Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.29 - Community Mental Health Programs-Psychiatric Rehabilitation Services for Minors
Section 10.21.29.09 - Program Staff
Universal Citation: MD Code Reg 10.21.29.09
Current through Register Vol. 51, No. 19, September 20, 2024
A. Following an analysis of the complexity and number of minors served, the program director, with input from program staff, shall ensure the development of a staffing plan that identifies the type and number of staff needed to implement the program's rehabilitation service goals.
B. A provider shall ensure that the staff includes the following, who are employed by the PRP for the amounts of time outlined in §§C-E of this regulation:
(1) A program director, who:
(a) Is qualified according to §F(1) of
this regulation and who is responsible for the duties under §F(2) of this
regulation; and
(b) May be
responsible for the duties of the rehabilitation specialist under §G(1)(b)
of this regulation, if the program director:
(i) Is qualified according to §G(1)(a)
of this regulation; and
(ii)
Devotes the time required, under §C, D, or E of this regulation, to the
development and implementation of rehabilitation services that reflect the need
of the minors served by the program;
(2) As required under §C, D, or E of
this regulation, a rehabilitation specialist or specialists, qualified
according to §G(1)(a) of this regulation, to carry out the duties under
§G(1)(b) of this regulation; and
(3) As required under §D or E of this
regulation, staff designated to carry out administrative duties assigned by the
program director.
C. If a PRP has fewer than 30 enrollees, the PRP shall employ either:
(1) A program director and a rehabilitation
specialist, each of whom is employed by the program for a minimum of 20 hours
per week; or
(2) A program director
who is responsible for the duties of the program director and the duties of a
rehabilitation specialist, if the program director:
(a) Has the qualifications described under
§G(1)(a) of this regulation;
(b) Is employed by the program for 40 hours
per week; and
(c) Devotes at least
20 hours per week to the development and implementation of rehabilitation
services that reflect the needs of the minors served by the program.
D. If a PRP has 30-100 enrollees, the PRP shall employ either:
(1) A
program director, who is employed by the program for a minimum of 20 hours per
week, and a rehabilitation specialist, who is employed by the program for a
minimum of 40 hours per week; or
(2) A program director who is responsible for
the duties of the program director and the duties of a rehabilitation
specialist, if the program director:
(a) Has
the qualifications described under §G(1)(a) of this regulation;
(b) Is employed by the program for 40 hours
per week; and
(c) Designates staff
who devote 20 hours per week to carrying out specific assigned administrative
duties.
E. If a PRP has more than 100 enrollees, the PRP program shall employ:
(1) A program director who is employed by the
program for 40 hours per week; and
(2) A rehabilitation specialist or
specialists and staff assigned to administrative duties, as follows:
(a) A rehabilitation specialist who is
employed by the program for 40 hours per week;
(b) Two rehabilitation specialists, each of
whom is employed by the program for 20 hours per week; or
(c) If the program director has the
qualifications described under §G(1)(a) of this regulation:
(i) A rehabilitation specialist who is
employed by the program for 20 hours per week; and
(ii) Designated staff who devote 20 hours per
week to carrying out specific assigned administrative duties.
F. Program Director. The program director:
(1) Shall
have:
(a) Sufficient qualifications,
knowledge, and experience to execute the duties of the position; and
(b) A minimum of 3 years experience working
with emotionally disturbed youth; and
(2) Is responsible for administrative
oversight of the PRP, including, at a minimum:
(a) Fulfilling the administrative
requirements under COMAR 10.21.17;
(b) Fulfilling the programmatic requirements
of this chapter;
(c) Keeping the
advisory committee, or governing body, whichever is applicable, informed of, at
a minimum, the program's approval status and performance; and
(d) Quality management.
G. Psychiatric Rehabilitation Staff. The program director shall employ psychiatric rehabilitation staff, including:
(1) At least one rehabilitation
specialist who:
(a) Is a licensed mental
health professional with a minimum of 2 years direct care experience working
with emotionally disturbed youth;
(b) Shall advise the program director
regarding development and implementation of rehabilitation services that
reflect the need of the minors served by the program;
(c) Has overall responsibility for
rehabilitation services, including:
(i)
Developing and assuring that rehabilitation services meet the needs of the
individuals served by the program; and
(ii) Providing oversight for the daily
program of rehabilitation services; and
(d) Shall educate direct care staff on how to
document the correlation between rehabilitation activities and the goals
identified in the IRP or ITRP;
(2) Direct service staff who:
(a) Are supervised by a licensed mental
health professional or a rehabilitation specialist;
(b) Have 60 hours of on-the-job direct PRP
supervision before providing services to minors served by the program without
direct supervision;
(c) At a
minimum, have:
(i) A bachelor's degree in a
health-related field;
(ii) An
associate's degree in a health-related field;
(iii) 30 hours, or their equivalent, of
college credit toward a bachelor's degree in a health-related field;
or
(iv) 1 year of work experience
in a supervised mental health setting; and
(d) Are responsible for implementing the
rehabilitation activities outlined in the minor's IRP.
H. Ratio.
(1) The program shall maintain an average
ratio of at least one rehabilitation staff member serving each six minors who
are either attending the PRP facility or receiving off-site services.
(2) To achieve this ratio, the program:
(a) May not include:
(i) The program director; or
(ii) Volunteers; and
(b) May include students only if, in
calculating the ratio, three rehabilitation staff are on duty for each
student.
I. Students. The program may use students according to the provisions of COMAR 10.21.17.11E.
J. Volunteers. The program may use volunteers according to the provisions of COMAR 10.21.17.11F.
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