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["Annual Juvenile Room Confinement Incident Report - Due by July 15, 2019 to oig@leg.ne.gov"]
["Facility Name:"]
["Facility Contact Person:"]
["Juvenile Name","Tracking Number","Age at Incident","Sex","Race","Ethnicity","Date of Room Confinement"," Time of Room Confinement","Date of Return to General Population","Time of Return to General Population","Reason for Room Confinement","Number of Direct Care Staff on Unit","Number of Juveniles on Unit","Interventions Attempted Before Room Confinement","Services and Interventions during Room Confinement","Incidents of Self-Harm or Suicidal Behavior","Barriers Preventing Return to General Population"]

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["Sex","Race","Ethnicity","Reason for Room Confinement","Interventions Attempted Before Room Confinement","Services and Interventions during Room Confinement","Barriers Preventing Return to General Population"]
["Male","American Indian or Alaska Native","Hispanic or Latino","Safety: Juvenile is a danger to other residents","Staff communication and support for juvenile","Basic Services","Continued danger to others"]
["Female","Asian","Not Hispanic or Latino","Safety: Juvenile is a danger to staff. ","Verbal warning or redirection by staff","Staff monitoring every 15 minutes or less","Continued danger to self"]
[null,"Black or African American",null,"Safety: Juvenile is a danger to self.","Voluntary cool off/time out","Continuous monitoring by staff","Mental Health"]
[null,"Native Hawaiian or Other Pacific Islander",null,"Safety: Juvenile is in danger due to behaviors of others","Mental health or medical staff evaluation or intervention","Mental health or medical staff evaluation or intervention","Facility design or capacity"]
[null,"White",null,"Punishment or discipline","Other","Participation in programming with staff","Juvenile needs different placement or level of care"]
[null,"Other",null,"Administrative: Staffing",null,"Participation in programming with other youth","Other"]
[null,null,null,"Administrative: Other. ",null,"Contact with family"]
[null,null,null,null,null,"Individualized Behavior/Programming Plan"]
[null,null,null,null,null,"Other"]