Florida Senate - 2014 SB 1724 By the Committee on Children, Families, and Elder Affairs 586-03536-14 20141724__ 1 A bill to be entitled 2 An act relating to human trafficking; creating s. 3 409.1754; requiring the department to develop or adopt 4 initial screening and assessment instruments; 5 specifying the process for the department to develop 6 or adopt initial screening and assessment instruments; 7 providing criteria for placement in safe houses or 8 safe foster homes; allowing entities to use additional 9 initial screening and assessment instruments; 10 requiring the department, community-based care lead 11 agencies, and staff administering the detention risk 12 assessment instrument to receive specified training; 13 requiring the department and lead agencies to hold 14 multidisciplinary staffings under certain conditions; 15 requiring the department and lead agencies to develop 16 specific plans and protocols; directing the 17 department, the Department of Juvenile Justice, and 18 lead agencies to participate in coalitions, task 19 forces, or similar organizations to coordinate local 20 responses to human trafficking; requiring the 21 department to attempt to initiate a task force if none 22 is active in a local area; amending s. 409.1678; 23 providing definitions; authorizing the Department of 24 Children and Families to certify safe houses and safe 25 foster homes; providing requirements for certification 26 as safe houses and safe foster homes; allowing the 27 department to certify a secure safe house to operate 28 as a pilot program; providing requirements for the 29 secure safe house pilot program; amending s. 39.524; 30 providing for review of appropriateness of safe harbor 31 placement in both safe houses and safe foster homes; 32 amending criteria for placement; authorizing placement 33 in settings other than safe houses and safe foster 34 homes under certain conditions; requiring the Office 35 of Program Policy Analysis and Government 36 Accountability to conduct a study on commercial 37 exploitation of children in Florida and related 38 topics; creating s. 39.4072; providing for placement 39 for evaluation in a secure safe house if certain 40 criteria is met; specifying the process for evaluating 41 whether a child meets criteria for placement for 42 treatment in a secure safe house; creating s. 39.4074; 43 authorizing the department to file a petition for 44 placement in a secure safe house if the child is 45 evaluated to meet criteria; providing for court 46 determination; requiring reporting on a child’s 47 treatment progress in a secure safe house; providing 48 for court review; providing an effective date. 49 50 Be It Enacted by the Legislature of the State of Florida: 51 52 Section 1. Section 409.1754, Florida Statutes, is created 53 to read: 54 409.1754 Sexually Exploited Children; Screening and 55 Assessment; Training; Case Management; Task Forces.— 56 (1) SCREENING AND ASSESSMENT.— 57 (a) The department shall develop or adopt one or more 58 initial screening and assessment instruments to identify, 59 determine the needs of, plan services for, and identify 60 appropriate placement for sexually exploited children. The 61 department shall consult state and local agencies, 62 organizations, and individuals involved in the identification 63 and care of sexually exploited children in developing or 64 adopting the initial screening and assessment instruments. The 65 initial screening and assessment instruments shall include 66 assessment of appropriate placement, including whether placement 67 in a safe house or safe foster home is appropriate, and shall 68 consider, at a minimum, the following factors: 69 1. Risk of the sexually exploited child running away. 70 2. Risk of the sexually exploited child recruiting other 71 children into the commercial sex trade. 72 3. Level of the sexually exploited child’s attachment to 73 his or her exploiter. 74 4. Level and type of trauma that the sexually exploited 75 child has endured. 76 5. Nature of the sexually exploited child’s interactions 77 with law enforcement. 78 6. Length of time that the child was sexually exploited. 79 7. Extent of any substance abuse by the sexually exploited 80 child. 81 (b) The initial screening and assessment instruments shall 82 be validated if possible and must be used by the department, 83 juvenile assessment centers as provided in s. 985.135, and 84 community-based care lead agencies. 85 (c) The department shall establish rules specifying the 86 initial screening and assessment instruments to be used, the 87 requirements for their use, and the reporting of data collected 88 through them. 89 (d) The department, the Department of Juvenile Justice, and 90 community-based care lead agencies are not precluded from using 91 additional assessment instruments in the course of serving 92 sexually exploited children. 