45 CFR § 411.91 - Medical and mental health assessments; history of sexual abuse.

---
identifier: "/us/cfr/t45/s411.91"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "45 CFR § 411.91 - Medical and mental health assessments; history of sexual abuse."
title_number: 45
title_name: "Public Welfare"
section_number: "411.91"
section_name: "Medical and mental health assessments; history of sexual abuse."
chapter_name: "OFFICE OF REFUGEE RESETTLEMENT, ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
part_number: "411"
part_name: "STANDARDS TO PREVENT, DETECT, AND RESPOND TO SEXUAL ABUSE AND SEXUAL HARASSMENT INVOLVING UNACCOMPANIED CHILDREN"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 15607 (d)."
regulatory_source: "79 FR 77789, Dec. 24, 2014, unless otherwise noted."
cfr_part: "411"
---


# 411.91 Medical and mental health assessments; history of sexual abuse.

(a) If the assessment pursuant to § 411.41 indicates that a UC experienced prior sexual victimization or perpetrated sexual abuse, the care provider facility must ensure that the UC is immediately referred to a qualified medical or mental health practitioner for medical and/or mental health follow-up as appropriate. Care provider facility staff must also ensure that all UCs disclosures are reported in accordance with these standards.

(b) When a referral for medical follow-up is initiated, the care provider facility must ensure that the UC receives a health evaluation no later than seventy-two (72) hours after the referral.

(c) When a referral for mental health follow-up is initiated, the care provider facility must ensure that the UC receives a mental health evaluation no later than seventy-two (72) hours after the referral.