Provider Toolkit

Adverse Incident Reporting

Providers are required to submit the Adverse Incident Reporting form to Magellan within 24 hours of the discovery of an adverse incident.  This form serves to capture any reportable incidents involving a member of the LA Coordinated System of Care (CSoC) currently in treatment or discharged from treatment within 180 days prior to the incident. 

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


Adverse Incident



Restraints and Seclusion


Providers are required to report all incidents of restraint and seclusion within the defined Adverse Incident reporting timeframes.  


Reporting should include:


  • Interventions utilized prior to the use of seclusion and restraint
  • Physician involvement in the order and subsequent face-to-face contacts
  • Treatment plans adjusted, if warranted
  • Criteria for release from seclusion/restraint
  • Facility staff checks patient for basic needs, safety, vital signs, and/or more specific
  • Monitoring of medical conditions as applicable


All questions regarding monthly reporting of restraints & seclusions should be submitted using the following form: 

The use of seclusion and restraints, both physical and chemical, is a last resort for maintaining the safety of patients, visitors and treatment personnel, and should be utilized only when clearly indicated by a policy detailing specific criteria (Read Magellan’s full Position Statement).




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