reglab/statecodes huggingface dataset:
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63M - Medical › Chapter 63M-2 - HEALTH SERVICES › Section 63M-2.055 - Health Department Reporting of Infectious Disease

Current through Reg. 50, No. 138; July 16, 2024
(1) Any
				infectious disease outbreak shall be investigated and reported to the local
				County Health Department. The index case (youth) shall be interviewed as a part
				of the investigation.
(2) The
				Designated Health Authority or Designee, PA or ARNP shall verify that
				information about communicable diseases has been provided to the Superintendent
				or Program Director.
(3) Facilities
				that have three or more cases of any infectious disease shall report these
				cases, as required, to the local county health department.
Rulemaking Authority  985.64(2)  FS. Law Implemented
					  985.64(2),  985.145,  985.18 FS.
New 3-16-14.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63M - Medical › Chapter 63M-2 - HEALTH SERVICES › Section 63M-2.061 - Record Documentation, Development and Maintenance

Current through Reg. 50, No. 138; July 16, 2024
(1) All
				Individual Health Care Records shall remain confidential.
(2) The Individual Health Care Record
				consists of two sections:
(a) Section 1: Core
				Health Profile; and,
(b) Section
				2: Interdisciplinary Health Record. The Interdisciplinary Health Record
				contains the additional subsections of the Individual Health Care Record that
				include the current Practitioners orders and Chronological Progress Notes,
				historical medical documentation, and treatment records and documents of
				ancillary care.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63M - Medical › Chapter 63M-2 - HEALTH SERVICES › Section 63M-2.062 - Core Health Profile

Current through Reg. 50, No. 138; July 16, 2024
The Core Health Profile shall include:
(1) Individual Health Care Record Checklist
				and Internal Quality Control (HS 017, October 2006), which is incorporated into
				this rule and is available electronically at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03825
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399;
(2) Personal and Health-Related Information
				(HS 023, October 2006), which is incorporated into this rule and is available
				electronically at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03826
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399;
(3) Problem List (HS 026);
(4) The Authority for Evaluation and
				Treatment (AET) (HS 002);
(5)
				Parental Notification of Health-Related Care (HS 020), (HS 021), (HS
				022);
(6) The Sick Call Index (HS
				030);
(7) The Immunization Tracking
				Record (HS 016, October 2006), or the Immunization Record as per the Florida
				State Health Online Tracking System (Florida SHOTS) through the Department of
				Health Bureau of Immunization, as authorized by Section   381.003, F.S. The
				Immunization Tracking Record (HS 016, October 2006), is incorporated into this
				rule and is available electronically at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03827
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399;
(8) Facility Entry Physical Health Screening
				(HS 010);
(9) Health-Related
				History (HRH) (HS 014);
(10)
				Comprehensive Physical Assessment (CPA) (HS 007);
(11) Infectious and Communicable Disease Form
				(HS 018); and,
(12) Health
				Education Record (HS 013).
Rulemaking Authority  985.64(2)  FS. Law Implemented
					  985.64(2),  985.145,  985.18 FS.
New 3-16-14.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63M - Medical › Chapter 63M-2 - HEALTH SERVICES › Section 63M-2.063 - Interdisciplinary Health Record

Current through Reg. 50, No. 138; July 16, 2024
This section of the IHCR shall include:
(1) Practitioner's Orders;
(2) Chronological Progress Notes;
(3) Summary of Off-Site Care (HS
				033);
(4) Medication Administration
				Record (MAR) (HS 019);
(5) Prior
				Medical/Physical Assessments and Histories;
(6) Prior Facility Entry Physical Health
				Screenings;
(7) Laboratory
				Tests;
(8) Radiological
				Tests;
(9) Mental Health/Behavioral
				Health Care; and,
(10) Dental
				Care.
Rulemaking Authority  985.64(2)  FS. Law Implemented
					  985.64(2),  985.145,  985.18 FS.
New 3-16-14.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63M - Medical › Chapter 63M-2 - HEALTH SERVICES › Section 63M-2.064 - Storage, Security and Control of the Individual Health Care Record

