Current through Register Vol. 54, No. 44, November 2, 2024
(a) An individual who meets the
qualifications of a clinical director shall provide the following supervision
to individuals who provide behavior consultation services and mobile therapy
services:
(1) One hour of individual
face-to-face supervision per month that includes oversight of the following:
(i) The interventions being
implemented.
(ii) The child's,
youth's or young adult's progress towards the goals of the ITP.
(iii) Consideration of adjustments needed to
the ITP.
(iv) The staff person's
skill in implementing the interventions in the ITP.
(2) If the individual who provides behavior
consultation services or mobile therapy services supervises an individual who
provides BHT services, the individual shall receive an additional hour of
face-to-face supervision per month that includes a discussion of the BHT
services being provided.
(3) Thirty
minutes of direct observation of services being provided every 6
months.
(b) An individual
who meets the qualifications of a clinical director or is qualified to provide
behavior consultation services or mobile therapy services shall provide the
following supervision to individuals who provide BHT services:
(1) One hour of supervision each week if the
individual who provides BHT services works at least 37.5 hours per week or 1
hour of supervision two times a month if the individual who provides BHT
services works less than 37.5 hours a week. An individual who provides BHT
services must receive 1 hour of individual face-to-face supervision each
month.
(2) If the individual has
not previously provided BHT services, 6 hours of onsite supervision during the
provision of services to a child, youth or young adult prior to providing
services independently.
(3) One
hour of direct observation of the provision of individual services to a child,
youth or young adult during the implementation of the ITP every 4 months,
unless the individual meets the qualifications to provide BHT services included
in §
5240.71(d)(5)
(relating to staff qualifications for individual services). If the individual
meets the qualifications to provide BHT services included in §
5240.71(d)(5),
the individual shall receive 1 hour of direct observation of the provision of
individual services to a child, youth or young adult during the implementation
of the ITP every 2 months.
(4) The
supervision must include oversight of the following:
(i) The interventions being
implemented.
(ii) The child's,
youth's or young adult's progress towards the goals of the ITP.
(iii) Consideration of adjustments needed to
the ITP.
(iv) The staff person's
skills in implementing the interventions in the ITP.
(c) An individual may supervise a
maximum of 12 full-time equivalent staff who provide individual services, but
only nine of the full-time equivalent staff can provide BHT services.
(d) Group supervision may be provided to no
more than 12 staff who provide individual services, but only nine of the staff
can provide BHT services.
(e)
Face-to face supervision may be delivered through secure, real-time, two-way
audio and video transmission that meets technology and privacy standards
required by the Health Insurance Portability and Accountability Act of 1996
(Pub.L. No.
104-191).
(f) A supervisor shall maintain documentation
about each supervision session in the supervised staff person's personnel file
that includes the following:
(1) The date of
the supervision session.
(2) The
location and modality of the session, such as in-person or through secure,
real-time, two-way audio and video transmission.
(3) The format of the session, such as
individual, group or onsite.
(4)
The start and end time of the supervision session.
(5) A narrative summary of the points
discussed during the session.
(6)
The signature and signature date of the supervisor and the staff person
receiving supervision.
(g) A supervisor shall be available to
consult with staff during the hours that individual services are being
provided, including evenings and weekends.