93 (2) TRAINING; CASE MANAGEMENT; TASK FORCES.— 94 (a)1. The department and community-based care lead agencies 95 shall ensure that cases in which a child is alleged, suspected, 96 or known to have been sexually exploited are assigned to child 97 protective investigators and case managers who have specialized 98 intensive training in handling cases involving a sexually 99 exploited child. The department and lead agencies shall ensure 100 that child protective investigators and case managers, 101 respectively, receive this training prior to accepting any case 102 involving a sexually exploited child. 103 2. The Department of Juvenile Justice shall ensure that 104 juvenile probation staff or contractors administering the 105 detention risk assessment instrument receive specialized 106 intensive training in identifying and serving sexually exploited 107 children. 108 (b) The department and community-based care lead agencies 109 shall conduct regular multidisciplinary staffings for sexually 110 exploited children to ensure that all relevant information is 111 known to all parties and that services are coordinated across 112 systems. The department or community-based care lead agency, as 113 appropriate, shall coordinate these staffings and invite 114 individuals involved in the child’s care. This may include, but 115 is not limited to, the child’s guardian ad litem, juvenile 116 justice system staff, school district staff, service providers, 117 and victim advocates. 118 (c)1. Each region of the department and each community 119 based care lead agency shall jointly assess local service 120 capacity to meet the specialized service needs of sexually 121 exploited children and establish a plan to develop capacity. 122 Each plan shall be developed in consultation with local law 123 enforcement officials, local school officials, runaway and 124 homeless youth program providers, local probation departments, 125 children’s advocacy centers, public defenders, state attorney’s 126 offices, safe houses, and child advocates and services providers 127 who work directly with sexually exploited children. 128 2. Each region of the department and each community-based 129 care lead agency shall establish local protocols and procedures 130 for working with sexually exploited children which are 131 responsive to the individual circumstances of each child. The 132 protocols and procedures shall take into account the varying 133 types and levels of trauma endured; whether the sexual 134 exploitation is actively occurring, occurred in the past, or 135 inactive but likely to reoccur; and the differing community 136 resources and degrees of familial support that may be available. 137 Child protective investigators and case managers must use the 138 protocols and procedures when working with a sexually exploited 139 child. 140 (3)(a) The local regional director may, to the extent that 141 funds are available, provide training to local law enforcement 142 officials who are likely to encounter sexually exploited 143 children in the course of their law enforcement duties. Training 144 shall address the provisions of this section and how to identify 145 and obtain appropriate services for sexually exploited children. 146 The local circuit administrator may contract with a not-for 147 profit agency having experience working with sexually exploited 148 children to provide the training. Circuits may work 149 cooperatively to provide training, which may be provided on a 150 regional basis. The department shall assist circuits to obtain 151 any available funds for the purposes of conducting law 152 enforcement training from the Office of Juvenile Justice and 153 Delinquency Prevention of the United States Department of 154 Justice. 155 (b) Circuit administrators or their designees, chief 156 probation officers of the Department of Juvenile Justice or 157 their designees, and the chief operating officers of community 158 based care lead agencies or their designees shall participate in 159 any task force, committee, council, advisory group, coalition, 160 or other entity active in their service area for coordinating 161 responses to address human trafficking or sexual exploitation of 162 children. If no such entity exists, the circuit administrator 163 for the department shall work to initiate one. 164 Section 2. Section 409.1678, Florida Statutes, is amended 165 to read: 166 (Substantial rewording of section. See 167 s. 409.1678, F.S., for present text). 168 409.1678 Specialized residential options for children who 169 are victims of sexual exploitation.— 170 (1) DEFINITIONS.—As used in this section, the term: 171 (a) “Safe foster home” means a foster home certified by the 172 department under this section to care for sexually exploited 173 children. 