Supreme Court Rules - Rule 129 - Rules of Practice and Procedure in Juvenile and Family Court Divisions of The Circuit Court - Part IV. Rules Relating to Status and Delinquency Proceedings - Dismissal to Allow Prosecution Under General Law: Appendix A.

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Supreme Court Rules

		Section/Rule:	129.04 App. A Sec. 14
Subject:	Rule 129 - Rules of Practice and Procedure in Juvenile and Family Court Divisions of The Circuit Court - Part IV. Rules Relating to Status and Delinquency Proceedings - Dismissal to Allow Prosecution Under General Law	Publication / Adopted Date:	May 20, 2009
Topic:	Appendix A. Standards for Operation of a Secure Juvenile Detention Facility - Section 14. Health Care Services	Revised / Effective Date:	January 1, 2015

Section 14. Health Care Services

Essential Elements
14.1. Health care services shall be coordinated by the facility administrator and a designated licensed health care professional.
14.2. Procedures for the proper delivery of health care services shall include necessary medical, dental, and psychiatric services, subject to periodic review by the appropriate designated licensed health care professional.

14.3. When provided within the facility; health care services shall require the designation and availability of space, equipment, supplies, and materials. Health care materials and supplies shall be regularly inspected and kept current by the designated licensed health care professional.

14.4. A comprehensive health screening policy shall be developed by the facility administrative authority and the designated licensed health care professional requiring the screening of newly admitted juveniles upon arrival for admission. Medical and mental health history and other significant background information shall be sought and obtained from the child, parents, and/or referring party upon admission.

A. The screening shall consist of a structured interview and observations by admission personnel. Medical and mental health history and other significant background information shall be sought and obtained from the child, parents, and/or referring party upon admission;

B. Health and medical screenings shall include but not limited to:

1. Inquiry into current and past illness, recent injuries, immunization records, history of medical and mental health problems and conditions, including suicidal or self-harm history;

2. Current medications, allergies, use of drugs/alcohol, type and amount, frequency and last time used;

3. Pregnancy status of females;

4. Infectious diseases, dental problems, vision problems, medical and mental health hospitalizations;

5. Observations by staff including state of consciousness, mental status, appearance including injuries, bruising, and conduct.

14.5. A physical examination policy shall be developed by the facility administrator and the designated licensed health care professional requiring the examination of newly admitted juveniles within five days of admission.

14.6. There shall be procedures for the identification of juveniles in need of special care who exhibit physical, medical, or emotional problems, including suicidal tendencies and/or contagious diseases; and detailed procedures outlining the appropriate course of action, including transfer to a health care and/or psychiatric facility, if indicated.

14.7. There shall be procedures requiring that every juvenile upon admission be properly Informed in writing of the procedures to be followed to obtain health care services.
14.8. There shall be procedures for the immediate notification of a juvenile's custodian and the detention superintendent of any serious illness, injury, surgery, or death.
14.9. There shall be procedures for emergency 24-hour health care as may be needed.
14.10. There shall be procedures for the management, storage, and dispensing of all pharmaceuticals and medical supplies under the supervision of a licensed health care professional. All dispensing of all pharmaceuticals shall be by personnel trained and certified in dispensing pharmaceuticals.

14.11. Use of any drugs and/or other pharmaceutical substance for the purpose of management and control of juveniles shall be prohibited unless medically prescribed by a licensed physician.

14.12. There shall be procedures to assure that health care screenings and/or services provided are properly documented and recorded in a health file for each juvenile.
14.13. Obstetrical and gynecological services shall be provided as needed for female juveniles
14.14. There shall be procedures for the transfer of copies of current written health care instructions to the juvenile's custodian or transfer authority, as applicable, upon release from the facility.

14.15. There shall be a written suicide prevention and intervention procedure that is reviewed and approved by a licensed health care professional.

14.16. Written policy and procedure shall address the prevention and management of serious and infectious diseases.

Cross-reference:

Missouri Revised Statutes

Section 211.011, RSMo,

"Purpose of Law..."

Section 211.161, RSMo, "Court May Require Physical or Mental Examination..."

Section 211.181, RSMo, "Order for Disposition or Treatment..."

Section 211.202, RSMo, "Mentally Disordered Children, evaluation..."

Section 211.203, RSMo, "Developmentally Disabled Children, evaluation..."

Supreme Court Rules

Rule 117.01

, "Physical and Mental Examination of Juvenile"

Rule 127.03 "Designation of Detention Facility"