrained to bed with
H straps, belts and cuffs
for 18 hours.
H
Psychiatric drug
overdose, according to
lawsuit
Asphyxiation from
positioning in restraints
Placed in restraints for
Cardiac arrest
more than seven hours.
Strapped to bed and
H given anti-psychotic
drug cocktail.
Overdose of
clomipramine
Undetermined
Crow's
Strangled in restraint;
Nest
R 911 operator had to
Asphyxiation
Family
talk staff through CPR.
Care Home
Restrained face down
N/A
H to a hospital bed; found N/A
dead later.
unide
ntifie
d
unide
ntifie
d
1
C N/
M
M
7
A A
N
C N/ N/
/ M
A A A
A
12
Collie
1
C /2
r,
M
P
7
O 1/
Casey
93
Small
5/
,
7
C
F
8/ M
Marci 8
O
98
a
Jacob
3/
,
4
C 25
M
P
Richa 0
T /9
rd
0
Zenta
12
i,
4
C /2
F
M
Katali 3
T 6/
n
96
McCla
3/
in,
1
C 22
M
P
Andre 1
T /9
w
8
Crum
9/
pler, 3
D
F
6/ M
Mard 1
E
93
ee
Thom
as,
4
19
M FL
M
Emor 2
96
y
N/A
N
/ N/A
A
CPC
Fremont
Hospital
H
Died while face down in
N/A
restraints.
Cleo
Wallace
Center
R
6-foot-5-inch boy
restrained.
North
Suburban
Medical
Center
Hung partially out of
H bed with vest restraint
around her neck.
Strangulation by ligature
Timothy
Terrace
CLA
Face down, arms in
R front of chest; aide on
top.
Cardiac arrhythmia
Placed in a restraint
Connecticu
chair for 30 of last 36
t Valley
H
hours; died of blood
Hospital
clots.
N/A
Asphyxiation
Bilateral pulmonary
emboli
Elmcrest
Hospital
Face-down restraint
H with arms crossed over Asphyxiation
chest.
Stockley
Center
H
Rolled in gym mat and
suffocated.
Asphyxiation
Manatee
Glens
H
Tied to bed with
five-point restraints.
Heart attack
unide N
12
ntifie / F FL /4/ P
d
A
95
Gulf Coast
Center
One of four employees
H
straddled her.
Anoxic encephalopathy
due to mechanical
asphyxia due to restraint;
ruled a homicide
Rawls
1/
,
2
11
M FL
P
Rober 9
/9
t Lee
7
South
Florida
State
Hospital
Placed in a choke hold
H while struggling with
aides.
Asphyxiation leading to
brain damage
Payne
4/
,
3
G 17
M
P
Gerry 5
A /9
A.
8
Central
State
Hospital
Sudden, unexpected
Attacked employee,
death associated with
H then restrained by staff psychotic episode;
members.
contributing factor:
cardiomegaly
Camp
11
1
bell,
M IA /2/ P
3
Chris
97
2/
Sleet 6
M IA 3/ M
h, Ed 6
98
Iowa
Restrained four times in
Juvenile
R
last 24 hours.
Home
Woodward
Supposed to be
State
H restrained to
Hospital
wheelchair.
Clark tied up, physically
Clark,
6/
Woodward
3
M,
restrained after
Robin
M IA 4/
State
H
9
P
swallowing part of
Lee
98
Hospital
toothbrush
unide N M ID ear N/ Idaho
H Patient went into
Undetermined
Blunt trauma to head
Complications from
swallowing a toothbrush
No autopsy performed
ntifie /
d
A
ly A
'90
s
Walla
7/
ce,
1
11
M IL
P
Wauk 2
/8
etta
9
1/
Cook, 5
M IL 2/ M
Larry 0
97
Gray,
7/
1
Roxa
F IN 6/
7
nna
89
1/
Dahlk
3
K 10
e,
M
9
S /8
David
9
Mape
7/
s,
1
K
M
8/
Thom 7
S
94
as
Bogre
12
tt,
M
9 M
/1/
Jeffre
A
95
y
Rollin
4/
s,
1
M 21
M
Rober 2
A /9
t
7
Gallig
12
an,
5
M
M
/1/
Jame 9
A
97
s
4/
Soare
1
M 29
s,
M
6
A /9
Mark
8
P
P
State
Hospital
South
Maryville
Academy
convulsions; restrained.