174 (b) “Safe house” means a group residential placement 175 certified by the department under this section to care for 176 sexually exploited children. 177 (c) “Sexually exploited child” means a child who has 178 suffered sexual exploitation as defined in s. 39.01(67)(g) and 179 is ineligible for relief and benefits under the federal 180 Trafficking Victims Protection Act, 22 U.S.C. ss. 7101 et seq. 181 (2) CERTIFICATION OF SAFE HOUSES AND SAFE FOSTER HOMES.— 182 (a) Safe houses and safe foster homes shall provide a safe, 183 separate, and therapeutic environment tailored to the needs of 184 sexually exploited children who have endured significant trauma. 185 Safe houses and safe foster homes shall use a model of treatment 186 that includes strength-based and trauma-informed approaches. 187 (b) The department shall certify safe houses and safe 188 foster homes. A residential facility accepting state funds 189 appropriated to provide services to sexually exploited children 190 or child victims of sex trafficking must be certified by the 191 department as a safe house or a safe foster home. No entity may 192 use the designation “safe house” or “safe foster home” and hold 193 themselves out as serving sexually exploited children unless the 194 entity is certified under this section. 195 (c) To be certified, a safe house must hold a license as a 196 residential child-caring agency, and a safe foster home must 197 hold a license as a family foster home, pursuant to s. 409.175. 198 A safe house or safe foster home must also: 199 1. Use trauma-informed and strength-based approaches to 200 care, to the extent possible and appropriate. 201 2. Serve exclusively one sex. 202 3. Group sexually exploited children by age or maturity 203 level. 204 4. Care for sexually exploited children in a manner that 205 separates these children from children with other needs. Safe 206 houses and safe foster homes may care for other populations, if 207 the children who have not experienced sexual exploitation do not 208 interact with children who have experienced sexual exploitation. 209 5. Have awake staff members on duty 24 hours a day, if a 210 safe house. 211 6. Provide appropriate security through facility design, 212 hardware, technology, staffing, and siting, including but not 213 limited to external video monitoring or alarmed doors, having a 214 high staff-to-client ratio, or being situated in a remote 215 location isolated from major transportation centers and common 216 trafficking areas. However, such security must allow sexually 217 exploited children to exit the safe house if they choose. 218 7. Meet other criteria established by the department in 219 rule, which may include, but are not limited to, personnel 220 qualifications, staffing ratios, and services content. 221 (d) Safe houses and safe foster homes shall provide 222 services tailored to the needs of sexually exploited children 223 and shall conduct a comprehensive assessment of the service 224 needs of each resident. In addition to the services required to 225 be provided by residential child caring agencies and family 226 foster homes, safe houses and safe foster homes must provide, 227 arrange for or coordinate, at a minimum, the following services: 228 1. Victim-witness counseling; 229 2. Family counseling; 230 3. Behavioral health care; 231 4. Treatment and intervention for sexual assault; 232 5. Education tailored to the child’s individual needs, 233 including remedial education if necessary; 234 6. Life skills training; 235 7. Mentoring by a survivor of sexual exploitation, if 236 available and appropriate for the child; 237 8. Substance abuse screening, and where necessary, access 238 to treatment; 239 9. Planning services for the successful transition of each 240 child back to the community; and 241 10. Activities, in a manner that provides sexually 242 exploited children with a full schedule. 243 (e) The community-based care lead agencies shall ensure 244 that foster parents of safe foster homes and staff of safe 245 houses complete intensive training regarding, at a minimum, the 246 needs of sexually exploited children, the effects of trauma and 247 sexual exploitation, and how to address those needs using 248 strength-based and trauma-informed approaches. The department 249 shall specify this training by rule and may develop or contract 250 for a standard curriculum. The department may establish in rule 251 additional criteria for the certification of safe houses and 252 safe foster homes. Criteria shall address the security, 253 therapeutic, social, health, and educational needs of sexually 254 exploited children. 255 (f) The department shall inspect safe houses and safe 256 foster homes prior to certification and annually to ensure 257 compliance with requirements of this section. The department may 258 place a moratorium on referrals and may revoke the certification 259 of a safe house or safe foster home which fails at any time to 260 meet the requirements of this section or rules adopted pursuant 261 to this section. 