31 Miss. Code. R. 9-2.9 - Health Assessments

1. Youth are to receive a health assessment, including medical and mental assessment, soon after admission and in no case later than one week after admission.

2. The medical assessment portion of the health assessment includes:

a. Review of screening results and collection of additional data to complete the medical, dental, and mental health histories.

b. Review with the parent or guardian (by phone or in person) the physical and mental health issues of the youth, making best efforts to protect confidential information.

c. A detailed history of potentially preventable risks to life and health including: smoking, drug use (including alcohol), unsafe sex practices, if interpersonal conflict is resolved with violence, use of weapons, eating patterns, and physical activity.

d. A pregnancy test for sexually active females.

e. Review of immunization history and scheduling or provision of needed updates in accordance with the Advisory Committee on Immunization Practices (ACIP) guidelines.

f. Recording of height, weight (and body mass index by chart), pulse, blood pressure, temperature, and results of other tests and examinations.

g. Referral of girls for gynecological examinations where clinically indicated.

h. Review of the results of medical examination and tests, and initiation of treatment when appropriate.

i Contact with youth's medical professional in the community as needed to ensure continuity of medical treatment.

3. The health assessment includes a mental health screening which the QMHP gathers information about:

a. History of mental health (previous psychiatric hospitalization, outpatient treatment, family history, suicidal and homicidal behavior).

b. Current and previous use of psychotropic medications.

c. History of drug and alcohol use.

d. Developmental history (intellectual and/or developmental disability, history of seizures, and cerebral trauma).

e. History of trauma (victimization, abuse, domestic violence, physical and/or sexual assault, and natural disaster).

f. The youth's educational and vocational history.

g. Social/cultural history (relationship with family, living arrangements, siblings, social supports, etc.).

4. Information collected by medical or mental health professionals is used for care of youth in detention and not for disclosure to courts for adjudication or criminal justice proceedings.

5. A licensed practical nurse, registered nurse, nurse practitioner, physician's assistant, or physician performs the health assessment, with physician co-signature as required by law. Female staff are present during a physical examination of a female youth. QMHPs should ensure that practitioners are appropriately trained to conduct the mental health screening portion of the assessment.

6. Admissions staff shall refer youth identified through the admission screening as needing mental health to a QMHP for follow-up care. A QMHP shall see the youth within 48 hours, or sooner, if necessary, to provide appropriate assessments and treatment.

Notes

31 Miss. Code. R. 9-2.9

Miss. Code Ann. §§ 43-21-901 to 43-21-915 (Rev. 2016).

Adopted 12/28/2019