Perf-Based Stds, Juvenile Correctional Facilities, 5th Ed_DEC 2024

Part 5: Care

Mental-Health Transfers

When necessary, juveniles with severe mental illness or who have an intellec tual developmental disorder are referred for placement in non-correctional facilities or in units specifically designated for handling this type of individual. Emergency transfers to mental health facilities will be approved and super vised by the responsible health care practitioner and/or mental health author ity and reported to the court the next working day Comment : Juveniles with severe mental illness or have an intellectual develop mental disorder are vulnerable to abuse by other juveniles and require specialized care. These individuals may be a danger to themselves or others or be incapable of attending to their basic physiological needs.

5-JCF-5D-06 (Ref 4-JCF-4D-06) Revised Jan 2023

Protocols : Written policy and procedure.

Process Indicators : Health records; referral logs; interviews.

Suicide Prevention and Intervention 5-JCF-5D-07 (Ref 4-JCF-4D-07)

(MANDATORY) There is a written suicide-prevention program approved by the designated health and mental health authority and reviewed by the facil ity or program administrator. The program includes specific procedures and documentation for performing intake, screening, identifying, and supervising suicide-prone juveniles and is reviewed and signed annually The program in cludes management of suicidal incidents, suicide watch, death of a juvenile or staff member, and staff and juvenile critical-incident debriefing. It ensures a review of critical incidents by the administration and health services All staff with responsibility for juvenile supervision are trained on an annual basis in the implementation of the program Training should include but not be limit ed to the following: 1 Identifying the warning signs and symptoms of suicidal behavior 2 Understanding the demographic and cultural parameters of suicidal be havior, including incidence and precipitating factors 3 Responding to suicidal and depressed juveniles 4. Improving communication between correctional and health care personnel 5 Understanding referral procedures 6 Understanding any special housing, juvenile observations, and suicide watch-level procedures and requirements 7 Follow-up monitoring of juveniles who make a suicide attempt

Comment : None.

Protocols : Written policy and procedure; training curriculum; lesson plans.

Process Indicators : Health records; documentation of staff training; documenta tion of suicide watches and critical incident debriefings; observations; interviews.

106 Juvenile Correctional Facilities, Fifth Edition