Current through Reg. 50, No. 187; September 24, 2024
(1) Assessment of Suicide Risk.
(a) An Assessment of Suicide Risk shall be
conducted within 24 hours of referral, or immediately if the youth is in
Crisis.
1. Any youth with current Suicide
Ideation shall be immediately referred to a Mental Health Clinical Staff Person
who will confer with a Licensed Mental Health Professional to determine whether
an Assessment of Suicide Risk is to be conducted in the facility or program
within 24 hours or immediately. If the youth is an imminent threat of suicide,
the youth must be transported for emergency mental health services as set forth
in Rule 63N-1.011, F.A.C.
2. Any
youth who makes a Suicide Attempt or attempts Serious Self-Inflicted Injury
shall receive an immediate Assessment of Suicide Risk in the facility or be
transported for emergency mental health services.
(b) An Assessment of Suicide Risk shall be
documented on the Assessment of Suicide Risk Form (MHSA 004, August 2006) which
is incorporated by reference and is available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03787,
or may be obtained by contacting: DJJ, Office of Health Services, 2737
Centerview Drive, Tallahassee, FL 32399.
1. An
Assessment of Suicide Risk conducted by a non-licensed Mental Health Clinical
Staff Person must be reviewed by a licensed mental health professional within
24 hours of the referral.
2. If an
Assessment of Suicide Risk conducted by a non-licensed Mental Health Clinical
Staff Person indicates the youth is not a Potential Suicide Risk, documentation
of the Licensed Mental Health Professional's concurrence with the Assessment of
Suicide Risk findings is required prior to the youth's removal from Suicide
Precautions.
(c) Youths
determined to be a Potential Suicide Risk through an Assessment of Suicide Risk
must be maintained on Suicide Precautions until a Follow-Up Assessment of
Suicide Risk determines that the youth is not a Potential Suicide
Risk.
(d) The Assessment of Suicide
Risk Form (MHSA 004) must be filed in the Active Mental Health/Substance Abuse
Treatment File until permanently filed in the youth's Individual Healthcare
Record.
(2) Follow-Up
Assessment of Suicide Risk.
(a) When a youth
has received an Assessment of Suicide Risk and has been determined to be a
Potential Suicide Risk and is being maintained on Suicide Precautions, a
Follow-Up Assessment of Suicide Risk must be conducted by a Mental Health
Clinical Staff Person prior to a youth's removal from Suicide
Precautions.
(b) Documentation of
Follow-Up Assessment of Suicide Risk shall be provided by the Mental Health
Clinical Staff Person on the Follow-Up Assessment of Suicide Risk Form (MHSA
005, August 2006) which is incorporated by reference and is available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03788,
or may be obtained by contacting: DJJ, Office of Health Services, 2737
Centerview Drive, Tallahassee, FL 32399.
If a Follow-Up Assessment of Suicide Risk conducted by a
non-licensed Mental Health Clinical Staff Person indicates the youth is not a
Potential Suicide Risk, documentation of the Licensed Mental Health
Professional's concurrence with Follow-Up Assessment of Suicide Risk findings
is required prior to the youth's removal from Suicide Precautions and
transition to normal routine.
(c) The Follow-Up Assessment of Suicide Risk
Form (MHSA 005) must be filed in the Active Mental Health/Substance Abuse
Treatment File until permanently filed in the youth's Individual Healthcare
Record.
(3) Assessment of
Suicide Risk or Follow-Up Assessment of Suicide Risk shall be conducted by a
Licensed Mental Health Professional or a non-licensed Mental Health Clinical
Staff Person working under the direct supervision of a Licensed Mental Health
Professional.
(a) A non-licensed Mental Health
Clinical Staff Person conducting an Assessment of Suicide Risk or a Follow-Up
Assessment of Suicide Risk shall meet the education and training requirements
specified in Rule 63N-1.0031, F.A.C., and must have received at least 20 hours
training and supervised experience in assessing suicide risk, Mental Health
Crisis Intervention and emergency mental health services. The non-licensed
Mental Health Clinical Staff Person's training hours must have included
administration of five, individual one-to-one, Assessments of Suicide Risk or
Crisis Assessments conducted onsite in the physical presence of a Licensed
Mental Health Professional.
(b) The
non-licensed Mental Health Clinical Staff Person's 20 hours of training and
supervised experience shall be provided by a Licensed Mental Health
Professional and shall be documented on the Documentation of Non-Licensed
Mental Health Clinical Staff Person's Training in Assessment of Suicide Risk
Form (MHSA 022) or a form developed by the program which contains all the
information required in form MHSA 022. The Documentation of Non-Licensed Mental
Health Clinical Staff Person's Training in Assessment of Suicide Risk Form
(MHSA 022, October 2007) is incorporated by reference and is available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-03789,
or may be obtained by contacting: DJJ, Office of Health Services, 2737
Centerview Drive, Tallahassee, FL 32399.
(c) An Assessment of Suicide Risk and a
Follow-Up Assessment of Suicide Risk must include the following:
1. Face-to-face interview of the youth,
2. Review of available collateral
information,
3. Details of the
information obtained by the assessment, including youth statements, behavioral
observations, and collateral information,
(d) The Mental Health Clinical Staff Person
conducting the Assessment of Suicide Risk or Follow-Up Assessment of Suicide
Risk shall notify the facility superintendent or program director or his/her
designee of the assessment findings and any instructions or recommendations
made by the Licensed Mental Health Professional.
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.