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Incident Reporting Forms and Policies: Connecticut
05/31/2006 | 1221 Requests *Summary
The Department of Mental Retardation (DMR) has established a system of reporting and monitoring incidents that occur with individuals served by the department in order to identify, manage and reduce overall risk for the individual. This procedure delineates a standardized process for reporting, documentation and follow-up of reportable incidents as defined, involving individuals served by the department. This reporting system helps implement individual plans and assists in quality oversight.
Author
Available Files
- *Incident Report Word (77K, 5 pages)
- *Incident Report PDF (30K, 5 pages)
- A. DMR Incident Report form 255OH/Fam Word (91K, 1 page)
- A. DMR Incident Report form 255OH/Fam PDF (30K, 1 page)
- B. Definitions form 255OH/Fam Word (54K, 5 pages)
- B. Definitions form 255OH/Fam PDF (28K, 5 pages)
- C. Instructions for completing report form Word (54K, 6 pages)
- C. Instructions for completing report form PDF (33K, 6 pages)
- D. Restraint Log OH/Fam Word (96K, 2 pages)
- D. Restraint Log OH/Fam PDF (29K, 2 pages)
- E. Instructions for Completing Restraint Log Word (22K, 1 page)
- E. Instructions for Completing Restraint Log PDF (8K, 1 page)
- F. DMR Missing Person form Word (23K, 1 page)
- F. DMR Missing Person form PDF (10K, 1 page)
- G. DMR Missing Person form Instructions Word (21K, 1 page)
- G. DMR Missing Person form Instructions PDF (12K, 1 page)
- H. DMR Incident Report Follow-up Form Word (28K, 1 page)
- H. DMR Incident Report Follow-up Form PDF (11K, 1 page)
Keywords
Incident Reporting; Quality Enhancement; CAMRIS; Connecticut Automated Mental Retardation Information System; Planning and Support Team
Topic
Developmental/Intellectual Disabilities, Quality
Type/Tool
Assessments, Checklists, Manuals
Source
Grantee produced, Connecticut
State
Connecticut, All States/Territories
Date Created
05/31/2006
Contact
Beth McArthur
Beth.McArthur@po.state.ct.us
Beth.McArthur@po.state.ct.us
Short URL
Permission to use any element of this document should be obtained by the above named contact person. Always name the originator as the source of this material.
* Reflects requests since January 1, 2007
Options
HCBS / Clearinghouse for the Community Living Exchange Collaborative / (http://www.hcbs.org)