TITLE 8 SOCIAL SERVICES
CHAPTER 14 JUVENILE JUSTICE
PART 4 FACILITY MEDICAL AND BEHAVIORAL HEALTH SERVICES
22.214.171.124 ISSUING AGENCY: New Mexico Children, Youth and Families Department.
[126.96.36.199 NMAC - Rp, 188.8.131.52 NMAC, 8/15/2008]
184.108.40.206 SCOPE: This rule applies to clients, facility staff and health care providers administering care to the clients in the facilities of the juvenile justice services of children, youth and families department and the operators of facilities contracted by CYFD.
[220.127.116.11 NMAC - Rp, 18.104.22.168 NMAC, 8/15/2008]
22.214.171.124 STATUTORY AUTHORITY: NMSA 1978 section 9-2A-7(D) (2005) authorizes the secretary of the children, youth and families department (CYFD) to adopt regulations as necessary to carry out the duties of CYFD. NMSA 1978 section 32A-2-19(B) provides that delinquent children may be committed to the legal custody of CYFD for placement, supervision and rehabilitation and more generally NMSA 1978, section 32A-2-1 et seq., (2005) the Delinquency Act, contains various provisions relating to the commitment and custody of delinquent children.
[126.96.36.199 NMAC - Rp, 188.8.131.52 NMAC, 8/15/2008]
184.108.40.206 DURATION: Permanent.
[220.127.116.11 NMAC - Rp, 18.104.22.168 NMAC, 8/15/2008]
22.214.171.124 EFFECTIVE DATE: August 15, 2008, unless a later date is cited at the end of a section.
[126.96.36.199 NMAC - Rp, 188.8.131.52 NMAC, 8/15/2008]
184.108.40.206 OBJECTIVE: To establish standards for providing medical, dental and behavioral health care to clients in the facilities of juvenile justice services of the children, youth and families department and the operators of facilities contracted by CYFD.
[220.127.116.11 NMAC - Rp, 18.104.22.168 NMAC, 8/15/2008]
A. 15-day diagnostic evaluation refers to the court-ordered evaluation for purposes of diagnosing the child and preparing a report to the court indicating what disposition appears most suitable when the interests of the child and the public are considered. See, NMSA 1978, Section 32A-2-17(D) (2005).
B. 15-day diagnostic evaluation report refers to the written report prepared for the court incorporating the findings of the 15-day diagnostic evaluation.
C. Behavioral health authority refers to persons designated to direct the delivery of services for CYFD and facility level for behavioral health matters.
D. Behavioral health staff refers to employees assigned to the behavioral health unit of a facility, including appropriately licensed physicians, psychiatrists, psychologists, social workers and counselors.
E. Central intake refers to the entry point for clients committed to the custody of CYFD.
F. Classification refers to an assessment of the client’s risk, needs and strengths by which facility staff determine the level of care and management of clients; the system and procedure through which new clients are assessed and assigned to the appropriate facility and living unit.
G. Client refers to a person who is committed to the custody of CYFD’s juvenile justice services or who is receiving services from CYFD’s juvenile justice services.
H. Clinically ordered mechanical restraints refers to devices used to limit the movement of a client’s body for medical or behavioral health reasons.
I. Contract facilities refers to those facilities which contractually operate secure or non-secure facilities for CYFD. These facilities comply with JJS policies and procedures concerning client care.
J. Contract staff refers to a person who is under contract with CYFD to provide contractually specified medical or behavioral health care services to juvenile justice clients.
K. Counselor refers to an individual who has a master’s degree in counseling, substance abuse or related field who is licensed by the New Mexico counseling and therapy practice board.
L. CYFD refers to the New Mexico children, youth and families department.
M. Emergency response plan refers to a written document that specifies what actions will be taken in the event of an emergency or disaster.
N. Facility refers to a facility operated by, or on behalf of, CYFD’s juvenile justice services for purposes of housing and providing care for clients committed to the custody of CYFD.
O. First aid refers to care for a condition requiring immediate assistance from an individual trained in first aid care.
P. Food hygiene and safety refers to the handling, preparing, and storing of foods to assure compliance with federal, state and local codes and regulations regarding nutrition, safety and hygiene.
Q. Grievance system refers to systems and procedures available to clients and families to resolve grievances with facility operations and services.
R. Health insurance portability and accountability act (HIPAA) privacy officer refers to the person designated by the secretary to implement compliance with the privacy provisions of the Health Insurance Portability and Accountability Act of 1996.
