Florida Administrative Code

(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…

(1) 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. (2) Mental health treatment shall be based on the youth's sympto…

(1) Chapter 65D-30 F.A.C., established the requirements for substance abuse treatment services provided in facilities licensed under Chapter 397, F.S. or by Service Providers licensed under Chapter 397, F.S. (2) In facilities and programs where substance abuse services are provid…

(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…

(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 s…

(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 shal…

(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 m…

(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 wi…

(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 fo…

(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 ideati…

(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 Ris…

(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 c…

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 th…

(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-sit…

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…

(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 observ…

(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'…

(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-D…

(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 inst…

(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 pers…

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…

(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 Seriou…

(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 interv…