Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 90 - Psychiatric Residential Treatment Facilities (under 21)
Subchapter H - Additional Requirements for Mental Health PRTFs
Section I-9093 - Personnel Qualifications, Responsibilities, and Requirements
Universal Citation: LA Admin Code I-9093
Current through Register Vol. 50, No. 9, September 20, 2024
A. A mental health PRTF shall have the following minimum personnel.
1. Administrator. The administrator shall
have a Bachelors degree from an accredited college or university in a mental
health-related field, plus at least five years of related experience. The
administrator is responsible for the on-site, daily implementation and
supervision of the overall facility's operation commensurate with the authority
conferred by the governing body.
a.
Grandfathering Provision. For a facility with a current child residential
license from DCFS at the time of the promulgation of this rule, the current
administrator may remain the administrator of the facility provided the
following conditions are met.
i. The
administrator has been the administrator on a full time basis for the facility
for at least five years.
ii. The
administrator was approved by the governing body to hold the position of
administrator of the PRTF.
iii. An
administrator under this grandfathering provision may not transfer as an
administrator to another PRTF.
2. Clinical Director
a. The clinical director shall be a physician
holding an unrestricted license to practice medicine in Louisiana and who has
the following:
i. unrestricted Drug
Enforcement Agency (DEA) and state controlled substance licenses;
ii. if the license(s) is from another
jurisdiction, the license(s) shall be documented in the employment record and
shall also be unrestricted;
iii.
board-certification in general psychiatry; and
iv. satisfactory completion of a specialized
psychiatric residency training program accredited by the Accreditation Council
for Graduate Medical Education (ACGME), as evidenced by a copy of the
certificate of training or a letter of verification of training from the
training director, which includes the exact dates of training and verification
that all ACGME requirements have been satisfactorily met. If the training was
completed in a psychiatric residency program not accredited by the ACGME, the
physician shall demonstrate that he/she meets the most current requirements as
set forth in the American Board of Psychiatry and Neurologys board policies,
rules and regulations regarding information for applicants for initial
certification in psychiatry.
b. The clinical director is responsible for
the following:
i. providing clinical
direction for each resident at a minimum of one hour per month, either in
person on-site, or via telemedicine pursuant to
R.S.
37:1261-1292 et seq., and LAC 46:XLV.408 and
Chapter 75 et seq.;
(a). the governing body
may delegate some or all of this responsibility to another physician(s) who
meets the qualifications of a clinical director; and
ii. monitoring and evaluating the quality and
appropriateness of services and treatment provided by the facility's direct
care staff.
3. LMHPs, MHPs, and MHSs. The PRTF shall
provide or make available adequate numbers of LMHPs, MHPs, and MHSs to care for
its residents. There shall be at least one LMHP or MHP supervisor on duty at
least 40 hours/week during normal business hours at the facility and as
required by the treatment plan. When not on duty at the facility, there shall
be a LMHP or MHP on call. The PRTF shall develop a policy to determine the
number of LHMPs, MHPs, MHSs on duty and the ratio of LHMPs and MHPs to MHSs
based on the needs of its residents.
a. A
LMHP or a MHP shall be designated and assigned as treatment plan manager for
each resident and given responsibility for and authority over those activities
detailed in the minimum licensure requirements, including:
i. supervision of the treatment
plan;
ii. integration of the
various aspects of the resident's program;
iii. recording of the resident's progress as
measured by objective indicators and making appropriate changes/modifications;
and
iv. serving as liaison between
the resident, provider, family, and community during the resident's admission
to and residence in the facility, or while the resident is receiving services
from the provider.
b. A
LMHP or MHP shall provide for each resident a minimum weekly total of 120
minutes of individual therapy.
c. A
LMHP or MHP shall provide a minimum of two group therapy sessions per week for
each resident.
d. A LMHP or MHP
shall have a maximum caseload not to exceed 12 residents.
e. LMHPs, MHPs, and MHSs shall be responsible
for:
i. evaluating residents;
ii. formulating written individualized plans
of care;
iii. providing active
treatment measures; and
iv.
engaging in discharge planning.
f. The MHSs shall be under the supervision of
LMHPs and/or MHPs to assist with the duties and requirements of the
PRTF.
4. Psychologist.
Psychological services shall be provided by, or supervised by, a psychologist
with a doctorate degree from an accredited program in clinical or counseling
psychology and with appropriate post-graduate experience. The PRTF shall
provide or have available a psychologist to provide psychological testing and
psychological services, as necessary to assist in essential diagnostic
formulations as requested, and participate in program development and
evaluation of program effectiveness, in therapeutic interventions and in
treatment plan team meetings. Psychological services may be provided directly
or by contract.
5. Registered Nurse
a. A registered nurse licensed to practice in
Louisiana shall oversee and direct the nursing services of the PRTF. He/she
shall be employed full time and be on-site 40 hours per week during normal
business hours.
b. Nursing services
shall be provided by or supervised by a registered nurse licensed to practice
in Louisiana. There shall be an adequate number of registered nurses, licensed
practical nurses, and other staff, to provide the nursing care necessary under
each resident's treatment plan. When no RN is on site, there shall be an RN
available to be on-site within 30 minutes as needed.
6. Physician. The PRTF shall have available a
physician licensed in the state of Louisiana who shall assume 24-hour on-call
medical responsibility for non-emergent physical needs of the facility's
residents.
7. A licensed dietician,
whether provided directly or by contract, shall be responsible for the dietary
services program of the PRTF.
B. If the PRTF is providing both mental health and substance abuse treatment, the PRTF shall also meet the staffing requirements for the residents ASAM level required by the department, or the departments designee, in addition to the mental health PRTF requirements.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and R.S. 40:2009.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.