Substantive Provisions. If any provision in a definition is a substantive provision conferring rights or imposing duties on any Party, notwithstanding that it is only in the definition clause, effect shall be given to it as if it were a substantive provision in this Agreement.
Substantive Provisions. As part of this Agreement to settle and resolve pending litigation between the United States and the State of Georgia, the Parties hereto agree to the measures set forth below:
Substantive Provisions. A. The State agrees to develop and implement effective measures to prevent inappropriate institutionalization and to provide adequate and appropriate public services and supports identified through person centered planning in the most integrated setting appropriate to meet the needs of individuals with SMI, who are in or at risk of entry to an adult care home, pursuant to the details and timelines set forth below.
Substantive Provisions. A. In order to comply with this Settlement Agreement, the State shall develop and implement the services set forth below in this Settlement Agreement. The services may be provided directly by the State or through contracts with CMHPs.
Substantive Provisions. A. MENTAL HEALTH CARE The following substantive provisions are intended to address the findings of the United States in connection with its investigation of, and apply only to, South Bend and Logansport.
1. The State shall ensure that adequate mental health care and treatment services are provided to youth in the facilities.
2. The State shall develop and implement policies and procedures, and practices to ensure that all youth admitted to the facilities are comprehensively screened by qualified mental health professionals in a timely manner utilizing reliable and valid measures. All youth committed to the State’s care shall receive a comprehensive mental health screen. Additional mental health services will be available by qualified mental health professionals to all youth needing such care. Available Mental Health Staff will include psychiatrists, psychologists, licensed clinical social workers, and licensed mental health counselors. Staffing patterns will be consistently assessed to assure appropriate numbers of staff at all facilities.
3. The State shall ensure that youth whose mental health screens indicate the possible need for mental health services receive timely, comprehensive, and appropriate assessments by qualified mental health professionals. Assessments shall be updated as new diagnostic and treatment information becomes available. An initial mental health screening will occur within the first 24 hours of entry to a juvenile facility. The screening will include an initial intake, medication review, and needs assessment. A follow-up mental health assessment and, if indicated, a psychiatric referral will occur within the first seven days of entry to a juvenile facility.
4. The State shall develop and implement policies and procedures to assure appropriate action when an intake screening indicates that a youth is taking, or prior to admission may have been prescribed, psychotropic medications. This shall include appropriate steps to contact the prescribing psychiatrist when necessary and referral to the facility’s psychiatrist for evaluation. A psychiatrist will be available to intake staff on a twenty-four hour basis. Psychiatric referrals shall be made based on the intake assessment and whenever the youth has been treated with psychotropic medication within the past sixty days.
5. Each youth in need of psychiatric services, including monitoring of the use or discontinuation of psychotropic medications, shall be under the care of a licensed psy...
Substantive Provisions. Growth Boundary Administration: The City shall administer all lands within the corporate limits. Malheur County shall retain responsibility for administration of all unincorporated lands within the Vale urban growth boundary. Such responsibility shall cease immediately upon annexation.
Substantive Provisions. Lake County officials and LCJ shall take any actions necessary to achieve substantial compliance with the substantive provisions of the Agreement listed below. Lake County officials and LCJ shall implement and administer all the substantive provisions below in accordance with generally accepted correctional standards of care.
Substantive Provisions. The parties agree to add the following definitions to Section 1, “Definitions”:
Substantive Provisions. The parties agree to enter into this Third Amendment, with terms as follows:
Substantive Provisions. A. Evidence-Based Protocols for the Assessment of Opiate Withdrawal and Provision of Medication-Assisted Treatment of Opiate Withdrawal
29. Jail staff shall develop, implement, and maintain adequate policies and procedures regarding the assessment of opioid withdrawal and provision of MAT to incarcerated persons who have Opioid Use Disorder or are at risk of opiate withdrawal. To meet this requirement, the CCJ agrees to take the following specific steps:
a. Conduct an intake screening upon admission to the Jail to identify whether any incarcerated person is currently prescribed MAT medications, has a history of a Opioid Use Disorder or other substance abuse disorder, or is experiencing opiate withdrawal;
b. Ensure that any incarcerated person who had been prescribed a particular medication to treat a substance use disorder or opiate withdrawal continues to receive that medication upon admission to the Jail except where a qualified medical specialist makes an individualized determination that the treatment is no longer medically appropriate based on the person’s current condition;
c. Ensure that any incarcerated person who, upon admission to the Jail, has a substance use disorder or may be experiencing opiate withdrawal will be immediately examined (within thirty (30) minutes) by a qualified medical specialist for an individualized determination based on evidence-based protocols, such as the Clinical Opiate Withdrawal Scale, as to whether that person should be prescribed medication for the treatment of that substance use disorder or opiate withdrawal, or placed in holding cell with staggered checks not to exceed 15 minutes augmented by constant video monitoring; and
d. Ensure that the Jail staff will support the implementation of clinical decisions regarding the particular medication used to treat a substance use disorder or opiate withdrawal.
