Florida Administrative Code
63 - DEPARTMENT OF JUVENILE JUSTICE
63N - Mental Health/Substance Abuse/Developmental Disability Services
Chapter 63N-1 - SERVICE DELIVERY
Section 63N-1.0091 - Suicide Prevention Plans
Universal Citation: FL Admin Code R 63N-1.0091
Current through Reg. 50, No. 187; September 24, 2024
(1) Each Detention Center, residential commitment program and day treatment program must have a written plan that details suicide prevention procedures. The suicide prevention plan must be reviewed annually.
(2) A facility/program's plan for suicide prevention must include the following elements:
(a) Youths identified through screening or
alert processes as having Suicide Risk Factors must be classified as a Suicide
Risk Alert on JJIS and referred for an Assessment of Suicide Risk. An exception
is provided in residential commitment programs designated for Specialized
Treatment Services where a Mental Health Clinical Staff person administers
mental health screening at admission and immediately administers an Assessment
of Suicide Risk as specified in Rule 63N-1.006, F.A.C.
(b) When Suicide Risk Factors or suicide
tendencies are indicated by screening or staff observations, an Assessment of
Suicide Risk must be conducted to determine the level of suicide
risk.
(c) Each facility or program
must provide at least 6 hours of staff training annually on suicide prevention
and implementation of Suicide Precautions which shall include quarterly "mock
drill" trainings (every shift) on response to a Suicide Attempt and/or incident
of serious self-injury. The training provided in the facility or program must
be documented and on file in either the employee's personnel file or staff
training file.
(d) The areas of the
facility designated for Precautionary Observation and Secure
Observation.
(e) Use of levels of
supervision in the following manner:
1.
One-to-One Supervision. If the youth is in a Secure Observation Room, the staff
member assigned to One-to-One Supervision of the youth must be stationed at the
entrance to the room, no further than five feet from the door. One-to-One
Supervision must be documented on the Suicide Precautions Observation Log (MHSA
006).
2. Constant Supervision. A
staff member shall maintain continuous and uninterrupted observation of the
youth. The staff member must have a clear and unobstructed view of the youth
and unobstructed sound monitoring of the youth at all times. Constant
Supervision shall not be accomplished through video/audio surveillance. If
video/audio surveillance is utilized in the facility, it shall be used only to
supplement physical observation by staff. Constant Supervision must be
documented on form MHSA 006.
3.
Close Supervision shall be used only as a step-down method of supervision of an
At Risk youth who has received an Assessment of Suicide Risk, has been removed
from Suicide Precautions, and is being transitioned back into a normal routine.
Close Supervision is not an option for Precautionary Observation or Secure
Observation. A staff member shall conduct visual checks of the youth's
condition while in his/her room or sleeping area at intervals not to exceed
five minutes. For example, the staff member will observe the youth's outward
appearance, behavior and position in the room or area. Visual checks must be
documented in writing at intervals not to exceed five minutes on the Close
Supervision - Visual Checks Log (MHSA 020) or a visual checks form developed by
the program which contains all the required information in form MHSA
020.
(f) The procedures
for referring At Risk youths to mental health care providers or emergency
facilities.
(g) Procedures for
immediate and timely communication between Mental Health Clinical Staff and
facility staff regarding the status of the youth to provide clear and current
information and instructions. Procedures for communication with the youth's
parent or legal guardian to obtain information regarding Suicide Risk
Factors.
(h) Procedures for
notifying the parent/legal guardian that suicide risk screening indicated
possible suicide risk and need for further assessment if the youth is being
released to the parent/legal guardian prior to administration of an Assessment
of Suicide Risk.
(i) Procedures for
both verbal and written notification of the superintendent or program director,
supervisors, outside authorities, the Juvenile Probation Officer and the parent
or legal guardian of the youth's Potential Suicide Risk, as indicated by an
Assessment of Suicide Risk, or of a youth's attempted suicide in the facility
or program, must also be in place.
(j) The procedures for documenting the
identification, referral, monitoring, assessment and follow-up of a youth
identified as a Potential Suicide Risk or who has attempted suicide. The forms
or formats cited in this Rule and the facility log must be utilized for
documentation of suicide prevention processes and procedures.
(k) The procedures for immediate staff
response to a Suicide Attempt or incident of Serious Self-Inflicted
Injury.
(l) The procedures for the
Licensed Mental Health Professional's and facility superintendent or program
director's review of suicide prevention procedures. The plan must also specify
the facility's review process for every serious Suicide Attempt or Serious
Self-Inflicted Injury requiring hospitalization or medical attention and
mortality review process for a completed
suicide.
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.
New 3-16-14.
Disclaimer: These regulations may not be the most recent version. Florida may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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