S. Health promotion and disease prevention refers to health education, nutrition, and exercise, and personal hygiene services.
T. Incident reporting and review refers to procedures in place at facilities to report events requiring JJS or CYFD response.
U. Infection control program refers to standard precautions to minimize infectious and communicable diseases among clients and staff.
V. Intake behavioral health screening refers to a system of structured observation and initial behavioral health assessment of newly arrived clients, for purposes of determining behavioral health treatment needs and appropriate facility placement.
W. Intake medical screening refers to a system of structured observation of initial medical assessment of newly arrived clients.
X. Juvenile justice services (JJS) refers to the organizational unit within CYFD that operates juvenile justice facilities, and provides other services under the Delinquency Act, NMSA 1978, Section 32A-2-1 et seq. (2005).
Y. Licensed practical nurse (LPN) refers to an individual who is licensed by the New Mexico board of nursing as a licensed practical nurse.
Z. Living unit refers to an area in a CYFD facility where clients are assigned to perform activities of daily living and to sleep.
AA. Medical health authority refers to persons designated to direct the delivery of services at the CYFD, JJS, or facility level for medical matters.
BB. Medical staff refers to employees or contractors assigned to the medical unit of a facility, including appropriately licensed physicians, psychiatrists, physician’s assistants, nurse practitioners (NPs), registered nurses (RNs), licensed practical nurses (LPNs), and emergency medical technicians (EMTs), dentists, dental hygienists, dental assistants, and optometrists.
CC. Mid-level provider refers to medical staff at the level of physician’s assistant or nurse practitioner.
DD. Multi-disciplinary team (MDT) refers to the team that meets at the facility to develop, monitor, and revise client plans for placement and services. The team includes the client and family member(s), and behavioral health, education, medical, a security representative, the juvenile probation and parole officer and a transition coordinator.
EE. Multidisciplinary action plan (MAP) refers to the plan developed at the first multidisciplinary team (MDT) meeting following placement at the facility and reviewed and updated at each subsequent MDT. The plan included goals and objectives in all disciplines and is broadly available to all staff with client contact.
FF. Non-secure facility refers to a facility where the clients have attained a higher level of trust and responsibility. Clients in these facilities may be attending school or working in the community.
GG. Officer in charge (OIC) refers to the administrative officer who is in charge of the facility in the absence of the facility superintendent.
HH. Pharmaceutical refers to a medication of any chemical compound or narcotic listed in the United States pharmacopoeia and national formulary (USP-NF), that may be administered to humans as an aid in the diagnosis, treatment or prevention of disease or other abnormal condition, for the relief of pain or suffering, or to control or improve any medical or behavioral health condition.
II. Physical intervention refers to physical contact of a client by staff to control or restrict the movement of the client to protect the health or safety of the client, staff or another person, using a technique approved by CYFD and taught in a CYFD-approved course.
JJ. Physician refers to an individual with a medical degree (M.D. or D.O.) appropriately licensed to practice in New Mexico.
KK. Primary care provider refers to medical physicians, psychiatrists, dentists, mid-level provider and doctoral level licensed psychologists.
LL. Psychiatrist refers to a physician who is specialized to practice in the area of psychiatry and behavioral health, appropriately licensed to practice in New Mexico.
MM. Psychologist refers to an individual with a Ph.D. or Psy.D. in psychology who is licensed by the New Mexico board of psychologist examiners.
NN. Quality assurance and continuous quality improvement systems are programs that monitor and review health and behavioral health care access and delivery at facilities.
OO. Receiving facility refers to the facility to which a client is being transferred.
PP. Registered nurse (RN) refers to an individual who is licensed by the New Mexico board of nursing as a registered nurse.
QQ. Sanitation and hygiene program refers to services provided at the facility to ensure a clean, safe and healthy environment.
RR. Secretary refers to the secretary of CYFD.
SS. Secure facility refers to a facility that is either physically or staff-secure. Clients in secure facilities generally do not attend school or work in the community.
TT. Sending facility refers to the facility from which a client is being transferred.
UU. Separation refers to any instance in which a client is confined alone, either in a room other than the room in which the client usually sleeps, or in the client’s room at a time when the client would otherwise be at liberty to leave the room or when the client is removed from regularly scheduled activities. This does not include protective isolation for injured clients or clients whose safety is threatened, nor routine isolation at the time of client admission, isolation for medical reasons, or removal from regularly scheduled activities to attend medical, behavioral health or other similar appointments.