Current through Reg. 50, No. 138; July 16, 2024
(1) The Individual Health Care Records shall
				be stored separately from other files that contain non-health-related records
				and notes. The storage area must be locked and inaccessible to youth.
(2) Only licensed health care professionals
				or facility/provider/departmental staff delegated with authority to assist
				youth with off-site medical care, medication management, etc., shall have
				access to Individual Health Care Records.
(3) The Designated Health Authority or
				physician designee, Facility Superintendent, or Program Director shall provide
				delegated access to Individual Health Care Record.
(4) Health records and health information
				will not be stored in an individual's desk.
(5) All health records will be returned to
				the health record storage area when not in use.
(6) Health records shall never be left
				outside of the clinic area unattended and unsecured.
(7) All documents shall be filed in the IHCR
				as soon as possible after a service is rendered.
(8) The health records of transferred youth
				shall be opened upon arrival at the receiving facility for review by health
				care staff.
(9) Any health-related
				material requested by any of the Offices or Branches in the department shall be
				made available to the requesting entity in a timely manner.
(10) Parents or legal guardians have the
				right to request and review copies of the Individual Health Care Records for
				their child with the following exceptions:
(a)
				Psychotherapy Notes;
(b)
				Statutorily protected information.
If there is any question, the issue shall be referred to the
				 Regional General Counsel's Office.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63M - Medical › Chapter 63M-2 - HEALTH SERVICES › Section 63M-2.070 - Health Education

Current through Reg. 50, No. 138; July 16, 2024
(1) Health
				education programs shall pertain to health issues of adolescents. These topics
				shall include, at a minimum, the following:
(a) Seat belt usage;
(b) Alcohol and drug related
				problems;
(c) HIV/AIDS;
(d) Sexually Transmitted
				Disease/Infections;
(e) Tobacco
				products, including smoking cessation;
(f) Dental hygiene and dental care;
(g) Basic Personal Hygiene;
(h) Immunizations;
(i) Infection control;
(j) Prevention of sexual and other physical
				violence;
(k) Nutrition;
(l) Physical fitness;
(m) Breast and testicular
				self-examinations;
(n) Parenting
				skills;
(o) Prenatal, postpartum
				and parenting education as applicable.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63M - Medical › Chapter 63M-2 - HEALTH SERVICES › Section 63M-2.082 - Transfer from Residential Commitment Program

Current through Reg. 50, No. 138; July 16, 2024
(1) All health
				care services being rendered to the youth shall be continued and communicated
				to the receiving program.
(2) Upon
				transfer to another residential commitment program or facility, the youth shall
				be informed of current health care needs and required medical
				follow-up.
(3) Duplication of
				screenings, risk assessments, and laboratory tests at the receiving residential
				commitment facility or program shall be avoided unless clinically indicated,
				with the exception of the Facility Entry Physical Health Screening (HS
				010).
(4) All medications and MAR's
				shall be transferred with youth to the subsequent residential commitment
				program.
Rulemaking Authority  985.64(2)  FS. Law Implemented
					  985.64(2),  985.145,  985.18 FS.
New 3-16-14.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.001 - Purpose and Scope

Current through Reg. 50, No. 138; July 16, 2024
The Rule establishes the requirements for delivery of mental
				 health, substance abuse and Developmental Disability services in Department of
				 Juvenile Justice (DJJ) facilities and programs. The rule applies to Juvenile
				 Assessment Centers, Detention Centers, residential commitment programs and day
				 treatment programs operated by, or under contract with, the Department of
				 Juvenile Justice.
Rulemaking Authority  985.64(2)  FS. Law Implemented
					  985.601(3)(a),  985.14(3)(a),  985.145(1),  985.18,  985.48(4),  985.64(2) 
					 FS.
New 3-16-14.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0031 - Qualifications of Mental Health Professionals

Current through Reg. 50, No. 138; July 16, 2024
(1) Mental
				health services must be provided by a Licensed Mental Health Professional or a
				non-licensed Mental Health Clinical Staff Person who is working under the
				direct supervision of a Licensed Mental Health Professional.
(a) Licensed Mental Health Professionals.
				Each Licensed Mental Health Professional shall hold an active, valid license
				issued by the Florida Department of Health.
1.
				Psychiatrists. A Psychiatrist shall be a physician licensed pursuant to Chapter
				458 or 459, F.S., who meets one of the following conditions:
a. Is board certified in Child and Adolescent
				Psychiatry or Psychiatry by the American Board of Psychiatry and Neurology,
				or
b. Is board eligible by virtue
				of having completed a training program in Psychiatry approved by the American
				Board of Psychiatry and Neurology for entrance into its certifying examination,
				or
c. Is board certified in
				Forensic Psychiatry by the American Board of Psychiatry and Neurology or the
				American Board of Forensic Psychiatry and has prior experience and training in
				psychiatric treatment with children or adolescents.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0032 - Qualifications of Substance Abuse Professionals and Service Providers

Current through Reg. 50, No. 138; July 16, 2024
(1) Substance abuse services must be provided
				by persons or entities meeting licensure requirements set forth in Chapter 397,
				F.S., or who are exempt from licensure under Section   397.405, F.S.
(2) Documentation of Licensure. Chapter 397,
				F.S., licensure or a Licensed Qualified Professional's licensure under Chapter
				458, 459, 490 or 491, F.S., is required as provided below:
(a) Chapter 397, F.S. Licensure. A copy of
				the up-to-date Chapter 397, F.S., licensure document for the appropriate
				licensable service component must be on file and displayed in departmental
				facilities or programs.
(b) The
				Licensed Qualified Professional's license number, and a copy of an up-to-date
				clear and active license document must be on file in the facility or
				program.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0033 - Clinical Supervision of Mental Health Clinical Staff

