Current through Register Vol. XLI, No. 50, December 13, 2024
Section 78-3-20 - Qualified Residential Treatment Programs20.1. Accreditation Requirements. A qualified residential treatment facility shall be appropriately accredited as required by federal standards.20.2. Employee Ratios. 20.2.1. The minimum employee-to-child ratio for a qualified residential treatment program shall be 1-to-4 during waking hours. During nighttime sleeping hours, the ratio shall be 1-to-8. During all hours there shall be capability to increase employee ratio in response to acuity. The ratio shall meet the standard set forth in the agency's programming description.20.2.2. The organization shall have registered or licensed nursing staff and other licensed clinical staff who provide care within the scope of their practice as defined by state law who are:20.2.2.a. On-site according to the treatment model; and20.2.2.b. Available 24 hours a day, seven days per week.20.3. Employee Training and Credentials. 20.3.1. In addition to the requirements for employee training prescribed in section 11 of this rule, the organization will ensure all employees are trained on prudent parenting standards;20.3.2. The organization shall have, at a minimum, at least one staff member on-site who is authorized to apply the reasonable and prudent parent standard to decisions involving the participation of the child in age or developmentally appropriate activities;20.4. Assessments and Plans of Care.20.4.1. The organization shall ensure that staff participate as a member of the family and permanency team and multidisciplinary treatment team processes;20.4.2. Staff shall participate with the family and permanency team in the development of the 30-day assessment by the qualified individual that will satisfy the initial assessment requirements as described in subsection 13.2 of this rule;20.4.3. Clinical staff shall incorporate the long and short-term goals identified by the qualified individual in the development of initial and master plans of care as described in sections 13 and 14 of this rule; and20.4.4. Clinical staff shall conduct any other assessments indicated by the child's medical or psychiatric, or both, needs during development of the plans of care, including the ability to self-medicate with supervision.20.5. Treatment Services. 20.5.1. The organization shall provide the following services in addition to those described in this rule: 20.5.1.a. Individualized medically necessary services for the population of children they serve;20.5.1.b. Family engagement activities will be conducted with the child's family during the treatment process; and20.5.1.c. At least six months of family-based after-care services after a child's discharge.20.6. Planning for Aftercare.20.6.1. The family and permanency team shall begin planning for discharge during the development of the long and short-term goals.20.6.2. At least 30 days prior to discharge the child and family permanency team shall meet to develop the plan for after-care services. Issues to consider in developing the plan are:20.6.2.a. Remaining problems to be addressed;20.6.2.b. Appropriate placement for the child considering issues of safety, permanency, and any remaining clinical need; and20.6.2.c. Recommendations for behavioral, medical, or socially necessary services to support the needs of the child and family to prevent re-entry.