PLANTA DE FLOTACION DE ZINC

Each secure detention center, residential commitment program and facility based day treatment program must have a written crisis intervention plan which details crisis intervention procedures including the following:

A. ENSURING SAFETY AND SECURITY: The first step of crisis intervention is to protect the safety of the youth and others. On rare occasions, the youth in crisis will exhibit out of control behaviors or physically dangerous behaviors which require immediate attention. The DJJ Protective Action Response Policy, Number 1508-03 provides the specific verbal and physical intervention techniques and restraining devices that are approved for use in DJJ facilities and programs. Physical intervention techniques and restraining devices that are not authorized under DJJ Policy 1508-03 shall not be used.

B. NOTIFICATION AND ALERT SYSTEM: Procedures for immediately notifying the superintendent

or program director, supervisors, clinical staff and/or outside authorities of crisis situations must be in place. Youths identified as having acute emotional or behavioral problems or acute psychological distress which may pose a safety/security risk must be immediately brought to the attention of the superintendent or program director and other staff via the facility’s “alert system” process (See section V., of this Chapter and section IV., of Chapter 5 for information regarding “Mental Health Alerts”). Notification procedures must also be in place to inform the youth’s parent/legal guardian and juvenile probation officer of the youth’s mental health crisis.

C. REFERRAL: The crisis intervention plan must specify the procedures for referring youths whose

crisis intervention to on-site or off-site licensed mental health professionals, service providers or mental health facilities. Referrals for mental health crisis intervention may be made by facility/program staff or by the youth in crisis. Youths identified as having acute emotional or behavioral problems or acute psychological distress which may pose a safety/security risk must be immediately referred to a mental health clinical staff person.

Youth Self-Referral: The crisis intervention plan must include a youth self-referral process for mental health crisis intervention services. Youths experiencing an emotional crisis to such a degree that he/she perceives the need for urgent professional assistance shall be permitted to request mental health crisis intervention.

Referrals for mental health crisis intervention (including youth self-referrals) shall be recorded on a mental health referral form developed by the facility/program, or on the sample form provided in Appendix G. The mental health referral form must contain, at a minimum, all of the elements in the sample form in Appendix G.

D. COMMUNICATION: Procedures for communication between direct care staff, supervisory staff,

administrative staff and mental health clinical staff regarding the status of the youth must exist to provide clear and current information and instructions and urgent care, as needed.

E. SUPERVISION: The crisis intervention plan must specify the facility’s procedures for supervising,

observing, and monitoring the youth who demonstrates acute emotional or behavioral problems or psychological distress which potentially poses a threat to his/her safety or the safety of others due to a personal crisis or crisis situation. The crisis intervention plan must reflect supervision levels consistent with the following definitions:

One-to-One Supervision refers to the supervision of one youth by one staff member who must remain within five feet of the youth at all times (including when the youth uses the shower or toilet). The staff member must maintain constant visual and sound monitoring of the youth at all times. A sample form for documentation of One-to-One Supervision for crisis intervention and Mental Health Alert is provided at Appendix S-2.

Constant Supervision refers to the continuous and uninterrupted observation of a youth by a staff member who has 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. A sample form for documentation of Constant Supervision for crisis intervention and Mental Health Alert is provided at Appendix S-2.

Close Supervision requires supervision of youths at five-minute intervals throughout their stay in their rooms. Visual checks must be made of the youth’s condition (ie., outward appearance, behavior, position in the room) while in his/her room at intervals not to exceed five minutes. Visual checks must be documented, in writing, at intervals not to exceed five minute. A sample form entitled “Close Supervision-Visual Checks Log” is provided at Appendix S-1.

Standard Supervision for youths who have been assessed by a mental health clinical staff person and have been transitioned to standard supervision.

F. DOCUMENTATION: Procedures for documenting the crisis situation or event, staff response to

the crisis, referral to and consultation with a mental health clinical staff person, and instructions of the licensed mental health professional, the crisis assessment, and mental health support services.

G. REVIEW: The crisis intervention plan must specify the procedures for administrative and clinical review of crises which require mental health intervention (in accordance with the Protective Action Response and applicable Departmental policies).

NOTE: The facility/program may develop an integrated mental health crisis intervention and emergency mental health and substance abuse services plan which contain and meet all of the elements listed in this section and section II of Chapter 9.