Attempt Suicide Fire Explosion Flood Collapse Building / /
Organization
CS School / CPPC CS Crisis CS HCT CS Head Start CS Homeless Youth CS Outpatient CS Medication Management CS RCS28 CS Residential Treatment CS Respite CS School / Consumer CRMA Provider CMMA Provider Admin Only Direct Service / Exploitation Source of Abuse Family / Event Reason Administration / /
Person
Role / Runaway Loss / /
Position
NO Unknown Worker / Worker / CS Clinician CS Case manager Worker / Reporter Details Reporter / Physician Office / office Head start Reporter / poor care Head / Governor / Attempt Yes No Treatment Location Outpatient ER Crisis Intervention Physician / Department Warden / Services Supervisor / Manager / Reporter / Patient ER Crisis Intervention Admitted Residence Physician / Emergency Room Crisis Helpline Physician Office / No Treatment Location Outpatient ER Crisis Intervention Admitted Residence Physician / /
Product
CS BHP CS Medication / CPPC CS Crisis CS HCT CS Head Start CS Homeless Youth CS Outpatient CS Medication / Event Categories Dangerous Situations Other Restraint Death Rights Violation Medication / Personal Property Communication Physical Restraints Discipline Religious Records Humane Treatment Social Medical Care Voting Nutrition Work Medication Related Event Medication Event Type Medication / Wrong medication / Consumer Mainecare CPPC OAIS CS Case Manger Respite CS HCT CS Outpatient CS Medication / /
OCFS Reportable Event (submitted electronically in EIS) Event Name Event Date Date reported to DHHS