New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 820 - Residential Services › Section 820.6 - Staffing

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Any residential
				program of 10 beds or more shall have a full-time program director who is a
				qualified health professional as defined in Part 800 of this Title. The program
				director shall have at least five years of full-time work experience in SUD, or
				related treatment field, prior to appointment as program director. A
				residential program with fewer than 10 beds shall have a similarly qualified
				program director who shall serve on at least a part-time basis.
(b) General and clinical staffing.
(1) General and clinical staffing shall be on-site or
				on-call sufficient to meet the emergent needs of the resident population
				receiving services in a particular treatment element. Staff may be either
				specifically assigned to the residential service or may be part of the staff of
				the facility or program within which the residential service is located.
				However, if the staff is part of the general facility or program staff, they
				must have specific training and experience in the treatment of chemical use,
				abuse and dependence specific to the services provided.
(2) Applicable only to stabilization and
				rehabilitation services, staff "sufficient to meet the emergent needs of the
				resident population" shall include:
(i)
				registered nurse and weekend nursing staff sufficient to resident need, on-site
				daily and to supervise LPN;
(ii)
				LPN available on-site daily for support to residents for support and
				documentation of self-medication;
(iii) physician, nurse practitioner and or
				physician assistants to meet the medical assessment and treatment needs of each
				resident. Each service shall have identified a medical director whose
				qualifications and responsibilities are defined in Part 800 of this
				Title;
(iv) psychiatrist and/or
				psychiatric nurse practitioner to evaluate all residents who have a history of
				mental health disorder or who are exhibiting symptoms of a mental health
				disorder.
(v) LMSW/LCSW/LMHC or
				family therapist in sufficient numbers to provide psychotherapy to all
				residents who are in need of such services in a frequency sufficient to meet
				the assessed need;
(vi) clinical
				staff in sufficient numbers to serve as the primary counselors. Each resident
				shall be assigned a clinical staff member as his/her primary counselor to
				provide individual counseling and treatment/recovery plan preparation,
				monitoring and review;
(vii)
				CASACs, CASAC-T and other clinical and milieu staff in sufficient numbers to
				facilitate activities of daily living, community meetings, engagement, carry
				out of treatment planning in milieu; at least one CASAC available at all times
				to intervene to help provide therapeutic interactions to foster residents'
				social, cognitive and behavioral skill development. CASAC staff will provide
				supervision of milieu staff;
(viii)
				milieu staff all shifts in sufficient numbers available within the community to
				model and provide pro-social behavioral interventions at all times. Milieu
				staff are included in the treatment planning process and are aware of the
				treatment goals of each resident; they will carry out activities that will
				support goal attainment through the natural interactions within the
				milieu.
(ix) at least two staff per
				overnight shift, one of which must be a clinical staff member;
(x) vocational counselor;
(xi) case manager to develop the
				treatment/recovery plan and to meet regularly to identify needs and
				progress.
(3) All
				residential services shall have sufficient clinical staff that have been
				trained in, and are designated by the clinical supervisor to perform, the
				following tasks:
(i) evaluation of resident
				needs, development and implementation of individualized treatment/recovery
				plans for each resident, including individual, group and family
				counseling;
(ii) participation with
				staff and, as necessary, other services and agencies to assure the development,
				management and implementation of comprehensive services for each resident,
				reflecting both substance use issues and other habilitation or rehabilitation
				needs; and
(iii) preparation and
				maintenance of case records for each individual resident.
(4) There shall be sufficient staff available
				to ensure that the space and equipment of the service is clean and maintained
				in working order to minimize the need for treatment staff to perform
				non-treatment functions and to optimize operational
				efficiency.