When mental health or substance abuse treatment is initiated in a DJJ facility or program, an initial mental health/substance abuse treatment plan must have been completed unless an
individualized mental health/substance abuse treatment plan has already been completed. (See page 6-4 for alternatives to initial mental health/substance abuse treatment plans for residential commitment programs designated for specialized treatment services).
1. “Mini-treatment Teams” and Initial Treatment Plans in Detention Centers: Each
youth who is determined by clinical staff to need mental health treatment, including treatment with psychotropic medication, or substance abuse treatment while in a detention center must be assigned to a "mini-treatment team".The mini-treatment team allows the development and implementation of an initial plan for mental health or substance abuse services developed on an expedited basis. The mini-treatment team is responsible for developing an initial mental health treatment plan or initial substance abuse treatment plan for youths receiving short-term mental health or substance abuse treatment while in the detention center. An individualized mental health/substance abuse treatment plan must be developed for the youth whose stay in the detention center exceeds 30 days. (See section II. B.).
a. The mini-treatment team must be composed of at least a mental health clinical staff person and one other staff person from a different service area (e.g., administrative, supervisory and/or medical staff) and the youth, and should include the youth’s parent or legal guardian (when possible). The initial mental health/ substance abuse treatment plan must be must be developed by the mini-treatment team within 7 days of initiation of treatment, or for youths receiving psychotropic medication within 7 days of the initial psychiatric diagnostic interview (see Section VI. 7., of this chapter). The review/updating of the initial mental health/substance abuse treatment plan should be determined by the superintendent or program director and mental health or substance abuse treatment clinical staff. The initial mental health treatment plan or initial substance abuse treatment plan must be recorded on a form developed by the detention center or on the sample form (Appendix H). The initial treatment plan form must, at a minimum, contain all of the elements of the sample form provided in Appendix H.
b. The initial mental health treatment plan or initial substance abuse treatment plan developed by the mini-treatment teammust contain, at a minimum, the following elements:
Reason for mental health and/or substance abuse treatment;
Initial DSM-IV-TR diagnosis or presenting symptoms;
Initial treatment methods (including psychiatric services for youths receiving psychotropic medication or other psychiatric services)
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c.
The initial mental health treatment plan or initial substance abuse treatment plan must be signed and dated by the mental health clinical staff person (for the initial mental health treatment plan) or the substance abuse clinical staff person (for the initial substance abuse treatment plan) and the youth. The plan must be reviewed and signed “as reviewer” by alicensed mental health professional (for the initial mental health treatment plan) or qualified professional under Chapter 397.311(25) F.S., and in accordance with Rule 65D-30.003(15) FAC (for an initial substance abuse treatment plan) within 10 days of completion.
2. Multidisciplinary Treatment Teams and Treatment Planning in Facility Based Day
Treatment Programs and Residential Commitment Programs: Each youth must be assigned
to a treatment team upon his/her arrival to a facility based day treatment program or residential commitment program. The multidisciplinary treatment team must be composed of representatives from the program’s administration, educational, vocational, residential, medical, mental health, substance abuse and counseling components and the youth, and should include the youth’s parent or legal guardian (when possible).
The treatment team is responsible for assessing the youth’s rehabilitative treatment needs, assisting in the development and implementation of the youth’s DJJ supervision plan in facility based day treatment programs or performance plan in residential commitment programs, and
for youths receiving mental health or substance abuse services, assisting in developing,
reviewing and updating the youth’s individualized mental health/substance abuse treatment plan or an initial mental health treatment plan or initial substance abuse treatment plan when mental health or substance abuse treatment is to be provided on an expedited basis, prior to the development of an individualized mental health/substance abuse treatment plan.
Note: Residential commitment programs designated for specialized treatment services (e.g., BHOS, MHOS, RSAT, RSAT Overlay), wherein youths routinely receive an individualized mental health/substance abuse treatment plan within 30 days of admission as part of established procedure, may utilize an initial treatment note or an initial treatment plan
signed by the mental health/substance abuse clinical staff person and youth. The initial treatment note may be recorded on an existing form or progress note. The initial treatment plan may be provided on the form provided at Appendix H, or an alternative form developed in accordance with Rule 65D-30.
a. Initial Treatment Plans in Residential Commitment Programs and Facility Based Day
Treatment Programs: An initial mental health treatment plan or initial substance abuse treatment plan is utilized when mental health or substance abuse treatment is to be provided on an expedited basis. An option is provided for residential commitment programs designated for specialized treatment services to provide an initial treatment plan or initial treatment note as described above.
(1) The initial mental health treatment plan or initial substance abuse treatment plan must be must be developed within 7 days of initiation of treatment, or for youths receiving psychotropic medication within 7 days of the initial psychiatric diagnostic interview (see Section VI. 7., of this chapter). The initial mental health treatment plan or initial substance abuse treatment plan must be recorded on a form developed by the program or on the sample form (Appendix H). The initial treatment plan formmust, at a minimum, contain all of the elements of the sample form provided in Appendix H.
(2) The initial mental health treatment plan or initial substance abuse treatment plan must contain, at a minimum, the following elements:
Reason for referral for mental health and/or substance abuse treatment;
Initial DSM-IV-TR diagnosis or presenting symptoms;
Initial treatment methods; (including psychiatric services for youths receiving psychotropic medication or other psychiatric services)
Initial treatment goals and objectives.
(3) The initial mental health treatment plan or initial substance abuse treatment plan must be signed and dated by the mental health clinical staff person (for the initial mental health treatment plan) or the substance abuse clinical staff person (for the initial substance abuse treatment plan), the youth and treatment team. The plan must be reviewed and signed “as reviewer” by a licensed mental health professional (for the initial mental health treatment plan) or qualified professional under Chapter 397.311(25) F.S., and in accordance with Rule 65D-30.003(15) FAC (for an initial substance abuse treatment plan) within 10 days of completion.
B. Development of the Individualized Mental Health Treatment Plan or Individualized