Section 214-RICR-40-00-5.9 - ADDITIONAL REGULATIONS FOR ALTERNATIVE TREATMENT PROGRAMSA. A program shall formulate and follow a written policy statement describing its philosophy of treatment, treatment goals and performance objectives for the children it purports to serve, as well as the geographic area to be served. The extent and mix of professional services utilized by a program shall correlate with its policy statement.B. Child care staff shall function as the provider of services or as the service coordinator for each child assigned to him/her in accordance with the treatment plan.C. Child care staff shall provide intensive supervision and support for no more than four (4) children at one time.D. Child care staff shall receive supervision from a credentialed clinical worker(s) a minimum of one (1) hour per week.E. Direct child care staff shall participate in the development of the initial service plan and in subsequent clinical reviews conducted quarterly.F. Child care staff shall receive in-service training in, at minimum, the following areas: interviewing, child and family counseling, psychological interventions, problem management, including techniques of passive physical restraint, the effects of psychotropic medications, group work techniques with children, and networking of mental health, educational and community resources. This training shall be at least twenty (20) hours annually and staff participation shall be documented.G. The following professionals shall be employed as staff or retained as consultants to the program: psychiatrist, clinical psychologist, clinical social worker, and education specialist. Professionals filling these positions shall meet national standards or state certification requirements. Program files shall contain the credentials of these staff and shall include written contracts for consultants, including itemized descriptions of services provided as well as actual service hours rendered on an annual basis by each consultant.H. Professional staff, as delineated in § 5.8(B)(7) of this Part above, shall participate in each child's service plan and in quarterly clinical reviews. Respective reports and recommendations of staff shall be documented in the child's case record.I. Where appropriate, and in accordance with the program's written philosophy and goals, professional staff, as delineated in § 5.8(B)(7) of this Part above, shall provide direct clinical or educational services to children in care.J. Professional clinical staff, as delineated in § 5.8(B)(7) of this Part above, shall provide not less than one (1) hour of supervision monthly for each clinical supervisor and child care supervisor.K. A program shall maintain a continuous written log of all staff, their respective job positions and staffing ratios.L. A purchase of service agreement shall be signed by both the program and the purchasing agency in which, at minimum, is included: the services to be provided by the program, the conditions of payment and the financial agreement between the parties.M. The program shall have written procedures concerning staff responsibilities in the event of a medical emergency.N. The program shall provide staff with knowledge of rudimentary first aid procedures and of appropriate medical resources in the community.214 R.I. Code R. 214-RICR-40-00-5.9