Florida Senate - 2025                              CS for SB 886
       
       
        
       By the Committee on Children, Families, and Elder Affairs; and
       Senator Leek
       
       
       
       
       586-03171-25                                           2025886c1
    1                        A bill to be entitled                      
    2         An act relating to crisis care coordination; creating
    3         s. 394.6581, F.S.; requiring the Department of
    4         Children and Families to implement, subject to
    5         appropriation, Crisis Care Coordination Pilot Programs
    6         in specified counties for certain purposes; providing
    7         requirements for the pilot programs; requiring the
    8         department to contract for an independent evaluation
    9         of the pilot programs and submit a report to the
   10         Governor and the Legislature by a specified date;
   11         providing rulemaking authority; providing for
   12         expiration of the pilot programs; providing an
   13         effective date.
   14          
   15  Be It Enacted by the Legislature of the State of Florida:
   16  
   17         Section 1. Section 394.6581, Florida Statutes, is created
   18  to read:
   19         394.6581Crisis Care Coordination Pilot Programs.—
   20         (1)Subject to a specific appropriation, the department
   21  shall establish and implement Crisis Care Coordination Pilot
   22  Programs in Polk and Volusia Counties. The purpose of the pilot
   23  programs is to reduce repeat involuntary examinations initiated
   24  by law enforcement, provide persons who are experiencing an
   25  acute mental health crisis an option for crisis intervention
   26  other than the use of law enforcement, reduce their level of
   27  follow-up interaction with law enforcement officers post crisis,
   28  and assist them with engagement in behavioral health care.
   29         (a)The pilot programs shall facilitate partnerships
   30  between law enforcement agencies in Polk and Volusia Counties
   31  and organizations in the coordinated system of care under s.
   32  394.4573 that are operating in those counties by placing crisis
   33  counselors within law enforcement agencies to intervene with and
   34  provide follow-up care for persons who are experiencing or have
   35  experienced an acute mental health crisis and their families and
   36  support networks.
   37         (b)The pilot programs shall be implemented by nationally
   38  accredited community mental health centers in partnership with
   39  local law enforcement.
   40         (2)Crisis counselors placed in law enforcement agencies
   41  shall provide support and assistance to persons who are
   42  experiencing or have experienced an acute mental health crisis,
   43  connecting them to the coordinated system of care. Duties of
   44  crisis counselors shall include:
   45         (a)Intervening when law enforcement is contacted relating
   46  to a person experiencing an acute mental health crisis to make
   47  observations and provide information to responding officers,
   48  conduct assessments, de-escalate the crisis situation, or
   49  provide referrals, as appropriate.
   50         (b)Follow-up with such persons following an acute mental
   51  health crisis involving law enforcement, such as an involuntary
   52  examination as defined in s. 394.455 initiated by law
   53  enforcement. A person’s involvement with follow-up care is
   54  voluntary. Such follow-up care by crisis counselors may include,
   55  but is not limited to:
   56         1.Conducting assessments.
   57         2.Providing individualized safety planning tailored to the
   58  person’s needs and risks.
   59         3.Providing supportive counseling.
   60         4.Assisting persons in accessing recommended mental health
   61  services and substance abuse services.
   62         5.Assisting persons in adhering to discharge plans.
   63         6.Providing care coordination as defined in s. 394.4573,
   64  unless a person is already receiving that service from another
   65  organization.
   66         (3)The pilot programs shall establish formal partnerships
   67  through written referral agreements and information exchange
   68  procedures with, at a minimum, providers of mental health
   69  services and substance abuse services, local hospitals licensed
   70  under chapter 395, and not-for-profit agencies and other
   71  organizations which can be of assistance to persons who are
   72  experiencing or have experienced an acute mental health crisis
   73  and their families and support networks. Such agreements must,
   74  at a minimum, facilitate timely access to community-based
   75  behavioral health services and other local systems and entities
   76  as provided in the person’s discharge plan.
   77         (4)The department shall contract for an independent
   78  evaluation of the pilot programs regarding, at a minimum, their
   79  effectiveness and return on investment. By January 15, 2029, the
   80  department shall submit a report of the findings of the
   81  evaluation of the pilot programs to the Governor, the President
   82  of the Senate, and the Speaker of the House of Representatives,
   83  which must include, at a minimum:
   84         (a)The amount of time that law enforcement officers were
   85  engaged in responses to persons who were experiencing or had
   86  experienced an acute mental health crisis.
   87         (b)Repeat involuntary examinations initiated by law
   88  enforcement.
   89         (c)Engagement in post-crisis mental health and substance
   90  abuse services among persons served by the programs.
   91         (d)The effectiveness of the pilot program services.
   92         (e)Recommendations regarding enhancements to, and
   93  continuation and expansion of, the pilot programs.
   94         (5)The department may adopt rules to implement this
   95  section.
   96         (6)This section expires June 30, 2029.
   97         Section 2. This act shall take effect July 1, 2025.