reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › GENERAL PROVISIONS › Section 5240.5 - Service description

Current through Register Vol. 54, No. 28, July 13, 2024
(a) As
					 part of the initial licensing application, the IBHS agency shall submit to the
					 Department for review and approval a written description of services to be
					 provided that includes the following:
(1)
					 Identification and description of each service offered by the IBHS
					 agency.
(2) Identification of the
					 target population served by each service, including age range and presenting
					 issues, which may include specific diagnoses.
(3) The days and hours each service is
					 available.
(4) Identification of
					 the counties where the IBHS agency provides each service.
(5) Description of admission
					 criteria.
(6) Description of
					 discharge criteria.
(7) Description
					 of exclusionary criteria.
(8)
					 Staffing ratios for each service offered by the IBHS agency.
(9) Treatment modalities.
(10) Locations where services are
					 offered.
(11) Maximum number of
					 children, youth or young adults served at the same time through group services
					 at a community setting or a community like setting.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › GENERAL PROVISIONS › Section 5240.6 - Restrictive procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 following restrictive procedures are prohibited:
(1) Seclusion.
(2) Aversive conditioning.
(3) Pressure-point technique.
(4) Chemical restraint.
(5) Mechanical restraint.
(6) A restrictive procedure that is not the
					 least restrictive procedure.
(7) A
					 restrictive procedure that does not maintain a child's, youth's or young
					 adult's welfare and dignity.
(8) A
					 restrictive procedure that limits a child's, youth's or young adult's access to
					 food, drink or toilet.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › GENERAL PROVISIONS › Section 5240.7 - Coordination of services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
					 IBHS agency shall have written agreements to coordinate services with other
					 service providers, including the following:
(1) Psychiatric inpatient
					 facilities.
(2) Partial
					 hospitalization programs.
(3)
					 Psychiatric outpatient clinics.
(4)
					 Crisis intervention programs.
(5)
					 Mental health and intellectual or developmental disability case management
					 programs.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › STAFFING › Section 5240.11 - Staff requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
					 IBHS agency shall have an administrative director and a clinical
					 director.
(b) An administrative
					 director's responsibilities shall include the following:
(1) The overall daily management of the
					 agency.
(2) Ensuring that staff
					 schedules meet the needs of the children, youth and young adults served and
					 accommodate their parents', legal guardians' or caregivers'
					 schedules.
(3) Ensuring compliance
					 with staff qualifications and training requirements.
(4) Monitoring the IBHS agency's compliance
					 with this chapter.
(5) Developing
					 and monitoring the quality improvement plan for the IBHS agency.
(6) Supervising staff who do not provide
					 IBHS.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › STAFFING › Section 5240.12 - Staff qualifications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
					 administrative director of an IBHS agency shall meet one of the following:
(1) The qualifications for a clinical
					 director in subsection (b).
(2)
					 Have a bachelor's degree in psychology, social work, counseling, education,
					 human services, public administration, business administration or related field
					 from a college or university accredited by an agency recognized by the United
					 States Department of Education or the Council for Higher Education
					 Accreditation or have an equivalent degree from a foreign college or university
					 that has been evaluated by the Association of International Credential
					 Evaluators, Inc. or the National Association of Credential Evaluation Services.
					 The Department will accept a general equivalency report from the listed
					 evaluator agencies to verify a foreign degree or its equivalency.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › STAFFING › Section 5240.13 - Staff training plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An IBHS
					 agency shall develop and implement a written plan to ensure initial and annual
					 training requirements are met that includes the following:
(1) A written individual training plan that
					 is:
(i) Updated annually for each staff
					 person.
(ii) Based upon the staff
					 person's educational level, experience, current job functions and performance
					 reviews.
(iii) Appropriate to the
					 staff person's skill level.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › STAFFING › Section 5240.14 - Criminal history checks and child abuse certification

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Criminal history checks and child abuse
					 certification shall be completed in accordance with
					 23 Pa.C.S. §§
												6301-6386 (relating to Child Protective
					 Services Law) and 55 Pa. Code Chapter 3490 (relating to protective
					 services).
(b) An IBHS agency shall
					 have written policies and procedures to ensure that staff having contact with
					 children or youth comply with
					 23 Pa.C.S. §§
												6301-6386 and
					 55 Pa. Code Chapter 3490,
					 including mandated reporting and training requirements.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › SERVICE PLANNING AND DELIVERY › Section 5240.21 - Assessment

