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OFFICE OF ADULT ABUSE PREVENTION AND INVESTIGATIONS John A. Kitchener, MD, Governor MANDATORY ABUSE OR MISTREATMENT REPORTING NOTICE FOR ADULTS WITH MENTAL ILLNESS 2575 Bittern Street NE PO Box 14250
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How to fill out mandatory abuse or mistreatment:

01
Start by gathering all the necessary information related to the abuse or mistreatment incident. This may include the date, time, location, and any witnesses present.
02
Use clear and concise language when describing the incident. Include specific details such as what was said or done, the actions of the individuals involved, and the impact it had on you.
03
If applicable, document any physical evidence such as photographs, videos, or text messages that support your claim.
04
Provide any additional context or background information that may be relevant to understanding the incident. This could include any previous incidents or ongoing issues.
05
Be honest and transparent in your account, avoiding exaggeration or speculation. Stick to the facts as you experienced them.
06
If you have any concerns about confidentiality or potential repercussions, consult with a trusted advisor or legal professional before submitting your report.

Who needs mandatory abuse or mistreatment?

01
Employees: It is important for employees who have experienced abuse or mistreatment in the workplace to fill out mandatory abuse or mistreatment forms. This allows employers to investigate and take appropriate actions to address the issue, ensuring a safe and respectful work environment.
02
Students: Educational institutions often have mandatory abuse or mistreatment reporting procedures in place to protect students from any form of harm. Students who have faced abuse or mistreatment should complete the necessary forms to ensure their concerns are addressed and appropriate measures are taken.
03
Patients in healthcare settings: In healthcare facilities, mandatory abuse or mistreatment forms are crucial for patients who encounter any form of abuse or mistreatment from healthcare providers. Reporting such incidents can help ensure patient safety and hold the responsible parties accountable.
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Mandatory abuse or mistreatment refers to any act or failure to act that results in harm or risk of harm to a vulnerable individual.
Those who are mandated reporters, such as healthcare professionals, social workers, teachers, and law enforcement officials, are required to file mandatory abuse or mistreatment reports.
To fill out a mandatory abuse or mistreatment report, mandated reporters must provide detailed information about the incident, including the name of the victim, the nature of the abuse, and any evidence or witnesses.
The purpose of mandatory abuse or mistreatment reporting is to protect vulnerable individuals from harm and ensure that those responsible for the abuse are held accountable.
Mandatory abuse or mistreatment reports must include the name of the victim, the nature of the abuse, the date and location of the incident, and any evidence or witnesses.
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