| Section
I: Medical-Legal Issues |
Y-I-01
Use of Mechanical Restraint
(Essential)
(Name change from Therapeutic Restraints) |
Formerly Y-66
This essential standard intends that when restraints are
used for clinical or custody reasons, the juvenile is
not harmed by the intervention. The reworking of this
standard makes explicit the different roles health staff
have depending on why restraint or seclusion is used.
When restraints or seclusion are used for clinical
reasons, it must be as the intervention of last resort,
by physician order, for the shortest time necessary with
an individual treatment plan developed. Restraints used
are to be those employed in community settings.
When restraints or seclusion are employed by security
for security reasons, security must notify health staff
on site who will evaluate the health status of the
juvenile involved initially and periodically, notifying
corrections if health problems exist or develop. These
requirements are not new but are articulated explicitly
here.
This standard also includes
two Performance Measures for internal evaluation of the
safety of the restraint procedures employed.
|
Y-I-02
Emergency Psychotropic Medication
(Essential)
(Name change from Forced Psychotropic Medication) |
Formerly Y-69
This essential standard’s intent is to prevent harm in
emergency situations when a juvenile is dangerous to
self or others due to a medical or mental illness. By
physician’s specific order, psychotropic medication
may be forced during the emergency. This standard does
not address, nor is it intended to address, the issue of
forced medication as an ongoing treatment intervention,
which, depending on the jurisdiction, may require a
court order. |
Y-I-03
Forensic Information
(Important) |
Formerly Y-70
The intent of this important standard is to ensure that
the role of the health services staff in serving the
needs of their patients is not compromised by their
involvement in the gathering of forensic information.
One change has been made to previous versions. In those
jurisdictions where DNA testing is required by law, with
consent of the juvenile, and provided that health staff
are not involved in any punitive action taken if the
juvenile refuses, it is now permissible for facility
health staff to do the blood draws. |
Y-I-04
Informed Consent
(Important) |
Formerly Y-68
This important standard
intends that juveniles or, as required by the laws of
the jurisdiction, their legal guardians, retain their
right to make informed decisions regarding health care.
Requirements remain basically the same. |
Y-I-05
Right to Refuse Treatment
(Important) |
Formerly Y-67
The intent of this important standard is to support the
ethical principle that juveniles or their legal
guardians as required by the laws of the jurisdiction
have the right to refuse health interventions. It
remains basically the same. The need for the refusal to
take place before health staff is made explicit. |
Y-I-06
Medical and Other Research
(Important)
(Name change from Medical Research) |
Formerly Y-71
The important standard intends to support legitimate
research initiatives while protecting juveniles from
being taken advantage of due to their incarceration. It
remains basically the same. The need to arrange for
appropriate interventions for arriving juveniles who are
already participating in research not done at the
facility has been made explicit. |
