1. (a) Any individual presented for admission for detention in a short-term detention facility and in need of emergency medical care due to injury, illness or intoxication or in need of mental health intervention shall not be admitted into the short-term detention facility. The referring person shall be directed to a health care facility to have the individual evaluated and treated. Subsequent admission to the short-term detention facility is contingent upon written medical clearance provided by a medical or mental health professional.
2. (b) All individuals admitted into a short-term detention facility shall be assessed to determine need for detoxification from alcohol or other substances. Intoxicated individuals who have been medically cleared for admission should be segregated from other residents and closely monitored by staff.

3. (c) Suicidal Youth.

   1. (1) Prevention Plan.

      1. (A) Each facility shall have a written suicide prevention plan developed in consultation with a mental health professional that addresses the following components:

         1. (i) definitions of high risk and moderate risk suicidal behavior;
         2. (ii) screening methodology to assess a resident's risk of suicide upon admission or upon any indication a resident previously screened may now be at moderate or high risk for suicidal behavior;
         3. (iii) communication among facility staff, mental health professionals, the resident, and the resident's parent or guardian including communication regarding observations or indications a resident previously screened may now be at moderate or high risk for suicidal behavior;
         4. (iv) level of supervision for residents assigned to moderate or high risk for suicidal behavior;
         5. (v) policy and procedure for intervening in suicide attempts;
         6. (vi) reporting of resident suicides and attempted suicides in accordance with any applicable state law, administrative standard, or local policy or ordinance;
         7. (vii) training on the contents and implementation of the suicide prevention plan;
         8. (viii) housing of residents assigned to moderate or high risk of suicidal behavior; and
         9. (ix) mortality reviews designed to review the facility's compliance and possible needed revisions to the suicide prevention plan following a resident's suicide.
      2. (B) All short-term juvenile detention officers shall be trained annually in the implementation of the suicide prevention plan.

      3. (C) Review.

         1. (i) The suicide prevention plan shall be reviewed on an annual basis in consultation with a mental health professional.
         2. (ii) The suicide prevention plan shall be included in the juvenile board's review of the facility's policies and procedures in accordance with §351.2(a) of this title.

   2. (2) Level of Supervision.

      1. (A) Moderate Risk for Suicidal Behavior. During non-program hours, or any time a resident classified as a moderate risk for suicidal behavior is isolated from the general population:

         1. (i) The resident shall be visually checked by a short-term juvenile detention officer at staggered intervals not to exceed every 10 minutes.
         2. (ii) The short-term juvenile detention officer shall document each visual observation made with the time of the observation and a general description of the resident's behavior.

      2. (B) High Risk for Suicidal Behavior.

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

            1. (I) The resident shall be under the continuous, uninterrupted visual supervision of a short-term juvenile detention officer.
            2. (II) The short-term juvenile detention officer shall have no other duties including the supervision of another resident or residents classified as high risk for suicidal behavior.
            3. (III) The short-term juvenile detention officer shall document physical observations of a high risk resident at staggered intervals no less than every 30 minutes.

         2. (ii) Required Documentation. The following documentation shall be maintained for high-risk residents and shall be posted where it is immediately accessible to the short-term juvenile detention officer providing supervision to the high risk resident:

            1. (I) the date and time the resident was classified as high risk;
            2. (II) who classified the resident as high risk;
            3. (III) a description of the resident's behavior that caused the resident's classification as high risk;
            4. (IV) who has been assigned to supervise the resident;
            5. (V) the location for the resident's supervision;
            6. (VI) the date and time the resident was reclassified as no longer being high risk; and
            7. (VII) the name of the mental health professional who reclassified the resident as no longer being high risk.
      3. (C) A short-term juvenile detention officer assigned to work in a facility's control room may not provide supervision under subparagraphs (A) or (B) of this paragraph.
      4. (D) Video and audio monitoring devices shall not substitute for supervision by a short-term juvenile detention officer under subparagraphs (A) or (B) of this paragraph.

   3. (3) Mental Health Referral.

      1. (A) the facility shall refer a resident classified as exhibiting a high risk for suicidal behavior to a or mental health professional mental health agency within 24 hours from the time the juvenile is classified as a high risk for suicidal behavior.

      2. (B) The facility shall maintain written documentation that the referral under subparagraph (A) of this paragraph was made. The documentation shall include:

         1. (i) who notified the mental health professional or mental health agency;
         2. (ii) the date and time of the notification;
         3. (iii) the method of notification; and
         4. (iv) a brief description of the response provided by the mental health professional or mental health agency.
      3. (C) Only a mental health professional may remove a resident from being classified as a high risk for suicidal behavior under paragraph (2)(B) of this subsection.
4. (d) Applicability. Section 341.11(c) does not become effective until September 1, 2003.

Source Note:The provisions of this §351.11 adopted to be effective September 30, 2002, 27 TexReg 7985.