Florida Administrative Code › 33 - DEPARTMENT OF CORRECTIONS › 33 - Departmental › Chapter 33-404 - MENTAL HEALTH SERVICES › Section 33-404.103 - Mental Health Services - Definitions

Current through Reg. 50, No. 138; July 16, 2024
(1) The definitions in this rule are
				applicable to all rules under Chapter 33-404, F.A.C.
(2) "Behavioral Management Progress System"
				(or "BMPS") - refers to a structured system of performance-based behavioral
				incentives and consequences used to facilitate adaptive functioning, promote
				constructive goal-oriented behavior, develop coping skills, and provide
				opportunities to demonstrate self-care, self-control, appropriate interpersonal
				interactions, compliance with rules, and cooperation with the treatment
				regimen. The levels are sequentially organized for the provision of progressive
				incentives to encourage compliance with the prescribed treatment regimen,
				involvement in unstructured out of cell activities, proper care of personal
				property, and participation in psychoeducation groups and therapeutic
				activities. Placement, advancement, or recession within the levels is based on
				demonstrated inmate behavior, including: prosocial behavior, compliance with
				prescribed treatment modalities, aggressive acts, disruptive outburst, or other
				maladaptive behaviors. Individualized modification to an inmate's assignment to
				a level in the BMPS is approved by the MDST and documented in the mental health
				record.
(3) "Business Day" refers
				to any calendar day except Saturday, Sunday, or a paid holiday as defined in
				Section  110.117, F.S.
(4) "Corrections Mental Health Treatment
				Facility" refers to an inpatient mental health unit that provides ongoing
				involuntary mental health treatment in accordance with Sections
				 945.40 -
				 945.49, F.S.
(5) "Crisis Stabilization Care" means a level
				of care that is less restrictive and intense than care provided in a mental
				health treatment facility, that includes a broad range of evaluation and
				treatment services provided within a highly structured setting or locked
				residential setting, and that is intended for inmates who are experiencing
				acute emotional distress and who cannot be adequately evaluated and treated in
				a transitional care unit or infirmary isolation management room. Such treatment
				is also more intense than treatment provided in a transitional care unit and is
				devoted principally toward rapid stabilization of acute symptoms and
				conditions.
(6) "Critical Event" -
				Involvement of an inpatient inmate in one or more of the following events or
				behaviors: receipt of a disciplinary report, assignment to self-harm
				observation status after committing an act of self-injury, homicide, attempted
				homicide, escape, attempted escape, physical or sexual assault or battery, or
				attempted physical or sexual assault or battery.
(7) "Individualized Service Plan" - A written
				description of an inmate's current problems, goals, and treatments.
(8) "Infirmary Mental Health Care" (IMH) is
				the first and least restrictive level of inpatient mental health care, and
				consists of brief admission to the institutional infirmary for patients
				residing in the general prison community.
(9) "Inpatient Level of Care" - Mental health
				care provided at Corrections Mental Health Treatment Facilities, Crisis
				Stabilization Units, Transitional Care Units, and Infirmary Mental Health Care
				Units.
(10) "Inpatient Units" -
				Includes the Corrections Mental Health Treatment Facilities (CMHTF), Crisis
				Stabilization Units (CSU), and Transitional Care Units (TCU).
(11) "Isolation Management Room" - A cell in
				an infirmary mental health care unit, transitional care unit, crisis
				stabilization unit, or a corrections mental health treatment facility that has
				been certified as being suitable for housing those with acute psychological
				impairment or those who are at risk for self-injury.
(12) "Mental Health Care" - Mental health
				screening, assessment, evaluation, treatment, or services that are delivered in
				inpatient or outpatient settings by mental health staff.
(13) "Mentally Ill" means an impairment of
				the mental or emotional processes that exercise conscious control of one's
				actions or of the ability to perceive or understand reality, which impairment
				substantially interferes with the person's ability to meet the ordinary demands
				of living. However, for the purposes of transferring an inmate to a mental
				health treatment facility, the term does not include a developmental disability
				as defined in Section
				 393.063, F.S., simple
				intoxication, or conditions manifested only by antisocial behavior or substance
				abuse addiction. However, an individual who is developmentally disabled may
				also have a mental illness.
(14)
				"Multidisciplinary Services Team" (MDST) - Staff representing different
				professions and disciplines, which has the responsibility for ensuring access
				to necessary assessment, treatment, continuity of care and services to inmates
				in accordance with their identified mental health needs, and which
				collaboratively develops, implements, reviews, and revises an individualized
				service plan, as needed.
(15)
				"Residential Continuum of Care" - Specialized residential mental health units
				that provide augmented outpatient mental health treatment and habilitation
				services in a protective environment for inmates with serious psychological
				impairment associated with a historical inability to successfully adjust to
				daily living in the incarceration environment.
(16) "Structured Out of Cell Treatment and
				Services" (SOCTS): Weekly scheduled individualized treatment services,
				psychoeducational groups and therapeutic activities to ameliorate disabling
				symptoms of a diagnosed mental illness and improve behavioral functioning as
				identified in the individualized service plans.
(17) "Transitional Mental Health Care" means
				a level of care that is more intensive than outpatient care, but less intensive
				than crisis stabilization care, and is characterized by the provision of
				traditional mental health treatments such as group and individual therapy,
				activity therapy, recreational therapy, and psychotropic medications in the
				context of a structured residential setting. Transitional mental health care is
				indicated for a person with chronic or residual symptomatology who does not
				require crisis stabilization care or acute psychiatric care, but whose
				impairment in functioning nevertheless renders him or her incapable of
				adjusting satisfactorily within the general inmate population.
(18) "Unstructured Out of Cell Time" - Out of
				cell activities monitored by security staff without involvement of mental
				health staff, including, but not limited to, outdoor recreation, dayroom,
				visitation, telephone calls, and showers.
Rulemaking Authority
					 944.09,
					 945.49 FS. Law Implemented
					 944.09,
					 945.42,
					 945.49
					 FS.
New 5-27-97, Formerly 33-40.003, Amended 10-19-03, 3-1-11,
					 11-7-18, 2-10-22.