New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 14 - JUVENILE JUSTICE › Part 4 - FACILITY MEDICAL AND BEHAVIORAL HEALTH SERVICES › Section 8.14.4.8 - HEALTH SERVICES ORGANIZATION AND MANAGEMENT

Current through Register Vol. 35, No. 13, July 16, 2024
A. A medical health authority is established
				at the JJS level to oversee the provision of medical health care to all
				facility clients. A medical health authority may be appointed at the juvenile
				justice facility level to oversee the provision of medical services to clients
				at a specific JJS facility.
B. A
				behavioral health authority is established at the JJS level to oversee the
				provision of behavioral health care to all facility clients. A behavioral
				health authority at the juvenile justice facility level may be appointed to
				oversee the provision of behavioral health services to clients at a specific
				JJS facility.
C. Standards of care:
				Medical and behavioral health authorities are responsible for standards of care
				regarding access and quality of care.
D. Planning and monitoring: Medical,
				behavioral health and administrators at CYFD, JJS and facility levels jointly
				develop comprehensive plans for the delivery of medical and behavioral health
				services at juvenile justice facilities. Medical, behavioral health and
				administrators at CYFD, JJS and facility levels jointly monitor and resolve
				problems related to medical, dental and behavioral health care.
E. Quality assurance and continuous quality
				improvement systems are in place at CYFD, JJS and facility level to monitor and
				review health and behavioral health care access and delivery at
				facilities.
F. Emergency response
				plans are in place at all facilities to protect the health, safety and welfare
				of clients, staff and visitors during emergencies. Facility emergency response
				plans include medical and behavioral health components.
G. Grievance system: Clients have a right to
				question health care decisions and services. A grievance system is in place to
				process and resolve them.
H.
				Incident reporting and review: An incident reporting system is in place that
				identifies medical or behavioral health related events occurring at JJS
				facilities that must be reported to designated department level
				management.
I. Notification:
				Medical and behavioral health authorities, the OIC or designees notify the
				client's parent/guardian/custodian of any serious illness, surgery, injury, or
				death.
J. Prison Rape Elimination
				Act compliance: Each facility has written procedures regarding the detection,
				prevention, reduction and punishment of rape consistent with federal
				law.
K. Client and family
				participation; refusal of care; consent to care: Medical and behavioral health
				staff encourages client and family participation in medical and behavioral
				health care as indicated. Statutory requirements regarding informed consent for
				medical and behavioral health care are followed.
L. Any biomedical, behavioral, or other
				research using JJS clients as subjects shall be conducted only with the written
				informed consent of the client, and the written informed consent of the
				client's parent(s) or legal custodian or guardian if the client is a minor, and
				shall conform to established ethical, medical and regulatory standards for
				human research. Any person desiring to conduct biomedical, behavioral or other
				research using JJS clients as subjects must document to CYFD that the research
				project will conform to federal regulations that apply to persons who are
				incarcerated and to children, if the clients involved in the research project
				are minors. Any research project approved by appropriate external reviewers
				must then be reviewed and approved or disapproved by the JJS director to ensure
				that the project conforms with the policies of CYFD before the research project
				may begin.
M. Forensic information:
				The role of medical and behavioral health services staff is to serve the health
				needs of clients. Medical and behavioral health treatment staff is prohibited
				from participating in the collection of forensic information.
N. Deaths: The medical health authority
				reviews all deaths and findings are made regarding appropriateness of clinical
				care and need for corrective action.
O. Response to person hanging: Any facility
				staff member finding another person hanging by the neck places the highest
				priority on preserving the client's life.