Ill. Admin. Code tit. 77 § 641.60

Current through Register Vol. 48, No. 45, November 8, 2024

Section 641.60 - Scope of Services

The Center provides comprehensive primary and preventive physical, mental health, and health education services for children and adolescents within the context of their family, social/emotional, cultural, physical and educational environment. Some services, based on local need and expertise, may be made available by referral with appropriate follow-up. As determined by community needs, the Center will provide the following services:

a) Medical Services

1) Basic medical services include:

A) well child or adolescent exams, consisting of a comprehensive health history, complete physical assessment, screening procedures and age appropriate anticipatory guidance, including socio-emotional and developmental screenings.

B) immunizations

C) health education

D) nutrition counseling and education

E) the preventive services specified by the federal Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program

F) the services specified by the Guidelines for Adolescent Preventive Services (GAPS) 1992, 515 North State Street, Chicago, IL 60610, no later amendments or editions included, prepared by the American Medical Association

G) diagnosis and treatment of acute illness and injury

H) basic laboratory tests for pregnancy, sexually transmitted diseases (STDs), primary prevention

I) prescriptions and/or dispensing of commonly used medications for identified health conditions, in accordance with the Medical Practice Act of 1987 [225 ILCS 60 ] and the Pharmacy Practice Act [225 ILCS 85 ]

J) acute management and on-going monitoring of chronic conditions, such asthma, diabetes, and seizure disorders

2) Reproductive health services provided directly or by referral based upon local Advisory Board approval:

A) abstinence counseling

B) gynecological examinations

C) diagnosis and treatment of sexually transmitted diseases

D) family planning

E) prescribing, dispensing, or referring for birth control

F) pregnancy testing

G) treatment or referral for prenatal and postpartum care

H) cancer screening and education

b) Mental Health Services include:

1) Basic mental health services

A) mental health assessment

B) individual, group, and family counseling

C) crisis intervention

D) consultation with school administrators, parents, teachers and students

E) violence prevention, education and intervention

F) referrals to a continuum of mental health services, including emergency psychiatric care, community support programs, and inpatient and outpatient programs

2) Substance abuse services include:

A) assessment of substance abuse problems

B) education regarding substance abuse prevention

C) referrals to a continuum of substance abuse services, including intervention and treatment services

D) supportive counseling for students recovering from substance abuse

c) Optional Services include:

1) dental screening and treatment

2) well child care of students' children

3) care of faculty, siblings and other community members

d) Health Education/Promotion

1) Basic health education services may be provided in the following format:

A) individual health education and anticipatory guidance for students and parents

B) group education at the Center

C) family and community education

D) health education for the Center and school staff

E) support for comprehensive health education in the classroom

2) Areas to be covered may include:

A) intentional and unintentional injury prevention

B) substance abuse prevention and cessation

C) nutrition counseling and education

D) social skills development

E) self esteem

F) depression/suicide

G) physical and emotional development

H) conflict resolution

I) human sexuality

J) child abuse prevention

K) child care

L) violence prevention (including domestic violence, date rape, sexual assault)

M) STD/HIV/AIDS prevention

N) pregnancy prevention

O) smoking prevention/cessation (including smokeless tobacco)

P) chronic disease prevention

Q) general parenting skills

R) family planning

S) abstinence education

T) parental stress

e) Eligibility

1) All students in the school(s) under the age of 18, are eligible for services if they have obtained written parental consent. (See 410 ILCS 210/1, 2, 3 and 4.)

2) All students 18 years of age, and/or who are otherwise able to give their own consent are eligible for the services. (See 410 ILCS 210/1, 2, 3 and 4.)

f) Emergencies

1) The school administrator and/or school nurse must be notified before a student is transferred to any nearby hospitals and/or emergency departments.

2) The parents are to be notified of any emergencies involving their children.

3) A plan outlining emergency procedures, including the transferring of students to outside medical facilities, is to be completed in written form and kept at the Center.

A) The procedure will outline the steps necessary for referring students to community-based health care providers when the Center is not able to provide the required services.

B) The Center is to coordinate the student's medical information being exchanged between the Center and the student's primary care practitioner, medical specialist or MCE.

g) Child Abuse/Mandated Reporting

1) Mandated reporters are professionals who may work with children in the course of their professional duties. (See 325 ILCS 5/4.)

2) Mandated reporters are required to report suspected child maltreatment immediately when they have reasonable cause to believe that a child known to them in their professional or official capacity may be an abused or neglected child. [325 ILCS 5/4 ]

Ill. Admin. Code tit. 77, § 641.60

Recodified from § 2200.60 at 42 Ill. Reg. 12358.

Amended at 46 Ill. Reg. 14329, effective 7/28/2022