R
Restrained on back or
stomach.
Postural asphyxia and
stress due to restraint
Tried to burn restraints
Roseland
off with lighter. Cook
Community H
Smoke inhalation, burns.
and another patient
Hospital
died.
Family and
Restrained face down
Children's R
Suffocation
on a pillow.
Center
Winfield
State
Hospital
Youth
M,
Center at
P
Topeka
H
Restrained face down
on mat.
Records closed to public
Handcuffed and
R brought face down to
floor.
Asphyxiation
New Hampshire boy
died in restraints at a
R
Massachusetts group
home.
Sudden death during
restraint
M
New
England
Center for
Autism
P
Restrained face down
Devereaux
Positional asphyxiation
R with arms crossed over
School
during restraint
chest.
P
Pembroke
Hospital
Suffered a heart attack Heart disease; diabetes
H while being restrained and bipolar disorder
by staff.
contributed
P
Wayside
Union
Academy
R
Isaac
8/
3
M
son,
M
6/ M
7
E
Kent
88
Augusta
Mental
Health
Institute
Restrained to bed for
H long periods of time
before his death.
Children's
Village
Restrained face down
Asphyxiation due to chest
R by staffer who thought
compression
his distress was a ruse.
1/
Smith
M 11
9 M
P
, Earl
I /9
5
Halfa
5/
cre,
3
M
M
6/ P
Benja 7
I
97
min
Thom
8/
as,
1
M 16
F
P
Bobb 7
N /9
y Sue
6
5/
Pettit,
3
M 18
Sheril
F
P
5
N /9
ee
7
Aides thought teen was
Cardiac arrest
faking unconsciousness
N/A
Hummer
Held him down from
Respiratory and cardiac
Lake Group R behind and took him to
arrest
Home
floor.
Northwood
Children's R Face down restraint.
Home
Acute cardiac arrhythmia
Cambridge
Positional asphyxia
Regional
Face down restraint for
R
secondary to restraint
Human
4.5 minutes.
hold
Services
Center
Andre
ws,
Budd
y Earl
Schu
mach
er,
Richa
rd
Harris
,
Robin
Sover
n,
Trista
n
4/
3
M 24
M
P
9
O /9
5
Fulton
State
Hospital
H
11
4
M /1
M
P
4
O 7/
95
St. Louis
State
Hospital
Refused to be
Sudden death, marked
H discharged, taken down agitation and physical
by security.
restraint
4/
2
N
F
7/ M
5
C
90
Dorothea
Dix
Hospital
Incident in which young
Heart condition (natural
H female patient died
causes)
after restraint.
3/
1
N
M
4/ P
6
C
98
Charter
Greensbor
o
H
Youn
1/
1
g,
F NJ 5/ P
7
Kelly
98
unide 5
N 19
ntifie 0 F
S
V 95
d
s
9/
3
N 25
F.H.
M
P
0
V /9
5
8/
N
N 15
W.D. / F
M
V /9
A
6
Ramo
n Luz
3
N 19
(pseu
M
M
3
Y 88
dony
m)
N
9012
N 19
/ M
S
192
Y 90
A
Broke neck while being
Broken neck
taken down.
Face down on floor,
towel in mouth.
Brisbane
Child
Placed in basket hold
R
Treatment
and taken to floor.
Center
Unidentifie
In locked seclusion; set
d private
H fire to room; died of
hospital
fumes.
Nevada
Six aides restrained
Mental
H him face down, one on
Health
buttocks.