Current through Reg. 50, No. 138; July 16, 2024
(1) A
				non-licensed Mental Health Clinical Staff Person who is carrying out mental
				health treatment in a departmental facility or program must be working under
				the direct supervision of a Licensed Mental Health Professional employed by, or
				under contract with, the departmental facility or program.
(2) Direct supervision shall be documented on
				the Licensed Mental Health Professionals and Licensed/Certified Substance Abuse
				Professionals Direct Supervision Log (MHSA 019), or a form developed by the
				program which contains all the information required in form MHSA 019. The
				Licensed Mental Health Professionals and Licensed/Certified Substance Abuse
				Professionals Direct Supervision Log (MHSA 019, August 2006) is incorporated by
				reference and is available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03773
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399.
(3) The Licensed Mental Health Professional
				providing direct supervision is responsible for reviewing and signing
				Comprehensive Assessments, Comprehensive Mental Health Evaluations, Updated
				Comprehensive Mental Health Evaluations, Initial Mental Health Treatment Plans
				and Individualized Mental Health Treatment Plans prepared by the non-licensed
				Mental Health Clinical Staff Person within ten calendar days of administration
				of the instrument.
(4) The Licensed
				Mental Health Professional providing direct supervision is responsible for
				reviewing each Assessment of Suicide Risk and Follow-Up Assessment of Suicide
				Risk, Crisis Assessment and Follow-Up Crisis Assessment conducted by the
				non-licensed Mental Health Clinical Staff Person within 24 hours of the
				referral for assessment. The Assessment of Suicide Risk, Follow-Up Assessment
				of Suicide Risk, Crisis Assessment or Follow-Up Crisis Assessment conducted by
				the non-licensed Mental Health Clinical Staff must be signed by the Licensed
				Mental Health Professional the next scheduled time he/she is
				onsite.
Rulemaking Authority  985.64(2)  FS. Law Implemented
					  985.601(3)(a),  985.14(3)(a),  985.145(1),  985.18,  985.48(4),  985.64(2) 
					 FS.
New 3-16-14.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0034 - Clinical Supervision of Substance Abuse Clinical Staff

Current through Reg. 50, No. 138; July 16, 2024
(1) A
				non-licensed Substance Abuse Clinical Staff Person who is an employee in a
				facility licensed under Chapter 397, F.S., or an employee of a Service Provider
				licensed under Chapter 397, F.S., must work under the direct supervision of a
				Qualified Professional.
(2) Direct
				supervision shall be documented on the Licensed Mental Health Professionals and
				Licensed/Certified Substance Abuse Professionals Direct Supervision Log (MHSA
				019) or a form developed by the program which contains all the information
				required in form MHSA 019.
(3) The
				Qualified Professional providing direct supervision is responsible for
				reviewing and signing Comprehensive Assessments, Comprehensive Substance Abuse
				Evaluations, Updated Comprehensive Substance Abuse Evaluations, Initial
				Substance Abuse Treatment Plans and Individualized Substance Abuse Treatment
				Plans prepared by the non-licensed Substance Abuse Clinical Staff Person within
				ten calendar days.
(4) The
				requirements for documentation of clinical supervision of non-licensed
				Substance Abuse Clinical Staff employed in a facility licensed under Chapter
				397, F.S., or employed by a service provider licensed under Chapter 397, F.S.,
				are provided in Chapter 65D-30, F.A.C.
Rulemaking Authority  985.64(2)  FS. Law Implemented
					  985.601(3)(a),  985.14(3)(a),  985.145(1),  985.18,  985.48(4),  985.64(2) 
					 FS.
New 3-16-14.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0035 - Retaining a Designated Mental Health Authority or Clinical Coordinator

Current through Reg. 50, No. 138; July 16, 2024
(1) Designated Mental Health Clinician
				Authority.
(a) Each facility with an operating
				capacity of 100 or more youths, each facility providing DJJ Specialized
				Treatment Services and every Detention Center shall employ or contract with a
				single Licensed Mental Health Professional to act as the Designated Mental
				Health Clinician Authority for the facility or program, or if the facility or
				program contracts with an agency or corporate entity, rather than a single
				Licensed Mental Health Professional, then a single Licensed Mental Health
				Professional within the agency or corporate entity shall be identified as the
				Designated Mental Health Clinician Authority for the DJJ facility or
				program.
(b) The Designated Mental
				Health Clinician Authority must be onsite in the DJJ facility/program at least
				once a week for a sufficient time period to ensure that appropriate
				coordination and implementation of mental health and substance abuse services
				is taking place.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0036 - Referrals for Mental Health Services or Substance Abuse Services

