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 I - Additional Requirements for Addictive Disorder PRTFs
Section I-9097 - Personnel Qualifications, Responsibilities, and Requirements for Addictive Disorder PRTFs
Universal Citation: LA Admin Code I-9097
Current through Register Vol. 50, No. 9, September 20, 2024
A. An addictive disorder 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 substance abuse license
from LDH at the time of the promulgation of this final 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 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;
and
iii. one of the following:
(a). board certification in general
psychiatry and is eligible for certification in the subspecialty of addiction
psychiatry by the American Board of Psychiatry and Neurology (ABPN);
(b). board eligible in general psychiatry
with ABPN and has current certification in addiction psychiatry by the American
Society of Addiction Medicine (ASAM); or
(c). an ABMS board-certified physician
(non-psychiatrist) with ASAM certification and consultation with an ABPN
board-certified psychiatrist. Proof of consultation shall be a current contract
with a board-certified psychiatrist and written documentation of consults in
the residents medical record.
b. The clinical director is responsible for
the following:
i. providing a monthly minimum
of one hour of on-site clinical direction per resident;
(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
LHMP or MHP shall provide a minimum of three individual therapy sessions each
week for each resident (a minimum weekly total of 120 minutes) and a minimum of
two group therapy sessions per week for each resident; for detoxification
programs, there shall be at least 25 hours of structured treatment activities
per week including counseling and educational activities.
c. 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.
d. The MHSs shall be under the supervision of
LMHPs and/or MHPs to assist with the duties and requirements of a
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. PRTFs that provide only a detoxification program are not
required to provide a psychologist.
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, except one that
provides a social detoxification program only, 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 facilitys residents; the
PRTF may have available, in place of the physician, a licensed advanced nurse
practitioner who has a collaborative agreement with a physician or a physicians
assistant who has a supervising physician and works under the licensed
physician.
7. A licensed dietician,
whether provided directly or by contract, shall be responsible for the dietary
services program of the PRTF.
B. The PRTF shall abide by the staffing requirements for the ASAM level of the admitted resident required by the department or the department's designee.
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.
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