VV. Social worker refers to a person who is licensed by the New Mexico board of social work examiners.
WW. Special needs and services refers to programs and services for clients requiring close medical supervision including chronic disease, serious infectious and communicable disease, HIV/AIDS, terminal illness, mental illness, developmental disability, convalescent care, management of prostheses and orthodontic devices, care of clients in need of behavior management and crisis intervention, and care of clients in need of behavior management, crisis response, and suicide prevention.
XX. Staff refers to employee(s) of CYFD.
YY. Standards of care refer to standards developed or adopted by JJS that specify how care and treatment will be delivered to clients.
ZZ. Superintendent refers to the chief facility administrator for the secure and non-secure centers.
AAA. Use of force refers to those actions required for justifiable self defense, protection of the client or others, protection of property, and prevention of escapes.
[22.214.171.124 NMAC - Rp, 126.96.36.199 NMAC, 8/15/2008]
188.8.131.52 HEALTH SERVICES ORGANIZATION AND MANAGEMENT
A. A medical health authority is established at the JJS level to oversee the provision of medical health care to all facility clients. A medical health authority may be appointed at the juvenile justice facility level to oversee the provision of medical services to clients at a specific JJS facility.
B. A behavioral health authority is established at the JJS level to oversee the provision of behavioral health care to all facility clients. A behavioral health authority at the juvenile justice facility level may be appointed to oversee the provision of behavioral health services to clients at a specific JJS facility.
C. Standards of care: Medical and behavioral health authorities are responsible for standards of care regarding access and quality of care.
D. Planning and monitoring: Medical, behavioral health and administrators at CYFD, JJS and facility levels jointly develop comprehensive plans for the delivery of medical and behavioral health services at juvenile justice facilities. Medical, behavioral health and administrators at CYFD, JJS and facility levels jointly monitor and resolve problems related to medical, dental and behavioral health care.
E. Quality assurance and continuous quality improvement systems are in place at CYFD, JJS and facility level to monitor and review health and behavioral health care access and delivery at facilities.
F. Emergency response plans are in place at all facilities to protect the health, safety and welfare of clients, staff and visitors during emergencies. Facility emergency response plans include medical and behavioral health components.
G. Grievance system: Clients have a right to question health care decisions and services. A grievance system is in place to process and resolve them.
H. Incident reporting and review: An incident reporting system is in place that identifies medical or behavioral health related events occurring at JJS facilities that must be reported to designated department level management.
I. Notification: Medical and behavioral health authorities, the OIC or designees notify the client’s parent/guardian/custodian of any serious illness, surgery, injury, or death.
J. Prison Rape Elimination Act compliance: Each facility has written procedures regarding the detection, prevention, reduction and punishment of rape consistent with federal law.
K. Client and family participation; refusal of care; consent to care: Medical and behavioral health staff encourages client and family participation in medical and behavioral health care as indicated. Statutory requirements regarding informed consent for medical and behavioral health care are followed.
L. Any biomedical, behavioral, or other research using JJS clients as subjects shall be conducted only with the written informed consent of the client, and the written informed consent of the client's parent(s) or legal custodian or guardian if the client is a minor, and shall conform to established ethical, medical and regulatory standards for human research. Any person desiring to conduct biomedical, behavioral or other research using JJS clients as subjects must document to CYFD that the research project will conform to federal regulations that apply to persons who are incarcerated and to children, if the clients involved in the research project are minors. Any research project approved by appropriate external reviewers must then be reviewed and approved or disapproved by the JJS director to ensure that the project conforms with the policies of CYFD before the research project may begin.
M. Forensic information: The role of medical and behavioral health services staff is to serve the health needs of clients. Medical and behavioral health treatment staff is prohibited from participating in the collection of forensic information.
N. Deaths: The medical health authority reviews all deaths and findings are made regarding appropriateness of clinical care and need for corrective action.
O. Response to person hanging: Any facility staff member finding another person hanging by the neck places the highest priority on preserving the client’s life.
[184.108.40.206 NMAC - Rp, 220.127.116.11 NMAC, 8/15/2008]
18.104.22.168 FACILITY MEDICAL AND BEHAVIORAL HEALTH OPERATIONS
A. Space, equipment and supplies: Adequate space, equipment, supplies and materials are available for the facility’s medical, dental and behavioral health services.