Current through Reg. 50, No. 138; July 16, 2024
(1) Referrals to Mental Health Clinical Staff
				or Substance Abuse Clinical Staff in the facility or off-site mental health or
				substance abuse providers shall be documented on the Mental Health/Substance
				Abuse Referral Summary (MHSA 014) or a form developed by the program which
				contains all of the information required in form MHSA 014. The Mental
				Health/Substance Abuse Referral Summary (MHSA 014, August 2006) is incorporated
				by reference and is available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03774
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399.
(2) Residential commitment programs
				designated for Specialized Treatment Services where youths are routinely
				referred for a specific mental health or substance abuse service such as
				comprehensive mental health/substance abuse evaluation or updated evaluation as
				part of established procedure are exempt from the paragraph above. Such
				programs may utilize an existing referral process such as tracking logs for
				documentation of routine referrals. However, referrals for non-routine mental
				health and substance abuse services such as Assessment of Suicide Risk,
				Follow-Up Assessment of Suicide Risk or Crisis Assessment must be recorded on
				the Mental Health/Substance Abuse Referral Summary (MHSA 014) or a form
				developed by the program containing all the information required in form MHSA
				014.
Rulemaking Authority  985.64(2)  FS. Law Implemented
					  985.601(3)(a),  985.14(3)(a),  985.145(1),  985.18,  985.48(4),  985.64(2) 
					 FS.
New 3-16-14.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.004 - Mental Health, Substance Abuse and Developmental Disability Services Records Management

Current through Reg. 50, No. 138; July 16, 2024
(1) Each
				Detention Center, residential commitment program and day treatment program
				shall develop a health care record system in accordance with Rules   63M-2.061 -
				  63M-2.063, F.A.C., and this rule.
(2) Entries in mental health, substance abuse
				or Developmental Disability services clinical records shall be legible,
				accurate, dated and authenticated by the writer's signature. In those instances
				where clinical records are generated and maintained electronically, a staff
				identifier will be acceptable in lieu of the writer's signature.
(3) Mental health, substance abuse or
				Developmental Disability services clinical records shall be kept secure from
				unauthorized access.
Rulemaking Authority  985.64(2)  FS. Law Implemented
					  985.601(3)(a),  985.14(3)(a),  985.145(1),  985.18,  985.48(4),  985.64(2) 
					 FS.
New 3-16-14.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0041 - Individual Healthcare Record

Current through Reg. 50, No. 138; July 16, 2024
(1) Mental
				health, substance abuse and Developmental Disability Clinical Treatment
				Services records collected during the youth's involvement in the juvenile
				justice system shall be permanently filed in the youth's Individual Healthcare
				Record in the Interdisciplinary Health Records Section.
(2) All mental health and substance abuse
				records and Developmental Disability Clinical Treatment Services records
				contained in the youth's Individual Healthcare Record are considered
				confidential.
(a) DJJ staff shall have access
				to a youth's Individual Healthcare Records only when such access is needed in
				the performance of their official responsibilities.
(b) Only individuals who, by virtue of job
				description and duties, require information on a youth's mental health or
				substance abuse or developmental disability status for the purpose of providing
				health care to that youth, protecting the safety of that youth, or performing
				auditing functions may have access to a youth's mental health, substance abuse
				or developmental disability clinical records and/or information. Access shall
				only be to that portion of the Individual Healthcare Record which is required
				for the above purposes.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0042 - Active Mental Health/Substance Abuse Treatment File

