Staff must not disclose a child's HIV status with any other individual or entity, except those listed in 11521 Required Notification About a Child's HIV Status and 11522 Allowable Releases of HIV Status Information, or under other applicable law or rule. 4230 Facilities Under the Authority of Other State Agencies, American Academy of PediatricsPeriodicity Schedule, Form 2085-B Designation of Medical Consenter, Form 2400 Prescription Medication Information, Form 2406 Daily Prescription Medication Log Sheet, Form 2401 Non-Prescription Medication Log, 11310 If CPI, CPS, or SSCC Staff Administers Medications, Psychotropic Medication Utilization Parameters for Children and Youth in Texas Public Behavioral Health (6th Version), 6151.1 Exceptions to the Notification Requirements, Texas Health and Safety Code Chapter 166, 6440 When a Youth in Substitute Care Is Pregnant or Parenting, Was removed as the result of sexual abuse. le-de-France - Wikipedia Medical consenter is a person who a court or DFPS names to make medical decisions for a child in DFPS conservatorship. Health Care for Texas Children in Fost DFPS Medical Consent Training for Caregiver. The medical consenter must provide or deny consent for any health care and the administration of psychotropic medication, except in an emergency, during the time that the Emergency Detention Order and the Order for Protective Custody are in effect. CPS nurse consultants may be able to provide general guidance but cannot provide direct assistance with medication administration. Neither DFPS nor the medical consenter have the authority to consent to the request. While the child or youth is in the psychiatric hospital, the primary conservatorship (CVS) caseworker must do all of the following: See Inpatient Mental Health Treatment in the Mental Health Resource Guide. after you have finished the training as proof of completion of the training and acknowledgement of required elements related to informed consent and psychotropic medications. DFPS - DFPS Forms Ensure that another CPS staff member is available to witness the destruction of medication. The caseworker must file a copy of the documentation in the child's case file. Download the free version of Adobe Reader. If the staff of DFPS or of a residential childcare provider believes an order for involuntary inpatient mental health services (court commitment) is necessary for a child or youth, a staff member contacts the local mental health authority (LMHA) for help and assessment. If the medical provider determines that the child or youth is ready for discharge, and DFPS agrees, the child or youth does one of the following: Returns to his or her previous placement. The checkups are available to all children through both STAR Health and traditional Medicaid. However, any party may seek court intervention at any time if all parties do not agree on a course of action or if any party is concerned about the child's rights. The caseworker must ensure that, beginning at the age of 6 months, children in DFPS conservatorship must receive dental checkups through Texas Health Steps, in accordance with the Texas Health Steps Periodicity Schedule. Review the following for more information: 11212 Initial Texas Health Steps Medical Checkup, 11213 Initial Texas Health Steps Dental Checkup, 11214 Subsequent, Ongoing Texas Health Steps Checkups. The decision to provide a minor with contraception and to obtain the appropriate consent, if applicable, is the healthcare provider's responsibility. Informed consent means the medical consenter gets complete information about the proposed medical care before making a decision. See Texas Health and Safety Code Chapter 166 for Texas law regarding advance medical directives for more information. If there is a question about the child's eligibility, . Documentation that a youth has completed the required training should be filed in the youths file by the caseworker. In such cases, staff must give testimony as requested. The. Welcome to DFPS Learning Hub! See 11323.1 Consenting to an Initial Psychotropic Medication in an Inpatient Setting. Discussions with medical consenters and caregivers about non-pharmacological interventions may address various issues. The youth is at risk of causing substantial bodily harm to self or others. Inhalers taken through the nose or mouth. History of le-de-France - Wikipedia If a child in DFPS conservatorship has tested negative for HIV infection, DFPS may notify the parties listed in this section and in 11521 Required Notification About a Child's HIV Status if: the party requests the information; or. If someone other than a DFPS employee brings a child or youth to this type of facility for voluntary admission, that person is required to find a DFPS representative to approve the admission. CPS and Single Source Continuum Contractor (SSCC) staff, Court Appointed Special Advocates (CASA), the childs caregiver, the childs medical consenter, an attorney, a residential child care provider, and other interested parties can request a PMUR any time they have concerns about a childs psychotropic medication regime. See the Women and Children webpage on the Texas Health and Human Services website. Tex. The le-de-France (/ i l d f r s /, French: [il d fs] (); literally "Isle of France") is the most populous of the eighteen regions of France, with an official estimated population of 12,271,794 residents on 1 January 2023. In most circumstances, CPI, CPS, or SSCC staff members at all levels can administer medications. If a provider is refusing to see a member with the 2085 B form, please escalate this immediate