Institute
University
Medical
Center
H
Asphyxiation
Asphyxiation
Smoke inhalation
Heart disease, congenital
defect of the heart
Thermal brain injury due
Cardiorespiratory arrest
to hypoxia due to
in four-point restraint.
cardiorespiratory arrest
Rockland
Violent behavior led to
Psychiatric H camisole restraint for
Center
four hours.
Creedmoor
Suffered severe burns
Psychiatric R in fire he started in
Center
seclusion room
Became unresponsive
9207 6
N 19 N/ Brunswick
while nursing staff
F
R
042
0
Y 92 A Hall
placed her in bed. No
deficiencies cited.
Wrist restraints ordered
Cabrini
9711 7
N 19
to enhance hydration,
F
M Medical
H
011
2
Y 97
nutrition; safety
Center
measure.
1/
Elmhurst
N
Death's circumstances
8801
N 16 N/ Hospital
/ F
H did not suggest any
252
Y /8 A Medical
A
deficiencies in care
8
Center
Hudson
Patient physically
2/
8802 3
N
River
restrained while face
M
7/ P
H
016
9
Y
Psychiatric
down; became
88
Center
unresponsive.
8803 N N N 3/ N/ Bellevue
No deficiencies in care
H
972
/ / Y 15 A Hospital
found
Acute respiratory arrest
due to drug intoxication
due to multiple drug
synergism
Undetermined
Sudden cardiac event
Cardio-pulmonary arrest
Convulsive disorder
Probable asphyxia
Chronic ethanolism and
narcotism, cirrhosis of
A A
/8
8
6/
8806 2
N 17
F
M
172
6
Y /8
8
8/
8808 7
N
M
7/ M
030
6
Y
88
8/
N
8808
N 24 N/
/ F
099
Y /8 A
A
8
10
8810 4
N /2
F
M
187
8
Y 3/
88
1/
N
8901 2
N 18
/
M
095
8
Y /8
A
9
Medical
Center
South
Beach
Died after release from
H
Psychiatric
4-point restraint
Center
County
On Aug. 6, patient was
Hospital of
H found on floor, with
Western
restraint attached.
Suffolk
Cardiac arrhythmia
following administration
of antipsychotic
medications
Shock, dehydration and
urosepsis.
Kings Park
Physician failed to
Psychiatric H stabilize; hospital
Center
privileges revoked
Chronic bronchitis due to
bronchial asthma
Franklin
General
Hospital
4-point mechanical
H restraint; not checked
as required.
Acute pulmonary
thromboembolism; deep
leg vein thrombosis
Death after camisole
H restraint; no
deficiencies cited.
Acute cardiac failure,
hypertensive
arteriosclerotic
cardiovascular disease
Mid-Hudso
n
Psychiatric
Center
Metropolita
N
2/
8902
N
N/ n Hospital
/ M
1/
015
Y
A Medical
A
89
Center
Hudson
3/
8903 3
N
River
M
4/ P
013
9
Y
Psychiatric
89
Center
Association
7/
N N
for the
8907
N 11
/ /
P Help of
036
Y /8
A A
Retarded
9
Children
8/
Mid-Hudso
8908 2
N 24
n
F
M
106
2
Y /8
Psychiatric
9
Center
8/
8908 3
N 25
M
P Eliot House
100
6
Y /8
9
10
Erie County
8910 7
N
M
/4/ M Medical
009
4
Y
89
Center
11
8911 3
N
M
/5/ M
010
1
Y
89
the liver
H
No deficiencies in care
cited
Probably cocaine
intoxication
During restraint, peers
reportedly struck and
H
sat on patient's
abdomen.