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Mental health and substance abuse records may be temporarily maintained in an
				Active Mental Health/Substance Abuse Treatment File during a youth's on-going
				mental health or substance abuse treatment.
(2) When utilized, a youth's Active Mental
				Health/Substance Abuse Treatment File must be maintained in a designated secure
				filing area. The filing area must be accessible only to appropriate mental
				health and/or substance abuse staff, and designated administrative, supervisory
				and medical staff who have a need for the information in connection with their
				duty to monitor the youth's progress or to participate in the assessment and
				treatment of the youth.
(3) The
				Active Mental Health/Substance Abuse Treatment File must be maintained until
				the Mental Health Clinical Staff Person or Substance Abuse Clinical Staff
				Person determines that the youth's on-going mental health or substance abuse
				treatment is completed, at which time the Active Mental Health/Substance Abuse
				Treatment File must be placed in the youth's Individual Healthcare Record. An
				exception is provided for facilities which provide Specialized Treatment
				Services or ongoing mental health or substance abuse treatment services. Such
				facilities may maintain an Active Mental Health/Substance Abuse Treatment File
				throughout the youth's placement in the facility/program. The Active Mental
				Health/Substance Abuse Treatment File must be placed in the youth's Individual
				Healthcare Record prior to the youth's transition from the program.
(4) The Active Mental Health/Substance Abuse
				Treatment File must be restricted to documentation of mental health and
				substance abuse treatment of a non-medical nature. Documentation of
				administration and management of medication and medical services provided by a
				physician, physician assistant or nurse must be filed in the youth's Individual
				Healthcare Record. It is acceptable to retain a copy of documentation of
				Psychiatric Services such as a psychiatric evaluation to be placed in the
				Active Mental Health and Substance Abuse Treatment File. However, the original
				psychiatric evaluation must be maintained in the youth's Individual Healthcare
				Record.
Rulemaking Authority  985.64(2)  FS. Law Implemented
					  985.601(3)(a),  985.14(3)(a),  985.145(1),  985.18,  985.48(4),  985.64(2) 
					 FS.
New 3-16-14.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0051 - Mental Health and Substance Abuse Screening

Current through Reg. 50, No. 138; July 16, 2024
(1) Screening
				in Juvenile Assessment Centers (JAC) or Juvenile Probation Officer (JPO) Unit.
(a) Mental Health and Substance Abuse
				Screening conducted upon a youth's initial intake at a JAC or JPO Unit shall
				include the following:
1. Administration of
				the Massachusetts Youth Screening Instrument, Second Version
				(MAYSI-2).
2. Administration of the
				Suicide Risk Screening Instrument (SRSI) Form (MHSA 002, October 2014) which is
				incorporated by reference and is available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05366
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399.
3. Completion of the PACT and PACT Mental
				Health and Substance Abuse Screening Report and Referral Form as set forth in
				Rule   63D-9.004, F.A.C.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0052 - Intake/Admission Suicide Risk Screening

Current through Reg. 50, No. 138; July 16, 2024
(1) All youths
				shall be screened for Suicide Risk Factors during the initial intake process in
				a Juvenile Assessment Center (JAC) or Juvenile Probation Officer (JPO) Unit and
				upon admission to a Detention Center, residential commitment program or day
				treatment program in accordance with Rules   63N-1.0092 and   63N-1.00921,
				F.A.C.
(2) When suicide risk
				screening, collateral information or staff observations indicate the need for
				an Assessment of Suicide Risk, an Assessment of Suicide Risk shall be conducted
				in accordance with Rule   63N-1.0093, F.A.C.
Rulemaking Authority  985.64(2)  FS. Law Implemented
					  985.601(3)(a),  985.14(3)(a),  985.145(1),  985.18,  985.48(4),  985.64(2) 
					 FS.
New 3-16-14.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0053 - Massachusetts Youth Screening Instrument, Second Version (MAYSI-2) Procedures

Current through Reg. 50, No. 138; July 16, 2024
(1) The MAYSI-2 shall be administered to the
				youth upon initial intake at a JAC or JPO Unit and on the day of the youth's
				admission to a day treatment program or residential commitment
				program.
(2) The MAYSI-2 shall be
				administered only by staff who have successfully completed the Department's
				CORE training module on the MAYSI-2.
(3) The MAYSI-2 shall be administered and
				scored using JJIS.
(4) When the
				MAYSI-2 or other intake or admission information indicates the need for
				referral for in-depth mental health or substance abuse evaluation, Assessment
				of Suicide Risk, crisis intervention or emergency services, the facility
				superintendent, program director or designee must be notified and referral made
				as set forth in Rule   63N-1.0036, F.A.C.
Rulemaking Authority  985.64(2)  FS. Law Implemented
					  985.601(3)(a),  985.14(3)(a),  985.145(1),  985.18,  985.48(4),  985.64(2) 
					 FS.
New 3-16-14.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0054 - Comprehensive Assessments

Current through Reg. 50, No. 138; July 16, 2024
(1) If a
				detained youth who was referred for Comprehensive Assessment by the JAC or JPO
				has not received an assessment by the community-based Service Provider within
				30 days of screening, the Detention Center's Mental Health Provider shall
				administer a Comprehensive Mental Health Evaluation to the youth by the youth's
				31st day in the Detention Center.
(2) When Comprehensive Assessment indicates
				the youth is in need of treatment, the youth shall receive an Initial or
				Individualized Mental Health/Substance Abuse Treatment Plan and appropriate
				treatment services.
Rulemaking Authority  985.64(2)  FS. Law Implemented
					  985.601(3)(a),  985.14(3)(a),  985.145(1),  985.18,  985.48(4),  985.64(2) 
					 FS.
New 3-16-14.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0055 - Comprehensive Mental Health Evaluations

