Current through Register Vol. 50, No. 9, March 1, 2024
RELATES TO:
KRS
202A.011(12),
210.010,
210.040,
210.370
- 210.485, 309.080 - 309.089, 309.130 - 309.1399, 311.571, 314.042, 319.050,
319.056, 319.064, 335.100, 335.080, 335.500 - 335.599
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
210.450 authorizes the secretary of the
Cabinet for Health and Family Services to promulgate administrative regulations
which prescribe standards for qualifications of personnel in community programs
for mental health. This administrative regulation establishes the eligibility
criteria and training requirements for community support associates employed by
an entity which provides comprehensive community support services.
Section 1. Definitions.
(1) "Client" means an adult or child who
receives comprehensive community support services and has a primary mental
health disorder diagnosis or a co-occurring disorder.
(2) "Co-occurring disorder" means the primary
diagnosis of a mental health disorder and one (1) or more of the following:
(a) Substance use disorder;
(b) Intellectual disability; or
(c) Physical health disorder or
condition.
(3)
"Comprehensive community support services" means activities necessary to allow
clients to live with maximum independence in the community and consists of one
(1) or more of the following:
(a) Skills
training, cueing, or supervision as identified in the client's individualized
treatment plan;
(b) Medication
adherence and recognizing symptoms and side effects;
(c) Non-clinical but therapeutic behavioral
intervention, support, and skills training;
(d) Assistance in accessing and utilizing
community resources;
(e) Emotional
regulation skills;
(f) Crisis
coping skills; and
(g) Developing
and enhancing interpersonal skills.
(4) "Department" means the Department for
Behavioral Health, Developmental and Intellectual Disabilities.
(5) "Professional equivalent" means a person
who meets the professional equivalent requirements established in the Community
Mental Health Services Manual that is incorporated by reference in
907
KAR 1:044.
(6) "Qualified mental health professional" is
defined by
KRS
202A.011(12).
Section 2. Eligibility Criteria.
(1) A community support associate shall:
(a) Be eighteen (18) years of age or
older;
(b) Have a high school
diploma, a general equivalency diploma (GED), or qualifying documentation from
a comparable educational entity;
(c) Have one (1) year of full-time experience
working with individuals who receive services for treatment of a:
1. Mental health disorder; or
2. Co-occurring disorder; and
(d) Successfully complete within
six (6) months of hire the department-led or approved training program
described in Section 3 of this administrative regulation.
(2) Supervision. A community support
associate shall:
(a) Work under the
supervision of one (1) of the following:
1.
Physician;
2.
Psychiatrist;
3. Advanced practice
registered nurse;
4. Physician
assistant;
5. Licensed
psychologist;
6. Licensed
psychological practitioner;
7.
Licensed clinical social worker;
8.
Licensed professional clinical counselor;
9. Licensed marriage and family
therapist;
10. Certified
psychologist;
11. Certified
psychologist with autonomous functioning;
12. Licensed psychological
associate;
13. Marriage and family
therapy associate;
14. Certified
social worker;
15. Licensed
professional counselor associate;
16. Licensed professional art
therapist;
17. Professional
equivalent;
18. Certified alcohol
and drug counselor;
19. Psychiatric
nurse; or
20. Licensed board
certified behavior analyst; and
(b) Meet face-to-face no less than one (1)
time every two (2) weeks with the community support associate's supervisor as
described in paragraph (a) of this subsection.
(3) The supervisor shall maintain a written
record of supervision that:
(a) Is dated and
signed by the supervisor for each meeting; and
(b) Includes a description of the encounter
that specifies:
1. The topic
discussed;
2. Any specific action
to be taken;
3. An update for any
issue previously discussed that required follow-up; and
4. A plan for additional training needs if
any were identified.
Section 3. Initial Training Requirements. A
department-led or approved training curriculum for a community support
associate shall consist of ten (10) clock hours of planned program instruction
at a minimum in the following areas:
(1)
Principles of recovery and resilience;
(2) Principles of psychiatric
rehabilitation;
(3) Effective
listening and communication skills;
(4) Diagnosis and medication management of
mental health disorders or co-occurring disorders; and
(5) Crisis coping skills.
Section 4. Annual Training. During
each subsequent year of employment, a community support associate shall
complete and maintain documentation of a minimum of six (6) hours of training
or education related to the specification described in Section 3(1) through (5)
of this administrative regulation.
STATUTORY AUTHORITY:
KRS
210.450