reglab/statecodes huggingface dataset:
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0085 - Psychiatric Services

Current through Reg. 50, No. 138; July 16, 2024
(1) Each
				Detention Center and residential commitment program shall have available,
				either within the facility, or by written agreements or contracts with off-site
				providers, provision of Psychiatric Services for treatment of serious Mental
				Disorders.
(2) Psychiatric Services
				shall be provided by a Psychiatrist or by a licensed and certified psychiatric
				advanced registered nurse practitioner (ARNP) under Chapter 464, F.S., who
				works under the clinical supervision of a Psychiatrist as specified in the
				collaborative practice protocol with the supervising Psychiatrist filed with
				the Florida Department of Health.
(a) The
				Psychiatrist or psychiatric advanced registered nurse practitioner (ARNP)
				providing Psychiatric Services in a departmental facility or program must
				comply with Rules   63M-2.010 -2.023 and   63M-2.025 -   63M-2.027, F.A.C., provisions
				regarding medication management whenever a youth is considered for, prescribed
				or receiving Psychotropic Medication.
(b) The Psychiatrist or psychiatric advanced
				registered nurse practitioner (ARNP) shall only prescribe Psychotropic
				Medications, which address the youth's specific diagnoses and target
				symptoms.
(c) If Psychotropic
				Medications are required, the lowest dose of medication necessary to achieve
				therapeutic effect shall be used bearing in mind potential benefits and
				risks.
(d) The use of more than one
				Psychotropic Medication as part of a mental health treatment regimen requires
				documented clinical justification for each Psychotropic Medication utilized by
				the Psychiatrist or psychiatric advanced registered nurse practitioner
				(ARNP).
(e) Psychotropic Medication
				shall be only one component of the therapeutic program. Additional treatment
				modalities such as individual, group and family therapy, behavioral therapy
				substance abuse counseling and psychosocial skills training shall be utilized
				in conjunction with the use of Psychotropic Medication.
(f) Psychotropic Medication shall not be used
				as punishment, for staff convenience, discipline, coercion, or retaliation, as
				a substitute for meaningful psychosocial, rehabilitative services or in
				quantities that lead to a loss of functional status.
(g) There shall be no pro re nata (PRN) or
				standing orders for Psychotropic Medications.
(h) There shall be no emergency treatment
				orders for use of Psychotropic Medication as a chemical restraint. Chemical
				restraint means a medication used to control behavior or restrict the youth's
				freedom of movement and is not a standard treatment for the youth's psychiatric
				condition.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0086 - Mental Health and Substance Abuse Transition/Discharge Planning

Current through Reg. 50, No. 138; July 16, 2024
(1) Mental Health Transition/Discharge
				Planning.
(a) During the final phase of mental
				health treatment, the Mental Health Clinical Staff Person, treatment team and
				youth shall establish a transition/discharge plan whereby improvements made
				during mental health treatment will be maintained upon the youth's movement
				from one facility to another, or return to the community.
(b) A transition/discharge plan shall be
				documented on the Mental Health/Substance Abuse Treatment Discharge Plan Form
				(MHSA 011, October 2014) which is incorporated by reference and is available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05371
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399.
1.
				The mental health information contained in the Mental Health/Substance Abuse
				Treatment Discharge Plan shall be discussed with the youth, parent/legal
				guardian (when available) and Juvenile Probation Officer prior to the youth's
				release from the facility or program.
2. A copy of the Mental Health/Substance
				Abuse Treatment Discharge Plan Form (MHSA 011) will be provided to the youth,
				the youth's assigned Juvenile Probation Officer, and also to the parent/legal
				guardian when the youth's written consent for release of substance abuse
				information to the parent/guardian has been obtained in accordance with consent
				provisions in Rule   63N-1.015, F.A.C.
(c) Transition planning for youths on Suicide
				Risk Alert/Suicide Precautions immediately prior to discharge to the community
				shall include notification of the youth's parent/legal guardian and Juvenile
				Probation Officer in accordance with Rule   63N-1.0097, F.A.C.
(d) Transition planning for youths on Suicide
				Risk Alert/Suicide Precautions immediately prior to transfer to another DJJ
				facility or program shall include notification of the facility
				superintendent/program director where the youth is to be transferred in
				accordance with Rule   63N-1.0097, 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-1.009 - Suicide Prevention

Current through Reg. 50, No. 138; July 16, 2024
(1) Each
				Detention Center, residential commitment program and day treatment program
				shall develop procedures for implementing the facility's suicide prevention
				plan and Suicide Precautions.
(2)
				The facility superintendent or program director must assure that a youth
				identified with Suicide Risk Factors or determined to be a Potential Suicide
				Risk is placed on Suicide Precautions until he/she receives Assessment of
				Suicide Risk by a Licensed Mental Health Professional or Mental Health Clinical
				Staff Person working under the direct supervision of a Licensed Mental Health
				Professional.
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-1.0092 - Screening for Suicide Risk