262 (g) The certification period for safe houses and safe 263 foster homes shall run concurrently with the terms of their 264 licenses. 265 (3) SECURE SAFE HOUSE PILOT PROGRAM.— 266 (a) The department may facilitate the development of one 267 secure safe house on a pilot basis to evaluate the therapeutic 268 benefits of a secure residential setting within the broader 269 array of residential and community-based services available to 270 meet the needs of sexually exploited children. The secure safe 271 house is intended for those sexually exploited children with the 272 greatest needs, for whom no less restrictive placement has been 273 or will be effective in addressing the effects of severe abuse, 274 violence, trauma, or exploiter control endured by the child. The 275 setting is only available to a sexually exploited child: 276 1. Who is the subject of an open investigation due to an 277 allegation of abuse, neglect, or exploitation, or has been 278 adjudicated dependent; 279 2. Who has been placed in accordance with ss. 39.4072 and 280 39.4074; and 281 3. Whose needs cannot be met in less restrictive 282 placements. 283 (b) The secure safe house must be a certified safe house, 284 and may have no more than 15 beds. The department shall select 285 the region where the secure safe house shall be sited. The 286 department shall collaborate with the local community-based care 287 lead agency to design the pilot project, including, but not 288 limited to, selection of the location, selection of the 289 provider, the facility’s security features, referral processes, 290 and services provided within the secure safe house. 291 (c) Children from any region of the state may be placed in 292 the secure safe house pursuant to ss. 39.4072 and 39.4074. The 293 department, in consultation with the community-based care lead 294 agencies serving the children, shall approve all placements of 295 children in the facility. In addition to the criteria in s. 296 409.1754(1) and any other criteria determined by the department 297 pursuant to that subsection, the following criteria at a minimum 298 shall also be used to determine whether a child qualifies for 299 placement in the secure safe house: 300 1. Lack of willingness to participate in less intensive 301 programs; and 302 2. Lack of treatment progress in less restrictive 303 placements, if the child has been placed elsewhere. 304 (d) The secure safe house shall include features which 305 prevent any entry into or exit from the facility or its grounds 306 without the involvement of staff, including, but not limited to, 307 walls, fencing, gates, and locking doors. 308 (e) A child may be placed in the secure safe house for a 309 minimum of 5 days and a maximum of 10 months. Pursuant to s. 310 39.4074(4), the secure safe house shall regularly review and 311 report on the child’s progress, and during judicial reviews the 312 court shall determine whether continued placement in the secure 313 safe house is appropriate. The department shall place the child 314 in another setting when continued placement in the secure safe 315 house is no longer appropriate. 316 (f) The department shall contract for an evaluation of the 317 effectiveness of the secure safe house in facilitating the 318 rehabilitation of sexually exploited children. The evaluation 319 report shall be provided to the Governor, the President of the 320 Senate, and the Speaker of the House of Representatives by 321 February 1, 2018. The evaluation shall, at a minimum, describe 322 the program model and facility design, assess the effectiveness 323 of the facility in meeting the treatment and security needs of 324 sexually exploited children, analyze its cost-effectiveness, and 325 provide recommendations regarding the continued operation of the 326 pilot program and any changes or enhancements. 327 (4)(a) This section does not prohibit any provider of 328 services for sexually exploited children from appropriately 329 billing Medicaid for services rendered, from contracting with a 330 local school district for educational services, or from 331 obtaining federal or local funding for services provided, as 332 long as two or more funding sources do not pay for the same 333 specific service that has been provided to a child. 334 (b) The lead agency shall ensure that all children residing 335 in safe houses or safe foster homes have a case manager and a 336 case plan, whether or not the child is a dependent child. 