Hospital ordered teenage patients to see "Dr. (Name)" and "therapist at TBD" after discharge from Baker Act inpatient stays

University Behavioral Center was cited by the Agency for Health Care Administration (AHCA) for failing to uphold patients’ rights to information regarding discharge instructions. AHCA found that the facility failed to assure that two teen patients had arrangements for continued outpatient care after discharge. One 12-year-old female patient was admitted to the facility under the Baker Act. She was discharged after three days and given orders for continuation of mental health outpatient services, but her discharge papers provided instructions with no specific provider indicated: “The patient is to be seen by the therapist at TBD (to be determined) by (therapist name) on Monday.” AHCA wrote:
There was no further documentation seen in the patient’s medical record that the ordered discharge services were referred or provided … and there was no documentation seen that a follow-up call had been made to the patient’s mother.
Another 17-year-old female patient, admitted under the Baker Act due to suicidal ideations, was discharged with similar follow-up instructions: “The patient is to see Ms. (name), the appointment to be determined and she is to see Dr. (name) the first week of April and (name). When AHCA sought to interview the therapist who wrote these instructions, “it was related that the therapist who assisted in the patient’s discharge worked ‘Per Diem’ and was not available.” Further investigation revealed there was no documentation in the patient’s file confirming that discharge arrangements had been provided to the party responsible for the patient’s aftercare.