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 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 frequent updates to patient treatment plans and compliance with health and safety standards.

Further, the bill promotes a therapeutic environment that respects patient dignity and encourages independence, establishes protocols for assessing post-discharge environments, and provides community reintegration support to minimize readmissions. It also calls for the development of frameworks to analyze risks related to patient safety and implement continuous quality improvement measures. Overall, the bill represents a significant effort to bolster the quality of care and safety for patients in these facilities.