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SAMH 65D-30: Licensing Standards
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 SAMH 65D-30

(Click here for Manual Review memo dated 1/16/13)

Standard #
Policy #
Policy Name
Last Update
.004.1   This site is inactive
2/12/14
P-1211 Operating Procedures
8/27/15
na Organization Profile - SAMH Circuits 3 & 8
8/23/11
na Adult Substance Abuse - Circuits 3 & 8
8/23/11
na Children’s Substance Abuse - Circuits 3 & 8
8/23/11
na Adult Mental Health - Circuits 3 & 8
8/23/11
na SA Prevention – Circuits 3 & 8
10/4/11
na Prevention Services Program Description
10/27/11
.004.2 P-1180 Quality Assurance Program
2/29/08
.004.3 P-1206 Provider Governance and Management & Governing Body
12/14/08
.004.4 P-1207 Personnel Policies & Personnel Records
08/15/15
.004.5 P-1212 Standards of Conduct
08/15/15
.004.6 P-1234 Medical Director
12/14/08
.004.7 P-1235 Medical Services
12/14/08
.004.8 P-1213 State Approval Regarding Prescription Medications
12/14/08
.004.9 P-1038 Infection Control Policy
4/4/13
.004.10 P-1038 Infection Control Policy
4/4/13
.004.11 P-1214 Meals
12/14/08
.004.12 P-1236 Participant Records
12/20/11
.004.13 P-1215 Screening Questionnaire
12/14/08
P-1216 Readmission Procedures
12/14/08
.004.14 P-1239 Assessment
12/14/08
P-1240 Physical Health History
12/14/08
P-1241 Psychosocial Assessment
12/14/08
P-1242 Child and Adolescent SA & MH Assessment
12/14/08
.004.15 P-1217 Participant Placement Criteria and Operating Procedures
12/14/08
.004.16 P-1218 Primary Counselor, Orientation, and Initial Treatment Plan
6/15/12
.004.17 P-1237 Individual Plans, Individual Plan Reviews, Aftercare Plans, and Progress Notes
12/14/08
.004.18 P-1219 Ancillary Services
12/14/08
.004.19 P-1220 Prevention Plan, Intervention Plan and Summary Notes
12/14/08
.004.20 P-1221 Record of Disciplinary Problems
12/14/08
.004.21 P-1222 Seclusion and Restraint & Aggression Control
1/23/12
.004.22 P-1238 Discharge and Transfer Summaries
1/6/12
.004.23 P-1223 Compulsory School Attendance for Minors
12/14/08
.004.24 P-1243 SAMH Data Compliance
12/14/08
P-1140 Data Submission Requirements for Staff – SAMH
1/20/11
P-1141 Data Submission Requirements for Staff – TANF
1/20/11
.004.25 P-1224 Special In-Residence Requirements
12/14/08
.004.26 P-1208 Reporting of Abuse, Neglect, and Deaths
12/14/08
.004.27 P-1045 Incident Reporting Procedures, including procedures for:
  a) DJJ Participants (DJJ Policy #FDJJ-8000, Reportable             Incident Types)
  b) PFSF Participants (PFSF Policy #817)
  c) DCF/SAMH Participants (DCF Policy #CFOP 215-6)
4/4/14
.004.28 P-1167 Uses and Disclosures of Confidential and Protected Health Information
4/25/08
.004.29 P-1225 Participant Rights
12/14/08
.004.30 P-1226 Participant Employment
12/14/08
.004.31 P-1027 Orientation
1/31/11
P-1030 Training
11/15/10
na Training Staff Development Plan
11/10/11
.004.32 P-1199 Clinical Supervision
8/26/09
.004.33 P-1209 Scope of Practice
12/14/08
.004.34 P-1210 Facility Standards
08/15/15
.004.35 P-1227 Offender Referrals Under Chapter 397, F.S.
12/14/08
.004.36 P-1228 Voluntary and Involuntary Placement
12/14/08
.004.37 P-1229 Persons with a Dual Diagnosis of Substance Abuse and Psychiatric Problems
12/14/08
.010 P-1230 Standards for Outpatient Services
12/14/08
.011 P-1231 Standards for Aftercare Services
12/14/08
.012 P-1232 Standards for Intervention Services
12/14/08
.013 P-1233 Standards for Prevention Services
08/15/15
na For Prevention Project Code Explanations see page 2 of:
             Prevention Services Tracking Form Level 1
6/11/07

