Mobile Behavioral Health Crisis Unit Restraint Injury Report

Mobile behavioral health crisis teams play a critical role in responding to psychiatric emergencies in the community. When restraint becomes necessary to prevent harm, thorough documentation is essential for patient safety, regulatory compliance, quality improvement, and legal protection.

This Mobile Behavioral Health Crisis Unit Restraint Injury Report template provides behavioral health professionals, crisis response teams, and psychiatric emergency services with a structured way to document restraint incidents, patient injuries, de-escalation attempts, and clinical decision-making in real-time from mobile devices.

The form captures essential details including patient information, incident circumstances, de-escalation protocols attempted before restraint, type and duration of restraint used, any injuries sustained by patients or staff, vital signs monitoring, supervisor notification, and post-incident review. With conditional logic built in, the form adapts based on restraint type and injury severity, ensuring all relevant information is captured while maintaining efficiency during urgent situations.

Whether you're part of a community mental health crisis team, psychiatric emergency response unit, or mobile crisis intervention service, this template helps you maintain accurate records that support quality care, regulatory compliance, and continuous improvement of de-escalation practices.

Paperform makes it easy to complete restraint injury reports from smartphones and tablets in the field, with data flowing directly to your secure database or case management system. Use Stepper to automatically route high-severity incidents to supervisors for immediate review, send reports to quality assurance teams, update patient records, and trigger follow-up care protocols—ensuring every restraint incident receives appropriate clinical oversight and documentation.