B. Pharmacy: Facility pharmacy operations are sufficient to meet the needs of the facility and are in accordance with legal requirements.
C. Diagnostic services: On-site diagnostic services are registered, accredited, or otherwise meet applicable state and federal laws.
D. Off-site hospital and specialty care: Arrangements are made to provide off-site hospitalization and specialty care to clients in need of these services.
[22.214.171.124 NMAC - N, 8/15/2008]
126.96.36.199 ENVIRONMENTAL HEALTH AND SAFETY AND INFECTION CONTROL
A. Infection control program: There is an effective infection control program that minimizes the incidence of infectious and communicable diseases among clients and staff in facilities.
B. Sanitation and hygiene: Each facility ensures that clients are housed, work, study, recreate and receive health care in a clean, safe and healthy environment. Health staff works in safe and sanitary conditions. Each facility is in compliance with applicable federal, state and local sanitation and health codes.
C. Food hygiene and safety food storage, handling and preparation: Meals are nutritionally balanced, well-planned and prepared and served in a manner that meets all established federal, state and local codes and regulations regarding nutrition, safety and hygiene. Contract providers comply with CYFD rules.
[188.8.131.52 NMAC - N, 8/15/2008]
184.108.40.206 PERSONNEL AND TRAINING - JJS AND CONTRACT PROVIDERS
A. Credentialing, licensure and certification of health care professionals: All medical, dental and behavioral health care personnel who provide services to clients are appropriately credentialed according to the licensure, certification and registration requirements of the state of New Mexico.
B. Physical examination: Applicants selected for security positions have a post-job offer pre-employment physical examination prior to final appointment to determine if staff is able to perform the essential functions of the position. Department medical staff will give PPD skin tests to all JJS employees. JJS will collect information on employee vaccinations for measles, mumps and rubella (MMR). JJS will offer hepatitis B vaccinations to employees.
C. Professional (peer) practice review of health care professionals: A clinical performance enhancement process evaluates the appropriateness of all primary care providers’ services.
D. Continuing education for medical and behavioral health care professionals: All medical and behavioral health care professionals participate annually in continuing education appropriate to their positions.
E. Health related training for facility staff: A training program, established or approved by the medical and behavioral health authorities in cooperation with the superintendent, guides the health and behavioral health-related training of all facility staff who work with clients.
F. Training in medication self-administration: Facility staff who supervise client self-administration of prescription medications are trained in matters of security, accountability, common side effects and documentation of self-administration of medicines.
G. Role of clients working in health care program: Clients are prohibited from being used as health care workers.
H. Facility staffing plans: A written staffing plan assures that a sufficient number of health and behavioral health staff is available to provide adequate and timely evaluation and treatment consistent with contemporary standards of care.
[220.127.116.11 NMAC - N, 8/15/2008]
18.104.22.168 CLIENT CARE AND TREATMENT
A. Clients information and access to services: Clients and families are given information about the availability of medical, dental, and behavioral health services at the facility upon arrival. Clients and families are also given information about how to access medical, dental, and behavioral health services. Information is provided in a form and language that the client and their family understands. All clients and families have the opportunity to request health care daily. All clients have the opportunity to grieve medical and behavioral health services. Client requests and grievances are documented and reviewed for immediacy of need and the intervention required.
B. 24-hour emergency care: Each facility has a written plan developed by the superintendent or program manager and approved by the JJS director and medical and behavioral health authorities to provide 24-hour medical, dental and behavioral health services. These plans include but are not limited to on-site emergency first aid, crisis intervention; emergency transport; use of local emergency medical services (EMS); use of one or more designated hospital emergency departments or other appropriate service providers; emergency on-call and on-site medical, dental or behavioral health services; security procedures for the immediate transfer of clients when medically necessary; and emergency evacuation.
C. Transport of clients: Clients are transported safely and in a timely manner for medical, dental or behavioral health needs both inside and outside the facility.
D. Client transfers and continuity of care: When a client is transferred to another facility, the client’s medical and behavioral health information is sent and arrangements are made between the sending and receiving facility to provide for continuity of care and updated screening.
E. Medical services at intake screening: All new and transferring clients receive a comprehensive intake medical screening performed by qualified health care professionals upon arrival at the facility. Findings are recorded on a screening form approved by the medical health authority.
F. Medical services involving the medical treatment plan: Clients are provided a medical treatment plan that outlines services to address medical and dental needs.
