Missouri Code of State Regulations › Title 13 - DEPARTMENT OF SOCIAL SERVICES › Division 35 - Children's Division › Chapter 71 - Rules for Residential Treatment Agencies for Children and Youth › Section 13 CSR 35-71.150 - Designation Rules for Qualified Residential Treatment Programs

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule sets forth the requirements for
				  the designation of a Qualified Residential Treatment Program
				  (QRTP).
PUBLISHER'S NOTE: The secretary of state has
				  determined that the publication of the entire text of the material which is
				  incorporated by reference as a portion of this rule would be unduly cumbersome
				  or expensive. This material as incorporated by reference in this rule shall be
				  maintained by the agency at its headquarters and shall be made available to the
				  public for inspection and copying at no more than the actual cost of
				  reproduction. This note applies only to the reference material. The entire text
				  of the rule is printed here.
(1) A qualified residential treatment program
				(QRTP) means a program that has met all program requirements for designation as
				a QRTP, as determined herein.
(2)
				To qualify for designation as a QRTP, the agency shall meet the requirements
				set forth below. The designation shall not be considered a license issued by
				the Department of Social Services, Children's Division.
(3) Designation Requirements.
(A) The agency shall be a residential
				treatment agency licensed by Children's Division at the specialized standards
				for residential treatment or intensive residential treatment level in
				accordance with 13 CSR 35-71.
(B)
				The agency shall be accredited by any of the following independent,
				not-for-profit organizations:
1. The
				Commission on Accreditation of Rehabilitation Facilities (CARF);
2. The Joint Commission (JCO);
3. The Council on Accreditation
				(COA);
4. Educational Assessment
				Guidelines Leading Toward Excellence (EAGLE); or
5. The Teaching Family Association
				(TFA).
(C) The agency
				shall have a trauma-informed treatment model designed to address the needs of
				children in the program.
(D) The
				agency shall be equipped to meet the clinical needs, as appropriate, of
				children with serious emotional or behavioral disorders or disturbances, as
				appropriate for the agency's residential treatment license.
(E) The agency shall be equipped to implement
				the treatment identified as necessary for the children in the
				program.
(F) The agency shall
				acquire the services of registered or licensed nursing staff who-
1. Provide care within the scope of their
				practice as defined by law;
2. Are
				available twenty-four (24) hours a day and seven (7) days a week; and
3. Are on-site according to the minimum
				standards set forth in 13 CSR 35-71.
(G) The agency shall acquire the services of
				licensed clinical staff to fulfill the clinical needs of children in the
				program.
(H) The agency shall
				designate lead personnel (one (1) or more individuals) involved in the
				implementation of the trauma-informed practices.
(I) The agency shall create a family
				engagement plan to explain how the requirements below will be met for each
				child-
1. To the extent appropriate, and in
				accordance with the child's treatment plan, agencies shall facilitate the
				participation of family members in the child's treatment program by-
A. Facilitating outreach to the family
				members of the child, including siblings. The agency shall maintain
				documentation demonstrating how the outreach is made (including contact
				information), and shall maintain contact information for any known biological
				family and fictive kin of the child;
B. Documenting how family members are
				integrated into the treatment process for the child, including post-discharge,
				and how sibling connections are maintained; and
C. Providing discharge planning and
				family-based aftercare support for at least six (6) months post-discharge. This
				service may be performed by the agency or a subcontractor of the agency. Any
				subcontracting agreements shall be in writing and provided to the division upon
				request.
(J)
				The agency shall create and follow a family engagement plan, as described in
				this section, for each child.