337 (5) The services specified in this section may, to the 338 extent possible provided by law and with funding authorized, be 339 available to all sexually exploited children whether they are 340 accessed voluntarily, as a condition of probation, through a 341 diversion program, through a proceeding under chapter 39, or 342 through a referral from a local community-based care or social 343 service agency. 344 Section 3. Section 39.524, Florida Statutes, is amended to 345 read: 346 39.524 Safe-harbor placement.— 347 (1) Except as provided in s. 39.407 or s. 985.801, a 348 dependent child 6 years of age or older who has been found to be 349 a victim of sexual exploitation as defined in s. 39.01(67)(g) 350 must be assessed for placement in a safe house or safe foster 351 home as provided in s. 409.1678 using the initial screening and 352 assessment instruments provided in s. 409.1754(1).The353assessment shall be conducted by the department or its agent and354shall incorporate and address current and historical information355from any law enforcement reports; psychological testing or356evaluation that has occurred; current and historical information357from the guardian ad litem, if one has been assigned; current358and historical information from any current therapist, teacher,359or other professional who has knowledge of the child and has360worked with the child; and any other information concerning the361availability and suitability of safe-house placement.If such 362 placement is determined to be appropriate for the child as a 363 result of this assessment, the child may be placed in a safe 364 house or safe foster home, if one is available. However, the 365 child may be placed in another setting if it is more appropriate 366 to his or her needs and his or her behaviors can be managed in 367 those settings so that they do not endanger other children being 368 served in those settings, or if a safe house or safe foster home 369 in unavailable.As used in this section, the term “available” as370it relates to a placement means a placement that is located371within the circuit or otherwise reasonably accessible.372 (2) The results of the assessment described in s. 373 409.1754(1)subsection (1)and the actions taken as a result of 374 the assessment must be included in the next judicial review of 375 the child. At each subsequent judicial review, the court must be 376 advised in writing of the status of the child’s placement, with 377 special reference regarding the stability of the placement and 378 the permanency planning for the child. 379 (3)(a) By December 1 of each year, the department shall 380 report to the Legislature on the placement of children in safe 381 houses and safe foster homes during the year, including the 382 criteria used to determine the placement of children, the number 383 of children who were evaluated for placement, the number of 384 children who were placed based upon the evaluation, and the 385 number of children who were not placed. 386 (b) The department shall maintain data specifying the 387 number of children who were referred to a safe house or safe 388 foster home for whom placement was unavailable and the counties 389 in which such placement was unavailable. The department shall 390 include this data in its report under this subsection so that 391 the Legislature may consider this information in developing the 392 General Appropriations Act. 393 Section 4. Section 39.4072, Florida Statutes, is created to 394 read: 395 39.4072 Evaluation for secure safe house placement.— 396 (1) The Legislature finds that victims of child sexual 397 exploitation as defined in s. 39.01(67)(g) often exhibit 398 behaviors that place themselves and others in danger. The 399 Legislature finds that when sexually exploited children 400 repeatedly run away from their home or residential placement to 401 unsafe placements, engage in commercial sexual activity as 402 defined in s. 787.06(2)(b), F.S., or seek to maintain a 403 relationship with their exploiters, these children and other 404 children are in danger of being sexually exploited and 405 physically abused, which can lead to grave emotional and 406 physical harm. 407 (2) CRITERIA.—A child may be taken to a secure safe house 408 for evaluation of the appropriateness of placement for treatment 409 in a secure safe house as provided in this section if there is 410 probable cause that the child has been sexually exploited as 411 defined in s. 39.01(67)(g) and: 412 (a) The child meets the criteria in s. 409.1678(3) for safe 413 house placement; and 414 (b) The child recently engaged in behaviors that subject 415 the child to victimization, violence, emotional harm, serious 416 bodily harm, or health risks that endanger the child, posing a 417 real and present threat of substantial harm to the child’s well 418 being. Such behaviors include, but are not limited to, 419 repeatedly running away from home or residential placement to an 420 unsafe situation, engaging in commercial sexual activity