On-line Reporting of Seclusion and Restraint Incidents
for Mental Health Day Treatment Services-DHS 40
PDF Version of DQA 10-001
(PDF, 41 KB)
|| January 5, 2010
|| Mental Health Day Treatment Programs for
Children CMHA 01
|| Cremear Mims, Director
Bureau of Health Services
Otis Woods, Administrator
Division of Quality Assurance
On-line Reporting of Seclusion and Restraint Incidents for
Mental Health Day Treatment Services-DHS 40
The purpose of this memorandum is to provide notice of a new mechanism
for reporting the use of seclusion and restraint in programs certified under
Wisconsin Administrative Code Chapter DHS 40, Mental Health Day Treatment
Services for Children.
The Division of Quality Assurance (DQA) has developed a seclusion and
restraint data collection tool in collaboration with the Division of Mental
Health and Substance Abuse Services (DMHSAS). Effective January 4, 2010
on-line reporting of Seclusion and Restraint Incidents will begin.
The Department recognizes that in certain situations, seclusion and
restraint must be utilized to prevent injury to the individual or others and
these situations may require hands-on interventions. To monitor their use,
the Department has developed an online tool to collect information on
seclusion and restraint uses.
The data collected will provide the Department with more accurate means
to identify program needs and to meet patient rights obligations under
chapter DHS 94.10, Isolation, Seclusion and Physical Restraints within
certified mental health day treatment services for children. This section
and s.51.61 (1)(i)1, Stats. requires approval of the use of seclusion or
restraint on a "case-by-case basis".
This reporting requirement is one part of a Departmental initiative to
decrease the use of seclusion and restraint interventions, where there is a
higher risk of injury to children. The Department is providing technical
assistance and training for programs that focus on the implementation of
positive behavior intervention strategies.
The Department of Health Services' Division of Quality Assurance will
implement an online survey report process for incidents of seclusion and
restraint use. Programs certified under chapter DHS 40, Mental Health Day
Treatment Services for Children, shall report all instances of client
seclusion and/or restraint use to the Department within 24 hours of the
incident occurring. The reporting survey tool can be accessed at the
following link: http://4.selectsurvey.net//DHS/TakeSurvey.aspx?SurveyID=94LL8n8K.
The statutory authority for access to records is established in s.
51.30(4) (b) 1 Stats. and chapter DHS 92.04(1)(a) of the Wisconsin
Administrative Code. The authority to monitor compliance of day treatment
services is established in chapter DHS 40.04(7)(f).
Reporting incidents of seclusion and restraint provides the Department
the opportunity to evaluate the circumstances of these interventions and
conduct appropriate follow-up if indicated. DQA's Behavioral Health
Certification Section (BHCS) will assess compliance and evaluate the
frequency of incidents.
The DMHSAS' Bureau of Prevention Treatment and Recovery (BPTR) will use
the information gathered to identify programs in need of technical
assistance, training, policy development, or other quality improvements.
The Department issued a memo March 13, 2009 on prohibited practices;
engaging in a prohibited practice is not an acceptable intervention. That
memo is available on-line at this address: http://www.dhs.wisconsin.gov/rl_dsl/MentalHealth/MHintro.htm.
The contact person for further information on the memo and positive behavior
intervention strategies training is Nancy Marz, BPTR. She may be contacted
or (608) 261-6746.
With appropriate interventions based on the reporting data, the incidence
of seclusion and restraint use should diminish. To protect confidentiality,
we ask programs to use a client or patient identifier rather than the
subject's name in this process. Follow-up calls may occur if more
information is required. It will take 5 to 10 minutes to complete the short
If you have questions concerning this memo or have technical difficulties
accessing the survey, please contact Rick Ruecking at Richard.Ruecking@dhs.wisconsin.gov
or (608) 261-0657.
Thank you for your cooperation in reporting incidents of restraint and
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Last Updated: June 18, 2012