Critical incident reporting

Magellan requires providers to submit written notification to Magellan within 24 hours of becoming aware of the occurrence of a reportable critical incident, including the use of restraints and/or seclusions.

Magellan defines a critical incident as an unexpected occurrence involving a child, youth, young adult, providers, or contractor staff that poses an actual risk of physical or mental harm to themselves or others. This encompasses events hindering access to medical care by the provider or agency, potentially resulting in detrimental effects like death or serious disability during or after behavioral health treatment.

Critical incidents include but are not limited to:

  • Homicide or attempted homicide by a child or youth served by the Connect Nevada program.
  • A major injury or major trauma that has the potential to cause prolonged disability or death of a child or youth that occurs in a facility licensed by the state of Nevada to provide publicly funded behavioral health services.
  • An unexpected death that occurs in a facility licensed by the state of Nevada to provide publicly funded behavioral health services.
  • Abuse, neglect, or exploitation.
  • Violent acts allegedly committed by a child or youth to include:
    • Arson
    • Assault resulting in serious bodily harm
    • Homicide or attempted homicide by abuse
    • Drive-by shooting
    • Extortion
    • Kidnapping
    • Rape, sexual assault, or indecent liberties
    • Robbery
    • Vehicular homicide
  • Unauthorized leave of an individual with mental health challenges, particularly those with a history of offenses such as sexual or violent behavior, from a mental health facility or secure Community Transition Facility that accepts involuntary admissions. These facilities include Evaluation and Treatment Centers, Crisis Stabilization Units, Secure Detox Units, and Triage Facilities.
  • Any event involving a child or youth served that has attracted or is likely to attract media attention.

Provider’s responsibility is to:

  • Complete the Critical Incident Reporting Form (includes critical incident definitions)
  • Promptly notify Magellan within 24 hours of discovering a reportable critical incident involving a youth, whether it occurs at the provider’s location or elsewhere.
  • Adhere to the youth’s right to be free of restraints and seclusions throughout the provision of services, explicitly prohibiting their use.
  • In accordance with Nevada Revised Statutes NRS Chapter 432B, reporting is mandatory.
    • Any incidents of child or adult abuse, neglect, exploitation, and extortion must be reported to Magellan and the relevant regulatory body (e.g., State of Nevada’s Division of Child and Family Services, Child Protective Services, Aging, and Disabilities Services Division, police, etc.) as soon as possible, but no later than 24 hours.
    • For more information, visit the State of Nevada’s Division of Child and Family Services website: https://dcfs.nv.gov/
      • In Clark County, call 702-399-0081 or submit a report online: Clark County Report Form
      • In Washoe County (Reno and surrounding areas), call 833-900-7233
      • For all other counties, contact the State of Nevada’s Division of Child and Family Services at 833-571-1041, or 833-803-1183 after hours, weekends, and holidays
      • In emergencies, dial 911 to report to your local law enforcement agency

What Magellan will do:

  • Magellan will serve as a resource to manage the clinical situation presented by the critical incident or potential critical incident and investigate incidents in a timely manner.

Find information about critical incident reporting in Section 4 of the Provider Handbook Supplement for Connect Nevada: Strengthening Youth, Empowering Families

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