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Comprehensive Mental Health Evaluations shall be administered by a Licensed
				Mental Health Professional or a Mental Health Clinical Staff Person working
				under the direct supervision of a Licensed Mental Health
				Professional.
(2) Comprehensive
				Mental Health Evaluations shall reflect consideration of the following:
(a) Identifying Information;
(b) Reason for Evaluation;
(c) Relevant Background Information,
				including home environment and family functioning; history of physical abuse,
				sexual abuse, neglect, witnessing violence and other forms of trauma;
				behavioral functioning; physical health mental health and substance abuse
				history and educational functioning;
(d) Behavioral Observations;
(e) Mental Status Examination;
(f) Interview or Procedures
				Administered;
(g) Discussion of
				Findings;
(h) Diagnostic
				Impression/Formulation including DSM diagnoses; and,
(i) Recommendations.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0056 - Comprehensive Substance Abuse Evaluations

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Comprehensive Substance Abuse Evaluation General Requirements.
(a) Chapter 65D-30, F.A.C., establishes
				requirements for substance abuse assessments provided in facilities licensed
				under Chapter 397, F.S., and by Service Providers licensed under Chapter 397,
				F.S.
(b) In DJJ facilities and
				programs wherein substance abuse services are provided by a Licensed Qualified
				Professional, the Comprehensive Substance Abuse Evaluation must reflect
				consideration of the following:
1. Reason for
				Assessment,
2. Pertinent
				Background Information, including home environment and family functioning;
				history of physical abuse, sexual abuse, neglect, witnessing violence and other
				forms of trauma; behavioral functioning; physical health, mental health and
				substance abuse history and educational functioning,
3. Behavioral Observations,
4. Methods of Assessment,
5. Patterns of Alcohol and Other Drug Abuse,
6. Impact of Alcohol and Other
				Drug Abuse on Major Life Areas,
7.
				Risk Factors for Continued Alcohol and Other Drug Abuse,
8. Clinical Impression including DSM
				diagnoses,
9.
				Recommendations.
(c)
				Comprehensive substance abuse evaluations must be completed within 30 days of
				referral. However, if screening, staff observations or other information
				indicates the youth has a substance abuse problem which poses a safety risk to
				himself/herself or others, completion of the Comprehensive Substance Abuse
				Evaluation must be expedited based upon the urgency of the youth's symptoms as
				determined by a Qualified Professional.
(d) When the Comprehensive Substance Abuse
				Evaluation indicates the youth is in need of treatment, the youth shall receive
				an Initial or Individualized Substance Abuse Treatment Plan and appropriate
				treatment services.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.006 - Suicide Risk Alerts and Mental Health Alerts

Current through Reg. 50, No. 138; July 16, 2024
(1) Suicide
				Risk Alerts.
(a) A "Suicide Risk Alert"
				designation shall be made by direct care or clinical staff when a youth is
				identified during screening or by staff observations as having Suicide Risk
				Factors.
(b) The youth coded as a
				Suicide Risk Alert must be placed on Suicide Precautions and maintained on
				Constant Supervision until an Assessment of Suicide Risk is conducted. If a
				youth exhibits behaviors which require both a "Suicide Risk Alert" and "Mental
				Health Alert, " the procedures for a "Suicide Risk Alert" must be
				followed.
(c) Youths on Suicide
				Precautions shall be coded as a "Suicide Risk Alert" until Suicide Precautions
				are removed.
(d) An exception is
				provided for residential commitment programs designated for Specialized
				Treatment Services where a Mental Health Clinical Staff Person conducts mental
				health screening at admission, and if a youth is identified with Suicide Risk
				Factors, immediately administers an Assessment of Suicide Risk. Based upon
				Assessment of Suicide Risk findings, the Mental Health Clinical Staff Person
				will determine whether a "Suicide Risk Alert" will be placed in
				JJIS.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.007 - Mental Health and Substance Abuse Treatment Planning

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Each Detention Center, residential commitment program and day treatment program
				shall develop a treatment planning process for youths in need of mental health
				and/or substance abuse treatment.
(2) Each youth's Individualized Mental Health
				Treatment Plan shall be based on an in-depth Comprehensive Assessment,
				Comprehensive Mental Health Evaluation or updated Comprehensive Mental Health
				Evaluation.
(3) Each youth's
				Individualized Substance Abuse Treatment Plan shall be based on an in-depth
				Comprehensive Assessment, Comprehensive Substance Abuse Evaluation or updated
				Comprehensive Substance Abuse Evaluation.
Rulemaking Authority  985.64(2)  FS. Law Implemented
					  985.601(3)(a),  985.14(3)(a),  985.145(1),  985.18,  985.48(4),  985.64(2) 
					 FS.
New 3-16-14.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0071 - Mental Health and Substance Abuse Treatment Planning in Detention Centers

