Aversive techniques are those that may be “unpleasant, noxious or otherwise cause discomfort” to the child when used to “alter the occurrence of a specific behavior.” These might include the planned use of physical isolation (e.g. time out), holding a child’s hands or arms down or mechanical restraint such as lap belts for other than physical therapy needs. It may also include the use of a verbal reprimand such as “No” said in a loud voice or directly in a child’s face. Each planned use of an aversive technique must be documented. Monthly, copies should be sent to the Birth to Three Personnel and Practice office and placed in the child’s early intervention record.