Current through Reg. 50, No. 138; July 16, 2024
(1) Suicide
				risk screening conducted by the JPO or in the JAC shall include a review of
				available youth records, review of the PACT Mental Health and Substance Abuse
				Screening Report and Referral Form suicide category, administration of the
				MAYSI-2 which contains a suicide ideation subscale and administration of the
				Suicide Risk Screening Instrument (SRSI) (MHSA 002) sections denoted for the
				JAC or JPO unit. If further assessment is indicated by the SRSI, MAYSI-2
				suicide ideation subscale or the PACT Mental Health and Substance Abuse
				Screening Report and Referral Form suicide category, or information obtained at
				initial intake suggests the youth is a Potential Suicide Risk, the following
				action must be taken in these circumstances:
(a) If the youth is to remain in the custody
				of DJJ, a Suicide Risk Alert must be entered into JJIS and the youth placed on
				Constant Supervision until an Assessment of Suicide Risk is
				conducted.
(b) If the youth is to
				be released to the custody of the parent or guardian, the parent or guardian
				must be informed that Suicide Risk Factors were disclosed during screening and
				that an Assessment of Suicide Risk should be conducted by a Mental Health
				Provider in the community.
1. The parent or
				guardian must be provided the Suicide Risk Screening Parent/Guardian
				Notification Form (MHSA 003, August 2006) which is incorporated by reference
				and is available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03786
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399.
2. The parent or guardian's signature is to
				be recorded on form MHSA 003.
3. A
				copy of form MHSA 003, signed by the parent or guardian, is to be permanently
				filed in the youth's case management record and Individual Healthcare
				Record.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.00921 - Suicide Risk Screening - General Requirements

Current through Reg. 50, No. 138; July 16, 2024
(1) If further
				assessment is indicated by suicide risk screening administered in the facility
				or program, or information obtained at intake or admission or staff
				observations identify Suicide Risk Factors or Potential Suicide Risk, the
				following must take place:
(a) A Suicide Risk
				Alert must be entered into JJIS and the youth must be placed on Suicide
				Precautions and at least Constant Supervision until an Assessment of Suicide
				Risk is conducted.
(b) The facility
				superintendent, program director or designee must be notified of the youth's
				Suicide Risk Factors. The facility superintendent, program director or designee
				is responsible for contacting the Designated Mental Health Clinician Authority
				or the Licensed Mental Health Professional who is to conduct or supervise the
				Assessment of Suicide Risk to discuss the case and refer the youth for
				Assessment of Suicide Risk.
(c) The
				facility superintendent, program director or designee and the Designated Mental
				Health Clinician Authority or other Licensed Mental Health Professional
				responsible for mental health care in the facility/program, shall confer
				regarding cases where the circumstances are viewed as urgent and, if it is
				determined that an emergency exists, shall implement procedures for emergency
				mental health services in accordance with Rule   63N-1.011, F.A.C.
(d) The youth must be placed on Suicide
				Precautions in the facility or program until the youth receives an Assessment
				of Suicide Risk or is transported for emergency mental health
				services.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0093 - Assessment of Suicide Risk and Follow-Up Assessment Procedures

Current through Reg. 50, No. 138; July 16, 2024
(1) Assessment of Suicide Risk.
(a) An Assessment of Suicide Risk shall be
				conducted within 24 hours of referral, or immediately if the youth is in
				Crisis.
1. Any youth with current Suicide
				Ideation shall be immediately referred to a Mental Health Clinical Staff Person
				who will confer with a Licensed Mental Health Professional to determine whether
				an Assessment of Suicide Risk is to be conducted in the facility or program
				within 24 hours or immediately. If the youth is an imminent threat of suicide,
				the youth must be transported for emergency mental health services as set forth
				in Rule   63N-1.011, F.A.C.
2. Any
				youth who makes a Suicide Attempt or attempts Serious Self-Inflicted Injury
				shall receive an immediate Assessment of Suicide Risk in the facility or be
				transported for emergency mental health services.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.00931 - Licensed Mental Health Professional's Off-Site Review of Assessment or Follow-Up Assessment of Suicide Risk

