Actions Taken to Protect Health, Safety, and Rights
The Actions Taken to Protect Health, Safety, and Rights screen allows users to describe the action(s) taken in response to the incident to protect the individual.
Note: Mandatory fields are marked with an asterisk. In addition, some fields are conditionally mandatory, or in other words, become mandatory based on the response to a previous field. All mandatory fields (including conditionally mandatory fields) must be completed on a screen.
Field Name |
Field Description |
| Please describe actions taken to protect the individual (Describe administrative, health/safety, treatment and targeted individual actions taken to address the incident to date, including supports and/or services offered): | Describe in detail the administrative, health and safety, treatment, and targeted individual actions taken to address the incident to date, including supports and/or services offered. |
Were supports and/or services offered to the individual? |
Select whether the individual was offered supports in response to the incident. |
| If no, please specify: | If the individual was not offered supports and/or services in response to the incident, provide the reason. |
| Medical Attention Given: | Select the medical attention given (Assessment of Injury, CPR Administered, Emergency Room, First Aid, Hospital, Primary Care Practitioner, Urgent Care Center, Other, Not Applicable). |
| If other, please specify: | If ‘Other’ was selected as the medical attention given, describe what medical attention took place in response to the incident. |
| Was a call made to 911? | Select whether a call was made to 911 in response to the incident. |
| If no, please explain: | If 911 was not contacted regarding the incident, please provide an explanation. |
| Law Enforcement Contacted: | Select whether law enforcement was contacted regarding the incident. |
| If no, please explain: | If law enforcement was not contacted regarding the incident, please provide an explanation. |
Other Supports and/or Services: |
Select the other supports and/or services provided in response to the incident (Contacted Local Domestic Violence Provider, Contacted Local Rape Crisis Center, Formal Counseling, Local Behavioral Health Crisis Intervention, Respite, Victim/Witness Services, Other, Not Applicable). |
If other, please specify: |
If ‘Other’ supports and/or services were offered, please specify the supports and/or services. |