 CINS/fINS QA sTANDARDS
Standard #
Policy #
Policy Name
Last Update
1.01 P-1025 Background Screening
4/10/15
na DJJ-OIG-Background Screening Unit: Annual Affidavit of Compliance  
1.02 P-1044 Florida Abuse Reporting
2/3/09
P-1032 Behavioral Expectations for Staff
11/12/10
P-1126 Participant/Staff Interactions
1/7/10
na Rights of Youth in Department Care, Custody, or Supervision  
1.03 P-1045 Incident Reporting Procedures, including procedures for:
  a) DJJ Participants (DJJ Policy #FDJJ-8000, Reportable             Incident Types)
  b) PFSF Participants (PFSF Policy #817)
  c) DCF/SAMH Participants (DCF Policy #CFOP 215-6)
4/4/14
1.04 na Training Plan  
1.05 P-1050 Program Services – Prevention Outreach
3/31/12
P-1053 Roles and Responsibilities – Prevention Outreach
3/11/08
na Cooperative Service Agreements list  
na Outreach Form  
1.06 na FNYFS Universal Agreement  
na Emergency Plan Review Memo  
na FNYFS Steps for Hurricane Preparedness  
2.01 P-1114 Admission/Intake and Participant Orientation
11/12/10
P-1111 Screening for Eligibility and Target Population
9/20/07
P-1112 Screening Process
8/9/11
P-1115 Residential Admission: Youth Assessment
10/15/07
P-1151 Intake/ Assessment
2/1/08
2.02 P-1019 Psychosocial Assessment
8/9/11
P-1152 Mental Health and Substance Abuse Screening (Non-Res)
8/23/11
P-1153 Substance Abuse Services
2/1/08
na FAM III Administrattion and Scoring Procedures  
2.03 P-1163 Case Management, Counseling and Service Delivery
8/9/11
P-1162 Individual Plan - DJJ QA
8/9/11
2.04 P-1163 Case Management, Counseling and Service Delivery
8/9/11
P-1048 Residential Counselor’s Role and Responsibilities And Linkage with Family Action Services
3/31/10
2.05 P-1108 Goals and Approach to Services
9/20/07
P-1109 Referral Sources
9/20/07
P-1110 24-hour Telephone Access
2/28/08
P-1111 Screening for Eligibility and Target Population
9/20/07
P-1113 Program Services
11/12/10
P-1046 Youth Case Record
8/9/11
P-1180 Quality Assurance Program
2/29/08
P-1199 Clinical Supervision
8/26/09
2.06 P-1161 Discharge Summary and Process
2/2/08
P-1159 Parent/Guardian Request
2/2/08
P-1158 Notification
2/2/08
P-1160 Plan of Services
2/2/08
P-1157 Review and Committee Composition
2/2/08
3.01 P-1114 Admission/Intake and Participant Orientation
11/12/10
na F-PR-1129  
na F-PR-1130  
P-1105 Complaint/Grievance Process for Participants
8/23/11
na F-PR-1036  
P-1121 Supervision and Staffing Ratio / Scheduling
5/3/13
P-1264 Outings
4/25/13
P-1133 Bed Time Supervision & Bed Checks
6/10/10
P-1222 Seclusion and Restraint & Aggression Control
1/23/12
P-1249 Staff Secure Shelter - Program Overview
4/4/09
P-1248 Staff Secure Shelter Services
4/4/09
na Rights of Youth in Department Care, Custody, or Supervision  
3.02 P-1117 Residential Admission: Preliminary Physical Health Screening
3/5/08
P-1119 Medical and Mental Health Alert Process
9/23/13
3.03 P-1119 Medical and Mental Health Alert Process
9/23/13
P-1144 Mental Health and Substance Abuse Screening (Residential)
8/23/11
P-1152 Mental Health and Substance Abuse Screening (Non-Res)
8/23/11
P-1247 Suicide Assessment (Residential)
8/23/11
3.04      
3.05      
3.06 P-1166 Episodic Emergency Care
9/23/13