Current through Reg. 50, No. 138; July 16, 2024
(1) Each youth who is determined by a Mental
				Health Clinical Staff Person or Substance Abuse Clinical Staff Person to need
				mental health treatment, including treatment with Psychotropic Medication, or
				substance abuse treatment while in a Detention Center must be assigned to a
				mini-treatment team. The mini-treatment team is responsible for developing,
				reviewing and updating Initial and Individualized Mental Health Treatment Plans
				or Initial and Individualized Substance Abuse Treatment Plans for youths
				receiving mental health or substance abuse treatment while in the Detention
				Center.
(a) The mini-treatment team must be
				composed of at least a Mental Health Clinical Staff Person or Substance Abuse
				Clinical Staff Person and one other staff person from a different service area
				such as administrative, supervisory or medical staff.
(b) The mini-treatment team meetings must
				include the youth. The youth's parent or legal guardian must also be included
				in the mini-treatment team meeting when possible.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0072 - Mental Health and Substance Abuse Treatment Planning in Residential Commitment and Day Treatment Programs

Current through Reg. 50, No. 138; July 16, 2024
(1) Each youth
				in a residential commitment program or day treatment program must be assigned
				to a treatment team upon admission.
(a) The
				multidisciplinary treatment team in residential commitment programs must be
				composed of the youth and representatives from the program's staff as set forth
				in paragraph   63E-7.010(4)(b), F.A.C.
(b) The multidisciplinary treatment team in
				day treatment programs must be composed of direct care, mental health and
				substance abuse counseling components and may also include administration,
				medical, educational, and vocational staff.
(c) Multidisciplinary treatment team meetings
				must include the youth. The multidisciplinary treatment team must also include
				the youth's parent or legal guardian when possible.
(d) The multidisciplinary treatment team is
				responsible for developing, reviewing and updating the youth's Initial Mental
				Health Treatment Plan and Individualized Mental Health Treatment Plan and/or
				Initial Substance Abuse Treatment Plan and Individualized Substance Abuse
				Treatment Plan.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0073 - Initial Mental Health and Substance Abuse Treatment Plans - General Requirements

Current through Reg. 50, No. 138; July 16, 2024
(1) An Initial
				Mental Health Treatment Plan must be recorded on the Initial Mental
				Health/Substance Abuse Treatment Plan Form (MHSA 015) or a form developed by
				the program which contains all the mental health information in form MHSA 015.
				The Initial Mental Health/Substance Abuse Treatment Plan Form (MHSA 015,
				October 2014) is incorporated by reference and is available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05370
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399. The Initial Mental Health Treatment
				Plan must be signed and dated by the Mental Health Clinical Staff Person, youth
				and treatment team members who participated in development of the
				plan.
(2) Initial Substance Abuse
				Treatment Plan.
(a) Chapter 65D-30, F.A.C.,
				establishes the requirements for initial treatment plans provided in facilities
				licensed under Chapter 397, F.S., or by Service Providers licensed under
				Chapter 397, F.S.
(b) In facilities
				and programs where substance abuse services are provided by a Licensed
				Qualified Professional, the Initial Substance Abuse Treatment Plan must be
				developed as follows:
1. An Initial Substance
				Abuse Treatment Plan must be recorded on the Initial Mental Health/Substance
				Abuse Treatment Plan Form (MHSA 015), or a form developed by the facility or
				program which contains all the substance abuse information in form MHSA
				015.
2. An Initial Substance Abuse
				Treatment Plan must be signed and dated by the Substance Abuse Clinical Staff
				Person, youth and treatment team members who participated in development of the
				plan.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0074 - Individualized Mental Health and Substance Abuse Treatment Plans - General Requirements

Current through Reg. 50, No. 138; July 16, 2024
(1) An
				Individualized Mental Health Treatment Plan must be recorded on form MHSA 016
				or a form developed by the program which contains all the mental health
				information in form MHSA 016. The Individualized Mental Health/Substance Abuse
				Treatment Plan Form (MHSA 016, October 2014) is incorporated by reference and
				is available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05368
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399. The Individualized Mental Health
				Treatment Plan must be signed and dated by the Mental Health Clinical Staff
				Person, the treatment team members who participated in development of the plan
				and the youth.
(2) An
				Individualized Substance Abuse Treatment Plan is required when a youth enters
				on-going substance abuse treatment.
(a)
				Chapter 65D-30, F.A.C., establishes the requirements for individual substance
				abuse treatment plans provided in facilities licensed under Chapter 397, F.S.,
				or by Service Provider licensed under Chapter 397, F.S.
(b) In facilities and programs where
				substance abuse services are provided by a Licensed Qualified Professional, the
				Individualized Substance Abuse Treatment Plan must be developed as follows:
1. An Individualized Substance Abuse
				Treatment Plan must be recorded on the Individualized Mental Health/Substance
				Abuse Treatment Plan Form (MHSA 016), or a form developed by the program which
				contains all the substance abuse information in form MHSA 016.
2. An Individualized Substance Abuse
				Treatment Plan must be signed and dated by the Substance Abuse Clinical Staff
				Person, the treatment team members who participated in development of the plan
				and the youth.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0075 - Integrated Mental Health and Substance Abuse Treatment Plans

