Florida Senate - 2015                                    SB 1458
       
       
        
       By Senator Braynon
       
       
       
       
       
       36-00593A-15                                          20151458__
    1                        A bill to be entitled                      
    2         An act relating to mental health early intervention;
    3         providing a short title; amending s. 394.463, F.S.;
    4         authorizing physician assistants and advanced
    5         registered nurse practitioners to initiate involuntary
    6         examinations under the Baker Act of persons believed
    7         to have mental illness; creating s. 394.47892, F.S.;
    8         providing legislative findings; adding curriculum
    9         requirements to the basic training programs for
   10         certain first responders; requiring the Department of
   11         Children and Families, in consultation with specified
   12         entities, to adopt standards for the training of
   13         certain first responders in mental health; providing
   14         requirements for such training; providing an effective
   15         date.
   16          
   17  Be It Enacted by the Legislature of the State of Florida:
   18  
   19         Section 1. This act may be cited as the “Florida Mental
   20  Health Early Intervention Act of 2015.”
   21         Section 2. Paragraph (a) of subsection (2) of section
   22  394.463, Florida Statutes, is amended to read:
   23         394.463 Involuntary examination.—
   24         (2) INVOLUNTARY EXAMINATION.—
   25         (a) An involuntary examination may be initiated by any one
   26  of the following means:
   27         1. A court may enter an ex parte order stating that a
   28  person appears to meet the criteria for involuntary examination,
   29  giving the findings on which that conclusion is based. The ex
   30  parte order for involuntary examination must be based on sworn
   31  testimony, written or oral. If other less restrictive means are
   32  not available, such as voluntary appearance for outpatient
   33  evaluation, a law enforcement officer, or other designated agent
   34  of the court, shall take the person into custody and deliver him
   35  or her to the nearest receiving facility for involuntary
   36  examination. The order of the court shall be made a part of the
   37  patient’s clinical record. No fee shall be charged for the
   38  filing of an order under this subsection. Any receiving facility
   39  accepting the patient based on this order must send a copy of
   40  the order to the Agency for Health Care Administration on the
   41  next working day. The order shall be valid only until executed
   42  or, if not executed, for the period specified in the order
   43  itself. If no time limit is specified in the order, the order
   44  shall be valid for 7 days after the date that the order was
   45  signed.
   46         2. A law enforcement officer shall take a person who
   47  appears to meet the criteria for involuntary examination into
   48  custody and deliver the person or have him or her delivered to
   49  the nearest receiving facility for examination. The officer
   50  shall execute a written report detailing the circumstances under
   51  which the person was taken into custody, and the report shall be
   52  made a part of the patient’s clinical record. Any receiving
   53  facility accepting the patient based on this report must send a
   54  copy of the report to the Agency for Health Care Administration
   55  on the next working day.
   56         3. A physician, physician assistant, clinical psychologist,
   57  psychiatric nurse, mental health counselor, marriage and family
   58  therapist, or clinical social worker, or advanced registered
   59  nurse practitioner may execute a certificate stating that he or
   60  she has examined a person within the preceding 48 hours and
   61  finds that the person appears to meet the criteria for
   62  involuntary examination and stating the observations upon which
   63  that conclusion is based. If other less restrictive means are
   64  not available, such as voluntary appearance for outpatient
   65  evaluation, a law enforcement officer shall take the person
   66  named in the certificate into custody and deliver him or her to
   67  the nearest receiving facility for involuntary examination. The
   68  law enforcement officer shall execute a written report detailing
   69  the circumstances under which the person was taken into custody.
   70  The report and certificate shall be made a part of the patient’s
   71  clinical record. Any receiving facility accepting the patient
   72  based on this certificate must send a copy of the certificate to
   73  the Agency for Health Care Administration on the next working
   74  day.
   75         Section 3. Section 394.47892, Florida Statutes, is created
   76  to read:
   77         394.47892 First responder training in mental health.—
   78         (1) The Legislature finds that an emergency medical
   79  technician, a paramedic, a firefighter, or a law enforcement
   80  officer is likely to be the first responder to a request for
   81  assistance involving a person with a mental illness. The
   82  Legislature further finds that these first responders should be
   83  trained in appropriate responses to calls involving a person
   84  with a mental illness.
   85         (2) The basic training programs required for certification
   86  as an emergency medical technician, a paramedic, a firefighter,
   87  or a law enforcement officer as defined in s. 943.10 must
   88  include a curriculum that contains instruction to help identify
   89  and understand the signs of mental illness and provide the first
   90  responder with skills to appropriately help a person who is
   91  developing or experiencing a mental health problem.
   92         (3) The department, in consultation with the Emergency
   93  Medical Services Advisory Council; the Firefighters Employment,
   94  Standards, and Training Council; and the Criminal Justice
   95  Standards and Training Commission, shall adopt, by rule,
   96  curriculum standards for the required basic training programs of
   97  the first responders specified in subsection (2).
   98         Section 4. This act shall take effect July 1, 2015.