Florida Administrative Code

(1) A youth's refusal to take a dosage of a prescribed medication shall be documented in the Individual Health Care Record, in addition to "R" for Refusal (as indicated on the MAR form). (2) The staff shall initial the MAR indicating refusal of medication. The youth shall sign th…

(1) The licensed nurse or non-licensed staff assisting with medication delivery shall verify whether a youth has swallowed his/her medications. (2) Licensed health care professional staff shall notify the DHA/Psychiatrist when a youth is found to be "cheeking" or not swallowing h…

(1) Non-licensed staff shall not administer parenteral medications, or routinely administer any medication that is injected subcutaneously, intradermally, intramuscularly or intravenously. (2) A non-licensed staff person may administer a percutaneous injection of a pre-packaged m…

(1) The Designated Health Authority or physician designee, PA or APRN, or psychiatrist is responsible for ordering the appropriate laboratory testing, including serum drug testing, for medications prescribed prior to a youth entering a DJJ facility. (2) Licensed health care profe…

(1) All youth shall be monitored routinely for adverse drug events, and potential adverse drug events, including medication errors. (2) Nursing and facility staff shall be notified of potential adverse drug effects and drug interactions through the Medical Alert system. (3) Licen…

(1) All youth with a diagnosed chronic medical condition who are prescribed medications shall receive instructions and education related to those chronic medical conditions and prescribed medications. (2) Education for a youth by an onsite licensed health care professional shall …

(1) All facilities shall address medical risks and complications associated with elevated heat index, exercise tolerance, and cold exposure. (2) Facility staff shall instruct youth who are in distress during any type of activity to immediately stop the activity. The staff must no…

(1) All facilities shall conduct surveillance, screening and management of specific illnesses or potential infectious conditions. (2) Each facility must develop and administer a comprehensive program of education and prevention regarding blood borne pathogens. (3) An Exposure Con…

(1) All facilities shall establish needle stick post-exposure intervention and treatment. (2) If an exposure meets criteria for post-exposure treatment, the post-exposure chemoprophylaxis (PEP) must be offered and initiated immediately after the exposure. (3) For a youth or staff…

(1) All youth determined at risk for HIV infection shall be offered counseling, testing, and referral for medical treatment as indicated. (2) The facility shall provide or facilitate HIV counseling and testing according to Chapter 65D-2, F.A.C. and pursuant to section 381.004, F.…

(1) All facilities shall conduct evaluation, identification, treatment, and containment of pediculosis (lice) or mites (scabies), including product-specific treatment and environmental control practices. (2) Treatment protocols and facility procedures shall be developed and appro…

(1) Each facility's DHA or designee shall be responsible for infection control requirements in accordance with the CDC for the identification, evaluation, treatment and containment of Methicillin-Resistant Staphylococcus Aureus (MRSA). (2) Youth with open skin infections shall be…

(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 APRN shall verify that information abou…

(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 s…

The Core Health Profile shall include the following forms and be organized in the order in which the forms are listed below: (1) Personal and Health-Related Information (HS 023, January 2024), which is incorporated into this rule and is available electronically at http://www.flru…

This section of the IHCR shall include the forms listed below and organized in this order: (1) Practitioner's Orders; (2) Chronological Progress Notes includes but not limited to: all health encounters (sick call, episodic and emergency care, report of health care by non-health c…

(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 del…

(1) Health education programs shall pertain to health issues of adolescents. These topics shall include, at a minimum, the following, and shall be completed prior to or in conjunction with the HRH or review of the HRH: (a) Seat belt usage; (b) Alcohol and drug related problems; (…

(1) The assigned JPO, facility nursing staff, and the facility case manager shall work together to ensure that all medical information requiring parental follow-up is communicated to the responsible parent/guardian/assigned custodian prior to the youth's exit from the facility. (…

(1) All health care services being rendered to the youth shall be continued and communicated to the receiving program. (2) Upon transfer to another detention center or residential commitment program, the youth shall be informed of current health care needs and required medical fo…

(1) The assigned JPO and detention center nursing staff shall work together to ensure that all medical information requiring parental follow-up is communicated to the responsible parent/legal guardian/assigned custodian prior to the youth's release from the facility. (2) Statutor…

(1) This rule section applies to programs operated or contracted by the department that provide greater than four (4) hours of continuous care for youth. The minimal requirements of this rule section do not supplant the more extensive requirements of this rule chapter that apply …

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 p…

(1) "Active Mental Health/Substance Abuse Treatment File" - A temporary file maintained in a designated area of the DJJ facility or program which contains mental health and substance abuse information collected during the course of a youth's ongoing mental health or substance abu…

(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…

(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 Pr…

(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 fac…

(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 superv…

(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 t…

(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 con…

(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 …

(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 Recor…

(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 …

(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 Scre…

(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 accordan…

(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 th…

(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…

(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 ref…

(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 fa…

(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 Suicid…

(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 i…

(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 min…

(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 …

(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…

(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)…

(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 …

(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) Th…