Current through Reg. 50, No. 187; September 24, 2024
Prevention includes activities and strategies that are used
to preclude the development of substance use problems. In addition to Rule
65D-30.004, F.A.C., the
following standards apply to prevention.
(1) Categories of Prevention. For the purpose
of these rules, prevention services are categorized as indicated, selective, or
universal direct. While the Department covers universal indirect as a
prevention service under Rule
65E-14.021, F.A.C., this service
is not regulated under this rule.
(a)
Indicated prevention services are provided to at-risk individuals who are
identified as having minimal but detectable signs or symptoms foreshadowing
mental health or substance use disorders. Target recipients of indicated
prevention services are at-risk individuals who do not meet clinical criteria
for mental health or substance use disorders. Indicated prevention services are
designed to preclude, forestall, or impede the development of mental health or
substance use abuse disorders.
(b)
Selective prevention services are provided to a population subgroup whose risk
of developing mental health or substance use disorders is higher than average.
Target recipients of selective prevention services do not meet clinical
criteria for mental health or substance use disorders. Selective prevention
services are designed to preclude, forestall, or impede the development of
mental health or substance use disorders.
(c) Universal direct prevention services are
provided to the general public or a whole population that has not been
identified on the basis of individual risk. These services are designed to
preclude, forestall, or impede the development of mental health or substance
use disorders. Universal direct services directly serve an identifiable group
of participants who have not been identified on the basis of individual risk.
These services include interventions involving interpersonal and ongoing or
repeated contacts such as curricula, programs, and classes.
(2) Specific Prevention Strategies. The
following is a description of the specific prevention strategies that are
provided through prevention services.
(a)
Information Dissemination. This strategy provides knowledge and increases
awareness of the nature and extent of alcohol and other drug use, abuse, and
addiction, as well as their effects on individuals, families, and communities.
It also provides knowledge and increases awareness of available prevention and
treatment programs and services. It is characterized by one-way communication
from the source to the audience, with limited contact between the
two.
(b) Education. This strategy
builds skills through structured learning processes. Critical life and social
skills include decision making, peer resistance, coping with stress, problem
solving, interpersonal communication, and systematic and judgmental abilities.
There is more interaction between facilitators and participants than in the
information strategy.
(c)
Alternatives. This strategy provides participation in activities that exclude
alcohol and other drugs. The purpose is to meet the needs filled by alcohol and
other drugs with healthy activities, and to discourage the use of alcohol and
drugs through these activities.
(d)
Problem Identification and Referral Services. This strategy aims to identify
those who have engaged in illegal/age-inappropriate use of tobacco or alcohol
and individuals who have engaged in the first use of illicit drugs in order to
assess if their behavior can be reversed through education. It should be noted
however, that this strategy does not include any activity designed to determine
if a person is in need of treatment.
(e) Community-Based Process. This strategy
provides ongoing networking activities and technical assistance to community
groups or agencies. It encompasses neighborhood-based, grassroots empowerment
models using action planning and collaborative systems planning.
(f) Environmental. This strategy establishes
or changes written and unwritten community standards, codes, and attitudes,
thereby influencing alcohol and other drug use by the general
population.
(3) General
Requirements.
(a) Staffing Patterns. Providers
shall delineate reporting relationships and staff supervision. This shall
include a description of staff qualifications, including educational background
and experience regarding the substance use prevention field. Providers shall
have at least one (1) professional who is:
1.
A Certified Prevention Professional under the Florida Certification Board;
or
2. A Certified Prevention
Specialist under the International Certification & Reciprocity Consortium;
or
3. A Qualified Professional with
at least one year of experience in the delivery of prevention
services.
(b) Referral.
Providers shall have a plan for assessing the appropriateness of prevention
services and conditions for referral to other services. The plan shall include
a current directory of locally available substance use services and other human
services for referral of prevention program participants or prospective
participants.
(4)
Requirements for Providers of Universal Direct Prevention Services.
(a) Program Description. Providers of
universal direct prevention services shall describe the prevention services
that will be available. This description shall include:
1. The target population, including relevant
demographic factors (if known),
2.
The risk and protective factors to be addressed (if known),
3. The specific prevention strategies
identified in subsection
65D-30.013(2),
F.A.C., to be utilized,
4. The
appropriateness of these services to address risk and protective factors (if
these are known); and,
5. How the
effectiveness of the services will be evaluated.
(b) Activity Logs for Providers of Universal
Direct Prevention Services. Providers shall collect and maintain records of all
universal direct prevention services, including the following:
1. A description of the characteristics of
the target population;
2. The risk
and protective factors to be addressed (if known);
3. A description of the activities, including
the specific prevention strategies used;
4. The duration of the activities;
5. The number of participants;
6. The location of service delivery;
and,
7. The date of the
activity.
(5)
Requirements for Providers of Selective Prevention Services.
(a) Program Description. Providers of
selective prevention services shall describe the prevention services that will
be available. This description shall include:
1. The target population, including relevant
demographic factors;
2. The risk
and protective factors to be addressed;
3. The specific prevention strategies
identified in subsection
65D-30.013(2),
F.A.C., to be utilized;
4. The
appropriateness of these services to address identified risk and protective
factors; and
5. How the
effectiveness of the services will be evaluated.
(b) Activity Logs for Providers of Selective
Prevention Services. Providers shall collect and maintain records of all
universal direct prevention services, including the following:
1. A description of the characteristics of
the target population;
2. The risk
and protective factors to be addressed;
3. A description of the activities, including
the specific prevention strategies used;
4. The duration of the activities;
5. The number of participants;
6. The location of service delivery;
and
7. The date of the
activity.
(6)
Requirements for Providers of Indicated Prevention Services.
(a) Program Description. Providers of
indicated prevention services shall describe the prevention services that will
be available.
(b) This description
of indicated prevention services shall include:
1. The target population, including relevant
demographic factors;
2. The risk
and protective factors to be addressed;
3. The specific prevention strategies
identified in subsection
65D-30.013(2),
F.A.C., to be utilized;
4. The
appropriateness of these services to address identified risk and protective
factors; and
5. How the
effectiveness of the services will be
evaluated.
Rulemaking Authority
397.321(5) FS.
Law Implemented 397.311(26),
397.321,
397.410
FS.
New 5-25-00, Amended 4-3-03, 8-29-19,
3-30-23.