Standard 3
Intervention Services
Intervention
Services
Standard 3: Intervention Services
3.01
3.02
3.03
3.04
3.05
3.06
3.07
Individualized Plan of Care
Practitioner Qualifications
Individualized Plan of Care Development and Approval Process
Redirection Therapy Services
Mental Health and/or Substance Abuse Treatment Planning
Mental Health and/or Substance Abuse Services
Release/Discharge
3-2
3-3
3-4
3-5
3-6
3-8
3-9
* The Department has identified certain key critical indicators. These indicators
represent critical areas requiring immediate attention if a program operates below
Department standards. A program must therefore achieve at least a Satisfactory
Compliance rating in each of these indicators. Failure to do so will result in a program
alert form being completed and distributed to the appropriate program area (Detention
Services, Residential Services, Probation and Community Intervention).
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 3-1
Standard 3
Intervention Services
3.01 Individualized Plan of Care
Based on the independent assessment, the Provider shall
develop an Individualized Plan of Care (IPC) which is
developed with a person-centered process in consultation
with the youth, and others at the option of the youth such
as the youth’s family, guardian, and treating and
consulting health care and support professionals. The
person-centered planning process must identify the
individual’s physical and mental health support needs,
strengths and preferences, and desired outcomes.
Guidelines: The Individualized Plan of Care takes into
account the extent of, and need for, any family or other
supports for the youth, and;
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Prevents the provision of unnecessary or inappropriate
care;
Identifies the State plan Home and Community-based
Service (HCBS) the youth is assessed to need;
Includes any State plan HCBS in which the youth has
the option to self-direct the purchase or control;
Is guided by best practices and research on effective
strategies for improved health and quality of life
outcomes; and
Is reviewed at least every 12 months and as needed when
there is significant change in the individual’s
circumstances.
The Redirections service provider makes verbal and written
information available to the youth about the person-centered
planning process, the opportunity to include others (family
members, guardians etc.) to participate in the planning and
about available services through the program at admission.
The youth is encouraged to participate in the development of
individualized goals and objectives.
The provider ensures that the youth and the identified
supports are fully involved in the treatment plan process.
Reference:
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DJJ Redirections Contract, Amendment A-2.IV.2 and 3
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 3-2
Standard 3
Intervention Services
3.02 Practitioner Qualifications
Treatment plans shall be developed and therapies
provided by one of the following qualified practitioners:
Physician; Psychiatrist; Psychiatric physician assistant;
Psychiatric advanced registered nurse practitioner;
Licensed Practitioner of the healing arts (LPHA);
Master’s level practitioner; or Bachelor’s level
practitioner.
Guidelines: Practitioners must have a minimum of two
years of direct experience working with emotionally
disturbed children with criminogenic factors and their
families. Practitioners must be employed or under contract
with a certified Redirection services provider agency.
Clinical staff with at least a Master’s degree in a human
services field*, with a minimum of two years of direct
experience working with emotionally disturbed children with
criminogenic factors, shall work with the youth and the
youth’s family to develop an individualized plan of care
(treatment plan).
*A human services field is one in which major course work
includes the study of human behavior and development.
Non-licensed clinical staff will work under the clinical
supervision of a licensed practitioner of the healing arts.
Reference:
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DJJ Redirections Contract, Amendment A
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 3-3
Standard 3
Intervention Services
3.03 Individualized Plan of Care Development and
Approval Process
Person-centered youth treatment plans shall be
developed and approved by a multidisciplinary team
(MDT). The MDT should include the recipient, the
recipient’s parents, caregivers or guardians, the
recipient’s Redirection services therapist, the Redirection
services staff supervisor, a representative from the
Department of Juvenile Justice, as well as representation
from any other community supports applicable.
Guidelines: Processing of the Individual Plan of Care must
adhere to the following:
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Youth treatment plans must be approved by the
Department of Juvenile Justice.
The multidisciplinary team must review the individual’s
treatment plan monthly.
The multidisciplinary team will develop the individual’s
treatment plan.
Treatment plans must be authorized by a treating
practitioners, who must be a physician or a licensed
practitioner of the healing arts.
Treatment plans must be authorized by a treating
practitioner linked to the certified Redirection services
provider agency.
Reference:
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DJJ Redirections Contract, Attachment A
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 3-4
Standard 3
Intervention Services
3.04 Redirection Therapy Services
The provider shall provide the following for Redirections
youth:
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Individual therapy services
Family therapy services
Group therapy services
A combination of therapy services, aside from
Redirection 24 hour crisis therapeutic support services,
must be provided at least two times weekly.
Guidelines: Individual therapy includes the provision of
insight oriented, cognitive behavioral or support therapy
interventions to an individual recipient to address
criminogenic risk factors.