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Within 15 days
					 of the initiation of services and prior to completing an ITP, a face-to-face
					 assessment shall be completed for the child, youth or young adult by an
					 individual qualified to provide behavior consultation services or mobile
					 therapy services.
(b) The
					 assessment shall be completed in collaboration with the child, youth, young
					 adult or parent, legal guardian or caregiver of the child or youth, as
					 appropriate.
(c) The assessment
					 shall be individualized and include the following:
(1) The strengths and needs across
					 developmental and behavioral domains of the child, youth or young
					 adult.
(2) The strengths and needs
					 of the family system in relation to the child, youth or young adult.
(3) Existing and needed natural and formal
					 supports.
(4) The specific
					 services, skills, supports and resources the child, youth or young adult
					 requires to address the child's, youth's or young adult's identified
					 therapeutic needs.
(5) The specific
					 supports and resources, if any, the parent, legal guardian or caregiver of the
					 child, youth or young adult requires to assist in addressing the child's,
					 youth's or young adult's identified therapeutic needs.
(6) Clinical information that includes the
					 following:
(i) Treatment history.
(ii) Medical history.
(iii) Developmental history.
(iv) Family structure and history.
(v) Educational history.
(vi) Social history.
(vii) Trauma history.
(viii) Other relevant clinical
					 information.
(7) The
					 child's, youth's or young adult's level of developmental, cognitive,
					 communicative, social and behavioral functioning across the home, school and
					 other community settings.
(8) The
					 cultural, language or communication needs and preferences of the child, youth
					 or young adult and the parent, legal guardian or caregiver.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › SERVICE PLANNING AND DELIVERY › Section 5240.22 - Individual treatment plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 written ITP shall be completed within 30 days after the initiation of a service
					 and be based on the assessment completed in accordance with §
											5240.21 (relating to
					 assessment).
(b) The ITP must
					 include the recommendations from the licensed professional who completed the
					 written order for IBHS in accordance with §
											1155.32(a)(1)
					 (relating to payment conditions for individual services).
(c) The ITP shall be strength-based with
					 individualized goals and objectives to address the identified therapeutic needs
					 for the child, youth or young adult to function at home, school or in the
					 community.
(d) The ITP must include
					 the following:
(1) Service type and the number
					 of hours of each service.
(2)
					 Whether and how parent, legal guardian or caregiver participation is needed to
					 achieve the identified goals and objectives.
(3) Safety plan to prevent a crisis, a crisis
					 intervention plan and a transition plan.
(4) Specific goals, objectives and
					 interventions to address the identified therapeutic needs with definable and
					 measurable outcomes.
(5) Time
					 frames to complete each goal.
(6)
					 Settings where services may be provided.
(7) Number of hours of service at each
					 setting.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › SERVICE PLANNING AND DELIVERY › Section 5240.23 - Service provision

Current through Register Vol. 54, No. 28, July 13, 2024
(a) IBHS
					 shall be provided in accordance with the child's, youth's or young adult's
					 ITP.
(b) Prior to the completion of
					 the ITP, IBHS can be provided if there is a treatment plan for the individual
					 services, ABA services or group services provided.
(c) IBHS shall be delivered in home or
					 community-based, clinically appropriate settings as identified in the written
					 order and ITP. Group services may also be delivered in a community like
					 setting.
(d) IBHS shall be provided
					 in accordance with the IBHS agency's approved service description under §
											5240.5 (relating to service
					 description).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › DISCHARGE › Section 5240.31 - Discharge

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An IBHS agency
					 may discharge a child, youth or young adult when one of the following occurs:
(1) The child, youth or young adult has
					 completed the goals and objectives in the ITP and no new goals or objectives
					 have been identified.
(2) The
					 child, youth or young adult is not progressing towards the goals identified in
					 the ITP within 180 days from the initiation of service and other clinical
					 services are in place.
(3) The
					 child, youth or young adult requires a more restrictive service to meet the
					 child's, youth's or young adult's needs and other clinical services are in
					 place.
(4) The parent or legal
					 guardian of a child or youth who provided consent to receive services agrees
					 services should be discontinued.
(5) The youth or young adult agrees services
					 should be discontinued.
(6) The
					 child, youth or young adult failed to attend scheduled IBHS for 45 consecutive
					 days without any notification from the youth, young adult or the parent, legal
					 guardian or caregiver of the child or youth. Prior to discharge, the IBHS
					 agency made at least three attempts to contact the youth, young adult or the
					 parent, legal guardian or caregiver to discuss past attendance, ways to
					 facilitate attendance in the future and the potential discharge of the child,
					 youth or young adult for lack of attendance.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › DISCHARGE › Section 5240.32 - Discharge summary

