TX HHS Form 2818. Critical Incident Report

The TX HHS Form 2818, Critical Incident Report, is a crucial tool for employees to document and report incidents that result in injury or illness to youth at residential treatment centers. This form helps ensure that all necessary information is collected and reported promptly, facilitating timely communication with parents or legally authorized representatives (LARs) and relevant authorities.

The report must be completed by the employee who observes the incident and signed immediately. The form requires specific information about the incident, including the type of injury or illness, date of notification, and contact details for the youth's parent or LAR. Additionally, formal notification must be provided to Texas Health and Human Services Commission (HHSC), Local Mental Health Authority (LMHA) or Local Behavioral Health Authority (LBHA), and the parent or LAR within 24 hours.

Key features of this form include the requirement for immediate reporting and notification, as well as the need to provide specific information about the incident. The report is used in situations where a youth sustains an injury or illness, and it is essential for employees to complete the form accurately and promptly to ensure that necessary follow-up actions are taken.

• This form is used by employees at residential treatment centers to document and report incidents resulting in injury or illness to youth.
• The report must be completed by the employee who observes the incident and signed immediately.
• Formal notification must be provided to relevant authorities within 24 hours of the incident.