New Mexico Administrative Code
Title 7 - HEALTH
Chapter 20 - MENTAL HEALTH
Part 11 - CERTIFICATION REQUIREMENTS FOR CHILD AND ADOLESCENT MENTAL HEALTH SERVICES
Section 7.20.11.30 - RESIDENTIAL TREATMENT SERVICES AND GROUP HOME SERVICES
Universal Citation: 7 NM Admin Code 7.20.11.30
Current through Register Vol. 35, No. 18, September 24, 2024
A. Residential treatment services are provided to children/adolescents with severe behavioral, psychological, neurobiological, or emotional problems, who are in need of psychosocial rehabilitation in a residential setting. They require active residential psychotherapeutic intervention and a 24-hour therapeutic group living setting to meet their developmental, psychological, social, and emotional needs.
B. Group home services are provided to children/adolescents with moderate behavioral, psychological, neurobiological, or emotional problems, who are in need of active psychotherapeutic intervention, who require a twenty-four hour therapeutic group living setting to meet their developmental, social and emotional needs, and/or who are in transition from a higher level of care to a lower level of care.
C. The agency maintains and follows policies and procedures for emergency and non-emergency admissions. Admission policies and criteria are based on the client's identified need for residential treatment services or group home services.
D. At the time of admission or transfer to residential treatment services or group home services, the client is informed of the reasons for the placement/transfer and his/her treatment options. This discussion with the client is documented in the client's record by the admitting professional.
E. Personnel:
(1) Direct service staff providing
residential treatment services and/or group home services receive a minimum of
twenty hours of pre-service training, including training in:
(a) crisis management/intervention,
behavioral management, personal restraint and seclusion;
(b) the agency's emergency procedures, which
include CPR and first aid.
(2) The direct service staff possess a high
school diploma or G.E.D and one or more of the following:
(a) two years experience working with clients
and adolescents with severe psychological/ emotional
disturbances/neurobiological disorders; or
(b) two years of post-secondary education in
a human service related field; or
(c) a minimum of 40 hours of documented
training, including the twenty hours of pre-service training described in E
above, and twenty additional hours including the following topics:
(i) etiology and symptoms of emotional
disturbances and neurobiological disorders;
(ii) family systems;
(iii) basic communication and problem
solving;
(iv) child and adolescent
development;
(v) ethnic and
cultural considerations related to the clients served; and
(vi) action and potential side effects of
medications.
(3) The training in (c) (i) through (vi)
above, when required, must be provided within three months of hire.
(4) Those direct service staff who, prior to
beginning direct service work, can provide documentation of a current
certificate of training in one or more of these specified areas are not
required to repeat that training; their training requirements may be adjusted
as justified and documented by the clinical director or designee.
(5) Clinical director:
(a) Clinical director qualifications: The
clinical director possesses one of the following New Mexico licenses: physician
(physicians must be board-certified in psychiatry or eligible to attain such
certification); psychologist; licensed independent social worker (LISW);
clinical nurse specialist in child psychiatric nursing; registered nurse (RN)
with a master's in psychiatric nursing; licensed professional clinical mental
health counselor (LPCC); and licensed marriage and family therapist
(LMFT);
(b) In addition to having
one of the above licenses, the clinical director is required to have a minimum
of two years of experience in clinical practice with clients, adolescents, and
families.
(c) Clinical director
responsibilities: The responsibilities of the clinical director are to provide
clinical oversight of the services, as well as to provide supervision, support,
and consultation to all agency staff.
(6) Clinical supervisor qualifications: The
clinical supervisor possesses one of the following New Mexico licenses:
physician (physicians must be board-certified in psychiatry or eligible to
obtain such certification); psychologist; licensed independent social worker
(LISW) or other licensed independent practitioner in a related field; clinical
nurse specialist in child psychiatric nursing; registered nurse (RN) with a
master's in psychiatric nursing; licensed professional clinical mental health
counselor (LPCC); or licensed marriage and family therapist (LMFT). In addition
to having one of the above licenses, the clinical supervisor is required to
have a minimum of two years of experience in clinical practice with clients,
adolescents and families.
(7)
Therapists qualifications: Therapists providing individual, family and/or group
therapy must meet either the necessary licensed requirements as listed for
clinical supervisor or possess one of the following New Mexico licenses:
licensed professional mental health counselor (LPC); licensed master's social
worker (LMSW); licensed art therapist (LAT); or licensed mental health
counselor (LMHC).
F. Services:
(1) Residential treatment services are
provided through a treatment team approach and the roles, responsibilities and
leadership of the team are clearly defined.
(2) The agency provides a daily structured
program that meets clients' needs as identified in the comprehensive assessment
and as prescribed in the treatment plan. The following services are provided:
(a) individual, family, and group therapy, at
the level of frequency documented in the treatment plan;
(b) access to timely and necessary medical
care;
(c) supervision of
self-administered medication, if appropriate;
(d) crisis intervention;
(e) educational services;
(f) activities of daily living;
(g) recreation, leisure time and other
planned therapeutic activities; and
(h) planning of discharge and aftercare
services; to facilitate timely and appropriate post discharge care, regular
assessments are conducted to support discharge planning and effect successful
discharge with clinically appropriate aftercare services; this discharge
planning begins when the client is admitted to residential treatment services
and is updated and documented in the client's record at every treatment plan
review, or more frequently as needed.
(3) The agency provides services, care, and
supervision at all times, including:
(a) the
provision of, or access to, medical services on a 24-hour basis;
(b) maintenance of a staff-to-client ratio
appropriate to the level of care and needs of the clients.
(i) for residential treatment services, the
minimum ratios are one to six during the day and evening shifts and one awake
staff to twelve clients during the night shift.
(ii) for group home services, the minimum
ratios are one to eight during the day and evening shifts and one awake staff
to twelve clients during the night shift.
(iii) additional staff must be provided if
the clinical needs of the client population are high.
(iv) a written schedule must be maintained by
the agency to document the staffing ratios.
(c) arrangements for, and provision of,
supervision for off-grounds activities, including transportation, in accordance
with minimum and need-based ratios; and
(d) arrangements for, and provision of
responses to significant life events that may affect the client's treatment
when out of the facility.
(4) Services and activities are appropriate
to the age, behavioral, and emotional development level of the
client.
(5) When not
therapeutically or legally contraindicated, the agency encourages parent/client
contact and makes efforts at family reunification. Such contacts and efforts
are documented as they occur. If reunification is contraindicated, the reason
is documented in the client's record at the time that determination is
made, and the issue is reconsidered when indicated.
(6) The following factors will be considered
in determining the appropriate level of services and supervision.
(a) risk of victimizing others;
(b) risk of inappropriate consensual
activity;
(c) risk of being
victimized by others;
(7) The treatment plans contain all the
elements outlined in Section 23 of these certification requirements.
G. Residential treatment services and group home services may be provided in the same licensed facility when the agency ensures the health and safety of all clients present.
(1) A program certified for residential
treatment services may provide group home services in accordance with these
certification requirements without requesting or receiving a separate
certification for group home services.
(2) When residential treatment services and
group home services are provided in the same facility, the agency's policies
and procedures specify clinically-based criteria under which the populations
may be mixed.
(3) When residential
treatment services and group home services populations are mixed, the agency
documents that the clinically-based criteria have been met to address safety
issues.
(4) When residential
treatment services and group home services populations are mixed, the minimum
staffing ratios for residential treatment services apply.
Disclaimer: These regulations may not be the most recent version. New Mexico 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.