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
					 individual qualified to provide behavior consultation services, mobile therapy
					 services, behavior analytic services or behavior consultation-ABA services
					 shall complete a discharge summary for the child, youth or young adult that
					 includes the following:
(1) Summary of the
					 service outcomes.
(2) Reason for
					 discharge.
(3) Referral for
					 services other than IBHS if needed.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › RECORDS › Section 5240.41 - Individual records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
					 IBHS agency shall maintain a record for each child, youth or young adult it
					 serves that includes the following:
(1)
					 Identifying information.
(2) A
					 written order for IBHS in accordance with §§
												1155.32(a)(1),
					 1155.33(a)(1) or
					 1155.34(a)(1)
					 (relating to payment conditions for individual services; payment conditions for
					 ABA services; and payment conditions for group services).
(3) An assessment and any updates to the
					 assessment in accordance with §§ 5240.21, 5240.85, 5240.95 or
					 5240.102.
(4) Presenting
					 problems.
(5) The ITP and any
					 updates to the ITP in accordance with §§ 5240.22, 5240.86, 5240.96 or
					 5240.102.
(6) A treatment plan if
					 services are being provided prior to the completion of the ITP.
(7) Documentation of any efforts to
					 coordinate care with other services and community supports if needed.
(8) Documentation of each service provided
					 that includes the following:
(i) Date and
					 time services were provided, duration of services and setting where services
					 were provided.
(ii) Identification
					 of the service provided to address a goal in the ITP.
(iii) Description of the outcome of the
					 services provided.
(iv) Signature
					 of the staff person providing the service.
(9) If services are not provided in
					 accordance with the ITP and written order, an explanation of the reason why
					 services were not provided in accordance with the ITP and written
					 order.
(10) Consent to treatment
					 and consent to release information forms.
(11) Discharge summary in accordance with
					 §
												5240.32 (relating to discharge
					 summary).
(12) Documentation of any
					 use of a manual restraint and a description of how the use was in accordance
					 with §
												5240.6 (relating to restrictive
					 procedures), including the following:
(i) The
					 specific behavior addressed.
(ii)
					 The less intrusive methods of intervention used to address the behavior prior
					 to initiating the manual restraint used.
(iii) The specific manual restraint
					 used.
(iv) The name and training of
					 the staff person who used the manual restraint.
(v) The duration of the manual
					 restraint.
(vi) The name of the
					 trained individual who observed the child, youth or young adult during the
					 application of the manual restraint.
(vii) The child's, youth's or young adult's
					 condition following the manual restraint.
(viii) The date and time the manual restraint
					 was used.
(ix) The date and time
					 the treatment team was notified of the use of a manual restraint and the
					 members of the treatment team who were notified.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › RECORDS › Section 5240.42 - Agency records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An
					 IBHS agency shall maintain records that contain the following for at least 4
					 years:
(1) Inspection reports, certifications
					 or licenses issued by State and local agencies.
(2) A detailed agency service description in
					 accordance with §
												5240.5 (relating to service
					 description).
(3) A written
					 emergency plan that includes, at a minimum, a plan for natural disasters,
					 inclement weather and medical emergencies.
(4) Human resources policies and procedures
					 that address the following:
(i) Job
					 descriptions for staff positions.
(ii) Staff work schedules and time
					 sheets.
(iii) Criminal history
					 checks, child abuse certifications and training on and compliance with the
					 mandated reporting requirements in
					 23 Pa.C.S. §§
														6301-6386 (relating to Child Protective
					 Services Law) and 55 Pa. Code Chapter 3490 (relating to protective
					 services).
(5) Written
					 agreements to coordinate services in accordance with §
												5240.7 (relating to coordination
					 of services).
(6) Daily schedules
					 for group services if providing group services.
(7) Quality improvement plan in accordance
					 with §
												5240.61 (relating to quality
					 improvement requirements).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › RECORDS › Section 5240.43 - Record retention and disposal

Current through Register Vol. 54, No. 28, July 13, 2024
An IBHS agency shall ensure that records that contain
						protected health information, both written and electronic, are secured,
						maintained and disposed of in accordance with applicable Federal and State
						privacy and confidentiality statutes and regulations.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › NONDISCRIMINATION › Section 5240.51 - Nondiscrimination