Current through Reg. 50, No. 138; July 16, 2024
In the circumstance where an Assessment of Suicide Risk or
				 Follow-Up Assessment of Suicide Risk is conducted by a non-licensed Mental
				 Health Clinical Staff Person within 24 hours of the referral but cannot be
				 reviewed by a Licensed Mental Health Professional within 24 hours of the
				 referral through face-to-face interaction, the Licensed Mental Health
				 Professional shall accomplish a review of the Assessment of Suicide Risk or
				 Follow-Up Assessment of Suicide Risk within 24 hours of the referral through
				 one of the following methods:
(1)
				Verbal consultation through telephonic communication with the non-licensed
				Mental Health Clinical Staff Person detailing the Assessment of Suicide Risk or
				Follow-Up Assessment of Suicide Risk findings.
(a) The verbal consultation shall be
				documented and summarized in the Assessment of Suicide Risk Form (MHSA 004) or
				Follow-Up Assessment of Suicide Risk Form (MHSA 005) by the non-licensed Mental
				Health Clinical Staff Person, including any instructions or recommendations
				made by the Licensed Mental Health Professional.
(b) The form MHSA 004 or form MHSA 005 shall
				be reviewed and signed by the Licensed Mental Health Professional the next
				scheduled time he/she is onsite.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0094 - Assessment of Suicide Risk Performed Off-Site of the Facility or Program

Current through Reg. 50, No. 138; July 16, 2024
(1) When an Assessment of Suicide Risk is
				conducted off-site of the facility or program, documentation of the assessment
				shall be requested by the juvenile justice representative responsible for the
				youth during the off-site assessment.
(2) Upon the youth's return from an off-site
				Assessment of Suicide Risk, the youth must be placed on Constant Supervision
				until a Mental Health Clinical Staff Person reviews the off-site assessment
				document and determines the mental health status of the youth based on the
				off-site assessment findings and administration of a Mental Status Examination
				by the Mental Health Clinical Staff Person.
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-1.0095 - Suicide Precaution Methods

Current through Reg. 50, No. 138; July 16, 2024
Detention Centers, residential commitment programs and day
				 treatment programs must utilize either Precautionary Observation or Secure
				 Observation as a Suicide Precaution method when a youth is identified as having
				 Suicide Risk Factors, or determined to be a Potential Suicide Risk. The
				 decision whether to use Secure Observation or Precautionary Observation as a
				 Suicide Precaution method for a particular youth shall be made by the
				 superintendent or program director and Designated Mental Health Clinician
				 Authority or other Licensed Mental Health Professional.
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-1.00951 - Precautionary Observation

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Precautionary Observation shall be utilized as a Suicide Precaution method in
				Detention Centers, residential commitment programs and day treatment
				programs.
(2) A youth shall be
				placed on Precautionary Observation if the youth is identified by intake
				screening or staff observations as having Suicide Risk Factors, or is
				determined to be a Potential Suicide Risk by an Assessment of Suicide Risk and
				the youth's Suicide Risk Behaviors indicates that his/her condition requires
				observation and monitoring beyond that which is normally provided, but is not
				in need of Secure Observation. Precautionary Observation shall not be used for
				youth who present an Imminent Threat of Suicide. Such youth shall be referred
				for emergency mental health services as set forth in Rule   63N-1.011,
				F.A.C.
(3) A youth on Precautionary
				Observation shall be limited to activities in the safe housing areas in the
				facility or program. The safe housing areas must meet the following
				specifications:
(a) The areas must be designed
				to eliminate or prohibit devices or materials which might aid in self-harm such
				as devices or materials which would enable a youth to hang him/herself, sharp
				objects which could be used to inflict physical damage to self or others or
				materials or substances which would enable the youth to burn or poison
				him/herself.
(b) The areas must be
				immediately accessible to the direct care staff maintaining Constant
				Supervision of the youth.
(c) The
				safe housing areas shall not limit the youth's activity to an individual cell,
				whether locked or unlocked, or a confinement room of any kind, nor shall it
				restrict a youth to his/her sleeping room as a suicide precaution.
(d) The safe housing areas of the facility
				shall be regularly inspected to ensure that the area is safe and secure.
				Documented daily safety/security checks of the facility will suffice as an
				inspection provided that the daily safety/security checks include the areas of
				the facility designated for Precautionary Observation.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.00952 - Secure Observation

Current through Reg. 50, No. 138; July 16, 2024
(1) When less
				restrictive means of control are not effective, facilities and programs are
				authorized to utilize a Secure Observation Room for observation of an At Risk
				or Potential Suicide Risk youth who manifests behavior which constitutes a
				strong potential threat to the youth's safety or to the safety of others For
				example, the At Risk youth appears extremely restless, agitated, fearful, or
				his/her behavior appears unpredictable, volatile or highly impulsive.
(a) A Secure Observation Room shall be used
				for observation of At Risk youths only when other less restrictive means of
				control are not effective or appropriate.
(b) The Secure Observation Room shall not be
				used for youth who present an Imminent Threat of Suicide. Such youth shall be
				transported for emergency mental health services as set forth in Rule
				  63N-1.011, 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-1.00953 - Monitoring of Youth Upon Removal from Precautionary or Secure Observation - General Requirements

