Florida Senate - 2019                        COMMITTEE AMENDMENT
       Bill No. SB 624
       
       
       
       
       
       
                                Ì274848UÎ274848                         
       
                              LEGISLATIVE ACTION                        
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       The Committee on Criminal Justice (Montford) recommended the
       following:
       
    1         Senate Substitute for Amendment (366196) (with title
    2  amendment)
    3  
    4         Delete lines 104 - 201
    5  and insert:
    6         945.425 Youth in confinement.—
    7         (1) DEFINITIONS.—As used in this section, the term:
    8         (a) “Emergency confinement” means a type of confinement
    9  that involves the involuntary placement of a youth in an
   10  isolated room to separate that youth from the general inmate
   11  population and to remove him or her from a situation in which he
   12  or she presents an immediate and serious danger to the security
   13  or safety of himself or herself or others.
   14         (b) “Medical confinement” means a type of confinement that
   15  involves the involuntary placement of a youth in an isolated
   16  room to separate that youth from the general inmate population
   17  to allow him or her to recover from an illness or to prevent the
   18  spread of a communicable illness.
   19         (c) “Mental health clinician” means a licensed
   20  psychiatrist, psychologist, social worker, mental health
   21  counselor, nurse practitioner, or physician assistant.
   22         (d) “Solitary confinement” means the involuntary placement
   23  of a youth in an isolated room to separate that youth from the
   24  general inmate population for any period of time.
   25         (e) “Youth” means a person within the custody of the
   26  department who is under the age of 19 years.
   27         (2) PROHIBITION ON THE USE OF SOLITARY CONFINEMENT.—A youth
   28  may not be placed in solitary confinement, except as provided in
   29  this section.
   30         (3) PROTECTING YOUTH IN EMERGENCY CONFINEMENT.—
   31         (a) A youth may be placed in emergency confinement if all
   32  of the following conditions are met:
   33         1. A nonphysical intervention with the youth would not be
   34  effective in preventing harm or danger to the youth or others.
   35         2. There is imminent risk of the youth physically harming
   36  himself or herself, staff, or others or the youth is engaged in
   37  major property destruction that is likely to compromise the
   38  security of the program or jeopardize the safety of the youth or
   39  others.
   40         3. All less-restrictive means have been exhausted.
   41         (b) Facility staff shall document the placement of a youth
   42  in emergency confinement. The documentation must include
   43  justification for the placement, in addition to a description of
   44  the less-restrictive options that the facility staff exercised
   45  before the youth was so placed.
   46         (c) A mental health clinician shall evaluate a youth who is
   47  placed in emergency confinement within 1 hour after such
   48  placement to ensure that the confinement is not detrimental to
   49  the mental or physical health of the youth. Following the
   50  initial evaluation, a mental health clinician shall conduct a
   51  face-to-face evaluation of the youth every 2 hours thereafter to
   52  determine whether the youth should remain in emergency
   53  confinement. The mental health clinician shall document each
   54  evaluation and provide justification for continued placement in
   55  emergency confinement.
   56         (d) A youth may not be placed in emergency confinement for
   57  more than 24 hours unless an extension is sought and obtained by
   58  a mental health clinician.
   59         1. If a mental health clinician determines that release of
   60  the youth would imminently threaten the safety of the youth or
   61  others, the mental health clinician may grant a one-time
   62  extension of 24 hours for continued placement in emergency
   63  confinement.
   64         2. If, at the conclusion of the 48-hour window, a mental
   65  health clinician determines that it is not safe for the youth to
   66  be released from emergency confinement, the facility staff must
   67  prepare to transfer the youth to a facility that is able to
   68  provide specialized treatment to address the youth’s needs.
   69         (e) A youth who is placed in emergency confinement must be
   70  provided access to the same meals and drinking water, clothing,
   71  medical treatment, contact with parents and legal guardians, and
   72  legal assistance as provided to youth in the general inmate
   73  population.
   74         (f) The use of emergency confinement is strictly prohibited
   75  for the purposes of punishment or discipline.
   76         (4) PROTECTING YOUTH IN MEDICAL CONFINEMENT.—
   77         (a) A youth may be placed in medical confinement if all of
   78  the following conditions are met:
   79         1. Isolation from the general inmate population and staff
   80  is required to allow the youth to rest and recover from illness
   81  or to prevent the spread of a communicable illness.
   82         2. A medical professional deems such placement necessary.
   83         3. The use of other less-restrictive means would not be
   84  sufficient to allow the youth to recover from illness or to
   85  prevent the spread of a communicable illness.
   86         (b) A youth may be placed in medical confinement for a
   87  period of time not to exceed the time that is necessary for the
   88  youth to recover from his or her illness or to prevent the
   89  spread of a communicable illness to other inmates or staff in
   90  the facility.
   91         (c) Facility staff shall document the placement of a youth
   92  in medical confinement. The documentation must include a medical
   93  professional’s justification for the placement.
   94         (d) A medical professional must evaluate a youth who is
   95  held in medical confinement face-to-face at least once every 12
   96  hours to determine whether the youth should remain in medical
   97  confinement. The medical professional shall document each
   98  evaluation and provide justification for continued placement in
   99  medical confinement.
  100         (e) The use of medical confinement is strictly prohibited
  101  for the purposes of punishment or discipline.
  102         (5) IMPLEMENTATION.—
  103         (a) The department shall review its policies and procedures
  104  relating to youth in confinement to determine whether
  105  
  106  ================= T I T L E  A M E N D M E N T ================
  107  And the title is amended as follows:
  108         Delete line 26
  109  and insert:
  110         relating to youth in confinement; requiring