Acute asphyxia secondary
to aspiration of gastric
contents
Police did overlaying
restraint; ruled
R
homicide; no facility
citations
Asphyxia due to chest
compression, due to
overlaying during
restraint by police officers
Suicide; asphyxia due to
During first four days
strangulation with
H was in almost constant
sheeting material
restraints.
wrapped around neck
Police restrained
Cardiac arrest secondary
patient after he became to release of
R
agitated, displaying
catecholamines and toxic
paranoia.
levels of medication
Patient was placed in a Chronic obstructive
H jacket-vest and given
pulmonary disease,
Haldol.
congestive heart failure
Severe coronary artery
Capital
After Ativan and
sclerosis; ischemic
District
Prolixin injections,
H
damage to colon,
Psychiatric
patient became
stomach, kidney, brain,
Center
unresponsive
liver
Stony
Patient collapsed during
Lodge
H restraint attempt; no
Exhaustive psychosis
Hospital
deficiencies cited.
1/
9001 4
N
M
9/ P
042
1
Y
90
2/
N N
9002
N 17 N/ The Bridge
No deficiencies cited in
/ /
R
No autopsy performed
105
Y /9 A Inc.
record
A A
0
5/
N
9005
N 17
/ M
M
103
Y /9
A
0
5/
unide N N
N 24 N/
ntifie / /
Y /9 A
d
A A
0
7/
9007 3
N 27
F
S
150
7
Y /9
0
8/
9008 1
N 19
M
P
107
6
Y /9
0
N
10
9010
N
/ M
/2/ P
014
Y
A
90
N
3/
9103
N
/ M
8/ M
068
Y
A
91
3/
9103 2
N 15
M
S
075
8
Y /9
1
3/
9103 3
N 26
M
M
128
9
Y /9
1
N
7/
9107
N
N/
/ F
4/
093
Y
A
A
91
7/
9107 2
N 22
M
P
081
8
Y /9
1
7/
N N
9107
N 22 N/
/ /
132
Y /9 A
A A
1
8/
9108 7
N 31
M
M
127
3
Y /9
1
10
9110 1
N /2
M
M
071
1
Y 1/
91
N N
11
9111
N
N/
/ /
/4/
165
Y
A
A A
91
1/
N
9201
N 29
/ M
M
152
Y /9
A
2
Queens
Hospital
Center
Patient was placed in
Therapeutic complications
H restraints twice in three arising from the use of
days prior to death
certain medications
Builders
for Family
and Youth
R
No deficiencies cited in
N/A
record
Mohawk
Locked in seclusion for
Valley
4 hours; released; no
H
Psychiatric
vital signs 2.5 hours
Center
later.
Nassau
Patient unmanageable,
County
H restrained by staff. No
Medical
deficiencies cited
Center
Some staffers didn't
Manhattan
have refresher training
Psychiatric H
on restraint use since
Center
1987
Kings
Became unresponsive
County
while being
H
Hospital
transported. No
Center
deficiencies cited.
Mid-Hudso
While in seclusion,
n
patient put sock in
H
Psychiatric
airway. No deficiencies
Center
cited.
Undetermined
Congenital heart defect
Fatal injuries sustained
while being restrained
Acute and chronic
substance abuse
Suicide by impaction of
sock into throat and
asphyxiation
Elmhurst
City
Hospital
Emergency
H communication
problems cited.
N/A
St.
Barnabas
Hospital
Admitted the previous
H day. No deficiencies
cited.
Death due to dilated
hytrophic
cardiomyopathy
Creedmoor
Restraint followed by
Hyperthermia (body
Psychiatric R seizure-like movement; temperature at 108
Center
no deficiencies cited.
degrees)
Harlem
Valley
No deficiencies in care
H
Psychiatric
cited
Center
N/A
Erie County
No autopsy; other
Medical
H
Myocardial infarction
findings of fault in care.
Center
Our Lady
Patient left unattended
of Victory
R in Tumble Form seat on Cardio-respiratory arrest
Infant
waterbed.
