New York Codes, Rules and Regulations
Title 14 - DEPARTMENT OF MENTAL HYGIENE
Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES
Part 817 - Substance Use Disorder Residential Rehabilitation Services for Youth (RRSY)
Section 817.7 - Staffing
Universal Citation: 14 NY Comp Codes Rules and Regs ยง 817.7
Current through Register Vol. 46, No. 39, September 25, 2024
(a) Medical Director and medical staff.
(1) The
medical director, as defined in Part 800 of this Title, shall oversee the
development and revision of medical policies, procedures and ongoing training
for matters such as routine medical care, specialized services, and medical and
psychiatric emergency care, and supervision of medical staff.
(2) Programs providing treatment for persons
with co-existing medical or psychiatric conditions in addition to their
substance use disorder shall have an appropriately qualified physician,
physician assistant, nurse practitioner, psychiatrist or psychologist on-site
or through telehealth, pursuant to Part 830 of this Title, for a sufficient
number of hours each week to provide evaluation, treatment and supervision of
such other services for these patients.
(3) There shall be at least one full-time
registered professional nurse and additional licensed practical nurses,
registered nurses, registered physician's assistants, and nurse practitioners
sufficient to provide the services required. Such personnel shall be available
to all patients at all times.
(4)
The medical director may also serve as a physician of another service which is
provided by the facility. The general severity of the condition of the
population served, including comorbid conditions, complications and general
functioning, may indicate the need for staff in addition to those identified in
this section.
(b) Staff sharing. Staff may be either specifically assigned to the inpatient service or may be part of the staff of the facility within which the inpatient service is located. However, if these staff members are part of the general facility staff, they must have specific training and experience in the treatment of substance use disorder specific to the services provided. The percentage of time that each shared staff is assigned to the inpatient service must be documented.
(c) Supervision and training. Each program must provide clinical supervision and ensure and document a plan for staff training based on individual employee needs. Subject areas appropriate for training shall be identified by the Office.
(d) Program director. There shall be a director of the program who is a qualified health professional with at least:
(1) four (4) years experience in the human
services field;
(2) two (2) years
experience in the provision of substance use disorder treatment
services;
(3) two (2) years of
administration and supervisory experience prior to appointment as director;
and
(4) two (2) years of adolescent
services experience.
(e) Other clinical staff.
(1) At
least 50 percent of all clinical staff shall be qualified health professionals
as defined in Part 800 of this Title. CASAC Trainees may be counted towards
satisfying the 50 percent requirement provided, however, that such individuals
shall not be considered qualified health professionals for any other purpose
under this Part.
(2) Clinical staff
members who are not qualified health professionals shall have qualifications
appropriate to their assigned responsibilities as set forth in the inpatient
service's written personnel policies, shall be subject to appropriate staff
supervision, and shall receive regular and continuing education and
training.
(3) There shall be at
least one clinical staff member, as defined in Part 800 of this Title,
designated to provide activities therapy;
(4) There shall be at least one counselor for
every eight (8) patients, at least 50 percent of whom shall be qualified health
professionals. Counseling staff shall be scheduled for a minimum of one and
one-half shifts five days per week, and one shift per day for the remaining two
days per week;
(5) There shall be
clinical staff available to all patients at all times. During late evening and
night shifts, there shall be at least two clinical staff members on duty. This
staff shall be awake at all times, make frequent rounds and be available to
patients who awaken during the night;
(6) There shall be at least one full time
equivalent Licensed Mental Health Counselor or Social Worker licensed and
currently registered as such by the New York State Education Department
experienced in substance use treatment and adolescents. If qualified to do so,
this individual may also perform the family therapist function required in
paragraph (7) below.
(7) There
shall be at least one full time equivalent Family Therapist who is a Social
Worker licensed and currently registered as such by the New York State
Education Department or a licensed Marriage and Family Therapist. If qualified
to do so, this individual may also perform the social worker function required
in paragraph (6) above.
(8) There
shall be sufficient clinical staff to achieve an overall ratio of at least one
full time equivalent staff for each four (4) patients.
(f) Additional required staff.
(1) Maintenance and
security. There shall be sufficient staff available to ensure that the program
facility and all equipment utilized therein is maintained in such a manner as
to provide patients with a clean and safe environment.
(2) Volunteers and interns. In addition to
staffing requirements of this Part, a program may utilize volunteers, students
and trainees, on a salaried or non-salaried basis. Such personnel shall be
provided close professional staff supervision and appropriate education from
both internal and external sources.
(3) Health coordinator. Each program shall
have a qualified individual designated as the Health Coordinator who will
ensure the provision of education, risk reduction, counseling and referral
services to all patients regarding HIV, tuberculosis, hepatitis, sexually
transmitted infections, and other communicable diseases.
(4) Community Support Specialist. There shall
be at least one Community Support Specialist for every thirty (30) patients or
portion thereof who shall be responsible for coordinating care for the patient
and assisting in discharge planning.
(5) Intake/admissions coordinator. There
shall be one staff member designated to perform an Intake/Admissions
Coordinator function.
Disclaimer: These regulations may not be the most recent version. New York 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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