Current through Reg. 50, No. 138; July 16, 2024
(1) Transition
				to Standard Supervision. The youth placed on Precautionary Observation prior to
				an Assessment of Suicide Risk who receives an Assessment of Suicide Risk and is
				not found to be a Potential Suicide Risk may be transitioned directly to
				standard supervision.
(2) Step-Down
				to Close Supervision and Normal Routine.
(a)
				Close Supervision shall be initiated for any youth who had been placed or
				maintained on Precautionary Observation following an Assessment of Suicide Risk
				which identified the youth as a Potential Suicide Risk.
(b) Close Supervision shall be initiated for
				any youth being removed from Secure Observation or who was in a Secure
				Observation Room at any time during Suicide Precautions.
(c) Close Supervision shall be maintained
				until determined no longer necessary by the Designated Mental Health Clinician
				Authority or other Licensed Mental Health Professional in the facility or
				program.
(d) The facility or
				program's Mental Health Clinical Staff shall maintain regular contact with the
				youth for support and to determine changes in his or her status during Close
				Supervision.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.00954 - Administrative and Clinical Review of Suicide Precautions

Current through Reg. 50, No. 138; July 16, 2024
(1) The
				superintendent/program director or assistant superintendent/assistant program
				director and a Licensed Mental Health Professional must review the Suicide
				Precautions Observation Log (MHSA 006) to determine whether the use of Suicide
				Precautions was appropriate in each instance.
(2) If the use of Precautionary Observation
				or Secure Observation is determined to have been inappropriate or not in
				compliance with this rule, the superintendent or program director shall
				initiate corrective action to address any deficiencies in implementation of
				Suicide Precautions.
(3) Each
				facility must maintain a monthly log which tracks each incident of the use of
				Secure Observation. This log must contain the name of each youth placed in the
				Secure Observation Room and the date and time of the youth's placement in and
				release from the Secure Observation Room.
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-1.0096 - Immediate Response to a Suicide Attempt or Incident of Serious Self-Inflicted Injury

Current through Reg. 50, No. 138; July 16, 2024
(1) Each facility's quarterly mock drills of
				a Suicide Attempt or Incident of Serious Self-Inflicted Injury must include
				action to be taken by staff in such circumstances as follows:
(a) Methods for contacting other facility
				staff by radio or call for backup support, medical personnel and emergency
				medical services (911);
(b)
				Provision of life saving measures such as cardiopulmonary resuscitation (CPR)
				and use of the Suicide Response Kit per established
				protocol;
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0097 - Notifications When a Youth on Suicide Precautions is Released, Transferred or Discharged

Current through Reg. 50, No. 138; July 16, 2024
For youths on Suicide Risk Alert or Suicide Precautions
				 immediately prior to release, transfer or discharge from a Detention Center,
				 residential commitment program or day treatment program, verbal and written
				 notification of the youth's suicide risk status and need for Assessment of
				 Suicide Risk must be provided and documented as follows:
(1) Youth is to be released or transferred
				from a Detention Center.
(a) If the youth is
				being released to the parent or guardian, the parent or guardian must be
				provided the Detention Suicide Risk Parent/Guardian Notification Form (MHSA
				009) and the parent or guardian must sign the form. The Detention Suicide Risk
				Parent/Guardian Notification Form (MHSA 009, October 2007) is incorporated by
				reference and is available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03792
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399. A copy of form MHSA 009, signed by the
				parent or guardian, is to be permanently filed in the youth's case management
				record and Individual Healthcare Record.
(b) If the youth is to be transferred to
				another DJJ facility, a jail or hospital, the facility superintendent or
				program director where the youth is to be transferred must be notified verbally
				and by email of the youth's suicide risk status prior to discharge from the
				Detention Center. The notification of suicide risk must be documented and
				permanently filed in the youth's Individual Healthcare
				Record.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0098 - Serious Suicide Attempt or Serious Self-Inflicted Injury Review and Mortality Review

Current through Reg. 50, No. 138; July 16, 2024
(1) The facility superintendent or program
				director shall establish a review process for every Suicide Attempt or Serious
				Self-Inflicted Injury requiring hospitalization or medical attention and a
				mortality review for a completed suicide.
(2) The serious Suicide Attempt or Serious
				Self-Inflicted Injury review process and mortality review process shall be
				multidisciplinary, involving administrative, direct care, mental health and
				medical personnel and include a critical inquiry of the following:
(a) The circumstances surrounding the
				incident;
(b) Facility procedures
				relevant to the incident;
(c) All
				relevant training received by involved staff;
(d) Pertinent medical and mental health
				services involving the victim;
(e)
				Possible precipitating factors leading to the Suicide Attempt, Serious
				Self-Inflicted Injury or completed suicide;
(f) Recommendations, if any, for changes in
				policy, training, physical plant, medical or mental health services and/or
				operational procedures shall be made in writing.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.010 - Mental Health Crisis Intervention Services

