La. Admin. Code tit. 48 § I-9609

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-9609 - Training Requirements

A. A CRC-SU shall ensure that all staff providing direct patient care has documentation of successful completion of crisis services and intervention training in accordance with this Chapter.

B. Crisis services and intervention training shall include, but is not limited to the following:

1. an organized training program that includes an initial 40 hours of training to be completed upon hire and a minimum of 12 hours of training to be completed annually thereafter. Required training includes, but is not limited to the following areas:

a. components of the crisis cycle;

b. recognizing the signs of anxiety and escalating behavior;

c. therapeutic communication;

d. high-risk behavior assessment techniques;

e. verbal de-escalation techniques;

f. positive behavior management and limit-setting;

g. nonviolent physical intervention techniques;

h. establishing a therapeutic rapport and professional boundaries;

i. levels of observation;

j. maintaining a safe and therapeutic milieu;

k. an overview of mental illness and substance abuse diagnoses and treatment;

l. safe application of physical and mechanical restraints;

m. physical assessment of the restrained individual;

n. statutes, regulations, standards and policies related to seclusion and restraint;

o. confidentiality and Health Insurance Portability and Accountability Act (HIPAA) regulations; and

p. an overview of behavioral health settings and levels of care.

C. All formal training shall be provided by a licensed mental health professional (LMHP) or other qualified licensed behavioral health personnel with extensive experience in the field in which they provide training. Nonviolent physical interventions shall be taught by a trainer with documented current certification by a nationally established crisis intervention program (e.g. Crisis Prevention and Intervention, Tactical Crisis Intervention, Crisis Intervention Training, etc.).

1. An LMHP is an individual who is currently licensed to practice independently and in good standing in the state of Louisiana to practice within the scope of all applicable state laws, practice acts, and the individual's professional license, as one of the following:

a. medical psychologist;

b. licensed psychologist;

c. licensed clinical social worker (LCSW);

d. licensed professional counselor (LPC);

e. licensed marriage and family therapist (LMFT);

f. licensed addiction counselor (LAC);

g. advance practice registered nurse (APRN); or

h. licensed rehabilitation counselor (LRC).

D. In addition to the initial 40 hour crisis services and intervention training, nurses shall receive 24 hours of training focused on psychotropic medications, their side effects and adverse reactions as part of their initial training. At least four hours of nurses' annual training shall focus on psychopharmacology.

La. Admin. Code tit. 48, § I-9609

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 36:514 (March 2010), Amended by the Department of Health, Bureau of Health Services Financing, LR 45555 (4/1/2019).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and R.S. 40:2100-2115.