Additional Information and Optional Categorization (Individual)

The Additional Information and Optional Categorization (Individual) screen allows users to provide updated and/or additional information about the incident, as well as to further classify the incident.

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 include any updated or corrected information from the Incident Description page of the First Section including dates, times, people involved, and relevant details prior to, during, and after the incident. Indicate the current status of the individual	Enter information to update and/or correct the incident description included in the First Section, including dates, times, people involved, and other relevant details prior to, during, and after the incident. Indicate the current status of the individual.
Was the individual educated on the circumstances around the incident?	Select whether the individual was educated on the circumstances around the incident.
Please explain:	Enter additional information about the education that the individual received regarding the circumstances leading up to the occurrence of the incident.
Were services/supports offered to the individual?	Select whether services/supports were offered to the individual.
Did the individual accept the services/supports offered?	Select whether the individual accepted the services/supports that were offered to him or her.
Please clarify:	Enter additional information on whether the services/supports offered to the individual were accepted.
What was the outcome of the services/supports that were offered?	Enter additional information on the outcome of the services/supports that were offered.
Were any changes made to the ISP (including Behavioral Support Plan component)?	Select whether there were any changes made to the ISP (including Behavioral Support Plan component).
If yes, please explain the changes and how staff were informed and trained on the changes.	If there were any changes made to the ISP, enter additional information about the changes, and how staff were informed and trained on the changes.
Services/Supports Offered	Select the services/supports provided in response to the incident.
If other, please specify	If other supports/services were provided in response to the incident, enter a type of support/service.
Was Law Enforcement contacted?	Select whether law enforcement was contacted regarding the incident.
Please indicate what action was taken by Law Enforcement or if Law Enforcement was not contacted	Enter additional information on the action that was taken by Law Enforcement or if Law Enforcement was not contacted, provide an explanation.
Optional Field 1:	Select the value from the drop-down list. Note: These values are used for internal provider categorization purposes only. Providers may develop their own codes for the values.
Optional Field 2:	Select the value from the drop-down list.
Optional Field 3:	Select the value from the drop-down list.
Optional Field 4:	Select the value from the drop-down list.