as 421 defined in s. 787.06(2)(b), and seeking to maintain a 422 relationship with the child’s trafficker despite others’ 423 attempts to separate the child from the trafficker; 424 (c) There is a substantial likelihood that without care or 425 treatment the child will endanger or cause serious bodily harm 426 to others, as evidenced by previous behavior including 427 recruiting other children into the commercial sex trade or using 428 coercion such as violence, illegal substances, or other means to 429 compel their participation in such trade; and 430 (d) Less restrictive placement alternatives are unlikely to 431 be effective in keeping the child from engaging in behaviors 432 provided in paragraphs (b) and (c), as determined by a 433 department or community-based care lead agency. 434 (3) EVALUATION.— 435 (a) An official of the department may initiate an 436 evaluation of a child who is the subject of an open 437 investigation or under the supervision of the court if the 438 criteria in subsection (2) are met. A child protective 439 investigator, a law enforcement officer, case manager, or other 440 qualified individual may transport the child to the secure safe 441 house, which may admit the child for assessment and 442 stabilization pending the filing and adjudication of a petition 443 by the department as provided in s. 39.522(1) alleging a need 444 for a change in placement. The secure safe house shall provide 445 notice regarding the child’s admittance for assessment for 446 secure safe house placement, to the child’s parent or guardian, 447 foster parent, case manager, and guardian ad litem. If the child 448 does not have a guardian ad litem and a lawyer, the court shall 449 appoint them. 450 (b) A psychiatrist, clinical psychologist, licensed mental 451 health counselor, or licensed clinical social worker at the 452 secure safe house who has training in working with sexually 453 exploited children shall conduct an initial evaluation of the 454 child as soon as it is appropriate to do so given the child’s 455 emotional, mental, and physical condition. The child may be 456 provided medical screening and treatment pursuant to s. 39.407. 457 The secure safe house may initiate appropriate therapeutic 458 services to stabilize and treat the child. 459 (c) Facility staff shall continue to evaluate the child 460 throughout his or her placement for evaluation in the secure 461 safe house and may access the child’s case file and other 462 relevant records and request information from other individuals 463 involved in the child’s life. The child’s parent or guardian, 464 foster parent, case manager, and guardian ad litem may provide 465 any information they believe relevant to the evaluation. The 466 evaluation of the child shall be based on whether the child 467 meets the criteria established under s. 409.1678(3) for 468 admission to the secure safe house, and the criteria in 469 paragraphs (1)(a) and (b). 470 (d) Within five days after the child’s admittance to the 471 secure safe house for evaluation, the psychiatrist, clinical 472 psychologist, licensed mental health counselor, or licensed 473 clinical social worker shall determine, based on the evaluation, 474 whether the secure safe house would best meet the child’s needs, 475 or whether additional evaluation is required before a conclusion 476 can be reached. 477 1. If the secure safe house would not best meet the child’s 478 needs, the department shall place the child in the least 479 restrictive setting which is appropriate for the child’s needs. 480 2. If placement in the secure safe house for treatment 481 would best meet the child’s needs, the department shall petition 482 the court within 24 hours for placement under s. 39.4074, and 483 the secure safe house shall admit the child pending a judicial 484 determination. 485 3. If additional evaluation is required before a 486 determination may be made about the child’s need for secure safe 487 house placement for treatment, the department shall petition the 488 court within 24 hours to extend the placement of the child for 489 evaluation purposes up to 30 days or until a determination may 490 be made regarding the need for secure safe house placement for 491 treatment, whichever comes first. The child shall remain in the 492 secure safe house pending the court order. 493 (f) The department shall provide all evaluations to the 494 child’s parent or guardian, case manager, and guardian ad litem. 495 Section 5. Section 39.4074, Florida Statutes, is created to 496 read: 497 39.4074 Placement in a secure safe house.— 498 (1) PETITION FOR PLACEMENT.