Current through Reg. 50, No. 138; July 16, 2024
(1) Each
				Detention Center, residential commitment program and day treatment program must
				have a written crisis intervention plan which includes the following:
(a) Verbal de-escalation and Protective
				Action Response as defined and set forth in Chapter 63H-1, F.A.C. Physical
				intervention techniques and restraining devices that are not authorized under
				DJJ Chapter 63H-1, F.A.C., shall not be used.
(b) Notification of the facility
				superintendent, program director or designee and Mental Health Clinical Staff
				of a youth's Acute Emotional or Psychological Distress which may pose a
				safety/security risk through the facility's alert process in accordance with
				Rule   63N-1.006, F.A.C. Notification procedures must also be in place to inform
				the youth's parent/legal guardian and Juvenile Probation Officer of the youth's
				Crisis.
(c) The procedures for
				referring youths whose Acute Emotional or Psychological Distress does not
				respond to ordinary crisis intervention to onsite or off-site Licensed Mental
				Health Professionals, Mental Health Providers or mental health facilities.
1. Referrals for Mental Health Crisis
				Intervention may be made by facility/program staff or by youth
				self-referral.
2. Youths identified
				as having Acute Emotional or Psychological Distress which may pose a
				safety/security risk must be immediately referred to a Mental Health Clinical
				Staff Person.
3. Youths
				experiencing an emotional Crisis to such a degree that he/she perceives the
				need for urgent professional assistance shall be permitted to request Mental
				Health Crisis Intervention.
4.
				Referrals for Mental Health Crisis Intervention, including youth
				self-referrals, shall be recorded on the Mental Health/Substance Abuse Referral
				Summary Form (MHSA 014), or a form developed by the program containing, all the
				information required in form MHSA 014.
(d) Procedures for communication between
				direct care staff, supervisory staff, administrative staff and Mental Health
				Clinical Staff regarding the status of the youth must exist to provide clear
				and current information and instructions and urgent care, as needed.
(e) For youths in Crisis placed on Mental
				Health Alert, the crisis intervention plan must reflect supervision levels
				provided in Rule   63N-1.006, F.A.C.
(f) Procedures for documenting the Crisis
				situation or event, staff response to the Crisis, referral to and consultation
				with a Mental Health Clinical Staff Person, and instructions of the Licensed
				Mental Health Professional, the Crisis Assessment, and mental health support
				services.
(g) The crisis
				intervention plan must specify the procedures for administrative and clinical
				review of crises which require mental health intervention.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0101 - Mental Health Crisis Assessment

Current through Reg. 50, No. 138; July 16, 2024
(1) The
				superintendent/program director or designee is responsible for consulting the
				Designated Mental Health Clinician Authority or Licensed Mental Health
				Professional who conducts or supervises mental health evaluations at the
				facility to discuss the youth's Crisis and associated behaviors.
(a) The superintendent/program director or
				designee and Designated Mental Health Clinician Authority or other Licensed
				Mental Health Professional shall confer on those cases viewed as urgent and if
				it is determined that a mental health emergency exists, the youth shall be
				transported for emergency mental health services as set forth in Rule
				  63N-1.011, F.A.C.
(b) The
				superintendent/program director or designee must document consultation with the
				Designated Mental Health Clinician Authority or other Licensed Mental Health
				Professional and referral for Crisis Assessment on form MHSA 014 or a form
				developed by the program containing all the information required in form MHSA
				014.
(c) A Crisis Assessment is
				utilized only when the youth's Acute Emotional or Psychological Distress or
				Crisis is not associated with Suicide Risk Factors or Suicide Risk Behaviors.
				If the youth's behavior or statements indicate possible suicide risk, the youth
				must receive an Assessment of Suicide Risk instead of a Crisis
				Assessment.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0102 - Crisis Intervention Services and Mental Health Alerts

Current through Reg. 50, No. 138; July 16, 2024
(1)
				When a youth has received a Crisis Assessment and has been determined to
				exhibit behaviors which pose a potential safety or security risk in the
				facility or program, the following must occur:
(a) The youth must be maintained or continue
				to be coded as a "Mental Health Alert, " and Mental Health Supportive Services
				provided.
(b) A youth determined
				through Crisis Assessment to exhibit behaviors which pose a potential safety or
				security risk must remain on "Mental Health Alert" status until a subsequent
				Mental Status Examination determines that the youth's mental health Crisis is
				resolved and no longer poses a potential safety or security
				risk.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.0103 - Off-Site Crisis Assessments

