Emotional/ psychological Actions or behaviours that reject, isolate, intimidate, or frighten by threats, or the witnessing of family violence, to the extent that the client’s behaviour is disturbed or their emotional/ psychological wellbeing has been, or is at risk of being, seriously impaired. This includes: rejecting, isolating, terrorising and ignoring behaviours denying cultural or religious needs and preferences emotional abuse perpetrated by other clients. Service providers should consider any potential power imbalance between the client and the person engaging in the behaviour. Allegations of emotional/psychological abuse of a client by a staff member, volunteer carer or member of the carer’s household are usually classified as major impact. However, there may be circumstances of a minor nature which are not major impact – use of professional judgement is required based on the categorisation process outlined in section 3.3. There may be circumstances which meet the adjacent definition but are of a minor nature which are not major impact – use of professional judgement is required based on the categorisation process outlined in section 3.3. Emotional/ psychological trauma A reaction or set of reactions which develop in a client because they have witnessed, heard, or otherwise been exposed to, a traumatic event which has threatened the client’s life or safety, or that of others around them. As a result, the person experiences feelings of intense anxiety, fear or helplessness. This includes (but is not limited to) the witnessing of catastrophic events such as the severe injury or death of a close family member or friend or the diagnosis of a life-threatening condition. Use the categorisation process outlined in section 3.3. Use the categorisation process outlined in section 3.3.
Inappropriate sexual behaviour Actual or attempted unwanted sexual actions (or allegations of such actions) that result in impact harm to the client, unless the relevant behaviour meets the definition of sexual abuse, in which case it must always be reported as major impact (see definition below). All incidents which meet this definition should be classified as ‘non-major impact’ unless the incident is linked to: an escalation in the severity or frequency of dangerous actions abnormal actions outside the known behavioural patterns of that client. Where the level of harm to the client has a major impact nature, the incident must be reported instead as sexual abuse – see below for definition. Use of professional judgement is required based on the categorisation process outlined in section 3.3. All incidents which meet this definition should be classified as ‘non-major impact’ unless the incident is linked to: an escalation in the severity or frequency of dangerous actions abnormal actions outside the known behavioural patterns of that client. Injury Actions or behaviours that unintentionally cause harm which requires first aid or medical attention. Includes both explained and unexplained injuries. Use the categorisation process outlined in section 3.3. Use the categorisation process outlined in section 3.3. Medication error Refers to any in the administration of a client’s prescribed medication, where the service provider is responsible for such administration. Includes: the administration of incorrect medication missed medication the incorrect or unauthorised administration of PRN (from the Latin ‘pro re nata’) restraint medication psychotropic medicines misuse client refusal of prescribed or authorised medication pharmacy error (an error in the dispensing of medication). Misuse of psychotropic medicines administered by a staff member must be reported as major impact. Use the categorisation process outlined in section 3.3.
Phase: Identification and response Outcome Indicators Mechanism for monitoring service providers The immediate safety, health and wellbeing of the client and other parties is assured Immediate actions in response to an incident are appropriate and documented Major impact: Divisional office endorsement Non-major impact: Divisional office quality assurance review Major impact and non-major impact: CIMS performance audits Attestation Live monitoring Service review appropriate, Victoria Police and other emergency services are notified Referrals to police are documented in incident reports Major impact: Divisional office endorsement Non-major impact: Divisional office quality assurance review Major impact and non-major impact: CIMS performance audits The client’s ongoing needs as a result of the incident are supported There is evidence of ongoing support provided to the client following the incident (for example, changes to behaviour support plans) Major impact: Divisional office endorsement Desktop review Live monitoring Attestation Non-major impact: Divisional office quality assurance review Service review Major impact and non-major impact: CIMS performance audits
Client(s) involved in incident Note: Up to ten clients can be added per incident report Impact of Incident on client Yes Yes Client(s) involved in incident Client unique ID type Yes Yes Client(s) involved in incident Client unique ID Yes Yes Client(s) involved in incident Surname/Family name Yes Yes Client(s) involved in incident name Yes Yes Client(s) involved in incident Sex Yes Yes Client(s) involved in incident Indigenous status Yes Yes Client(s) involved in incident Date of birth Yes Yes Client(s) involved in incident Address Yes Yes Client(s) involved in incident Date of last service provision (optional) Yes Yes Client(s) involved in incident Primary Incident type Yes Yes Client(s) involved in incident Primary Incident type - more information (applicable for incident of abuse only) Yes Yes Client(s) involved in incident Primary involvement in incident Yes Yes Client(s) involved in incident Secondary Incident type Yes Yes Client(s) involved in incident Secondary Incident type - more information (applicable for incident types of abuse only) Yes Yes Client(s) involved in incident Secondary involvement in incident Yes Yes Client(s) involved in incident Client(s) immediate safety needs met Yes Yes Client(s) involved in incident Medical attention provided Yes Yes Client(s) involved in incident Client debriefing or counselling Yes No
Client(s) involved in incident Referral to support services Yes No Client(s) involved in incident Change of client care (support plan) Yes No Client(s) involved in incident Notified next of kin/guardian/key support person Yes No Others involved in incident Note: Up to ten others involved can be added per incident report Surname (family name) Yes Yes Others involved in incident Given name Yes Yes Others involved in incident Date of birth Yes Yes Others involved in incident Persons organisational role or relationship to client Yes Yes Others involved in incident Role in incident Yes Yes Service Provider's response details Brief summary of incident Yes Yes Service Provider's response details Reported to police Yes Yes Service Provider's response details Date reported to police Yes No Service Provider's response details Police investigation initiated Yes No Service Provider's response details Staff member removed/stood down Yes Yes Service Provider's response details Manager's surname Yes Yes Service Provider's response details Manager's given name Yes Yes Service Provider's response details Manager's job title Yes Yes Service Provider's response details Date completed Yes No Service Provider's response details Telephone number Yes No Service Provider's response details Email Yes Yes
Service Provider's response details Access restricted Yes Yes Service Provider's response details Key actions Yes Yes Senior Management representative authorisation (Major impact only) Surname (family name) Yes No Senior Management representative authorisation (Major impact only) Given name Yes No Senior Management representative authorisation impact only) Job title Yes No Senior Management representative authorisation (Major impact only) Date completed Yes No Senior Management representative authorisation (Major impact only) Telephone number Yes No Senior Management representative authorisation impact only) Email Yes No