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

Please see the CSoC Patient Safety and Adverse Incident Training which provides more information about reporting adverse incidents. This is a required training for all direct care staff serving CSoC youth and families.

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: