Florida Regulations 63N-1.010: Mental Health Crisis Intervention Services
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(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 Fl. Admin. Code Chapter 63H-1 Physical intervention techniques and restraining devices that are not authorized under DJJ Fl. Admin. Code Chapter 63H-1, 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 Fl. Admin. Code R. 63N-1.006 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 Fl. Admin. Code R. 63N-1.006
(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.
(2) Integrated Mental Health Crisis Intervention and Emergency Mental Health/Substance Abuse Plan. The facility/program may develop an integrated Mental Health Crisis Intervention and emergency mental health and substance abuse services plan which contain and meet all of the elements listed in this section and Fl. Admin. Code R. 63N-1.011
Rulemaking Authority Florida Statutes § 985.64(2). Law Implemented 985.601(3)(a), 985.14(3)(a), 985.145(1), 985.18, 985.48(4), 985.64(2) FS. History-New 3-16-14.
Terms Used In Florida Regulations 63N-1.010
- Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
- Probation: A sentencing alternative to imprisonment in which the court releases convicted defendants under supervision as long as certain conditions are observed.
(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 Fl. Admin. Code R. 63N-1.006 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 Fl. Admin. Code R. 63N-1.006
(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.
(2) Integrated Mental Health Crisis Intervention and Emergency Mental Health/Substance Abuse Plan. The facility/program may develop an integrated Mental Health Crisis Intervention and emergency mental health and substance abuse services plan which contain and meet all of the elements listed in this section and Fl. Admin. Code R. 63N-1.011
Rulemaking Authority Florida Statutes § 985.64(2). Law Implemented 985.601(3)(a), 985.14(3)(a), 985.145(1), 985.18, 985.48(4), 985.64(2) FS. History-New 3-16-14.