1 FIREARM OWNER IDENTIFICATION (FOID) PROGRAM REPORTING REQUIREMENTS Illinois Department of Human Services October 24, 2013
2 TODAY, WE WILL BE PROVIDING AN EDUCATIONAL PROGRAM AND DIALOGUE SESSION WITH OUR PARTNERS ON THE NEW LAW P.A THIS INFORMATION IS NOT INTENDED TO PROVIDE LEGAL ADVICE TO YOU ON P.A In Collaboration Illinois Department of Human Services Illinois State Police Illinois Department of Financial and Professional Regulations
3 Roles IDHS s role is to collect and maintain mental health database reported by clinicians and facilities. ISP s role is to determine firearm eligibility, issue FOID cards; issue Concealed Carry licenses; revoke FOID /Concealed Carry licenses as needed; manage an Appeals process and maintain the statewide FOID database IDFPR issues professional licenses, provides licensure information to IDHS, and disciplines licenses when necessary. IDFPR will work with professional and trade associations to communicate with health care professionals required to comply with this law.
4 Overview of today s agenda New FOID reporting requirements Strategic Marketing Plan Assessing interest in partnerships and next steps
5 Clinician Reporting Who has to report? What has to be reported? When does it have to be reported? Liability
6 Who? Physician licensed under the Medical Practice Act of 1987 Clinical Psychologist licensed under the Clinical Psychologist Licensing Act Qualified Examiner as defined in the Mental Health and Developmental Disabilities Code
7 Who cont d (405 ILCS 5/1-122) (from Ch. 91 ½, par.1-122) Sec Qualified examiner. Qualified examiner means a person who is: (a) a clinical social worker as defined in this Act, (405) ILCS 5/ ) (from Ch. 91 ½, par ) Sec Clinical social worker means a person who (1) has a master s or doctoral degree in social work from an accredited graduate school of social work and (2) has at least 3 years of supervised post-master s clinical social work practice which shall include the provision of mental health services for the evaluation, treatment and prevention of mental and emotional disorders. A social worker who is a qualified examiner shall be a licensed clinical social worker under the Clinical Social Work and Social Work Practice Act.
8 Who cont d (b) a registered nurse with a master s degree in psychiatric nursing who has 3 years of clinical training and experience in the evaluation and treatment of mental illness which has been acquired subsequent to any training and experience which constituted a part of the degree program,
9 Who cont d (c) a licensed clinical professional counselor with a master s or doctoral degree in counseling or psychology or a similar master s or doctorate program from a regionally accredited institution who has at least 3 years of supervised post-master s clinical professional counseling experience that includes the provision of mental health services for the evaluation, treatment, and prevention of mental and emotional disorders, or
10 Who cont d (d) a licensed marriage and family therapist with a master s degree in marriage and family therapy from a regionally accredited educational institution or a similar master s program or from a program accredited by either the Commission on Accreditation from Marriage and Family Therapy or the Commission on Accreditation for Counseling Related Educational Programs, who has at least 3 years of supervised postmaster s experience as a marriage and family therapist that includes the provision of mental health services for the evaluation, treatment, and prevention of mental and emotional disorders.
11 What? Clear and Present Danger Determination of Developmental Disabilities Both terms as defined in the Firearm Owners Identification Card Act
12 What cont d Clear and present danger means a person who: Communicates a serious threat of physical violence against a reasonably identifiable victim or poses a clear and imminent risk of serious physical injury to himself, herself, or another person as determined by a physician, clinical psychologist, or qualified examiner; or Demonstrates threatening physical or verbal behavior, such as violent, suicidal, or assaultive threats, actions, or other behavior, as determined by a physician, clinical psychologist, qualified examiner, school administrator, or law enforcement official. (FOID Act, 430 ILCS 65/1.1)
13 What cont d Developmentally disabled means a disability which is attributable to any other condition which results in impairment similar to that caused by an intellectual disability and which requires services similar to those required by intellectually disabled persons. The disability must originate before the age of 18 years, be expected to continue indefinitely, and constitute a substantial handicap. (FOID Act Sec. 1.1)
14 When? If a person is determined to pose a clear and present danger to himself, herself, or to others by a physician, clinical psychologist, qualified examiner, law enforcement official, or school administrator, or is determined to be developmentally disabled by a physician, clinical psychologist, or qualified examiner, whether employed by the State or by a private mental health facility, then the physician, clinical psychologist, or qualified examiner shall, within 24 hours of making the determination, notify the Department of Human Services that the person poses a clear and present danger. [FOID Act, Sec 8.1 (d)]
15 When cont d Sec Developmental disability; notice. For purposes of this Section, if a person is determined to be developmentally disabled as defined in Section 1.1 of the Firearm Owners Identification Card Act by a physician, clinical psychologist, or qualified examiner, whether practicing at a public or a private mental health facility or developmental center, the physician, clinical psychologist, or qualified examiner shall notify the Department of Human Services within 24 hours of making the determination that the person has a developmental disability. (MHDD Code, 405 ILCS 5/ )
16 When cont d Sec Clear and present danger; notice. If a person is determined to pose a clear and present danger to himself, herself, or to others by a physician, clinical psychologist, or qualified examiner, whether employed by the State, by any public or private mental health facility or part thereof, or by a law enforcement official or a school administrator, then the physician, clinical psychologist, qualified examiner shall notify the Department of Human Services and a law enforcement official or school administrator shall notify the Department of State Police, within 24 hours of making the determination that the person poses a clear and present danger. (MHDD Code, Sec )
