Oklahoma Administrative Code › Title 450 - Department of Mental Health and Substance Abuse Services › Chapter 55 - Standards and Criteria for Programs of Assertive Community Treatment › Subchapter 3 - Program Description And Pact Services › Section 450:55-3-7 - Staffing requirements

Current through Vol. 41, No. 20, July 1, 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.