Joint Agency Suicide Prevention Workgroup

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Key DJJ Case Management and Treatment Services
Provisions
BHOS Training Meeting Tampa, Florida February 1
2, 2006
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DJJ Case Management Residential Services
Manual Chapter 5

• Balanced and Restorative Justice components
• Accountability (primarily restorative justice
  activities)
• Competency Development (academic, employability,
  vocational, social and other life skills)
• Community Safety (problem-solving and conflict
  resolution competencies)
• Needs Assessment
• Performance Plan
• Treatment Team Performance Planning (develop
  performance plans, progress reviews, develop
  performance summaries, develop transition plan)

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DJJ Balanced and Restorative Justice Components,
Needs Assessment, Performance Planning

• Provided to all delinquent youths in every DJJ
  commitment program
• Focus is on the youths delinquency and
  antisocial behaviors
• Provided by non-clinical staff
• Not based on a mental health or substance abuse
  diagnosis
• Documentation is kept in youth individual
  management record.
• Confidentiality is governed by Chapter 985.

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DJJ Treatment ServicesResidential Services
Manual Chapter 7

• Life Skills Each program is expected to
  promote youths competency development in life
  skills such as Recognizing and avoiding
  high-risk situations that could endanger self or
  others Controlling impulsive behaviors Coping
  Decision-making Problem-solvingOrganizing
  Planning Managing Time and Searching and
  applying for jobs
• Social Skills Each program shall promote
  youths competency development in social skills
  to help them interact more positively and
  constructively. Social skills include, but are
  not limited to Communicating effectively and
  constructively Recognizing emotional cues
  Improving relationship skills. Differentiating
  and appropriately responding to social contexts
  and Engaging in constructive dialogue and
  peaceful conflict resolution.
• Impact of Crime Training Impact of Crime
  classes or group sessions are intended to assist
  youth to Develop remorse and empathy through
  understanding of how various crimes harm victims
  and communities Accept responsibility for past
  criminal actions Develop realistic strategies to
  address the harm they caused.

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DJJ Life Skills, Social Skills and Impact of
Crime Training
BHOS

• Provided to all delinquent youths in every DJJ
  commitment program
• Focus is on the youths delinquency and
  antisocial behaviors
• Provided by non-clinical staff
• Not based on a mental health or substance abuse
  diagnosis
• Based on DJJ Performance Plan
• Documentation is kept in youth individual
  management record.
• Confidentiality governed by Chapter 985 F.S.

• Provided only to youths meeting BHOS eligibility
  criteria.
• Focus is on the youths symptoms of mental
  disorder and/or substance abuse
• Provided only by clinical staff
• Based on a mental health and/or substance abuse
  diagnosis
• Based on BHOS treatment plan
• Documentation is kept in youth individual
  healthcare record.
• Confidentiality is governed by Chapters 394 and
  397, F.S.

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DJJ Mental Health and Substance Abuse Services
Manual Provisions

• Consent and Notification in accordance with DJJ
  Policy 10000 and the DJJ Mental Health and
  Substance Abuse Services Manual.
• Medication Administration and Management in
  accordance with the DJJ Health Services Manual,
  contract and QA Standards.
• Mental Health and Substance Abuse Services in
  accordance with the DJJ Mental Health and
  Substance Abuse Services Manual, QA Standards and
  applicable DJJ policies. Some Manual provisions
  provide exceptions for specialized treatment
  programs including BHOS. Manual provisions
  providing exceptions for specialized treatment
  programs including BHOS are as follows

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DJJ Mental Health and Substance Abuse Services
Manual Provisions Providing Exceptions for
Specialized Programs Including BHOS

• Bachelor Level Clinical Staff
• A non-licensed mental health clinical staff
  person holding a bachelors degree who provides
  mental health services in a DJJ facility or
  program designated for Medicaid behavioral health
  overlay services (BHOS), Intensive Therapeutic
  On-Site Services (ITOS) Medicaid fee-for-service
  must meet the specific education and training
  requirements for bachelor level counselors or
  bachelor level practitioners set forth by the
  Agency for Health Care Administration (AHCA) in
  the Community Behavioral Health Services Coverage
  and Limitations Handbook, and must meet
  applicable training requirements in DJJ policy,
  contract or subcontract.

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DJJ Mental Health and Substance Abuse Services
Manual Provisions Providing Exceptions for
Specialized Programs Including BHOS

• Mental Health/Substance Abuse Services Referral
  Summary
• DJJ residential commitment programs designated
  for specialized treatment services (e.g., BHOS,
  MHOS, RSAT, RSAT Overlay Services), wherein
  youths are routinely referred for a specific
  mental health or substance abuse services (e.g.,
  initial interview, updated comprehensive
  evaluation) as part of established procedure, do
  not have to use the form in Appendix G Referral
  Summary and may utilize existing referral
  processes (e.g., referral log, notes) for
  documentation purposes. However, referral of
  youths for non-routine mental health/substance
  abuse services (e.g., Assessments of Suicide
  Risk, Crisis Assessments, Sex Offender
  Evaluations) must be documented on the form
  provided at Appendix G, or an alternative form
  equivalent in content to the form provided in
  Appendix G.

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DJJ Mental Health and Substance Abuse Services
Manual Provisions Providing Exceptions for
Specialized Programs Including BHOS

• Initial Treatment Note or Initial Treatment Plan
  
• DJJ residential commitment programs designated
  for specialized treatment services (e.g., BHOS,
  MHOS, RSAT, RSAT Overlay Services), 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 professional and youth.
  The initial treatment note may be recorded on an
  existing form or progress note. Then initial
  treatment plan may be provided on the form
  provided at Appendix H, or an alternative form
  developed in accordance with Rule 65D-30 FAC.

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• THE END
• THANK YOU