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Occurrence Summary Reports for:
COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO-PSYCH
Thursday, September 21, 2017 1:33 AM

Facility: COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO-PSYCH
Date of Occurrence: 5/8/2016
Report Timely: Yes
Type of Occurrence: Missing Person

DESCRIPTION OF OCCURRENCE:
On 05/08/16 a male patient, in his mid-teens, eloped from the facility.

FACILITY ACTION:
The facility conducted an internal investigation and notified the physician and police. The patient had a history of assaultive behaviors, depression, unspecified psychotic disorder, and substance abuse. Prior to his hospitalization at the facility, the patient was reportedly experiencing auditory hallucinations and was placed on a mental health hold due to suicidal thoughts. After being medically cleared, he was transferred to the facility on 04/22/16 and admitted to the Adolescent Behavioral Treatment Unit (ABTU). On 05/08/16, staff was conducting wellness checks on the ABTU during the second shift when the patient was not located in his room or the restroom. A unit search was initiated. Staff heard a loud noise coming from the exterior fire door on the lower level. Staff observed the patient exiting through a broken window in the exterior door. It was determined the patient broke the acrylic window using a fire extinguisher and escaped the unit. Staff removed and secured the fire extinguisher and notified hospital police of the escape. Hospital police notified county police and an alert was issued regarding the escape. The patient was believed to have scaled two fences enclosing the ABTU. At approximately 12:53 a.m. on 5/9/16, facility leadership was notified the patient had been apprehended by hospital police and taken into custody with no apparent injury. Once medically cleared, the patient returned to the ABTU and was placed on escape precautions per physician order. The patient was then placed in the Intensive Evaluation Treatment Area and placed on one-to-one observation.

DEPARTMENT FINDINGS:
The Department reviewed the facility's report and supplemental documentation and found that the facility acted appropriately by reporting the occurrence, notifying the appropriate persons and agencies and conducting an investigation.

The Department will review this occurrence prior to the next survey.

Sent to Facility: 6/9/2016

FACILITY COMMENT: Following receipt of the above summary, no additional comments were submitted by the facility.


Released to Public: 6/20/2016

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