(a) Requirement to Conduct a Mental Health Screening.
(1) Within 48 hours after a resident's admission, the
facility shall:
(A) administer a mental health screening instrument
approved by TJJD; or
(B) provide a clinical assessment conducted by a mental
health provider.
(2) The requirement in paragraph (1) of this subsection
applies to residents who are released from detention before the 48-hour
time limit.
(3) Notwithstanding the 48-hour time limit in paragraph
(1) of this subsection, the mental health screening instrument shall
be administered within two hours after a resident's admission if the
facility uses the mental health screening instrument to satisfy the
suicide screening requirement in §343.340 of this title.
(b) Positive Screening and Mental Health Referral.
A resident who receives a positive screening on the mental health
screening instrument shall be administered a secondary screening or
be referred to a mental health provider or qualified mental health
professional.
(1) Secondary Screening. If the resident is administered
a secondary screening, the secondary screening shall be administered
immediately.
(A) If the secondary screening confirms the positive
screening and that mental health intervention is warranted, a referral
shall be made to a mental health provider or licensed physician within
48 hours.
(B) If the secondary screening indicates the initial
positive screening was false, no further mental health intervention
is required.
(2) Referral to a Mental Health Provider or Qualified
Mental Health Professional. If the resident is referred to a mental
health provider or qualified mental health professional in lieu of
conducting a secondary screening, the referral for consultation shall
be made by the end of the following workday.
(A) The facility shall maintain documentation of the
consultation in the resident's file.
(B) If the mental health provider or qualified mental
health professional recommends that further mental health intervention
is needed, the resident must be referred to a mental health provider
or a licensed physician within 48 hours after the recommendation.
(c) Documentation.
(1) The date, time, and name of the person who administered
the mental health screening instrument shall be clearly and legibly
documented on the completed instrument.
(2) Documentation of any referrals, completed assessments,
and evaluations, including dates and times, shall be retained in the
juvenile's file and forwarded to the supervising juvenile probation
officer. If the juvenile has a positive screening but is released
before the secondary screening or mental health consultation is completed
and no further juvenile justice intervention is required, documentation
relating to the positive screening shall also be forwarded to the
juvenile's parent, legal guardian, or custodian.
(d) Training. The individual administering the mental
health screening instrument shall have received training from:
(1) TJJD on administering the mental health screening
instrument; or
(2) an individual who is documented to have received
training from TJJD on administering the mental health screening instrument.
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Source Note: The provisions of this §343.404 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 |