Current through Register Vol. 54, No. 28, July 13, 2024
An IBHS agency may not discriminate against staff or
						children, youth or young adults receiving services on the basis of race, color,
						creed, disability, religious affiliation, ancestry, gender, gender identity or
						expression, sexual orientation, national origin or age, and shall comply with
						applicable Federal and State statutes and regulations.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › QUALITY IMPROVEMENT › Section 5240.61 - Quality improvement requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An IBHS agency shall establish and
					 implement a written quality improvement plan that meets the following
					 requirements:
(1) Provides for an annual
					 review of the quality, timeliness and appropriateness of services that includes
					 the following:
(i) Review of individual
					 records.
(ii) Review of individual
					 and family satisfaction information.
(iii) Assessment of the outcomes of services
					 delivered and if ITP goals have been completed.
(iv) Evaluation of compliance with the
					 agency's approved service description and licensure requirements in this
					 chapter.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › INDIVIDUAL SERVICES › Section 5240.71 - Staff qualifications for individual services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Except as set forth in subsection (b),
					 individuals who provide individual services through behavior consultation
					 services must meet one of the following:
(1)
					 Be licensed in this Commonwealth as a behavior specialist.
(2) Have a certification as a BCBA or other
					 graduate-level certification in behavior analysis that is accredited by the
					 National Commission for Certifying Agencies or the American National Standards
					 Institute.
(3) Have a graduate
					 degree in ABA from a college or university accredited by an agency recognized
					 by the United States Department of Education or the Council for Higher
					 Education Accreditation or have an equivalent degree from a foreign college or
					 university that has been evaluated by the Association of International
					 Credential Evaluators, Inc. or the National Association of Credential
					 Evaluation Services. The Department will accept a general equivalency report
					 from the listed evaluator agencies to verify a foreign degree or its
					 equivalency.
(4) Have a minimum of
					 1 year of full-time experience in providing mental health direct services to
					 children, youth or young adults and a graduate degree in psychology, social
					 work, education, or counseling from a college or university accredited by an
					 agency recognized by the United States Department of Education or the Council
					 for Higher Education Accreditation or an equivalent degree from a foreign
					 college or university that has been evaluated by the Association of
					 International Credential Evaluators, Inc. or the National Association of
					 Credential Evaluation Services. The Department will accept a general
					 equivalency report from the listed evaluator agencies to verify a foreign
					 degree or its equivalency.
(5)
					 Completed a clinical or mental health direct service practicum and have a
					 graduate degree in psychology, social work, education, counseling or a related
					 field from a college or university accredited by an agency recognized by the
					 United States Department of Education or the Council for Higher Education
					 Accreditation or have an equivalent degree from a foreign college or university
					 that has been evaluated by the Association of International Credential
					 Evaluators, Inc. or the National Association of Credential Evaluation Services.
					 The Department will accept a general equivalency report from the listed
					 evaluator agencies to verify a foreign degree or its equivalency.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › INDIVIDUAL SERVICES › Section 5240.72 - Supervision of staff who provide individual services

Current through Register Vol. 54, No. 28, July 13, 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.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › INDIVIDUAL SERVICES › Section 5240.73 - Training requirements for staff who provide individual services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An IBHS agency
					 that provides individual services shall ensure that staff complete initial and
					 annual training requirements.
(b)
					 An individual who provides behavior consultation services or mobile therapy
					 services shall complete at least 16 hours of Department-approved training
					 annually that is related to the individual's specific job functions and is in
					 accordance with the individual training plan required under §
											5240.13 (relating to staff
					 training plan).
(c) If the
					 individual has not previously provided BHT services, the individual shall
					 complete at least 30 hours of Department-approved training prior to providing
					 services independently that includes the following topics:
(1) Sections 6301-6386 of 23 Pa.C.S.
					 (relating to Child Protective Services Law) and mandated reporting
					 requirements.
(2) Crisis
					 intervention skills, including risk management, de-escalation techniques and
					 safety planning.
(3) Behavior
					 management skills and coaching.
(4)
					 Child and adolescent development.
(5) Overview of serious emotional disturbance
					 and other behavioral and psychosocial needs of the children, youth and young
					 adults with whom the individual works.
(6) Professional ethics, conduct and
					 confidentiality.
(7) First aid,
					 universal precautions and safety.
(8) Psychotropic medications, including
					 common side effects.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › INDIVIDUAL SERVICES › Section 5240.74 - Individual services initiation requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An IBHS agency shall provide individual
					 services to a child, youth or young adult in accordance with a written order
					 under §
											1155.32(a)(1)
					 (relating to payment conditions for individual services).
(b) Prior to the initiation of individual
					 services, the IBHS agency shall obtain written consent to receive the
					 individual services identified in the written order from the youth, young adult
					 or parent or legal guardian of a child or youth.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › INDIVIDUAL SERVICES › Section 5240.75 - Individual services provision

