| (a) For residents classified as high risk for suicidal
behavior, during non-program hours or any time a resident is separated
from other residents, the following supervision requirements shall
apply unless an exception in §343.446 and §343.638 of this
title applies:
(1) the resident shall be under the continuous, uninterrupted
visual supervision of a juvenile supervision officer;
(2) the juvenile supervision officer shall document
his or her personal observations of the resident at intervals not
to exceed 30 minutes; and
(3) if the juvenile supervision officer is providing
the continuous, uninterrupted visual supervision from within a control
room, the officer shall not simultaneously be responsible for the
operation of the control room.
(b) The following documentation shall be maintained
for residents classified as high risk for suicidal behavior:
(1) the date and time the resident was classified as
high risk;
(2) name and title of the person who classified the
resident as high risk;
(3) a description of the resident's behavior and/or
factors that led up to the resident's classification as high risk;
(4) the name of each juvenile supervision officer providing
supervision of the resident and the times during which each officer
provided supervision;
(5) the location of the resident's supervision;
(6) the name and title of the qualified mental health
professional, mental health provider, or physician who recommended
reclassification of the resident to a lower risk level; and
(7) the date and time the resident was reclassified.
(c) Reclassification of a high-risk resident to a lower
risk level shall not occur without a recommendation from a qualified
mental health professional, mental health provider, or licensed physician.
(1) Prior to recommending reclassification, a qualified
mental health professional, mental health provider, or licensed physician
shall review the resident's current suicide risk and issue a written
recommendation that addresses the following:
(A) the need to reclassify the resident's suicide risk
level;
(B) the need for intervention strategies and/or services
during the resident's stay at the facility; and
(C) the need for additional assessment, screening,
or evaluation.
(2) The written recommendation of the qualified mental
health professional, mental health provider, or licensed physician
shall be maintained in the resident's record.
(3) The facility administrator or designee shall review
the written recommendation of the qualified mental health professional,
mental health provider, or licensed physician prior to reclassifying
a high-risk resident to a lower risk level.
(4) Only the facility administrator or designee shall
authorize the reclassification of a high-risk resident to a lower
risk level.
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| Source Note: The provisions of this §343.348 adopted to be effective January 1, 2010, 34 TexReg 7095; amended to be effective September 1, 2013, 38 TexReg 4387; amended to be effective January 1, 2015, 39 TexReg 9243 |
