Current through Vol. 42, No. 1, September 16, 2024
(a) The PACT team
shall include individuals qualified to provide the required services while
closely adhering to job descriptions as defined in the "PACT Start-up Manual,
most recent edition as published by the National Alliance for the Mentally
Ill."
(b) Each PACT team shall have
the following minimum staffing configuration:
(1) One (1) full-time team leader who is the
clinical and administrative supervisor of the team and also functions as a
practicing clinician in the PACT team. The team leader shall be a Licensed
Behavioral Health Professional or licensure candidate.
(2) A Board Certified or Board Eligible
psychiatrist providing a minimum of 16 hours per week of direct care to
minimally include: initial and psychiatric assessments, daily organizational
staff meetings, treatment planning, home visits, pharmacological management,
collaboration with nurses, crisis intervention, and liaison with inpatient
facilities. In the initial build-up phase, a minimum of 8 hours per week shall
be provided until the team is serving ten or more clients. For teams serving
over 50 consumers, the Psychiatrist shall provide an additional three (3) hours
per week for every fifteen (15) additional consumers admitted to the program.
On-call time is not included; or An Advanced Practice Nurse (APN) currently
certified in a psychiatric mental health specialty with current certification
of recognition of prescriptive authority issued by the Oklahoma Board of
Nursing, and who practices under the supervision of a licensed psychiatrist may
perform the duties of the psychiatrist as allowed by State Law. The APN must
provide a minimum of 16 hours per week of direct care to minimally include:
initial and psychiatric assessments, daily organizational staff meetings,
treatment planning, home visits, pharmacological management, collaboration with
nurses, crisis intervention, and liaison with inpatient facilities. In the
initial build-up phase, a minimum of 8 hours per week shall be provided until
the team is serving ten or more clients. For teams serving over 50 consumers,
the APN shall provide an additional three (3) hours per week for every fifteen
(15) additional consumers admitted to the program. On-call time is not
included.
(3) At least two (2)
full-time licensed practical nurses or registered nurses. Each nurse shall have
at least one (1) year of mental health experience or work a total of forty (40)
hours at a psychiatric medication clinic within the first three (3) months of
employment.
(4) At least one (1)
full-time Licensed Behavioral Health Professional or licensure
candidate.
(5) At least two (2)
full-time certified behavioral health case managers.
(6) At least one (1) staff member on the
team, excluding the psychiatrist or APN, team leader and program assistant
shall be qualified as a substance abuse treatment specialist, and at least one
(1) staff member on the team, excluding the psychiatrist or APN, team leader
and program assistant, shall be qualified as an employment
specialist.
(7) A minimum of one
(1) full-time or two (2) half-time (0.5 FTE) Recovery Support Specialist(s) or
Credentialed Recovery Support Specialist(s). The Recovery Support Specialist(s)
is/are to complete all qualifications to become a Credentialed Recovery Support
Specialist within one (1) year of employment to the PACT team.
(8) A minimum of one (1) program
assistant.
(c) Teams
serving greater than 65 consumers shall include the following additional staff:
(1) A full-time assistant team leader who is
the back-up clinical and administrative supervisor of the team and also
functions as a practicing clinician in the PACT team.
(2) One (1) additional full-time
nurse.
(3) One (1) additional
full-time Licensed Behavioral Health Professional, licensure candidate or Case
Manager II.
(4) One (1) additional
full-time certified behavioral health case manager, when serving greater than
85 consumers on the team.
(d) The PACT program shall have policies and
procedures addressing the use of students, medical residents, osteopathic
residents, psychiatric residents and volunteers on the team.
(1) Psychiatric residents shall not replace
the clinical work of the PACT psychiatrist or APN such as on-call coverage,
pharmacological management, treatment planning or crisis
intervention.
(2) The hours a
psychiatric resident works on a PACT team shall not be counted towards the
standard hours of the PACT psychiatrist or APN.
(e) Compliance with
450:55-3-6
shall be determined by on-site observation; and a review of the following:
clinical records; PICIS information; and the PACT policy and
procedures.
Added at 20 Ok Reg 683,
eff 2-27-03 (emergency); Added at 21 Ok Reg 1093, eff 7-1-04; Amended at 22 Ok
Reg 974, eff 7-1-05; Amended at 23 Ok Reg 1445, eff 7-1-06; Amended at 24 Ok
Reg 1422, eff 7-1-07; Amended at 25 Ok Reg 2546, eff 7-11-08; Amended at 27 Ok
Reg 1015, eff 7-1-10
