Clinical Supervision of Mental Health Clinical Staff, Retaining a Designated Mental Health Authority or Clinical Coordinator, Referrals for Mental Health Services or Substance Abuse Services, Suicide Risk Alerts and Mental Health Alerts, Mental ...

 

DEPARTMENT OF JUVENILE JUSTICE

Mental Health/Substance Abuse/Developmental Disability Services

RULE NOS.:RULE TITLES:

63N-1.0033Clinical Supervision of Mental Health Clinical Staff

63N-1.0035Retaining a Designated Mental Health Authority or Clinical Coordinator

63N-1.0036Referrals for Mental Health Services or Substance Abuse Services

63N-1.006Suicide Risk Alerts and Mental Health Alerts

63N-1.0081Mental Health Treatment Services

63N-1.0082Substance Abuse Treatment Services

63N-1.0092Screening for Suicide Risk

63N-1.00931Licensed Mental Health Professional's Off-Site Review of Assessment or Follow-Up Assessment of Suicide Risk

NOTICE OF CHANGE

Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 39, No. 231, November 27, 2013 issue of the Florida Administrative Register.

 

63N-1.0033 Clinical Supervision of Mental Health Clinical Staff.

(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 facility or program.

(1) through (3) renumbered (2) through (4) No change.

Rulemaking Authority 985.64(2) FS. Law Implemented 985.601(3)(a), 985.14(3)(a), 985.145(1), 985.18, 985.48(4),, 985.64(2) FS. History–New_________.

 

63N-1.0035 Retaining a Designated Mental Health Clinician Authority or Clinical Coordinator.

(1) Designated Mental Health Clinician Authority.

(a) No change.

(b) The Designated Mental Health Clinician Authority must be on-site in the DJJ facility/program at least once a week for a sufficient time period to ensure that appropriate coordination and implementation of mental health and substance abuse services is taking place, at a minimum.

(2) No change.

Rulemaking Authority 985.64(2) FS. Law Implemented 985.601(3)(a), 985.14(3)(a), 985.145(1), 985.18, 985.48(4),, 985.64(2) FS. History–New_________.

 

63N-1.0036 Referrals for Mental Health Services and Substance Abuse Services.

(1) Referrals to Mental Health Clinical Staff or Substance Abuse Clinical Staff in the facility or off-site outside 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 contains all of the information required in form MHSA 014. The Mental Health/Substance Abuse Referral Summary (MHSA 014, August 2006) is incorporated by reference and is available at “(HYPERLINK)”, or may be obtained by contacting: DJJ, Office of Health Services, 2737 Centerview Drive, Tallahassee, FL 32399.

(2) No change.

Rulemaking Authority 985.64(2) FS. Law Implemented 985.601(3)(a), 985.14(3)(a), 985.145(1), 985.18, 985.48(4),, 985.64(2) FS. History–New_________.

 

63N-1.006 Suicide Risk Alerts and Mental Health Alerts.

(1) Suicide Risk Alerts.

(a) through (c) No change.

(d) An exception is provided for residential commitment programs designated for Specialized Treatment Services where a Mental Health Clinical Staff Person conducts mental health screening at admission, and if a youth is identified with Suicide Risk Factors, immediately administers an Assessment of Suicide Risk. Based upon Assessment of Suicide Risk findings In such instances, the Mental Health Clinical Staff Person will determine whether a “Suicide Risk Alert” will be placed in JJIS, based upon Assessment of Suicide Risk findings.

(2) through (5) No change.

Rulemaking Authority 985.64(2) FS. Law Implemented 985.601(3)(a), 985.14(3)(a), 985.145(1), 985.18, 985.48(4),, 985.64(2) FS. History–New_________.

 

63N-1.0081 Mental Health Treatment Services.

(1) through (2) No change.