Home
Metropolita
Dept. of Health cited
n Hospital H
N/A
deficiencies in care
Center
Cited for state law
Harlem
violations; restrained
Hospital
H
Cause not cited
several hours without
Center
MD orders
3/
N
9203
N 21 N/
/ M
080
Y /9 A
A
2
N/A
9207 6
M
001
2
Natural causes cited; no
further investigation
9207 8
F
031
4
N
9208
/ F
036
A
9200 2
M
000
8
9210 2
M
100
9
9211 3
F
112
1
N
9304
/ M
162
A
9305 7
F
066
2
9308 7
F
010
7
9308 7
M
054
4
N
9310
/ M
044
A
9312 3
M
023
4
N
9402
/ M
035
A
Columbia
Presbyteria
No deficiencies in care
H
n Medical
cited
Center
Binghamto
7/
N
N/ n
No deficiencies in care
4/
H
Y
A Psychiatric
cited.
92
Center
7/
St. John's
N 11
Found dead in bed; no
M Episcopal
H
Y /9
deficiencies cited.
South Side
2
Elmhurst
Patient was agitated,
8/
N
City
requiring wrist and
8/ M
H
Y
Hospital
ankle restraints. No
92
Center
deficiencies cited.
Letchworth
10
Restrained on mat by
N
Village
/5/ P
R staff; physician ordered
Y
Developme
92
2.5 mg. of Valium.
ntal Center
10
Bronx
Secured to bed by a
N /2
M Psychiatric H sheet across his chest;
Y 2/
Center
ruled homicide
92
11
Center cited for
Creedmoor
N /2
"serious'' oversight and
S Psychiatric H
Y 3/
record-keeping
Center
92
problems
Transferred there in
4/
Kings
March because of
N 28
County
M
H immune system
Y /9
Hospital
conditions. No
3
Center
deficiencies cited.
Niagara
5/
Found slumped in
Falls
N 17
geri-chair with posey
M Memorial
H
Y /9
restraint pressing
Medical
3
against neck.
Center
8/
Manhattan
No deficiencies in care;
N
N/
4/
Psychiatric H record-keeping
Y
A
93
Center
deficiencies cited.
8/
Elmira
Moved from geriatric to
N 16
M Psychiatric H acute admission unit.
Y /9
Center
No deficiencies cited.
3
10
Letchworth
Put in day room for
N /1
Village
P
R observation following
Y 4/
Developme
final restraint.
93
ntal Center
Capital
12
Patient found slumped
N
District
/1/ S
H over in quiet room. No
Y
Psychiatric
93
deficiencies cited
Center
St.
2/
Luke's/Roo
Restrained for
N
2/ M sevelt
H approximately 38 hours
Y
94
Hospital
prior to death
Center
Arteriosclerotic heart
disease
No autopsy performed
Seizure disorder
Asphyxia leading to
anoxic encephalopathy
Intoxication, due to
combined effect of six
drugs
Death attributed to AIDS
Cardiopulmonary arrest
due to hypoxic cerebral
encephalopathy
Chronic obstructive
pulmonary disease
Sepsis
Spontaneous rupture of
arteriovenous
malformation
Acute cardiac failure,
cardiomyopathy, severe
hypertension; in
seclusion
Cardiac arrhythmia
secondary to cardiac
myopathy following
release from prolonged
restraint
2/
9402 3
N
M
4/ M
013
8
Y
94
2/
N
9402
N 27
/ F
M
144
Y /9
A
4
3/
9403 3
N 14
M
P
047
7
Y /9
4
4/
9404 8
N 25
F
M
117
4
Y /9
4
8/
9408 3
N 10
M
P
031
2
Y /9
4
10
Griffit
1
N /1
hs,
M
P
5
Y 8/
Jamar
94
4/
9604 3
N 24
M
P
131
7
Y /9
6
8/
N
9608
N 12
/ M
P
047
Y /9
A
6
8/
N
9608
N 31
/ M
S
105
Y /9
A
6
2/
9702 3
N
M
5/ P
024
6
Y
97
4/
9704 2
N
M
3/ M
018
3
Y
97
4/
Hunt,
3
N 25
Donal
M
P
9
Y /9
d
7
Marto
6/
ral,
4
N 24
M
P
Maxi 0
Y /9
mo
7
Rober
7/
ts,
3
N 13
M
P
Willia 4
Y /9
m
7
Phelp 1
O 3/
M
M
s,
4
H 1/
Kings Park
Found lethargic and
Psychiatric H verbally unresponsive
Center
in geri-chair.
