Florida Administrative Code › 65 - DEPARTMENT OF CHILDREN AND FAMILIES › 65E - Mental Health Program › Chapter 65E-5 - MENTAL HEALTH ACT REGULATION › Section 65E-5.100 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
As used in this chapter the following words and phrases have
				  the following definitions:
(1)
				"Advance directive" as defined in Section
				 765.101, F.S.
(2) "Assent" is an affirmative agreement by
				the minor to remain at the receiving facility for examination and
				treatment.
(3) "Assessment" means
				the systematic collection and integrated review of individual-specific data. It
				is the process by which individual-specific information, such as examinations
				and evaluations, are gathered, analyzed, monitored, and documented to develop
				the individual's recovery plan and to monitor recovery. Assessment specifically
				includes efforts to identify the individual's key medical and psychological
				needs, competency to consent to treatment, patterns of a co-occurring mental
				illness and substance use disorder, as well as clinically significant
				neurological deficits, traumatic brain injury, organicity, physical disability,
				developmental disability, need for assistive devices, and physical or sexual
				abuse or trauma.
(4) "Care
				coordination" as defined in Section
				 394.4573(1)(a),
				F.S.
(5) "Clinical review for
				minors" means the process of collecting and analyzing information about a minor
				presenting for voluntary admission or transfer to voluntary status at a
				receiving facility. The review must include an interview with the minor, and
				may include collection of collateral information, for the purpose of
				determining if the minor voluntarily assents to the admission or transfer. The
				clinical review shall be conducted by a qualified professional or registered
				nurse or clinical staff with at least a master's degree in psychology, social
				work, counseling education, mental health counseling, or marriage and family
				therapy.
(6) "Discharge plan" means
				a written plan describing the proposed aftercare needs and how they will be
				met, including living arrangements, transportation, physical health, treatment,
				and recovery supports.
(7)
				"Emergency treatment order (ETO) means a written emergency order for
				psychotropic medications, as described in Rule
				 65E-5.1703, F.A.C.; or a written
				emergency order for seclusion or restraint, as described in Rule
				 65E-5.180, F.A.C.
(8) Examination means the integration of the
				physical examination required under Section
				 394.459(2),
				F.S., with other diagnostic activities to determine if the individual is
				medically stable and to rule out abnormalities of thought, mood, or behavior
				that mimic psychiatric symptoms but are due to non-psychiatric medical causes
				such as disease, infection, injury, toxicity, or metabolic disturbances.
				Examination includes the identification of individual specific risk factors for
				treatment such as elevated blood pressure, organ dysfunction, substance use, or
				trauma.
(9) "Facility" as defined
				in Section  394.455, F.S.
(10) "Health care proxy" means a competent
				adult who has not been expressly designated by an advance directive to make
				health care decisions for a particular incapacitated individual, but is
				authorized pursuant to Section
				 765.401, F.S., to make health
				care decisions for such individual.
(11) "Health care surrogate" means any
				competent adult expressly designated by a principal's advance directive to make
				health care decisions on behalf of the principal upon the principal's
				incapacity.
(12) "High utilization"
				means an individual experiencing an increased utilization of acute behavioral
				health services demonstrated by:
a. Three (3)
				or more evaluations or admissions into a crisis stabilization unit or inpatient
				psychiatric hospital within 180 days; or
b. Acute care admissions that last 16 days or
				longer.