The proposed Bill No. 477 aims to enhance patient protections and standards of care within the Department of Mental Health and Addiction Services' inpatient facilities. Key provisions of the bill include comprehensive documentation and investigation of incidents affecting patient safety, particularly those involving sexual abuse, as well as improved staff training on abuse prevention and reporting. The bill also seeks to limit the use of restraints and seclusion, mandate real-time monitoring of these practices, and integrate specialized professionals into treatment teams. Additionally, it emphasizes the need for regular updates to patient treatment plans, compliance with health and safety standards, and the promotion of a therapeutic environment that respects patient dignity.

Furthermore, the bill introduces measures for assessing post-discharge environments and providing community reintegration support to minimize patient readmissions. It also calls for the development of frameworks to analyze risks related to patient safety and implement continuous quality improvement measures. Overall, the proposed changes aim to create a safer and more supportive environment for patients receiving care in these facilities.