Reporting Behavioral Intervention Incidents
The 2013 Minnesota Legislative Session passed Minnesota Statutes 245D and sections 245.8251 and 256B.4912. As a result, the Minnesota Department of Human Services (DHS) must develop data collection elements specific to incidents of emergency use of manual restraint, positive support transition plans and the use of all controlled procedures identified in Minnesota Rules 9525.2740. This includes the use of various forms of restraint, time-out procedures, seclusion and punitive consequences imposed by 245B and 245D service providers on recipients of licensed programs and services.
Effective July 1, 2013, current 245B providers, including ICF-DD, and providers who will be required to obtain 245D licensure, must complete and submit the new Behavior Intervention Reporting Form (DHS-5148) to report all occurrences of any of the following:
The Behavior Intervention Reporting Form process allows statewide collection of information and data on various forms of restraint, time-out methods, seclusion and punitive consequences used by providers. The purpose is to establish a baseline of information as DHS further develops policy and regulation. Some information will also be accessible to DHS Licensing and the Office of the Ombudsman for Mental Health and Developmental Disabilities.
The new online form will also collect and track:
Beginning July 1, 2013, providers are required to use only the new reporting form when reporting the use of controlled procedures and emergency use of manual restraint. Refer to the instructions document for more information when completing the form:
Behavior Intervention Online Reporting Form (DHS-5148)
Behavior Intervention Online Report Form Instructions (DHS-5148A)
DHS will not accept any versions of other forms for incidents occurring on or after July 1, 2013, from any providers required to use the new form. Discard any versions of any other documents used to report these incidents.
If you have any additional questions about Reporting Intervention Incidents or ongoing changes to Rule 40, send an email to: firstname.lastname@example.org
Providers must complete and submit the form within 15 working days of the intervention.
The Behavior Intervention Reporting Form should be used. Current requirements and timelines for communicating and reporting incidents of emergency or planned use of controlled procedures for Minnesota Statute, Chapter 245B providers under Rule # 40 (Minnesota Rules, parts 9525.2700 – 9525.2810) remain in effect until December 31, 2013. As of January 1, 2014, all providers licensed under M.S. 245D must complete and submit the form using the following guidelines:
Providers must determine who or how many people in each licensed site or program they want to submit forms to DHS.Report/Rate this page