1. (a) Observation. During non-program hours, or any time a resident classified as high risk for suicidal behavior is secluded from the general population:

   1. (1) the resident shall be under the continuous, uninterrupted visual supervision of a juvenile supervision officer; and
   2. (2) the supervising juvenile supervision officer shall document his or her personal observations of a high-risk resident at intervals not to exceed 30 minutes.

2. (b) Required Documentation. The following documentation shall be maintained for high-risk residents:

   1. (1) the date and time the resident was classified as high risk for suicidal behavior;
   2. (2) name and title of the person who classified the resident as high risk for suicidal behavior;
   3. (3) a description of the resident's behavior and/or factors that led up to the resident's classification as high risk for suicidal behavior;
   4. (4) name and title of the juvenile supervision officer providing supervision of the resident;
   5. (5) the location of the resident's supervision;
   6. (6) the date and time the resident was reclassified as no longer being high risk for suicidal behavior; and
   7. (7) the name and title of the mental health professional or physician who recommended the reclassification of the resident as no longer being high risk for suicidal behavior.

3. (c) Reclassification. Reclassification of a resident designated as high risk for suicidal behavior to a lower risk level shall only be determined by the facility administrator with the recommendation of a qualified mental health professional, a mental health paraprofessional, a mental health professional or a licensed physician.

   1. (1) Prior to recommending reclassification, a qualified mental health professional, mental health paraprofessional, mental health professional or a licensed physician shall conduct a review of the resident's current suicide risk and issue a written recommendation which addresses the following:

      1. (A) the need to re-classify the resident's suicide risk level;
      2. (B) the need for intervention strategies and/or services during the resident's period of confinement within the facility; and
      3. (C) the need for additional assessment(s), screening(s) or evaluation(s).
   2. (2) The written recommendation of the qualified mental health professional, mental health paraprofessional, mental health professional or licensed physician shall be maintained in the resident's record.
   3. (3) The facility administrator or designee shall review the written recommendation of the qualified mental health professional, mental health paraprofessional, mental health professional or licensed physician prior to reclassifying a resident as no longer at high risk for suicidal behavior.
   4. (4) Only the facility administrator or designee shall authorize the reclassification of a resident classified as high risk for suicidal behavior under this subsection.

Source Note:The provisions of this §343.348 adopted to be effective January 1, 2010, 34 TexReg 7095.