Florida Regulations 63N-1.011: Emergency Mental Health and Substance Abuse Services
Current as of: 2024 | Check for updates
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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 Fl. Admin. Code R. 63N-1.0096
(2) Procedures for notification of onsite facility personnel of the mental health or substance abuse emergency and to notify the superintendent or program director and Designated Mental Health Clinician Authority if he/she is off-site at the time of the emergency. The youth’s parent/legal guardian and Juvenile Probation Officer (JPO) must also be notified of the youth’s mental health or substance abuse emergency. Documentation of parent/legal guardian and JPO notification of the youth’s emergency and attempts to contact the parent/legal guardian or JPO must be filed in the youth’s Individual Healthcare Record.
(3) Procedures for communication between facility staff and Mental Health Clinical Staff or Substance Abuse Clinical Staff and/or medical staff regarding the status of the youth must exist to provide clear and current information and instructions.
(4) One-to-One Supervision of the youth shall be maintained while the youth is in the DJJ facility or program until authorized release to emergency personnel.
(5) Staff shall immediately contact emergency medical services (9-1-1) in the event of a mental health or substance abuse emergency that requires emergency medical treatment.
(6) Procedures must be in place for contacting the designated law enforcement agency and arranging for transportation of a youth believed to be mentally ill from the facility to a mental health receiving facility as specified in Florida Statutes § 394.462
(7) Procedures for transporting a youth who is believed to be substance abuse impaired for emergency admission to a hospital, licensed detoxification facility or addictions receiving facility as specified in Sections 397.675 and 397.677, F.S.
(8) Procedures for documenting the mental health or substance abuse emergency, staff response to the mental health or substance abuse emergency, instructions of Mental Health Clinical Staff, Substance Abuse Clinical Staff and/or medical staff, and authorization for transfer.
(9) All staff who work with youths must be trained in emergency response procedures. Each facility or program must provide semi-annual training on emergency response procedures which include “”mock”” training in emergency response to a Suicide Attempt or incident of Serious Self-Inflicted Injury.
(10) Procedures for administrative review and a Licensed Mental Health Professional’s review of mental health and substance abuse emergency procedures and critical incidents.
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-1.011
- 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.
(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 Fl. Admin. Code R. 63N-1.0096
(2) Procedures for notification of onsite facility personnel of the mental health or substance abuse emergency and to notify the superintendent or program director and Designated Mental Health Clinician Authority if he/she is off-site at the time of the emergency. The youth’s parent/legal guardian and Juvenile Probation Officer (JPO) must also be notified of the youth’s mental health or substance abuse emergency. Documentation of parent/legal guardian and JPO notification of the youth’s emergency and attempts to contact the parent/legal guardian or JPO must be filed in the youth’s Individual Healthcare Record.
(3) Procedures for communication between facility staff and Mental Health Clinical Staff or Substance Abuse Clinical Staff and/or medical staff regarding the status of the youth must exist to provide clear and current information and instructions.
(4) One-to-One Supervision of the youth shall be maintained while the youth is in the DJJ facility or program until authorized release to emergency personnel.
(5) Staff shall immediately contact emergency medical services (9-1-1) in the event of a mental health or substance abuse emergency that requires emergency medical treatment.
(6) Procedures must be in place for contacting the designated law enforcement agency and arranging for transportation of a youth believed to be mentally ill from the facility to a mental health receiving facility as specified in Florida Statutes § 394.462
(7) Procedures for transporting a youth who is believed to be substance abuse impaired for emergency admission to a hospital, licensed detoxification facility or addictions receiving facility as specified in Sections 397.675 and 397.677, F.S.
(8) Procedures for documenting the mental health or substance abuse emergency, staff response to the mental health or substance abuse emergency, instructions of Mental Health Clinical Staff, Substance Abuse Clinical Staff and/or medical staff, and authorization for transfer.
(9) All staff who work with youths must be trained in emergency response procedures. Each facility or program must provide semi-annual training on emergency response procedures which include “”mock”” training in emergency response to a Suicide Attempt or incident of Serious Self-Inflicted Injury.
(10) Procedures for administrative review and a Licensed Mental Health Professional’s review of mental health and substance abuse emergency procedures and critical incidents.
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.