Current through Reg. 50, No. 138; July 16, 2024
(1) When a
				Crisis Assessment is conducted outside of the facility, documentation of the
				assessment shall be requested by the juvenile justice representative
				responsible for the youth during the off-site assessment.
(2) Upon the youth's return from an off-site
				Crisis Assessment, the youth must be placed on Constant Supervision until a
				Mental Health Clinical Staff Person reviews the off-site assessment documents
				and determines the mental health status of the youth based on the off-site
				assessment findings and administration of a follow-up Mental Status Examination
				to the youth.
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-1.011 - Emergency Mental Health and Substance Abuse Services

Current through Reg. 50, No. 138; July 16, 2024
Each Detention Center, residential commitment program and day
				 treatment program must have a written mental health and substance abuse
				 emergency response plan which includes the following components:
(1) Direct care staff and other facility
				staff shall be trained to immediately respond to mental health or substance
				abuse emergencies. Training shall include:
(a)
				Recognition of signs and symptoms of a mental health or substance abuse
				emergency;
(b) Methods of obtaining
				back-up security and/or medical assistance in the facility;
(c) Methods for contacting emergency medical
				services (EMS) and/or law enforcement;
(d) Administration of first aid and
				cardiopulmonary resuscitation;
(e)
				Staff access to and use of the Suicide Response Kit and cut down tools as
				specified in Rule   63N-1.0096, 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-1.012 - Off-Site Emergency Evaluations

Current through Reg. 50, No. 138; July 16, 2024
(1) Off-Site
				Emergency Mental Health Evaluations. Upon the youth's return from an off-site
				mental health receiving facility, the youth must be placed on Constant
				Supervision until a Mental Health Clinical Staff Person, working under the
				direct supervision of a Licensed Mental Health Professional, reviews the
				off-site mental health evaluation or discharge summary and provides a follow-up
				Mental Status Examination of the youth.
(2) Off-Site Emergency Substance Abuse
				Evaluations. Upon the youth's return from a hospital, licensed detoxification
				facility or addictions receiving facility, the youth must be placed on Constant
				Supervision until a Qualified Professional reviews the off-site substance abuse
				evaluation or discharge summary and determines the substance abuse status and
				needs of the youth based on the off-site assessment
				documents.
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-1.013 - Services for Youths with Developmental Disability

Current through Reg. 50, No. 138; July 16, 2024
(1) Facility
				staff shall be trained to recognize signs and symptoms of Developmental
				Disability. Examples of information and behaviors which suggests Developmental
				Disability include:
(a) Psychological testing
				or mental health evaluation indicate an Intelligence Quotient (IQ) below
				70.
(b) School exceptional
				education classification of "Intellectual Disabilities" or "Autism Spectrum
				Disorder" as specified in Rules   6A-6.03011 and   6A-6.03023, F.A.C.
(c) DSM diagnosis of "mental retardation" or
				"intellectual disability."
(d) The
				youth has difficulty understanding and answering age appropriate
				questions;
(e) The youth has
				difficulty understanding and following age appropriate directions, or
(f) The youth's abilities appear far below
				other youths his/her age.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.014 - Consent Requirements Applicable to Mental Health Services and Psychotropic Medication

Current through Reg. 50, No. 138; July 16, 2024
(1) The
				Authority for Evaluation and Treatment (AET) Form (HS 002) incorporated in Rule
				  63M-2.0051, F.A.C., is the means by which the department obtains the consent of
				the parent or legal guardian for routine health and mental health evaluation
				and treatment.
(2) The AET (HS 002)
				authorizes the department to provide physical health and mental health
				information to healthcare providers that are or will be treating a youth. It
				also authorizes healthcare providers to release physical health and mental
				health records to the department. The AET procedures provided in Rule
				  63M-2.0051, F.A.C., must be followed to obtain the parent or legal guardian's
				consent for release of physical health and mental health information and
				records.
(a) The AET authorizes the department
				to arrange for, make available and facilitate mental health assessments and
				treatment with licensed Mental Health Providers or mental health facilities,
				including diagnostic assessment, psychological testing, and individual, group,
				and family therapy and/or counseling.
(b) The AET shall not authorize the
				commitment of a child to a residential facility licensed under Chapter 393 or
				394, F.S., but is acknowledging commitment under Chapter 985,
				F.S.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63N - Mental Health/Substance Abuse/Developmental Disability Services › Chapter 63N-1 - SERVICE DELIVERY › Section 63N-1.015 - Special Consent for Substance Abuse Evaluation and Treatment