17 Liability The physician, clinical psychologist, qualified examiner, law enforcement official, or school administrator making the determination and his or her employer shall not be held criminally, civilly, or professionally liable for making or not making the notification required under this subsection, except for willful or wanton misconduct. [FOID Act, Sec. 8.1(d); MHDD Act, Secs , ]
18 Facility reporting Who has to report? What has to be reported? Liability
19 Who? Mental health facility means any licensed private hospital or hospital affiliate, institution, or facility, or part thereof, and any facility, or part thereof, operated by the State or a political subdivision thereof which provides treatment of persons with mental illness and includes all hospitals, institutions, clinics, evaluation facilities, mental health centers, colleges, universities, long-term care facilities, and nursing homes, or parts thereof, which provide treatment of persons with mental illness whether or not the primary purpose is to provide treatment of person with mental illness. (FOID Act, Sec 1.1)
20 What? Mental Health Facilities are required to report to DHS within 7 days of admission of persons prohibited under (e), (f), (g), (r), (s) or (t) of the FOID Act. [MHDD Confidentiality Act, 740 ILCS 110/12 (b)]
21 What cont d From FOID Act, Sec 8 (e) A person who had been a patient of a mental health facility within the past 5 years or has been a patient in a mental health facility more than 5 years ago who has not received the certification required under subsection (u) of this section. (f) A person whose mental condition is of such a nature that it poses a clear and present danger to the applicant, any other person or persons or the community; (g) A person who is intellectually disabled; (r) A person who has been adjudicated as a mentally disabled person; (s) A person who has been found to be developmentally disabled; (t) A person involuntarily admitted into a mental health facility;
22 What cont d (r) A person who has been adjudicated as a mentally disabled person. Adjudicated a mentally disabled person (previously has been adjudicated as a mental defective ). The person is the subject of a determination by a court, board, commission or other lawful authority that the person, as a result of marked subnormal intelligence, or mental illness, mental impairment, incompetency, condition, or disease: (1) presents a clear and present danger to himself, herself, or to others; (2) lacks the mental capacity to manage his or her own affairs or is adjudicated a disabled person as defined in Section 11a-2 of the Probate Act of 1975;
23 What cont d (3) is not guilty in a criminal case by reason of insanity, mental disease or defect; (3.5) is guilty but mentally ill, as provided in Section of the Unified Code of Corrections; (4) Is incompetent to stand trial in a criminal case; (5) Is not guilty by reason of lack of mental responsibility under/ pursuant to Articles 50a and 72b of the Uniform Code of Military Justice, 10 U.S.C. 850a, 876b; (6) Is a sexually violent person under subsection (f) of Section 5 of the Sexually Violent Persons Commitment Act; (7) Has been found to be a sexually dangerous person under the Sexually Dangerous Persons Act; (8) Is unfit to stand trial under the Juvenile Court Act of 1987;
24 What cont d (9) is not guilty by reason of insanity under the Juvenile Court Act of 1987; (10) is subject to involuntary admission as an in-patient as defined in Section of the Mental Health and Developmental Disabilities Code; (11) is subject to involuntary admission as an outpatient as defined in Section of the Mental Health and Developmental Disabilities Code; (12) is subject to judicial admission as set forth in Section of the Mental Health and Developmental Disabilities Code; or (13) is subject to the previsions of the Interstate Agreements on Sexually Dangerous Persons Act.
25 What cont d (e) A person who has been a patient of a mental health facility within the past 5 years or a person who has been a patient in a mental health facility more than 5 years ago who has not received the certification required under subsection (u) of this section. Patient means: (1) a person who voluntarily receives mental health treatment as an in-patient or resident of any public or private mental health facility, unless the treatment was solely for an alcohol abuse disorder and no other secondary substance abuse disorder or mental illness; or (2) a person who voluntarily receives mental health treatment as an out-patient or is provided services by a public or private mental health facility, and who poses a clear and present danger to himself, herself, or to others. (FOID Act, Sec 1.1)
26 What cont d? Non-adjudicated Admissions to an area designated as a mental health treatment unit. Voluntary Informal Detention and Evaluation (inpatient only) Emergency Admission (Petition/Certificates) Juvenile admissions
27 Liability Any person, institution, or agency, under this Act, participating in good faith in the reporting or disclosure of records and communications otherwise in accordance with this provision or with rules, regulations or guidelines issued by the Department shall have immunity from any liability, civil, criminal or otherwise, that might result by reason of action. For the purpose of any proceeding, civil, or criminal, arising out of a report or disclosure in accordance with this provision, the good faith of any person, institution, or agency so reporting or disclosing shall be presumed. The full extent of the immunity provided in this subsection (b) shall apply to any person, institution or agency that fails to make a report or disclosure in good faith believe that the report or disclosure would violate federal regulation governing the confidentiality of alcohol and drug abuse patient records implementing 42 USC 290dd-3 and 290ee-3. [MHDD Confidentiality Act, Sec 12 (b)]
28 Special Case #1 Alcohol and Substance Abuse Treatment Programs 42 CFR part B prohibits the reporting of person participating in such treatment programs. More specifically, facilities providing these programs are not required to report services under P.A P.A does require physicians, psychologists, and qualified examiners to report patients who present as a Clear and present danger. When making a clear and present danger report the physician, psychologist or qualified examiner should not give a diagnosis of alcoholism or substance abuse nor should they identify the program as one for alcoholics or substance abusers. Clinical workers in such programs who are not physicians, psychologists or qualified examiners are not required reporters under P.A
29 Special Case #2 Developmental Disabilities Programs Developmental disability facilities and their services, typically referred to as habilitation, are not clearly identified in P.A However, P.A does indicate that an individual determined to have a developmental disability and/or intellectual disability by a licensed professional is reportable.