Family therapy services include the provision of insight
oriented, cognitive behavioral or support therapy
interventions to an individual recipient to address
criminogenic risk factors. The focus or primary beneficiary
of family therapy must always be the recipient.
Group therapy services include the provision of cognitive
behavioral, supportive therapy, or counseling interventions
to recipients or their families to address criminogenic risk
factors. The focus or primary beneficiary of group therapy
must always be the recipient.
Reference:
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DJJ Redirections Contract, Attachment A-2.C
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 3-5
Standard 3
Intervention Services
3.05 Mental Health and/or Substance Abuse
Treatment Planning
If the services to be provided are mental health and/or
substance abuse treatment (individual, group or family
counseling or other therapy service) the subcontracted
service provider shall ensure subcontractors develop an
individualized treatment plan for each youth receiving
mental health and/or substance abuse services.
Guidelines: An individualized mental health treatment plan
and/or substance abuse treatment plan shall be developed for
each youth who receive mental health and/or substance
abuse services within thirty days of initiation of treatment
(including treatment with psychotropic medication).
The individualized mental health treatment plan and/or
individualized substance abuse treatment plan shall be based
upon the youth’s Clinical Assessment. The individualized
mental health and/or substance abuse treatment plan shall
contain the following elements:
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The youth’s DSM-IV-TR diagnoses (Axis I-V);
The specific symptoms and behaviors that will be the
focus of treatment;
Mental Health and Substance Abuse Treatment goals
and objectives, written in achievable and measurable
terms, which are:
1. Related to the diagnosis;
2. Based upon the youth’s Clinical Assessment and
responsive to the youth’s risk factors and symptoms of
mental disorder and/or substance abuse; and
3. Address specific risk factors, behaviors, symptoms, skill
deficits, strengths and needs of the youth.
4. The youth’s functional strengths/abilities and
preferences needs that may affect his success in
treatment;
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The interventions/strategies to be provided and target
dates for completion
The youth’s psychiatric service’s needs (for youths
receiving psychotropic medication or other psychiatric
services);
The treatment plan must be developed by the program’s
multi-disciplinary treatment team which should include the
youth, the youth’s parents, caregivers or guardians, the
youth’s Redirection Services therapist, the Redirection
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 3-6
Standard 3
Intervention Services
Services staff supervisor, a representative from the
Department of Juvenile Justice, as well as representation
from any other community supports applicable.
The treatment plan must include the signatures of the youth
and the mental health clinical staff person for the mental
health treatment plan or the signature of the youth and
substance abuse clinical staff person for the substance abuse
treatment plan. If the treatment plan is developed by a nonlicensed clinical staff person, it must be reviewed and signed
by a licensed professional within 10 days.
The signature of the parent, legal guardian or caregiver
should also be included in the treatment plan. If the parent or
guardian’s or caregiver’s signature cannot be provided on
the treatment plan, there must be clear documentation of at
least one of the following:
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There is a reason for non-involvement consistent with
the youth’s needs;
Efforts to secure the parent or guardian involvement
have been unsuccessful; or
There is a reason for noninvolvement consistent with
statutory requirements.
Reference:
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DJJ Redirections Contract, Attachment A
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 3-7
Standard 3
Intervention Services
3.06 Mental Health and/or Substance Abuse
Treatment Services
The provider shall ensure youth have access to necessary
and appropriate mental health and substance abuse
services (on or off-site) performed by qualified mental
health and substance abuse professionals or service
provider(s).
Guidelines: Mental health and substance abuse services
shall include:
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Mental health and substance abuse screening upon
admission to determine if there are any immediate
mental health or substance abuse needs,
Comprehensive mental health or substance abuse
evaluation or updated comprehensive evaluation
performed by qualified professionals for those youth
identified by screening as in need of further evaluation,
Psychotherapy or professional counseling (i.e.
individual, group, or family therapy),
Psychopharmacological therapy and follow-up
treatment,
Suicide prevention services,
Crisis intervention, and
Emergency mental health or substance abuse care (24hour response capability with access to acute care
settings and mental health and substance abuse
emergency management services.
Reference:
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DJJ Redirections Contract, Attachment A-1.III.C.2
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 3-8
Standard 3
Intervention Services
3.07 Release/Discharge
Prior to release or discharge of a youth from services
(prior to completion of the intervention) the Redirections
provider must coordinate discharge planning with the
youth’s JPO.
Guidelines: Upon release/discharge from services a copy of
the youth’s discharge summary must be uploaded into JJIS
and the JPO notified via email or phone call that the
summary has been uploaded and case notes updated to
reflect service activity.
The provider shall enter the youth’s release date into the
appropriate module in the JJIS system.
Administrative discharges are youth releases considered
neither successful nor unsuccessful, and may be documented
in cases where youth move from the service area or fail to
report for services.
Reference:
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DJJ Redirections Contract, Attachment A
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 3-9