Amendments are limited to updating incorporated forms, all of which reference the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, to reflect new references to the Fifth Edition. The Suicide Risk Screening Instrument is ...

 

DEPARTMENT OF JUVENILE JUSTICE

Mental Health/Substance Abuse/Developmental Disability Services

RULE NOS.:RULE TITLES:

63N-1.0051Mental Health and Substance Abuse Screening

63N-1.0073Initial Mental Health and Substance Abuse Treatment Plans - General Requirements

63N-1.0074Individualized Mental Health and Substance Abuse Treatment Plans - General Requirements

63N-1.0076Review and Updating of Individual Mental Health Treatment Plans, Individual Substance Abuse Treatment Plans and Integrated Mental Health and Substance Abuse Treatment Plans

63N-1.0085Psychiatric Services

63N-1.0086Mental Health and Substance Abuse Transition/Discharge Planning

PURPOSE AND EFFECT: Amendments are limited to updating incorporated forms, all of which reference the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, to reflect new references to the Fifth Edition. The Suicide Risk Screening Instrument is condensed, and its language is clarified.

SUMMARY: The amendments revise and update forms incorporated in the rule.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION: The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the Agency.

The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: The SERC Checklist, and current information available to the department, indicates that the statutory threshold for ratification will not be exceeded.

Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.

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.

IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW (IF NOT REQUESTED, THIS HEARING WILL NOT BE HELD):

DATE AND TIME: Friday, February 27, 2015, 10:00 a.m.

PLACE: DJJ Headquarters, 2737 Centerview Dr., General Counsel's Conference Room 3223, Tallahassee, Florida

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: John Milla, 2737 Centerview Dr., Ste. 3200, Tallahassee, FL 32399-3100, e-mail: [e-mail]

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

63N-1.0051 Mental Health and Substance Abuse Screening.

(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 Screening Instrument, Second Version (MAYSI-2).

2. Administration of the Suicide Risk Screening Instrument (SRSI) Form (MHSA 002, October 2014 September 2010) which is incorporated by reference and is available at http://www.flrules.org/Gateway/reference.asp?No=Ref-03775 or may be obtained by contacting: DJJ, Office of Health Services, 2737 Centerview Drive, Tallahassee, FL 32399.

3. Completion of the PACT and PACT Mental Health and Substance Abuse Screening Report and Referral Form as set forth in Rule 63D-9.004, F.A.C.

(b) When the MAYSI-2 or PACT Mental Health and Substance Abuse Screening Report and Referral Form or other information at initial intake indicates the need for further mental health or substance abuse assessment, the JPO or JAC intake screener shall refer the youth for Comprehensive Assessment in accordance with the provisions of Rule 63D-9.004, F.A.C.

(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 3-16-14, Amended __________.

 

63N-1.0073 Initial Mental Health Treatment Plans and Initial Substance Abuse Treatment Plans – General Requirements.

(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 Treatment Plan Form (MHSA 015, October 2014 August 2006) is incorporated by reference and is available at http://www.flrules.org/Gateway/reference.asp?No=Ref-03778 or may be obtained by contacting: DJJ, Office of Health Services, 2737 Centerview Drive, Tallahassee, FL 32399. The Initial Mental Health Treatment Plan must be signed and dated by the Mental Health Clinical Staff Person, youth and treatment team members who participated in development of the plan.

(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 3-16-14, Amended __________.

 

63N-1.0074 Individualized Mental Health Treatment Plans and Individualized Substance Abuse Treatment Plans – General Requirements.

(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 August 2006) is incorporated by reference and is available at http://www.flrules.org/Gateway/reference.asp?No=Ref-03780 or may be obtained by contacting: DJJ, Office of Health Services, 2737 Centerview Drive, Tallahassee, FL 32399. The Individualized Mental Health Treatment Plan must be signed and dated by the Mental Health Clinical Staff Person, the treatment team members who participated in development of the plan and the youth.

(2) through (3) 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 3-16-14, Amended __________.

 

63N-1.0076 Review and Updating of Individualized Mental Health Treatment Plans, Individualized Substance Abuse Treatment Plans and Integrated Mental Health and Substance Abuse Treatment Plans.

(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) The review and updating of Individualized Mental Health Treatment Plans must be recorded on the Individualized Mental Health/Substance Abuse Treatment Plan Review Form (MHSA 017) or a form developed by the program which contains all the mental health information required in form MHSA 017. The Individualized Mental Health/Substance Abuse Treatment Plan Review Form (MHSA 017, October 2014 August 2006) is incorporated by reference and is available at http://www.flrules.org/Gateway/reference.asp?No=Ref-03781 or may be obtained by contacting: DJJ, Office of Health Services, 2737 Centerview Drive, Tallahassee, FL 32399.

(2) through (3) 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 6-20-14, Amended __________.

 

63N-1.0085 Psychiatric Services.

(1) through (2) No change.

(3) Each Detention Center’s and residential commitment program’s intake screening process must determine whether a youth is taking Psychotropic Medications. If so, the youth is to be referred for an Initial Diagnostic Psychiatric Interview to be conducted within fourteen days of the youth’s admission. The Initial Diagnostic Psychiatric Interview must be identified as such and documented on the Clinical Psychotropic Progress Note (HS 006), or a form developed by the program which contains all the information required in form HS 006. The Clinical Psychotropic Progress Note (HS 006, October 2014 August 2007) is incorporated by reference and is available at http://www.flrules.org/Gateway/reference.asp?No=Ref-03783 or may be obtained by contacting: DJJ, Office of Health Services, 2737 Centerview Drive, Tallahassee, FL 32399.

(4) through (10) 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 6-20-14, Amended __________.

 

63N-1.0086 Mental Health and Substance Abuse Transition/Discharge Planning.

(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 maintained upon the youth’s movement from one facility to another, or return to the community.

(b) A transition/discharge plan shall be documented on the Mental Health/Substance Abuse Treatment Discharge Plan Form (MHSA 011, October 2014 August 2006) which is incorporated by reference and is available at http://www.flrules.org/Gateway/reference.asp?No=Ref-03785 or may be obtained by contacting: DJJ, Office of Health Services, 2737 Centerview Drive, Tallahassee, FL 32399.

1. The mental health information contained in the Mental Health/Substance Abuse Treatment Discharge Plan shall be discussed with the youth, parent/legal guardian (when available) and Juvenile Probation Officer prior to the youth’s release from the facility or program.

2. A copy of the Mental Health/Substance Abuse Treatment Discharge Plan Form (MHSA 011) will be provided to the youth, the youth’s assigned Juvenile Probation Officer, and also to the parent/legal guardian when the youth’s written consent for release of substance abuse information to the parent/guardian has been obtained in accordance with consent provisions in Rule 63N-1.015, F.A.C.

(c) Transition planning for youths on Suicide Risk Alert/Suicide Precautions immediately prior to discharge to the community shall include notification of the youth’s parent/legal guardian and Juvenile Probation Officer in accordance with Rule 63N-1.0097, F.A.C.

(d) Transition planning for youths on Suicide Risk Alert/Suicide Precautions immediately prior to transfer to another DJJ facility or program shall include notification of the facility superintendent/program director where the youth is to be transferred in accordance with Rule 63N-1.0097, F.A.C.

(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 3-16-14, Amended __________.

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Gayla Sumner, Director of Mental Health & Substance Abuse Services

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Christina K. Daly, Secretary

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: January 22, 2015

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: December 15, 2014