30 Special Case #3 General Health Services Hospitals, nursing homes, and medical clinics that do not have an identified mental health treatment program and do not provide mental health services/treatment to a person may provide: General and/or specialized health care services to an individual with a mental illness without reporting the admission. If however the individual presents as a clear and present danger the attending licensed professional is required to report.
31 Special Case #4 A patient is seen in an emergency room of a hospital: An individual after being observed for a time leaves against medical advice without being admitted. Since the individual was not admitted there is nothing for the facility to report. However the licensed professional may need to report if the patient presented as a clear and present danger. An individual is observed in an emergency room for less than 24 hours and eventually leaves without being admitted. The individual requests and/or receives a prescription which is a psychotropic medication. There is no indication of clear and present danger. There is nothing to report.
32 Special Case #5 A patient is seen in an emergency room of a hospital An individual is observed in an emergency room for less than 24 hours and eventually leaves without being admitted. The patient is provided a prescription for one or more psychotropic medications and it is recommended the patient contact their therapist or otherwise seek mental health treatment. The physician does not recommend inpatient services at that time. The facility does not report. The attending physician does not report.
33 Marketing Plan Our Strategic Marketing Plan (SMP) is a mixture of communication strategies with the overall goal of educating those individuals and facilities impacted by the changes of the new requirements of P.A in relation to mental health and reporting issues. Our draft FOID SMP consists of four main areas: Public Relations Partnerships/Sponsorship Advertising Public Engagement/Outreach
34 Marketing Plan Public Relations: Use traditional as well as emerging social media outlets as the first step to communicate our message, build trust and goodwill, and brand HB 183. Press Releases Public Service Announcements Fact Sheets/Q&A Partnerships/Sponsorship: Develop and cultivate partnerships with stakeholders. Steering committee member Event/Collateral Sponsorship Guest speaker or co-presenter Advertising: Develop educational advertising campaign to convey key messages to target audiences. In-kind/Paid advertisements Bylined articles Flyers Public Engagement/Outreach: Identify and develop educational opportunities for HB 183. Association meetings Educational conferences Seminars Community outreach events/activities
35 Marketing Plan Providing our target audience with information and guidance is essential and necessary for the success of the FOID initiative. But the overall key to education and information is cooperation and collaboration with our stakeholders! Deciding which communications strategies to apply to outreach activities is a direct result of the partnerships we develop with each of you our stakeholders!
36 Next Steps for Facilities currently reporting There are approximately 70 hospitals and 35 nursing homes currently reporting under the requirements of the previous legislation. Within the next two weeks, we will be engaging their participation in the following: (1) Preliminary discussions on the changes in the data elements collected, changes in input screens, and changes in the record layout for submitting batch processes. (2) Discuss implementation strategies and impact to your IT department If any of your members are currently reporting to the IDHS FOID web site.please be aware, we will be contacting them soon to begin discussions.. The DHS MIS Contact for these meetings is Barb Morris -
37 Next Steps for Facilities currently reporting There are approximately 70 hospitals and 35 nursing homes currently reporting under the requirements of the previous legislation. Within the next two weeks, we will be engaging their participation in the following: (1) Preliminary discussions on the changes in the data elements collected, changes in input screens, and changes in the record layout for submitting batch processes. (2) Discuss implementation strategies and impact to your IT department If any of your members are currently reporting to the IDHS FOID web site.please be aware, we will be contacting them soon to begin discussions.. The DHS MIS Contact for these meetings is Barb Morris -
38 Sending out an official notice IDHS is working with IDFPR to prepare and send out an initial notice of reporting requirements with a FOID brochure. Snail mail
39 IDHS is in the process of procuring a vendor to assist us with implementing our Strategic Marketing Plan. Coordination of activities and work groups Coordination in the creation of CMEs and CEUs Coordination with State and regional meetings Newsletters? Suggestions for next steps???
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