Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 164.000 - Licensure of Substance Abuse Treatment Programs › Part ONE - LICENSING AND APPROVAL PROCEDURES AND REQUIREMENTS › Licensee Administration and Organization › Section 164.044 - Training and Supervision

Current through Register 1525, July 5, 2024
(A) The Licensed or
				  Approved Provider shall provide ongoing staff training and supervision to all
				  staff, including clinical staff, qualified health care professionals, relief
				  staff, interns, volunteers, contractors and others, in accordance with 105 CMR
				  164.044(B). The Licensed or Approved Provider shall have a written plan for
				  supervision sufficient to meet the needs of staff, patients and residents which
				  shall specify the frequency and goals of supervision for all staff, and which
				  shall provide that all direct care staff requiring clinical supervision receive
				  clinical supervision from appropriately licensed staff qualified to deliver
				  supervision, and that supervision is documented.
(B) The Licensed or Approved Provider shall
				  have a written plan for ongoing in- service training of all personnel. The plan
				  shall include the following:
(1) orientation
				  and ongoing supervision of employees regarding policies and procedures of the
				  program, including at a minimum program operations; state and federal
				  confidentiality laws; professional ethics, including staff-patient and
				  staff-resident boundaries and boundaries for relationships between and among
				  patients and residents; behavioral management; record keeping; internal
				  incident reporting and investigation; and the reporting of abuse and neglect of
				  children, the elderly and disabled persons; and
(2) over the course of a year, monthly
				  scheduled in-service training sessions in accordance with Department guidance
				  on, at a minimum:
(a) program's All Hazards
				  Emergency Response Plan;
(b)
				  HIV/AIDS, sexually transmitted infections (STIs) and Viral Hepatitis;
(c) universal health precautions and
				  infection control;
(d) substance
				  use disorders including tobacco and nicotine addiction, clinical assessment and
				  diagnosis; treatment planning; relapse prevention and aftercare planning;
				  overdose risk assessment and prevention;
(e) co-occurring disorders, including mental
				  health disorders, gambling and other addictive behaviors, and mechanisms for
				  ensuring coordination of care related to all co-occurring disorders, including
				  risk assessments and creation of safety plans;
(f) other topics specific to the requirements
				  of the service type and/or the population served;
(g) effects of substance use disorders on the
				  family and related topics such as the role of the family in treatment and
				  recovery;
(h) cultural competency
				  including culturally and linguistically appropriate services (CLAS) or
				  standards;
(i) the benefits and
				  risks of all clinically appropriate medication for addiction treatment options,
				  as well as the risks and benefits of not receiving treatment;
(j) abuse and neglect reporting requirements;
				  and
(k) professional ethics,
				  including staff-patient and staff-resident boundaries and boundaries for
				  relationships between and among patients and residents.