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CalMHSA 109 Denial of Rights Report (My Office)

The Denial of Rights Report can be used to track the number of seclusion and restraints and other denial of rights. It will also track involuntary emergency medications that were given to clients during a designated time period at a county’s population level and individual level. This report captures any SmartCare EHR data that was entered into Other Denial of Rights Client Orders, Seclusion and Restraint Orders, and/or Seclusion and Restraint Flowsheet. 

This report can be used in support of state requirements, such as the DHCS 1804. 

The following roles have access to this report:

  • County Affiliate SysAdmin  
  • CalMHSA SysAdmin 
  • Clinician Supervisor 
  • Medical Records/Quality Assurance 
  • Medical Supervisor 
To run the report, follow the steps below: 
  1.  Click the Search icon. 
  2. Type CalMHSA 109 into the Search Bar. 
  3. Click to select CalMHSA 109-Denial of Rights Report (My Office). 

Filters

    1. Start and End Date Time: The client has/had to be enrolled in a program during the designated date range that also had one of the Denial of Right orders/Seclusion and Restraints Orders that was in “Active” status.  
    2. Programs: You can select one or more programs that the client is/has been assigned. What programs appear in the drop-down depends on your CDAG access. 
  2. Click View Report.
Note: If there are multiple orders, the report only captures a single count per day. (For example, if there are 4 seclusion and restraints orders placed on a client before 11:59 PM, for that day, the count would = 1). When the order is discontinued or completed, then the counter stops the time.

Report Sections

General Section
    1. Total # of Patients: Defined as the summation of # of patients that had some type of denial of rights and the total number of patients with seclusion and restraints during the selected date ranges. 
    2. Total # of Patients with Other Denial of Patient Rights: Demonstrate total distinct counts of # of patients with the “Other Denial of Patient Rights” 
    3. Total # of Patients with Any Seclusions and Restraints: Demonstrate distinct counts of # of patients that were any type of selection for: “Seclusion and/or “Confinement,” “Physical Restraints” and/or “Mechanical Restraints.” 
Total Numbers of Patients with Each Denied Each Right This section provides the count of the denied rights per client in a reporting period. This follows a format similar to the state requirements such as the DHCS 1804 including in their guide. 
    1. No. with type of Other Denial of Rights: Number of clients who had the following denial of rights: 
      • A: Right to wear one’s own personal possessions  
      • B: Right to keep & use one’s own personal possessions 
      • C: Right to keep and be allowed to spend a reasonable sum of one’s own money for canteen expenses and small purchases 
      • D: Right to have access to individual storage space for one’s private use  
      • E: Right to see visitors each day  
      • F: Right to have reasonable access to telephones, both to make and receive confidential calls or to have such calls made for them  
      • G: Right to have ready access to letter writing materials, including stamps  
      • H: Right to mail and receive unopened correspondence.
    2. Total # of Seclusion and Restraints: Number of clients with seclusion and restraints
      • I: Seclusions:   Included if “seclusion” or “confinement” was selected 
      • J-Mxn: Included if “Mechanical Restraints” was selected. 
      • J- Phy:  Included if “Physical Restraints” was selected. 
    3. Meds Given: Number of clients with seclusion and restraints
      • K: This is defined as any patient that had “Involuntary Emergency Medications Given” check marked in the Seclusion and Restraints Flowsheet. 

Individual Client Data by Number of Days 

    1. Client ID:  Lists any client by their Client ID within the selected date range. 
    2. Admission Date: Demonstrate the Admission Date/Enrolled Date for the client. 
    3. Program: Demonstrate the Program Name associated to the specific denial of rights.
    4. No. of Days in Unit: Demonstrates the number of days, a client was admitted to a program within the reporting date range.  
    5. No. Days with type of Other Denial of Rights: This follows the format guide similar to the state requirements such as the DHCS 1804.  
      • A: Right to wear one’s own personal possessions  
      • B: Right to keep & use one’s own personal possessions 
      • C: Right to keep and be allowed to spend a reasonable sum of one’s own money for canteen expenses and small purchases 
      • D: Right to have access to individual storage space for one’s private use  
      • E: Right to see visitors each day  
      • F: Right to have reasonable access to telephones, both to make and receive confidential calls or to have such calls made for them  
      • G: Right to have ready access to letter writing materials, including stamps  
      • H: Right to mail and receive unopened correspondence  
    6. No. of Days of S&R 
      • I: Seclusions:   Included if “seclusion” or “confinement” was selected 
      • J-Mxn: Included if “Mechanical Restraints” was selected. 
      • J- Phy:  Included if “Physical Restraints” was selected. 
    7.  No. Days of Meds 
      • K: This is defined as any patient that had “Involuntary Emergency Medications Given” check marked in the Seclusion and Restraints Flowsheet.