Texas Register, Volume 21, Number 80, Pages 10639-10789, October 29, 1996 Page: 10,699
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(c) TYC managed health care contractors will seek reim-
bursement for medical care from insurance companies.
91.89. Suicide Alert.
(a) Purpose. The purpose of this rule is to establish
procedures by which TYC staff determine that a youth may be at
risk of suicide and take appropriate action to minimize the risk.
(b) Applicability. This policy does not apply when a youth
is living at home or home substitute except where specifically stated.
(c) A designated, qualified mental health professional will
conduct a mental health assessment of youth who are at risk of suicide
as indicated when a youth expresses suicidal intent through words or
actions, exhibits significant depression, or when the record indicates
prior suicidal attempts or ideation.
(d) Program staff shall be made aware of youth placed on
suicide alert status. All direct care staff receive suicide prevention
training.
(e) Youth placed on suicide alert will receive appropriate
counseling/treatment. A youth may be removed from suicide alert by
a designated mental health professional when the youth has stabilized.
(f) All staff, including parole officers, are responsible for
reporting a youth believed to be at risk for suicide to a designated,
qualified mental health professional.
91.91. Psychopharmacotherapy.
(a) Purpose. The purpose of this policy is to provide for
the use of psychopharmacotherapy as an established method of
treatment of emotionally disturbed adolescents for the clinical relief
of symptoms distressing to the youth or interfering with normal
functioning.
(b) Medical or pharmaceutical experimentation or research
using TYC youth is strictly prohibited.
(c) Psychotropic drugs shall not be administered for purposes
of punishment or for program management or control.
(d) A diagnostic assessment shall be performed by the
prescribing physician prior to initiating a psychotropic drug order.
Indication for the drug therapy must be documented. Every effort will
be made to ensure that prescribing is a collaborative effort between
the youth and the clinician, necessitating, whenever reasonable or
possible, the sharing of information such as treatment objectives,
disadvantages, and available alternatives.
(e) The lowest dosage that will maintain the desired thera-
peutic effect shall be considered the proper dosage.
(f) The oral route will be the preferred method of adminis-
tration in the absence of specific contraindications.
(g) Standing orders will not be utilized for psychotropic
drugs.
91.93. Family Planning Services.
(a) Purpose. The purpose of this rule is to establish the
degree to which TYC will provide family planning education and
services to its youth.
(b) Family planning education will be made available to
youth in TYC residential placements, either on-site or by referral
to appropriate community agencies, if requested by the youth.(c) Family planning services (including provision on contra-
ceptive methods) will be made available to youth in TYC residential
placements at the time of their release by referral to appropriate com-
munity agencies, if requested by the youth.
(d) The TYC staff will act as liaison with community
organizations to provide comprehensive family planning services for
TYC youth.
(e) Physicians paid, either directly or indirectly, by TYC
will not provide contraceptives to TYC youth as a family planning
service.
91.95. Pregnancy and Abortion.
(a) Purpose. The purpose of this rule is to establish the
agency's role in managing a pregnant youth committed to TYC.
New commitment, recommitment, or revocation of a female in her
seventh month of pregnancy is not encouraged by TYC. Committing
counties are encouraged to make arrangements for the youth's care
until delivery of the child.
(b) The agency shall provide prenatal care to pregnant youth
committed to the TYC.
(c) A youth who is committed, recommitted or had parole
revoked during pregnancy will be placed appropriate to risk and need
as determined by TYC centralized placement.
(d) TYC will neither provide funds for nor allow medical
personnel to perform an induced abortion on any female committed
to the TYC, solely for the purpose of terminating a normal pregnancy.
(e) Therapeutic measures may be required in instances of
imminent or inevitable abortion, incomplete abortion, or missed
abortion. Surgical procedures may be required to terminate the
pregnancy to preserve life of the mother. Termination will be
allowed as a therapeutic measure when necessary; however, a written
documentation of need must be provided by two physicians. Written
documentation may be provided by the facility physician and an
obstetrician or family practitioner.
(f) If a youth in a TYC facility and her parents (if the youth
is over 18 years old) determine that an abortion, other than for
therapeutic reasons as defined above, is their choice, TYC personnel
may direct the youth and her parents to available resources. The
parent/guardian will be responsible for arranging appointments and
paying for all services related to the abortion.
91.97. Acquired Immune Deficiency Syndrome/HIV.
(a) Purpose. The purpose of this rule is to provide for a safe
and healthful environment for youth in facilities as it relates to HIV
and AIDS. Every individual is treated equally and every individual's
right to privacy is respected.
(b) Explanation of Terms Used. Test Result- any statement
that indicates that an identifiable individual has or has not been tested
for AIDS or HIV infection, antibodies to HIV or infection with any
other probable causative agent of AIDS, including a statement or
assertion that the individual is positive, negative, at risk, or has or
does not have a certain level of antigen or antibody.
(c) Testing.
(1) Routine screening and/or testing for the HIV antibody
is prohibited by law unless it is to be performed as a blind study for
statistical purposes initiated by the TYC medical director or healthPROPOSED RULES October 29, 1996 21 TexReg 10699
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Texas. Secretary of State. Texas Register, Volume 21, Number 80, Pages 10639-10789, October 29, 1996, periodical, October 29, 1996; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth182324/m1/61/?rotate=270: accessed July 17, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.