G. First aid: All facilities are equipped with first aid kits. Staff is trained to provide first aid.
H. General medical care: Clients are provided with medical care that is indicated.
(1) Staff and qualified health care professionals provide diagnostic and other health services at the facilities according to the orders written for the client by qualified healthcare professionals.
(2) Whenever necessary, clients are treated by community healthcare providers.
(3) Any questions about appropriate care in individual cases are referred to the medical health authority or medical director. However, this shall not be construed to prohibit staff from responding to inquiries from a client advocate, if the advocate has proper authorization and the staff member chooses to speak with the advocate.
(4) Diagnostic and treatment results are used by clinicians to modify the medical treatment plans as appropriate.
(5) Care is timely and includes immediate access for urgent or painful conditions.
I. Vision care: Clients are provided with vision care under the direction and supervision of an optometrist appropriately licensed in New Mexico.
(1) Care is timely and includes immediate access for urgent or painful conditions.
(2) Clients are provided with glasses as prescribed by licensed optometrist providers.
J. Oral care: Clients are provided with oral care under the direction and supervision of a dentist licensed in New Mexico. Care is timely and includes immediate access for urgent or painful conditions.
K. Pregnancy care: Pregnant clients are provided with routine pre-natal, post-partum care and high-risk treatment as necessary under the direction and supervision of an obstetrician, gynecologist or family practice physician appropriately licensed in New Mexico. Pregnant clients will be informed that family planning services, which include social services, educational services, informational services, will be provided to them upon request. Care is timely and includes immediate access for urgent or painful conditions.
L. Hospitalization: Hospitalization is provided when necessary for medical needs and conditions.
(1) Clients are accompanied to the hospital by a staff member.
(2) Staff remains with the client for as long as a security need exists.
M. Pharmaceuticals: Pharmaceuticals are administered according to the documented client treatment plan, pursuant to a drug administration protocol and are not administered solely for purposes of population management and control nor for purposes of experimentation or research.
N. Behavioral health services at intake screening: All new and transferring clients receive a comprehensive intake behavioral health screening performed by qualified behavioral health care professionals upon arrival at the facility. Findings are recorded on a screening form approved by the behavioral health authority. Clients with a positive screening receive a behavioral health evaluation
O. Behavioral health services involving the behavioral health treatment plan: Clients are provided a behavioral health treatment plan that outlines services to address behavioral health needs.
P. Behavioral health care: Clients are provided with behavioral health care that is indicated.
(1) Staff and qualified behavioral health care professionals provide diagnostic and other behavioral health services at the facility according to the client’s identified needs.
(2) Whenever necessary, clients are referred to and treated by community behavioral healthcare providers.
(3) Any questions about appropriate care in individual cases are referred to the behavioral health authority. However, this shall not be construed to prohibit staff from responding to inquiries from a client advocate, if the advocate has proper authorization and the staff member chooses to speak with the advocate.
(4) Diagnostic and treatment results are used by clinicians to modify behavioral health treatment plans as appropriate.
(5) Care is timely and includes immediate access for urgent conditions.
Q. Substance abuse and chemical dependency services: Clients are provided with detoxification and substance abuse treatment services under the direction and supervision of a qualified medical or behavioral heath professional appropriately licensed in New Mexico. Care is timely and includes immediate access for urgent conditions.
R. Discharge planning: Discharge planning is provided for clients whose release is imminent.
[22.214.171.124 NMAC - Rp, 126.96.36.199, 13, 15, 18, 21, 22, 23, 28 NMAC, 8/15/2008]
188.8.131.52 SPECIAL NEEDS AND SERVICES
A. Clients needing close medical supervision: A proactive program exists that provides care for special needs clients who require close medical supervision or multidisciplinary care.
B. Chronic disease: Clients with chronic diseases are identified and provided medical and other services with the goal of decreasing the frequency and severity of symptoms, including preventing disease progression and fostering improvement in function.
C. Prostheses and orthodontic devices: Medical and dental orthoses or prostheses and other aids to impairment are supplied in a timely manner when the health of the client would otherwise be adversely affected, as determined by a qualified health or dental health care professional. Clients are provided with one prosthesis or orthodontic device as prescribed by licensed medical or dental provider. Replacements are the responsibility of the client or their family if they are purposefully damaged, destroyed or ruined due to inappropriate client behavior.
D. HIV/AIDS: Facilities have written plans regarding approved actions to be taken by health and facility staff concerning clients who have been diagnosed as HIV positive.
