Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65E - Mental Health Program › Chapter 65E-12 - PUBLIC MENTAL HEALTH CRISIS STABILIZATION UNITS AND SHORT-TERM RESIDENTIAL TREATMENT PROGRAMS › Section 65E-12.103 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
(1) "Advanced Registered Nurse Practitioner"
				or "ARNP" means any person licensed under Section
				 464.012, F.S., to practice
				professional nursing and is certified in advanced or specialized nursing
				practice.
(2) "Advisory or
				Governing Board" means a formally constituted group of citizens that advises or
				directs a program regarding policy. A community facility that is a part of a
				community mental health center may use the center's board for policy advice or
				policy direction.
(3) "Agency"
				means the Agency for Health Care Administration.
(4) "Consultant Pharmacist" means a licensed
				pharmacist, as defined in Chapter 465, F.S.
(5) Crisis Stabilization Unit" or "CSU" means
				a program as defined in Section
				 394.67, F.S.
(6) "Department" means the Department of
				Children and Families.
(7) "Direct
				Care Staff" means staff who have direct contact with and are responsible for
				the care of individuals receiving services and specified treatment and
				rehabilitative activities, as specified in policies and procedures, under the
				supervision of a mental health professional or registered nurse.
(8) "Discharge Plan" means a written plan
				describing continuity of care for an individual following discharge from the
				CSU or SRT, including recommended services, supports, and setting where the
				individual will reside. The discharge planning process begins at the time of
				admission and involves the individual and their family, case manager, and other
				individuals or service providers, as appropriate.
(9) "Emergency Screening" means a process in
				which an individual receives a preliminary determination of the type, extent,
				and immediacy, of his or her treatment needs.
(10) "Individual" or "Individual Receiving
				Services" means an individual who either voluntarily seeks admission or for
				whom involuntary admission is sought under Section
				 394.463, F.S., and who receives
				screening, evaluation, or treatment services from an entity that is operated,
				funded, or regulated by the department.
(11) "Licensed Practical Nurse" means any
				person who is licensed to practice practical nursing under Chapter 464,
				F.S.
(12) "Mental Health
				Professional" means a psychiatrist, psychiatric nurse, clinical psychologist,
				marriage and family therapist, mental health counselor, or clinical social
				worker, as defined in Section
				 394.455, F.S.
(13) "Nursing Assessment" means a general
				evaluation, begun immediately upon admission and completed within 24 hours,
				conducted by a registered nurse. It is not intended to serve as the physical
				examination required under Section
				 394.459, F.S., unless it is
				performed as a physical examination by an ARNP.
(14) "Peer Review" means the review of a
				staff member's professional work by comparably trained and qualified
				individuals performing similar tasks.
(15) "Physical Examination" means an
				evaluation performed by a licensed physician or by an ARNP under the
				supervision of a licensed physician, or by a physician assistant.
(16) "Physician" means a person who is
				licensed under Chapter 458 or 459, F.S.
(17) "Physician Assistant" or "PA" means a
				person who is licensed to perform medical services delegated by a supervising
				physician under Chapter 458 or 459, F.S.
(18) "Policies and Procedures" means written
				standards, methods, and guidelines that govern the operation of the program,
				assure compliance with these rules and applicable statutes, and ensure the
				coordinated delivery of quality acute care treatment services that are designed
				to improve treatment outcomes.
(19)
				"Psychiatrist" means a person who is licensed under Chapter 458 or 459, F.S.,
				and as defined in Section
				 394.455, F.S.
(20) "Quality Assurance" means a process,
				including peer review and utilization review, designed to evaluate the quality
				of care of a program and to promote efficient and effective screening,
				evaluation, and treatment services. Crisis stabilization units and SRTs that
				are a part of a community mental health center, as defined in Section
				 394.907, F.S., may be included
				in that organization's quality assurance program.
(21) "Receiving Facility" means a public or
				private facility designated as defined in Section
				 394.455, F.S.
(22) "Registered Nurse" means any person who
				is licensed to practice professional nursing under Chapter 464, F.S.
(23) "Rehabilitative Services" means services
				and supports that are collaborative, person-directed, and individualized to
				promote recovery, full community integration, and improved quality of life for
				an individual diagnosed with any mental health condition impairing his or her
				ability to lead a meaningful life. These services help an individual develop
				skills and access resources needed to increase his or her capacity to be
				successful and satisfied in the living, working, learning, and social
				environments of his or her choice.
(24) "Restraint" as defined in Section
				 394.455, F.S.
(25) "Seclusion" as defined in Section
				 394.455, F.S.
(26) Service Plan" means a written statement
				of the long-term view, goals, and objectives to be achieved with the individual
				receiving services and the means for attaining those objectives.
(27) "Short-term Residential Treatment
				Program" or "SRT" means a state-supported acute care residential alternative
				service that operates 24 hours per day, 7 days per week and is typically of 90
				days or less in duration, and which is an integrated part of a designated
				public receiving facility and receiving state mental health funds under the
				authority of Chapter 394, F.S. The purpose of an SRT is to provide intensive
				short-term treatment to individuals who are temporarily in need of a
				24-hour-a-day structured therapeutic setting in a less restrictive, but
				longer-stay alternative to hospitalization.
(28) "Treatment" means the clinical care of
				an individual who has been determined to have a mental illness.
(29) "Usable Client Space" means the sum, in
				gross square feet, of all rooms, interior wall to interior wall, that are part
				of a CSU or SRT. Mechanical and electrical rooms, administrative and staff
				offices, screening areas, nurses' stations, visitor and reception areas, crawl
				spaces, and attic spaces, are excluded.
(30) "Utilization Review" means the process
				of using predefined criteria to evaluate the necessity and appropriateness of
				services and allocated resources to ensure that a program's services are
				necessary, cost-efficient, and effectively provided.
Rulemaking Authority
					 394.879(1),
					 394.907(8) FS.
					 Law Implemented 394.455,
					 394.459,
					 394.463,
					 394.67,
					 394.875,
					 394.907
					 FS.
New 2-27-86, Amended 7-14-92, Formerly 10E-12.103, Amended
					 9-1-98, 4-8-18.