Current through Reg. 50, No. 138; July 16, 2024
(1) Youth Consent for Substance Abuse
				Evaluation and Treatment.
(a) A youth must
				consent to substance abuse evaluation and treatment unless such treatment is
				ordered by the court.
(b) Youth
				consent for substance abuse evaluation and treatment shall be obtained through
				the Youth Consent for Substance Abuse Treatment Form (MHSA 012) or through a
				form developed by the program which contains all the information required in
				form MHSA 012. The Youth Consent for Substance Abuse Treatment Form (MHSA 012,
				August 2006) is incorporated by reference and is available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03794
,
				or may be obtained by contacting: DJJ, Office of Health Services, 2737
				Centerview Drive, Tallahassee, FL 32399.
(c) If a youth refuses to provide consent for
				substance abuse evaluation and treatment, the department shall determine the
				need for a court order for the provision of such services.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63T - Transition › Chapter 63T-1 - REQUIRED TRANSITIONAL ACTIVITIES FOR RESIDENTIALLY COMMITTED YOUTH › Section 63T-1.001 - Purpose and Scope

Current through Reg. 50, No. 138; July 16, 2024
This rule establishes the requirements for the provision of
				 transition services for youth who have been residentially committed to the
				 department.
Rulemaking Authority  985.64 FS. Law Implemented
					  985.433(7)(c),  985.435,  985.46,  985.601(3)(a) 
					 FS.
New 6-11-13.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63T - Transition › Chapter 63T-1 - REQUIRED TRANSITIONAL ACTIVITIES FOR RESIDENTIALLY COMMITTED YOUTH › Section 63T-1.003 - Juvenile Probation Officer Responsibilities

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Pre-Commitment. At disposition, the JPO will address the youth's
				post-commitment supervision status with the court. If ordered, post-commitment
				supervision includes either post-commitment probation or conditional release.
				Otherwise, the youth will be a direct discharge.
(2) Case management of youth in residential
				commitment. The supervising JPO must identify potential roadblocks to the
				youth's successful transition and submit the information to the treatment team
				within the first 60 days of placement. Regardless of post-residential
				supervision status, all youth shall benefit from the department's transition
				planning process. The JPO must:
(a)
				Participate in intervention and treatment team meetings unless written
				authorization is obtained in advance from their supervisor. If the JPO does not
				participate in person, telephonically, or through web-based video phone, they
				shall follow-up with the residential case manager and youth within three
				working days of the meeting.
(b)
				Contact the youth's parent or guardian at least once per month via in person
				meeting, telephone, or web-based video phone during the youth's placement. If
				the youth is 18 years of age or older, they may request, in writing, their
				parent or guardian not be contacted. Each contact will be documented in JJIS
				case notes. These contacts must be transition focused and used to identify any
				unaddressed family needs that may inhibit a successful
				transition.
Florida Administrative Code › 63 - DEPARTMENT OF JUVENILE JUSTICE › 63T - Transition › Chapter 63T-1 - REQUIRED TRANSITIONAL ACTIVITIES FOR RESIDENTIALLY COMMITTED YOUTH › Section 63T-1.005 - Community Re-Entry Team

