Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0091 - Suicide Prevention Plans

Current through Reg. 50, No. 138; July 16, 2024
(1) Each
				Detention Center, residential commitment program and day treatment program must
				have a written plan that details suicide prevention procedures. The suicide
				prevention plan must be reviewed annually.
(2) A facility/program's plan for suicide
				prevention must include the following elements:
(a) Youths identified through screening or
				alert processes as having Suicide Risk Factors must be classified as a Suicide
				Risk Alert on JJIS and referred for an Assessment of Suicide Risk. An exception
				is provided in residential commitment programs designated for Specialized
				Treatment Services where a Mental Health Clinical Staff person administers
				mental health screening at admission and immediately administers an Assessment
				of Suicide Risk as specified in Rule   63N-1.006, F.A.C.
(b) When Suicide Risk Factors or suicide
				tendencies are indicated by screening or staff observations, an Assessment of
				Suicide Risk must be conducted to determine the level of suicide
				risk.
(c) Each facility or program
				must provide at least 6 hours of staff training annually on suicide prevention
				and implementation of Suicide Precautions which shall include quarterly "mock
				drill" trainings (every shift) on response to a Suicide Attempt and/or incident
				of serious self-injury. The training provided in the facility or program must
				be documented and on file in either the employee's personnel file or staff
				training file.
(d) The areas of the
				facility designated for Precautionary Observation and Secure
				Observation.
(e) Use of levels of
				supervision in the following manner:
1.
				One-to-One Supervision. If the youth is in a Secure Observation Room, the staff
				member assigned to One-to-One Supervision of the youth must be stationed at the
				entrance to the room, no further than five feet from the door. One-to-One
				Supervision must be documented on the Suicide Precautions Observation Log (MHSA
				006).
2. Constant Supervision. A
				staff member shall maintain continuous and uninterrupted observation of the
				youth. The staff member must have a clear and unobstructed view of the youth
				and unobstructed sound monitoring of the youth at all times. Constant
				Supervision shall not be accomplished through video/audio surveillance. If
				video/audio surveillance is utilized in the facility, it shall be used only to
				supplement physical observation by staff. Constant Supervision must be
				documented on form MHSA 006.
3.
				Close Supervision shall be used only as a step-down method of supervision of an
				At Risk youth who has received an Assessment of Suicide Risk, has been removed
				from Suicide Precautions, and is being transitioned back into a normal routine.
				Close Supervision is not an option for Precautionary Observation or Secure
				Observation. A staff member shall conduct visual checks of the youth's
				condition while in his/her room or sleeping area at intervals not to exceed
				five minutes. For example, the staff member will observe the youth's outward
				appearance, behavior and position in the room or area. Visual checks must be
				documented in writing at intervals not to exceed five minutes on the Close
				Supervision - Visual Checks Log (MHSA 020) or a visual checks form developed by
				the program which contains all the required information in form MHSA
				020.
(f) The procedures
				for referring At Risk youths to mental health care providers or emergency
				facilities.
(g) Procedures for
				immediate and timely communication between Mental Health Clinical Staff and
				facility staff regarding the status of the youth to provide clear and current
				information and instructions. Procedures for communication with the youth's
				parent or legal guardian to obtain information regarding Suicide Risk
				Factors.
(h) Procedures for
				notifying the parent/legal guardian that suicide risk screening indicated
				possible suicide risk and need for further assessment if the youth is being
				released to the parent/legal guardian prior to administration of an Assessment
				of Suicide Risk.
(i) Procedures for
				both verbal and written notification of the superintendent or program director,
				supervisors, outside authorities, the Juvenile Probation Officer and the parent
				or legal guardian of the youth's Potential Suicide Risk, as indicated by an
				Assessment of Suicide Risk, or of a youth's attempted suicide in the facility
				or program, must also be in place.
(j) The procedures for documenting the
				identification, referral, monitoring, assessment and follow-up of a youth
				identified as a Potential Suicide Risk or who has attempted suicide. The forms
				or formats cited in this Rule and the facility log must be utilized for
				documentation of suicide prevention processes and procedures.
(k) The procedures for immediate staff
				response to a Suicide Attempt or incident of Serious Self-Inflicted
				Injury.
(l) The procedures for the
				Licensed Mental Health Professional's and facility superintendent or program
				director's review of suicide prevention procedures. The plan must also specify
				the facility's review process for every serious Suicide Attempt or Serious
				Self-Inflicted Injury requiring hospitalization or medical attention and
				mortality review process for a completed
				suicide.