The foundation of any discussion about the use of restraint and seclusion is that every effort should be made to structure environments and provide supportsso that restraint and seclusion are unnecessary. As many reports have documented, the use of restraint and seclusion can, in some cases, have very serious consequences, including, most tragically, death. There is no evidence that using restraint or seclusionis effective in reducing the occurrence of the problem behaviors that frequently precipitate the use of such techniques.