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SAN MATEO COUNTY SELMA
Behavioral Emergency Report
To be completed by appropriate staff member when serious property damage has occurred or a behavioral
emergency intervention has been used to control
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How to fill out behavioral emergency report for

How to fill out behavioral emergency report for
01
To fill out a behavioral emergency report, follow these steps:
02
Start by providing details about the person in crisis, such as their name, age, and contact information.
03
Next, describe the specifics of the emergency situation, including the date, time, and location.
04
Provide a detailed account of the behavior exhibited by the individual, noting any signs of aggression, harm to self or others, or disturbance in functioning.
05
Include any information about triggers or events leading up to the crisis.
06
If any physical intervention or restraint was required, document the actions taken and any injuries sustained as a result.
07
Note any communication with medical professionals or law enforcement officers involved in managing the crisis.
08
Summarize the actions taken to de-escalate the situation, such as any techniques used to calm the person down.
09
In the conclusion, provide recommendations for further assistance or follow-up care, including contact information for mental health professionals or crisis hotlines.
10
Remember to sign and date the report to make it valid and official.
11
Keep a copy of the report for your records and submit it to the appropriate authorities or healthcare providers as required.
Who needs behavioral emergency report for?
01
A behavioral emergency report is needed for anyone who is experiencing a crisis or emergency situation related to their behavior or mental health.
02
This could include individuals who are exhibiting aggressive or dangerous behavior, self-harming tendencies, or severe disturbances in their thoughts, emotions, or behaviors.
03
These reports are typically required by healthcare professionals, mental health facilities, or law enforcement agencies to ensure appropriate intervention and support for the person in crisis.
04
Family members, caregivers, or witnesses to the crisis may also need to fill out a behavioral emergency report to provide crucial information for assessment and treatment purposes.
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What is behavioral emergency report for?
Behavioral emergency report is for documenting and reporting incidents involving individual behavior that pose a threat to themselves or others.
Who is required to file behavioral emergency report for?
Healthcare providers, mental health professionals, social workers, and other mandated reporters are required to file behavioral emergency reports.
How to fill out behavioral emergency report for?
The report should include details of the incident, the individuals involved, and any interventions taken to address the behavior.
What is the purpose of behavioral emergency report for?
The purpose of the report is to ensure the safety and well-being of individuals by documenting and addressing potentially harmful behavior.
What information must be reported on behavioral emergency report for?
Information such as date, time, location of the incident, individuals involved, description of the behavior, interventions taken, and follow-up plans must be included in the report.
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