Incident Reporting Forms and Policies: Connecticut

File Downloads / Links

  • *Incident Report Word
  • A. DMR Incident Report form 255OH/Fam Word
  • B. Definitions form 255OH/Fam Word
  • C. Instructions for completing report form Word
  • D. Restraint Log OH/Fam Word
  • E. Instructions for Completing Restraint Log Word
  • F. DMR Missing Person form Word
  • G. DMR Missing Person form Instructions Word
  • H. DMR Incident Report Follow-up Form Word
  • *Incident Report PDF
  • A. DMR Incident Report form 255OH/Fam PDF
  • B. Definitions form 255OH/Fam PDF
  • C. Instructions for completing report form PDF
  • D. Restraint Log OH/Fam PDF
  • E. Instructions for Completing Restraint Log PDF
  • F. DMR Missing Person form PDF
  • G. DMR Missing Person form Instructions PDF
  • H. DMR Incident Report Follow-up Form PDF

Article Publication Date: 
5/31/2006
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.
Topics: 
Quality
Types/Tools: 
Assessments; Checklists; Manuals
Populations: 
Developmental/Intellectual Disabilities
Sources: 
Grantee produced
Connecticut
Programs/Initiatives: 
N/A
States: 
All States/Territories; Connecticut
Keywords: 
N/A
Incident Reporting; Quality Enhancement; CAMRIS; Connecticut Automated Mental Retardation Information System; Planning and Support Team

Contact

Beth McArthur
Beth.McArthur@po.state.ct.us

Short URL: http://www.advancingstates.org/node/50931