Current through Reg. 50, No. 138; July 16, 2024
(1) Youths diagnosed with both Mental
				Disorder and Substance-Related Disorder shall receive integrated treatment
				services based upon an Integrated Mental Health/Substance Abuse Treatment Plan.
(a) The Integrated Mental Health and
				Substance Abuse Treatment Plan shall be developed with the input of both Mental
				Health Clinical Staff and Substance Abuse Clinical Staff.
(b) The Integrated Mental Health and
				Substance Abuse Treatment Plan shall provide interventions and strategies
				demonstrated effective in treatment of dual diagnosis and co-occurring
				disorders.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0076 - Review and Updating of Individual Mental Health Treatment Plans, Individual Substance Abuse Treatment Plans and Integrated Mental Health and Substance Abuse Treatment Plans

Current through Reg. 50, No. 138; July 16, 2024
(1) Review and
				Updating of Individualized Mental Health Treatment Plans.
(a) Individualized Mental Health Treatment
				Plans must be reviewed and updated by the Mental Health Clinical Staff Person,
				treatment team and youth, and include the procedures in subsection (3),
				below.
(b) The review and updating
				of Individualized Mental Health Treatment Plans must be recorded on the
				Individualized Mental Health/Substance Abuse Treatment Plan Review Form (MHSA
				017) or a form developed by the program which contains all the mental health
				information required in form MHSA 017. The Individualized Mental
				Health/Substance Abuse Treatment Plan Review Form (MHSA 017, October 2014) is
				incorporated by reference and is available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05367
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0083 - Integrated Mental Health and Substance Abuse Treatment Services

Current through Reg. 50, No. 138; July 16, 2024
(1) Youths diagnosed with both Mental
				Disorder and Substance-Related Disorder shall receive Integrated Mental Health
				and Substance Abuse Treatment services in the DJJ facility or program when
				possible, or through community-based Mental Health Providers and Substance
				Abuse Service Providers.
(2) Mental
				health treatment services shall be provided by a Licensed Mental Health
				Professional or a Mental Health Clinical Staff Person working under the direct
				supervision of a Licensed Mental Health Professional.
(3) Substance abuse treatment shall be
				provided by a Licensed Qualified Professional or by a Substance Abuse Clinical
				Staff Person who is an employee in facility licensed under Chapter 397, F.S.,
				or an employee of a service provider licensed under Chapter 397, F.S.
(4) Integrated Mental Health and Substance
				Abuse Treatment shall consist of evidence based mental health and substance
				abuse treatment, and therapy models demonstrated effective in treatment of
				co-occurring Mental Disorder and Substance-Related
				Disorder.
Rulemaking Authority  985.64(2)  FS. Law Implemented
					  985.601(3)(a),  985.14(3)(a),  985.145(1),  985.18,  985.48(4),  985.64(2) 
					 FS.
New 3-16-14.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0084 - Documentation of Mental Health and Substance Abuse Treatment Services

Current through Reg. 50, No. 138; July 16, 2024
(1) Mental Health Treatment Services shall be
				documented in a progress note or treatment note in the youth's Active Mental
				Health/Substance Abuse Treatment File or mental health section of the youth's
				Individual Healthcare Record.
(a) Recording of
				progress notes/treatment notes shall be carried out either on the day the
				treatment service/activity is provided or on a weekly basis.
1. The daily note must be recorded on the
				Counseling/Therapy Progress Note Form (MHSA 018) or a form developed by the
				program which contains all the information required in form MHSA 018. The
				Counseling/Therapy Progress Note Form (MHSA 018, August 2006) is incorporated
				by reference and is available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03782
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399.
2. If the progress notes/treatment notes are
				recorded weekly, the progress note/summary must include the following
				information:
a. Summary of the mental health
				treatment interventions delivered to the youth, based on the youth's mental
				health treatment plan,
b. The
				youth's response to the interventions and progress toward reaching
				individualized treatment goals,
c.
				Significant events occurring during the week and contact with family and other
				agencies,
d. Signature of the
				Mental Health Clinical Staff Person who provided the treatment, and the date
				note was signed.