(3) Treatment techniques which constitute mental health treatment include the following:

(a) Individual therapy or counseling, which is one-to-one counseling between a youth with a diagnosed Mental Disorder and a Licensed Mental Health Professional or a Mental Health Clinical Staff Person working under the direct supervision of a Licensed Mental Health Professional. Individual counseling or therapy shall be a planned and structured face-to-face therapy session designed to address the youth’s symptoms and accomplish the goals and objectives in the youth’s Initial or Individualized Mental Health Treatment Plan. Individual counseling or therapy shall be based on evidence-based therapy models such as cognitive behavioral therapy, reality therapy, gestalt therapy or rational emotive therapy, or identified as promising practices in published quantitative research showing positive outcomes and with demonstrated effectiveness in mental health treatment.

(b) Group therapy or counseling, which is an assembly of youths who have a diagnosed Mental Disorder and a Licensed Mental Health Professional or a Mental Health Clinical Staff Person working under the direct supervision of a Licensed Mental Health Professional for the purpose of using the emotional interactions of members of the group to help them get relief from distressing symptoms and to modify their behavior.

1. No change.

2. Group therapy/counseling shall be based on evidence-based treatment models such as cognitive behavioral therapy, reality therapy, gestalt therapy or rational emotive therapy and evidence-based curricula or curricula identified as promising practices in published quantitative research showing positive outcomes and demonstrated to be effective in mental health treatment.

3. No change.

(c) Family counseling or therapy, which is an assembly of a youth with acute or chronic Mental Disorder, his/her family members such as the youth’s parents or guardians and siblings, and a Licensed Mental Health Professional or a Mental Health Clinical Staff Person working under the direct supervision of a Licensed Mental Health Professional for the purpose of improving the youth’s and family’s functioning in areas which appear to impact his/her Mental Disorder. Family counseling or therapy must be based on effective treatment approaches such as family systems therapy, functional family therapy and multi-systemic therapy or identified as promising practices in published quantitative research showing positive outcomes and demonstrated to be effective in family counseling.

(d) through (f) No change.

Rulemaking Authority 985.64(2) FS. Law Implemented 985.601(3)(a), 985.14(3)(a), 985.145(1), 985.18, 985.48(4),, 985.64(2) FS. History–New_________.

 

63N-1.0082 Substance Abuse Treatment Services.

(1) No change.

(2) In facilities and programs where substance abuse services are provided by a Licensed Qualified Professional, substance abuse treatment shall be provided as follows:

(a) No change.

(b) Treatment techniques which constitute substance abuse treatment utilized for youths with Substance-Related Disorder include the following:

1. Individual substance abuse counseling or therapy, which is one-to-one counseling between a youth with Substance-Related Disorder and a Licensed Qualified Professional. Individual substance abuse counseling shall be a planned and structured face-to-face counseling session designed to address the youth’s Substance-Related Disorder and accomplish the goals and objectives in the youth’s Initial or Individualized Substance Abuse Treatment Plan. Individual substance abuse counseling must be based on evidence-based therapy models such as cognitive behavioral therapy, reality therapy, rationale emotive therapy or identified as promising practices in published quantitative research showing positive outcomes and demonstrated to be effective in substance abuse treatment.

2. Group substance abuse counseling or therapy, which is an assembly of youths with Substance-Related Disorder and a Licensed Qualified Professional who meet at least once a week for the purpose of promoting abstinence from all mood-altering Drugs and recovery from addiction.

a. No change.

b. Group substance abuse counseling must be based on evidence-based treatment models such as cognitive behavioral therapy, reality therapy, or rational emotive therapy or identified as promising practices in published quantitative research showing positive outcomes and demonstrated to be effective in substance abuse treatment.

c. No change.

3. Family substance abuse counseling or therapy, which is an assembly of a youth with substance abuse impairment, members of his/her family and a Licensed Qualified Professional, for the purpose of involving the family in the youth’s alcohol/Drug treatment. Family counseling or therapy must be based on effective treatment approaches such as family systems therapy, functional family therapy and multi-systemic therapy, or identified as promising practices in published quantitative research showing positive outcomes and demonstrated to be effective in family substance abuse counseling.