—If an evaluation pursuant to s. 499 39.4072(3) results in a determination that placement for 500 treatment in a secure safe house would best meet the child’s 501 needs, the department may file a petition for placement in 502 dependency court. The department shall provide notice to the 503 child’s parents as required under s. 39.502(1). If the child’s 504 parents consent to such placement, the court shall enter an 505 order placing the child in the secure safe house for up to 45 506 days, pending review by the court as provided herein. If the 507 child’s parents refuse or are unable to consent, the court 508 within 24 hours of the filing of the petition shall hear all 509 parties in person or by counsel, or both. If the court concludes 510 that the child meets the criteria for placement in the secure 511 safe house in s. 39.4072(1), it shall order that the child be 512 placed in the secure safe house for a period of up to 45 days, 513 pending review by the court. 514 (2) TREATMENT PLAN AND JUDICIAL REVIEW.— 515 (a) Within 10 days after the placement of a child for 516 treatment in a secure safe house, the secure safe house must 517 prepare an individualized treatment plan which addresses both 518 preliminary residential treatment and comprehensive discharge, 519 identifying care appropriate for the child upon completion of 520 residential treatment. The plan must be approved by the 521 department. The child must be involved in the preparation of the 522 plan to the maximum feasible extent consistent with the child’s 523 ability to do so. The child’s parents, guardian, or foster 524 parents, guardian ad litem, and staff from the child’s home 525 school district must be involved with the child’s treatment and 526 discharge planning. Other individuals may also participate in 527 plan development as appropriate. A secure safe house shall 528 provide a copy and an explanation of the plan to the child, the 529 child’s parent or guardian, the guardian ad litem, and case 530 manager. The department shall also provide the plan to the 531 court. 532 (b) At 20-day intervals, commencing upon the beginning of 533 treatment according to the treatment plan, the secure safe house 534 must review the child’s progress toward the treatment goals and 535 assess whether the child’s needs could be met in a less 536 restrictive treatment program. The secure safe house must submit 537 a report of its findings to the child’s parents or guardian, 538 guardian ad litem, case manager, the department and the court. 539 The department may not reimburse a secure safe house until the 540 secure safe house has submitted every written report that is 541 due. 542 (c) The court shall conduct an initial review of the status 543 of the child’s treatment plan no later than 35 days after the 544 child’s placement for treatment in the secure safe house. For 545 any child in a secure safe house at the time a judicial review 546 is held pursuant to s. 39.701, the child’s continued placement 547 in a secure safe house must be a subject of the judicial review. 548 If, at any time, the court determines that the child has not 549 been sexually exploited or that the child has been sexually 550 exploited but is not appropriate for placement in a secure safe 551 house, the court shall order the department to place the child 552 in the least restrictive setting that is best suited to meet the 553 child’s needs. 554 (d) After the initial review, the court must review the 555 child’s treatment plan every 60 days until the child no longer 556 requires placement in the secure safe house, or until the child 557 has resided in the secure safe house for 10 months. If the child 558 has resided in the secure safe house for 9 months, a court 559 hearing shall be held to determine an appropriate setting and 560 appropriate services for the child. 561 Section 6. The Office of Program Policy Analysis and 562 Government Accountability (OPPAGA) shall conduct a study on 563 commercial sexual exploitation of children in Florida. The study 564 shall assess the extent of commercial sexual exploitation of 565 children, including but not limited to its prevalence in various 566 regions of the state. The study shall also identify specialized 567 services needed by sexually exploited children and any gaps in 568 the availability of such services by region, including but not 569 limited to residential services and specialized therapies. The 570 study shall analyze the effectiveness of safe houses, safe 571 foster homes, and other residential options for serving sexually 572 exploited children in addressing their safety, therapeutic, 573 health, educational, and emotional needs, including but not 574 limited to, the nature and appropriateness of subsequent 575 placements, extent of sexual exploitation post-placement, and 576 educational attainment. By July 1, 2017, OPPAGA shall report its 577 findings to the Governor, the President of the Senate, and the 578 Speaker of the House of Representatives. 579 Section 7. This act shall take effect July 1, 2014.