E. Serious, infectious and communicable disease: Facilities have written plans addressing the management of serious, infectious and communicable disease that include control, prevention and treatment strategies.
F. Clients with mental illness or developmental disability: Services are provided to clients with mental illness and developmental disabilities and referral sources are identified as needed.
G. Clients in need of behavior management and crisis intervention: Any time use of force is applied to a client, only approved methods in compliance with approved department intervention programs is enforced. The least restrictive element of the process is used in every situation.
H. Care of clients physically separated from population: Anytime separation is implemented, only approved methods are used, in compliance with approved department separation procedures. The least restrictive element of the process is used in every situation. When a client is physically separated from the rest of the population, medical and behavioral health staff monitor medical and behavioral health status and ensure that the client has the opportunity to request care for medical, dental, or behavioral health problems.
I. Clients with a terminal illness: The health and mental health needs of the terminally ill client are met.
J. Suicide prevention and crisis response: JJS facilities have a crisis response and suicide prevention protocol that provides for the identification and response to suicidal clients and clients in crisis; all staff are trained in the protocol as well as the identification of warning signs or indicators.
[184.108.40.206 NMAC - N, 8/15/2008]
220.127.116.11 HEALTH PROMOTION AND DISEASE PREVENTION
A. Health education: Health education is offered to all clients; all patients are provided with individual health instruction.
B. Nutrition and medical diets: Nutrition and medical diets are provided that enhance clients’ health and are modified when necessary to meet specific requirements related to clinical conditions.
C. Exercise and recreation: All clients are offered the health benefits of exercise.
D. Client personal hygiene: The facility provides sufficient services and supplies so that clients’ personal hygiene needs are met.
E. Client screening: All clients are regularly screened for current health status.
F. Smoke free environment: Each facility is smoke-free for clients and staff.
(1) Clients may not use tobacco in any form.
(2) There are prevention and abatement activities regarding the use of all tobacco products.
[18.104.22.168 NMAC - Rp, 22.214.171.124 NMAC, 8/15/2008]
126.96.36.199 FIFTEEN (15) DAY DIAGNOSTIC EVALUATION: CYFD ensures that clients who undergo a 15-day diagnostic evaluation, pursuant to Section 32A-2-17(D) of the Delinquency Act, receive a comprehensive diagnostic evaluation. A written report of the results of the diagnostic evaluation is provided to the court.
[188.8.131.52 NMAC - Rp, 184.108.40.206 NMAC, 8/15/2008]
220.127.116.11 HEALTH RECORDS: Health records are maintained in a consistent manner between facilities. The confidentiality of a client’s written or electronic health record, as well as verbally conveyed health information, is maintained. Health records are maintained under security and completely separate from clients’ custody records.
[18.104.22.168 NMAC - N, 8/15/2008]
HISTORY OF 8.14.4 NMAC:
Pre-NMAC History: The material in this part replaces the material that was previously filed with the State Records Center under:
YDDC/GS 17-01, Administration of Health Care Services, filed 5/23/90.
YDDC/GS 17-06, Medical Records, filed 5/23/90.
YDDC/GS 17-10, Management of Pharmaceuticals, filed 5/23/90.
YDDC/GS 17-12, Communicable Diseases, filed 5/23/90.
YDDC/GS 17-14, Written Agreements with Off-site Health Care Providers, filed 5/23/90.
YDDC/GS 17-18, Health Care Direct and Standing Orders, filed 5/23/90.
YDDC/GS 17-22, Authority to Administer Medical Care, filed 5/23/90.
YDDC/GS 17-25 Notification and Treatment of Special Medical Problems, filed 5/23/90.
YDDC/GS 17-30, Screening, Care and/or Referral of Mentally Ill and Mentally Retarded Juveniles to Mental Health Facilities, filed 5/23/90.
BS 67-33, Students Treatment Unit Medical Procedure, filed 5/23/67.
BS 67-38, Professional Services Clinical Case Recording, filed 5/23/67.
BS 67-46; Professional Services Clinical Emergency Medical Procedures, filed 5/23/67.
BS 67-48, Students Treatment Unit Policy Program, filed 5/23/67.
History of Repealed Material:
8 NMAC 14.4, Family Medical Services, filed 11/2/98 - Repealed effective 8/31/2004.
8.14.4 NMAC, Facility Medical and Mental Health Services, filed 8/16/2004 - Repealed effective 8/15/2008.