4. No change.

Rulemaking Authority 985.64(2) FS. Law Implemented 985.601(3)(a), 985.14(3)(a), 985.145(1), 985.18, 985.48(4),, 985.64(2) FS. History–New_________.

 

63N-1.0092 Screening for Suicide Risk.

(1) through (2) No change.

(3) Suicide Risk Screening in Residential Commitment Programs.

(a) Suicide risk screening conducted upon a youth’s admission to a residential commitment programs shall include:

1. No change.

2. Administration of the Massachusetts Youth Screening Instrument, Second Version (MAYSI-2) or Clinical Mental Health/Substance Abuse Screening which includes administration of a validated and reliable suicide risk screening questionnaire which has been confirmed to be valid and reliable in published research.

(b) No change.

(4) No change.

Rulemaking Authority 985.64(2) FS. Law Implemented 985.601(3)(a), 985.14(3)(a), 985.145(1), 985.18, 985.48(4),, 985.64(2) FS. History–New_________.

 

63N-1.00931 Licensed Mental Health Professional’s Off-Site Review of Assessment or Follow-Up Assessment of Suicide Risk.

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 the referral through face-to-face interaction, the Licensed Mental Health Professional shall accomplish a review of the Assessment of Suicide Risk or Follow-Up Assessment of Suicide Risk within 24 hours of the referral through one of the following methods:

(1) Verbal consultation through telephonic communication with the non-licensed Mental Health Clinical Staff Person detailing the Assessment of Suicide Risk or Follow-Up Assessment of Suicide Risk findings.

(a) The verbal consultation shall be documented and summarized in the Assessment of Suicide Risk Form (MHSA 004) or Follow-Up Assessment of Suicide Risk Form (MHSA 005) by the non-licensed Mental Health Clinical Staff Person, including any instructions or recommendations made by the Licensed Mental Health Professional.

(b) The form MHSA 004 or form MHSA 005 shall be reviewed and signed by the Licensed Mental Health Professional the next scheduled time he/she is on-site.

(2) Verbal consultation through telephonic communication and electronically transmitted communications such as e-mail between the non-licensed Mental Health Clinical Staff Person and Licensed Mental Health Professional detailing the Assessment of Suicide Risk or Follow-Up Assessment of Suicide Risk findings.

(a) The verbal consultation and e-mail communications shall be documented and summarized in the Assessment of Suicide Risk Form (MHSA 004) or Follow-Up Assessment of Suicide Risk Form (MHSA 005) by the non-licensed Mental Health Clinical Staff Person, including any instructions or recommendations made by the Licensed Mental Health Professional.

(b) The form MHSA 004 or form MHSA 005 and e-mail must be reviewed and signed by the Licensed Mental Health Professional the next scheduled time he/she is on-site.

(3) Verbal consultation through telephonic communication and off-site review of an electronically transmitted or faxed copy of the completed Assessment of Suicide Risk Form (MHSA 004) or Follow-Up Assessment of Suicide Risk Form (MHSA 005).

(a) The Licensed Mental Health Professional shall fax or electronically transmit confirmation the Assessment of Suicide Risk Form (MHSA 004) or Follow-Up Assessment of Suicide Risk Form (MHSA 005) was reviewed and whether he or she concurs with the findings.

(b) The faxed or electronic transmission of form MHSA 004 or form MHSA 005 shall be placed in the youth’s mental health file.

(c) The original form MHSA 004 or form MHSA 005 must be signed as reviewer by the Licensed Mental Health Professional the next scheduled time he/she is on-site.

Rulemaking Authority 985.64(2) FS. Law Implemented 985.601(3)(a), 985.14(3)(a), 985.145(1), 985.18, 985.48(4),, 985.64(2) FS. History–New_________.