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and holidays. If the patient, or another on the patient’s behalf, makes an oral
request for discharge to a staff member, such request shall be immediately
entered in the patient’s clinical record. If the request for discharge is made by a
person other than the patient, the discharge may be conditioned upon the
express and informed consent of the patient.
(b)A voluntary patient who has been admitted to a facility and who refuses to
consent to or revokes consent to treatment shall be discharged within 24 hours
after such refusal or revocation, unless transferred to involuntary status pursuant
to this section or unless the refusal or revocation is freely and voluntarily
rescinded by the patient.
(3)NOTICE OF RIGHT TO DISCHARGE.—At the time of admission and at least
every 6 months thereafter, a voluntary patient shall be notified in writing of his or
her right to apply for a discharge.
(4)TRANSFER TO VOLUNTARY STATUS.—An involuntary patient who applies
to be transferred to voluntary status shall be transferred to voluntary status
immediately, unless the patient has been charged with a crime, or has been
involuntarily placed for treatment by a court pursuant to s. 394.467 and continues
to meet the criteria for involuntary placement. When transfer to voluntary status
occurs, notice shall be given as provided in s. 394.4599. [ rule requires that the
initial mandatory involuntary examination be completed before transfer to
voluntary status and if patient is an adult, that a competency evaluation be
completed as well by a physician]
(5)TRANSFER TO INVOLUNTARY STATUS.—When a voluntary patient, or an
authorized person on the patient’s behalf, makes a request for discharge, the
request for discharge, unless freely and voluntarily rescinded, must be
communicated to a physician, clinical psychologist, or psychiatrist as quickly as
possible, but not later than 12 hours after the request is made. If the patient
meets the criteria for involuntary placement, the administrator of the facility must
file with the court a petition for involuntary placement, within 2 court working days
after the request for discharge is made. If the petition is not filed within 2 court
working days, the patient shall be discharged. Pending the filing of the petition,
the patient may be held and emergency treatment rendered in the least
restrictive manner, upon the written order of a physician, if it is determined that
such treatment is necessary for the safety of the patient or others.
As you can see, there is no statutory requirement for who is authorized to conduct an
examination or approve the release of a child from voluntary status.
In addition to the statutory provisions above, the Florida Administrative Code governing
minimum staffing standards CSU/CSSU is as follows:
65E-12.105 Minimum Staffing Standards.
(2)(a) Every CSU and SRT shall have at least one psychiatrist as primary
medical coverage as defined in section 394.455(24), F.S. Back-up coverage
may be a physician who will consult with the psychiatrist. The psychiatrist
or physician shall be on call 24-hours-a-day and will make daily rounds.
Counties of less than 50,000 population may utilize a licensed physician for on-
call activities and daily rounds as long as the physician has postgraduate training
and experience in diagnosis and treatment of mental and nervous disorders.
(b) The psychiatrist shall be responsible for the development of general medical
policies, prescription of medications, and medical treatment of persons receiving