Coney
Island
Hospital
Patient became
assaultive, requiring
H
Ativan and wrist and
ankle restraints
Complications of agitated
psychosis (bipolar
disorder) w/
rhabdomyolysis and
acute pneumonia
Pulmonary hypertension
due to chronic bronchial
asthma
Hyperemia of
Wilton
Patient vomited during
tracheo-bronchial
Developme R takedown restraint; no
airways; pulmonary
ntal Center
deficiencies cited.
congestion
Death's circumstances
Mid-Island
H did not suggest any
Hospital
deficiencies in care.
Congestive heart failure
Letchworth
Restrained face down;
Village
patient stopped
R
Developme
struggling after 12
ntal Center
minutes.
Asphyxiation due to
aspiration of stomach
contents
Allen
Breathing was
Residential R obstructed while being
Center
restrained.
Traumatic asphyxia and
brain death from lack of
oxygen due to heart and
lung failure
Taconic
DDSO
Placed in standing hold;
R went into lying hold for Undetermined
20 minutes.
East Leon
Road IRA
Float staff unfamiliar
R with case placed him in Traumatic asphyxia
hold.
Finger
Lakes
DDSO
R
Placed in timeout room; Acute subdural
no deficiencies cited.
hematoma
Sunmount
DDSO
R
Placed in lying hold; no
Ventricular arrhythmia
deficiencies cited.
Interfaith
Medical
Center
Died during 4-point
restraint; second of
H
day. No deficiencies
cited.
Hypertensive
cardiovascular disease
The
Died during takedown
Holliswood H in preparation for
Hospital
restraint.
Cardiac arrest
Finger
Lakes
DDSO
Asphyxiation
Died of choking and
R asphyxia during
restraint
Broome
After placed in hold,
Developme R patient fell to side and
ntal Center
vomited.
Massive aspiration of
gastric contents
Lancaster
foster
Undetermined
R
Boy was wrapped in a
blanket and mattress
Dusti
n E.
98
12
Gold
2
O /2
man,
M
P
4
K 1/
Kevin
93
10
Jang,
3
O /1
Jung
F
M
4
R 0/
Sook
90
Gorne
au
10
3
O
Jr.,
M
/8/ P
2
R
Peter
93
Lynn
9/
Prink
1
P 28
ey,
M
P
4
A /8
Leroy
8
5/
Tallm
1
P 12
an,
M
P
2
A /9
Jason
3
Dorse
6/
y,
1
P 10
F
P
Saken 8
A /9
a
7
Arnol
7/
d,
1
P 15
M
P
Micha 9
A /9
el
7
Knisle
1/
y,
6
P 23
F
M
Betty 0
A /9
Jean
8
D.S.
Fe
N
P b.
/ M
P
A 19
A
95
4/
Harris
1
T 11
,
F
P
7
X /9
Diane
0
10
Jacqu
2
T /1
es,
M
P
8
X 1/
Jorge
90
Green
5/
,
1
T 12
M
P
Antho 5
X /9
ny
1
2/
Rober
1
T 22
ts,
M
M
6
X /9
Eric
6
Rand 1 M T 9/ P
home
Pioneer
Home
with straps
Collapsed after being
R restrained by five
aides.
