Current through Reg. 50, No. 187; September 24, 2024
(1) Composition. The composition of the staff
shall be determined by the needs of the patients being served and the goals of
the facility, and shall have available a sufficient number of mental health
professionals, health care workers, program staff and administrative personnel
to meet these goals.
(a) The administrator of
the facility shall have a master's degree in administration or be of a
professional discipline related to child and adolescent mental health and have
at least three (3) years administrative experience. A person with a
baccalaureate degree may also qualify for administrator with seven (7) years
experience of child and adolescent mental health care with no less than three
(3) years administrative experience.
(b) The clinical director shall be at least
board eligible in psychiatry with the American Board of Psychiatry with
experience in child and adolescent mental health.
(c) If the clinical director is not
full-time, then there shall be a full-time service coordinator who is a mental
health professional with at least a master's degree who is experienced in child
and adolescent mental health and is responsible for the coordination of
treatment aspects of the program.
(d) Mental health professionals shall include
psychiatrists, psychologists, and social workers. These persons, if not on a
full-time basis, must be on a continuing consulting basis. The authority and
participation of such mental health professionals shall be such that they are
able to assume responsibility for supervising and reviewing the needs of the
patients and the services being provided. Such individuals shall participate in
specific functions, e.g., assessment, treatment planning, treatment plan and
individual case reviews, and program planning and policy and procedure
development and review.
(e) Other
professional and paraprofessional staff shall include physicians, registered
nurses, educators and 24-hour a day mental assistants. Also included on a
regular staff basis, or as consultants on a continuing basis, shall be activity
staff and vocational counselors; and,
(f) Consultation shall be available as needed
from dieticians, speech, hearing and language specialists, or other
specialists.
(2)
Organization. The program shall have an organizational plan which clearly
explains the responsibilities of the staff. This plan shall also include:
(a) Lines of authority, accountability and
communication;
(b) Committee
structure and reporting or dissemination of material; and,
(c) Established requirements regarding the
frequency of attendance at general and departmental/service or team/unit
meetings.
(3) Policies
and Records. Personnel policies and practices shall be designed, established
and maintained to promote the objectives of the program and to insure that
there are personnel to support a high quality of patient care.
(a) Each program shall have a written
personnel practice plan covering the following areas: job classification; pay
plan; personnel selection; probation or work-test period; tenure of office;
dismissal; salary increases; procedure for health evaluations; holidays; leave
policies; training programs; work evaluation procedures; additional employment
benefits; and personnel records. Each new employee shall be given a copy of
personnel practices when hired and documentation of receipt shall be maintained
in the employee's personnel file. A procedure shall be established for
notifying employees of changes in established policies.
(b) There shall be clear job descriptions for
all personnel. Each description shall contain the position title, immediate
supervisor, responsibilities and authority. These shall also be used as a basis
for periodic evaluations by the supervisor.
(c) Accurate and complete personnel records
shall be maintained on each employee. Content shall be established to include
the following:
1. Current background
information, including the application, references and any accompanying
documentation sufficient to justify the initial and continued employment of the
individual and the position for which he was employed. Applicants for the
positions requiring a licensed person shall be employed only after the facility
has obtained verification of their licenses. Where accreditation is a
requirement, this shall also be verified. Evidence of renewal of license as
required by the licensing agent shall be maintained in the employee's personnel
record;
2. Current information
relative to work performance evaluation;
3. Records of pre-employment health
examinations and subsequent health services rendered to employees, as are
necessary to ensure that all facility employees are physically and emotionally
able to perform their duties;
4.
Medical reports that verify the absence of active communicable disease in
facility employees; and,
5. Record
of any continuing education or staff development programs
completed.
(4)
Staff Development. The program must provide opportunities and motivation for
continuing education or training to enable each member to add to his knowledge
and skills and thus improve the quality of services offered. This must be
documented in the employee personnel file.
Programs shall be facility-based with a designated person or
committee who is responsible, on a continuing basis, for planning and insuring
that Plans are implemented. The facility shall also make use of educational
programs outside the facility such as workshops, and
seminars.
Rulemaking Authority 395.003, 395.1055 FS. Law Implemented
395.003, 395.1055 FS.
New 2-15-82, Formerly 10D-28.106,
59A-3.106, Amended
10-16-14.
