Mental Health Fatality Review Panel

The purpose of the Mental Health Fatality Review Panel (MHFRP) is to review all suspicious deaths of adult consumers in the care and custody of the Department of Mental Health (DMH). For the purpose of the MHFRP, care and custody includes awareness 24 hours a day of the location of a consumer, the ability to intervene on behalf of the consumer, supervision of nutrition, medication, or actual provision of care, and the responsibility for the protective oversight of the consumer. 

Based on panel reviews and recommendations, the department develops processes to prevent consumer injuries and deaths. The Fatality Review Coordinator is responsible for assisting the Panel in developing and implementing systemic interventions to address preventable, predictable and foreseeable deaths, and provides support to the Divisions and their contracted providers related to their internal death review processes.

Death Review Resources for Contracted Providers