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,orclinical 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.