Cardiac arrhythmia
Lane
Strapped to bed and
County
H given three types of
Psychiatric
drugs
Hospital
Heart attack
Dammasch
Towel over face while
State
H
holding him on table
Hospital
Smothered while being
restrained
Western
Center
Aide used a "one-man
R body" slide that led to
face-down restraint
KidsPeace
R
Restrained face down
on pillow
Foundation
Placed face down on
s
R the floor with staffer
Behavioral
laying across back
Health
Keystone
City
Residence
Cerebral anoxia caused
by heart and lung failure
due to forceful restraint
Suffocation
Suffocation
Prone torso restraint
Asphyxiation due to chest
R after he tried to leave a
compression
day camp
Laurelton
State
Strangled in wheelchair
Mental
R
restraints
Retardatio
n Ctr
Hamburg
State
Mental
R Staff took boy to floor
Retardatio
n Ctr
Seguin
Community
Basket hold technique
R
Living
was used
Center
Rio Grande
Banging his head on
State
H floor; put a pillow
Center
under it; suffocated
Asphyxia by mechanical
restraint
N/A
Asphyxiation
Suffocation
Unruly resident
Brookhave
restrained in face-down
n Youth
R
Asphyxiation
floor hold for 15
Ranch
minutes
Odyssey
Harbor
Wrapped in a plastic
R and foam blanket with
Velcro for one hour.
Progressiv R Taken to floor and
Stopped breathing due to
pressure on the chest,
according to autopsy
Asphyxia due to
olph, 7
Bobb
y Jo
X 26
/9
6
12
Epps, 2
T
M
/1/ P
Trake 6
X
96
Clayb
orne,
Roshe
lle
Mulke
y,
Christ
opher
Jeffri
es,
Deme
trius
Gordo
n,
Sandr
a
Wilso
n,
Elwin
Darric
k
8/
1
T 18
F
P
6
X /9
7
8/
2
T 19
M
P
6
X /9
7
8/
1
T 26
M
P
7
X /9
7
1/
4
U
F
6/ M
5
T
98
e Youth
Center
Corpus
Christi
State
School
Found unconscious on
R floor, subdued by
choking.
Cardiac disrhythmia
during restraint by
bar/positional asphyxia
Laurel
Ridge
Pinned face down by
R aides, given
tranquilizer.
Cardiac arrhythmia or
irregular beating of the
heart
Corpus
Christi
State
School
Mulkey placed in basket
R hold; later suffered a
Asthma attack
severe asthma attack.
Crockett
State
School
R
Stopped breathing
Strangulation
while being restrained.
Rosewood
Terrace
Care
Center
R
Left unchecked in
Strangulation and blunt
restraints for 10 hours. trauma
5/
Central
2
V 27 M,
M
State
3
A /9 P
Hospital
3
6/
Huntl
3
V 29
ey,
F
M
1
A /9
Gloria
6
McGr
6/
aw,
1
W
M
5/ M
Shina 2
A
94
ul
Mallo
11
y,
4
W
M
/9/ P
Josep 1
A
94
h
West
12
on,
6
W /0
F
M
Lorett 1
A 1/
a
95
Neym
7/
an,
1
W 24
F
M
Melis 9
A /9
sa
7
Ferra
1/
rini,
1
W
M
8/ P
Joshu 3
I
89
a
restrained by two aides compression of neck
Central
State
Hospital
Restrained by more
than a dozen staffers
H
and left in seclusion
room.
Sudden cardiac death
Acute and chronic
Restrained 300 hours in myocarditis
H
last month of life.
(inflammation of the
heart)
New
Wrapped in bedsheet
Directions,
R with gauze over mouth Hyperthermia
Second
and restrained to bed.
Chance
Rainier
School
Rainier
School
Private
group
home
Arms, legs held down
R by staff for 7 to 8
minutes.
Restrained to toilet and
left alone; lost
R
consciousness, died 5
days later.
Unmonitored in
restraints; hung out
R
window unnoticed for
six hours.
St.
Aemelian-L
R Face-down restraint.
akeside
Hospital
Winnebago
Patient put in "burrito''
3/
unide 4
W
Mental
restraint (body wrap),
M
9/ M
H
nified 9
I
Health
then vomited and
96
Institute
aspirated.
Polite 4
W 9/ M. Mendota
Struggled with workers,
M
H
, Fred 7
I 14 P State
restrained with sheet,
Hypoxic encephalopathy,
broncho pneumonia
N/A
Strangled after climbing
out window with
restraints
Suffocation
Aspiration
Asphyxia, rib fractures,
blunt trauma
/9
6
Hospital
left alone
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