concern to a Superior STAR Health Member Advocate by calling 1-866-912-6283. Medical Consent Training: In addition to the initial screening the caseworker must ensure that children who may be high risk are tested for TB if there are circumstances that warrant it, such as known exposure to someone with tuberculosis. The medical consenter or caregiver should seek assistance from the child's healthcare provider, child placing agency, caseworker, and therapist to develop strategies to help the child to manage behaviors. comply with the court's directive or order. The person may be a supervisor, program director, CPS nurse consultant, or other suitable staff person. If a child or youth in DFPS conservatorship is not eligible for enrollment in STAR Health, then traditional Medicaid or, if applicable, an HHSC Medicaid Managed care health plan, provides medical care. Documentation that the medication was administered (or, if applicable, that the child refused to take the medication at a certain date and time) is required in both of the following places: A CPI, CPS, or SSCC staff member at the caseworker level or above must do the following (regardless of whether a staff member or a contracted registered nurse administered the medication): Place the original Form 2406 or Form 2401 (or both, if applicable) in the childs case record. The caseworker must ensure that children entering DFPS conservatorship are screened for tuberculosis (TB). must be performed by a licensed health practitioner who is enrolled in Texas Medicaid as a Texas Health Steps provider; must be completed within 30 days after a child enters DFPS conservatorship; and. the child or youth will not return to the previous placement, and someone who is not a DFPS employee is the primary or backup medical consenter. Code 266.004(h) requires medical consenter training, which must include training related to informed consent for the administration of psychotropic medication and the appropriate use of psychosocial therapies, behavior strategies, and other non-pharmacological interventions that should be considered before or concurrently with the administration of . Consent for Immunizations by Pregnant or Parenting Foster Youth. During these visits, the staff member does as follows: Talks to the staff of the inpatient psychiatric facility about progress, needs, and discharge. assess the child's care during each contact to ensure that the family continues to comply with the recommended medical care (including administering prescribed medication, attending medical appointments, and completing other tasks to meet the child's needs). Immediately, but no later than 24 hours after notification that a child or youth has been admitted for psychiatric treatment. If the welfare of the child requires the child's status to be documented in a public document, staff must use language such as confidential illness or confidential diagnosis. within seven days following the court's authorization of: a non-CPS person as a child's medical consenter; or. In the Medical Services Resource Guide, see Enrollment and Participation in Certain Drug Research Programs. This form designates a medical consenter and a back-up medical consenter for the youth. Before a child may receive medical treatment, consent is required. To ensure medical consent is informed and legally valid, the medical consenter must receive the following information either verbally or in writing from the prescribing healthcare provider, and understand and consider its impact on the child: the specific condition to be treated, including the child's symptoms and medical diagnosis; the beneficial effects on that condition expected from the medication; the probable health and mental health consequences of not consenting to the medication; the probable clinically significant side effects and risks associated with the medication; the generally accepted alternative medications and non-pharmacological interventions to the medication, if any (see 11326 Non-Pharmacological Interventions); and. While a child with special healthcare needs is in DFPS conservatorship, the caseworker must: develop an understanding of the child's medical needs and the services recommended by medical professionals; ensure that the child is receiving the recommended services; and. A youth who is at least 16 years old may seek voluntary admission to an inpatient psychiatric facility or outpatient mental health treatment services. All caseworkers must take the online Health Passport training in the DFPS Learning Station. Referrals may be given to appropriate providers of pre- and postnatal care, including obstetric services provided through STAR Health. Following the initial medical checkup through Texas Health Steps, the caseworker must ensure that all children in DFPS conservatorship continue to receive medical checkups in accordance with the Texas Health Steps Periodicity Schedule. The caseworker must complete and file the documentation. Minimum Standards and Guidelines for Child-Placing Agencies, 749.1421. The ability to consent for immunizations does not give the youth the right to refuse a vaccine that the healthcare provider recommends and the youth's medical consenter has agreed upon, unless the youth has been designated his or her own medical consenter. Multiple entries indicate a form is available in more than one format, e.g. If the medical consenter is unable to meet with the provider face to face, the medical consenter must provide by phone verbal informed consent to an initial psychotropic prescription or dosage change.
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