Improper Restraint and Seclusion Use Places People at risk – The GAO's October 1, 1999 report confirms that there is no adequate system of restraint and seclusion (R/S) reporting at the state level, making it impossible to determine the true level of deaths and injuries that result from R/S abuses and preventing independent agency investigations.
GAO calls on CMS to issue regulations which: (1) establish strict standards on the use of R/S in all facilities which receive Medicaid and Medicare, and (2) require reporting to P&As regarding all deaths and serious injuries among those with mental illness or mental retardation indicating whether R/S was used -- for investigation by P&As. (10/5/99) PDF
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