65E-12.103. Definitions

(1) “Advanced Registered Nurse Practitioner” or “ARNP” means any person licensed under Section 464.012, F.S., to practice professional nursing and is certified in advanced or specialized nursing practice.

(2) “Advisory or Governing Board” means a formally constituted group of citizens that advises or directs a program regarding policy. A community facility that is a part of a community mental health center may use the center’s board for policy advice or policy direction.

(3) “Agency” means the Agency for Health Care Administration.

(4) “Consultant Pharmacist” means a licensed pharmacist, as defined in Chapter 465, F.S.

(5) Crisis Stabilization Unit” or “CSU” means a program as defined in Section 394.67, F.S.

(6) “Department” means the Department of Children and Families.

(7) “Direct Care Staff” means staff who have direct contact with and are responsible for the care of individuals receiving services and specified treatment and rehabilitative activities, as specified in policies and procedures, under the supervision of a mental health professional or registered nurse.

(8) “Discharge Plan” means a written plan describing continuity of care for an individual following discharge from the CSU or SRT, including recommended services, supports, and setting where the individual will reside. The discharge planning process begins at the time of admission and involves the individual and their family, case manager, and other individuals or service providers, as appropriate.

(9) “Emergency Screening” means a process in which an individual receives a preliminary determination of the type, extent, and immediacy, of his or her treatment needs.

(10) “Individual” or “Individual Receiving Services” means an individual who either voluntarily seeks admission or for whom involuntary admission is sought under Section 394.463, F.S., and who receives screening, evaluation, or treatment services from an entity that is operated, funded, or regulated by the department.

(11) “Licensed Practical Nurse” means any person who is licensed to practice practical nursing under Chapter 464, F.S.

(12) “Mental Health Professional” means a psychiatrist, psychiatric nurse, clinical psychologist, marriage and family therapist, mental health counselor, or clinical social worker, as defined in Section 394.455, F.S.

(13) “Nursing Assessment” means a general evaluation, begun immediately upon admission and completed within 24 hours, conducted by a registered nurse. It is not intended to serve as the physical examination required under Section 394.459, F.S., unless it is performed as a physical examination by an ARNP.

(14) “Peer Review” means the review of a staff member’s professional work by comparably trained and qualified individuals performing similar tasks.

(15) “Physical Examination” means an evaluation performed by a licensed physician or by an ARNP under the supervision of a licensed physician, or by a physician assistant.

(16) “Physician” means a person who is licensed under Chapter 458 or 459, F.S.

(17) “Physician Assistant” or “PA” means a person who is licensed to perform medical services delegated by a supervising physician under Chapter 458 or 459, F.S.

(18) “Policies and Procedures” means written standards, methods, and guidelines that govern the operation of the program, assure compliance with these rules and applicable statutes, and ensure the coordinated delivery of quality acute care treatment services that are designed to improve treatment outcomes.

(19) “Psychiatrist” means a person who is licensed under Chapter 458 or 459, F.S., and as defined in Section 394.455, F.S.

(20) “Quality Assurance” means a process, including peer review and utilization review, designed to evaluate the quality of care of a program and to promote efficient and effective screening, evaluation, and treatment services. Crisis stabilization units and SRTs that are a part of a community mental health center, as defined in Section 394.907, F.S., may be included in that organization’s quality assurance program.

(21) “Receiving Facility” means a public or private facility  designated as defined in Section 394.455, F.S.

(22) “Registered Nurse” means any person who is licensed to practice professional nursing under Chapter 464, F.S.

(23) “Rehabilitative Services” means services and supports that are collaborative, person-directed, and individualized to promote recovery, full community integration, and improved quality of life for an individual diagnosed with any mental health condition impairing his or her ability to lead a meaningful life. These services help an individual develop skills and access resources needed to increase his or her capacity to be successful and satisfied in the living, working, learning, and social environments of his or her choice.

(24) “Restraint” as defined in Section 394.455, F.S.

(25)  “Seclusion” as  defined in Section 394.455, F.S.

(26) Service Plan” means a written statement of the long-term view, goals, and objectives to be achieved with the individual receiving services and the means for attaining those objectives.

(27) “Short-term Residential Treatment Program” or “SRT” means a state-supported acute care residential alternative service that operates 24 hours per day, 7 days per week and is typically of 90 days or less in duration, and which is an integrated part of a designated public receiving facility and receiving state mental health funds under the authority of Chapter 394, F.S. The purpose of an SRT is to provide intensive short-term treatment to individuals who are temporarily in need of a 24-hour-a-day structured therapeutic setting in a less restrictive, but longer-stay alternative to hospitalization.

(28) “Treatment” means the clinical care of an individual who has been determined to have a mental illness.

(29) “Usable Client Space” means the sum, in gross square feet, of all rooms, interior wall to interior wall, that are part of a CSU or SRT. Mechanical and electrical rooms, administrative and staff offices, screening areas, nurses’ stations, visitor and reception areas, crawl spaces, and attic spaces, are excluded.

(30) “Utilization Review” means the process of using predefined criteria to evaluate the necessity and appropriateness of services and allocated resources to ensure that a program’s services are necessary, cost-efficient, and effectively provided.

Rulemaking Authority 394.879(1), 394.907(8) FS. Law Implemented 394.455, 394.459, 394.463, 394.67, 394.875, 394.907 FS. History–New 2-27-86, Amended 7-14-92, Formerly 10E-12.103, Amended 9-1-98, 4-8-18.