Current through Reg. 50, No. 138; July 16, 2024
(1) A
				community-based team shall be established in each judicial circuit to review
				all youth returning to the community from residential commitment.
(a) CRT Meeting - The Community Reentry Team
				meeting shall occur after the Transition Conference, but prior to the Exit
				Conference.
(b) The JPO or
				transition liaison shall send the invitations for the Community Reentry Team to
				all required parties, via Microsoft Outlook, a minimum of 14 days prior to the
				meeting date.
(c) The JPO or
				transition liaison shall send the case summary to all required parties a
				minimum of three (3) calendar days prior to the Community Reentry Team.
				Required parties include:
1. The FDJJ Regional
				Education Coordinator;
2.
				Residential Case Manager and/or Residential Transition Services
				Manager;
3. Residential Clinical
				Therapist (if applicable);
4.
				Transition contact within the receiving school district;
5. Transition services provider (i.e. Project
				Connect or Project Bridge);
6.
				Career Source representative.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64 - Departmental › Chapter 64-1 - INDEXING, MANAGEMENT AND AVAILABILITY OF FINAL ORDERS › Section 64-1.010 - Authority (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 120.53(1)-(3)
					 FS. Law Implemented 120.53(1)-(3)
					 FS.
New 3-24-99, Repealed
					 1-8-13.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64 - Departmental › Chapter 64-1 - INDEXING, MANAGEMENT AND AVAILABILITY OF FINAL ORDERS › Section 64-1.011 - Designation of Official Reporter for Subject Matter Index (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 120.53(2)(a)
					 FS. Law Implemented 120.53(1)(a),
					 (2)
					 FS.
New 3-24-99, Repealed
					 1-8-13.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64 - Departmental › Chapter 64-1 - INDEXING, MANAGEMENT AND AVAILABILITY OF FINAL ORDERS › Section 64-1.012 - Plan (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 120.53(1)(a), (b), (f), (h),
					 (2) FS. Law Implemented
					 120.53(1)(a), (b), (c), (f),
					 (h)
					 FS.
New 3-24-99, Repealed
					 1-8-13.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64 - Departmental › Chapter 64-1 - INDEXING, MANAGEMENT AND AVAILABILITY OF FINAL ORDERS › Section 64-1.013 - Maintenance of Records (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 120.53(3) FS.
					 Law Implemented 119.041(2),
					 120.53(3)
					 FS.
New 3-24-99, Repealed
					 1-8-13.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64 - Departmental › Chapter 64-1 - INDEXING, MANAGEMENT AND AVAILABILITY OF FINAL ORDERS › Section 64-1.014 - Listing of Final Orders (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 120.53(1)(a), (c),
					 (e) FS. Law Implemented
					 120.53(1)(a), (c), (d),
					 (e)
					 FS.
New 3-24-99, Repealed
					 1-8-13.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64 - Departmental › Chapter 64-1 - INDEXING, MANAGEMENT AND AVAILABILITY OF FINAL ORDERS › Section 64-1.015 - Numbering of Final Orders (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 120.53(1)(h)
					 FS. Law Implemented 120.53(1)(h)
					 FS.
New 3-24-99, Repealed
					 1-8-13.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64 - Departmental › Chapter 64-3 - SPECIAL NEEDS SHELTER › Section 64-3.010 - Definitions (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 381.0303(4),
					 (7) FS. Law Implemented
					 381.0303
					 FS.
New 11-21-07, Repealed
					 3-16-17.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64 - Departmental › Chapter 64-3 - SPECIAL NEEDS SHELTER › Section 64-3.015 - Special Needs Shelter Guidelines

Current through Reg. 50, No. 138; July 16, 2024
(1) The
				Department hereby adopts the publication "Guidelines for Special Needs
				Shelters" (December 2016 edition), incorporated by reference and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-08031
.
				Except for this rule section, this publication contains the Department
				guidelines in this chapter applicable to Special Needs Shelters.
(2) Health care practitioners and other
				vendors shall request reimbursement for services rendered by submitting Form DH
				1989 (January 2017 edition), "Vendor Invoice for Special Needs Health Care
				Practitioner, " or Form DH 1990 (January 2017 edition), "Vendor Invoice for
				Services Rendered to Special Needs Clients Placed by the Multiagency Special
				Needs Shelter Discharge Planning Team, " as applicable. These forms are
				incorporated by reference and are available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-08032
and
http://www.flrules.org/Gateway/reference.asp?No=Ref-08033
.
Rulemaking Authority
					 381.0303(5) FS.
					 Law Implemented 381.0303
					 FS.
New 3-16-17.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64 - Departmental › Chapter 64-3 - SPECIAL NEEDS SHELTER › Section 64-3.020 - Eligibility Criteria for Special Needs Shelters (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 381.0303(7) FS.
					 Law Implemented 381.0303
					 FS.
New 11-21-07, Repealed
					 3-16-17.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64 - Departmental › Chapter 64-3 - SPECIAL NEEDS SHELTER › Section 64-3.030 - Guidelines for Special Needs Shelter Staffing Levels (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 381.0303(7) FS.
					 Law Implemented 381.0303
					 FS.
New 11-21-07, Repealed
					 3-16-17.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64 - Departmental › Chapter 64-3 - SPECIAL NEEDS SHELTER › Section 64-3.040 - Definition of Special Needs Shelter Supplies and Equipment (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 381.0303(7) FS.
					 Law Implemented 381.0303
					 FS.
New 11-21-07, Repealed
					 3-16-17.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64 - Departmental › Chapter 64-3 - SPECIAL NEEDS SHELTER › Section 64-3.050 - Special Needs Shelter Registration (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 381.0303(7) FS.
					 Law Implemented 381.0303
					 FS.
New 11-21-07, Repealed
					 3-16-17.
Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64 - Departmental › Chapter 64-3 - SPECIAL NEEDS SHELTER › Section 64-3.060 - Addressing the Needs of Families (Repealed)

Current through Reg. 50, No. 138; July 16, 2024
Rulemaking Authority
					 381.0303(7) FS.
					 Law Implemented 381.0303
					 FS.
New 11-21-07, Repealed
					 3-16-17.