Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.26 - Community Mental Health Programs-Residential Crisis Services
Section 10.21.26.08 - Required Staff

Universal Citation: MD Code Reg 10.21.26.08

Current through Register Vol. 51, No. 19, September 20, 2024

A. The program director shall ensure that the RCS staff is sufficient in numbers and qualifications to carry out the program's service goals and includes, at a minimum, the staff identified in this regulation and Regulations .09-----.11 of this chapter.

B. Program Director. The governing body shall employ a program director who:

(1) As determined by the governing body, has sufficient qualifications, knowledge, and experience to execute the duties of the position;

(2) Is available to provide RCS administration and supervision:
(a) For the amount of time necessary to carry out the duties and, at a minimum, 10 hours per week; and

(b) If a RCS program operates in more than one site, by:
(i) Designating, as necessary, staff to manage services at each site and report to the program director, and

(ii) Having contact with each site each week;

(3) Is responsible for operational oversight for, at a minimum:
(a) Fulfilling the administrative requirements under COMAR 10.21.17 and the day-to-day operations of the RCS program;

(b) Maintaining sufficient staff, including recruiting, hiring, scheduling, and terminating;

(c) Consulting on the development and implementation of the budget;

(d) Keeping the governing body informed of, at a minimum, the program's approval status and performance; and

(e) In collaboration with appropriate RCS staff, assuring staff compliance with:
(i) Credentialing and privileging,

(ii) Appropriate training and supervision, and

(iii) When required, the on-call availability of a psychiatrist; and

(4) If appropriately credentialed and privileged, may provide RCS services.

C. Treatment Coordinator. The program director shall assign to each individual who is receiving RCS a treatment coordinator who, as privileged by the program, shall provide or coordinate the services outlined in this chapter for the specific type and level of RCS.

D. Direct Service Providers. The program director shall employ a sufficient number of direct service providers who:

(1) As determined by the program, have sufficient qualifications and experience to carry out the duties of the position;

(2) Before providing services, have training applicable to the service, including, at a minimum, training in:
(a) Crisis intervention,

(b) Suicide prevention,

(c) Behavior modification, and

(d) Family interactions; and

(3) As permitted under the Health Occupations Article, Annotated Code of Maryland, and as privileged by the program, provide the level and intensity of supervision and support required under this chapter for the specific type and level of RCS indicated in an individual's ITP.

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