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Behavior consultation services consist of
					 clinical direction of services to a child, youth or young adult; development
					 and revision of the ITP; oversight of the implementation of the ITP and
					 consultation with a child's, youth's or young adult's treatment team regarding
					 the ITP.
(b) Mobile therapy
					 services consist of individual therapy, family therapy, development and
					 revision of the ITP, assistance with crisis stabilization and assistance with
					 addressing problems the child, youth or young adult has encountered.
(c) BHT services consist of implementing the
					 ITP.
(d) An individual who provides
					 BHT services may not provide interventions requiring skills, experience,
					 credentials or licensure that the individual does not possess.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › APPLIED BEHAVIOR ANALYSIS › Section 5240.81 - Staff qualifications for ABA services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An administrative director of an IBHS
					 agency that provides ABA services shall meet one of the following:
(1) Have a bachelor's degree in ABA,
					 psychology, social work, counseling, education, public administration, business
					 administration or related field from a college or university accredited by an
					 agency recognized by the United States Department of Education or the Council
					 for Higher Education Accreditation or an equivalent degree from a foreign
					 college or university that has been evaluated by the Association of
					 International Credential Evaluators, Inc. or the National Association of
					 Credential Evaluation Services. The Department will accept a general
					 equivalency report from the listed evaluator agencies to verify a foreign
					 degree or its equivalency.
(2) The
					 qualifications for a clinical director in subsection (b).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › APPLIED BEHAVIOR ANALYSIS › Section 5240.82 - Supervision of staff who provide ABA services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An individual who meets the
					 qualifications of a clinical director shall provide the following supervision
					 to individuals who provide behavior analytic services and behavior
					 consultation-ABA 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
					 skills in implementing the interventions in the ITP.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › APPLIED BEHAVIOR ANALYSIS › Section 5240.83 - Training requirements for staff who provide ABA services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An IBHS agency
					 that provides ABA services shall ensure that all staff complete initial and
					 annual training requirements.
(b)
					 An individual who provides behavior analytic services or behavior
					 consultation-ABA services shall complete at least 16 hours of training annually
					 that is approved by the Department or provided by a continuing education
					 provider approved by the Behavior Analyst Certification Board that is related
					 to the individual's specific job functions and is in accordance with the
					 individual training plan required under §
											5240.13 (relating to staff
					 training plan).
(c) An individual
					 who provides assistant behavior consultation-ABA services shall complete the
					 following:
(1) If the individual does not
					 have a certification as a BCBA, BCaBA, BCAT or other graduate or undergraduate
					 certification in behavior analysis that is accredited by the National
					 Commission for Certifying Agencies or the American National Standards
					 Institute, at least 20 hours of training related to ABA that is approved by the
					 Department or provided by a continuing education provider approved by the
					 Behavior Analyst Certification Board before independently providing ABA
					 services to a child, youth or young adult.
(2) At least 20 hours of training annually
					 that is approved by the Department or provided by a continuing education
					 provider approved by the Behavior Analyst Certification Board that is related
					 to the individual's specific job functions and is in accordance with the
					 individual training plan required under § 5240.13.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › APPLIED BEHAVIOR ANALYSIS › Section 5240.84 - ABA services initiation requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An IBHS agency shall provide ABA services
					 to a child, youth or young adult in accordance with a written order under
					 §
											1155.33(a)(1)
					 (relating to payment conditions for ABA services).
(b) Prior to the initiation of ABA services,
					 the IBHS agency shall obtain written consent to receive the ABA services
					 identified in the written order from the youth, young adult or parent or legal
					 guardian of a child or youth.
This section cited in 55 Pa. Code §
													5240.97 (relating to group
						  services provision); and 55 Pa. Code §
													5240.98 (relating to requirements
						  for group services in school
						  settings).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › APPLIED BEHAVIOR ANALYSIS › Section 5240.85 - Assessment

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Within 30 days
					 of the initiation of ABA services and prior to completing the ITP, a
					 face-to-face assessment shall be completed for the child, youth or young adult
					 by an individual qualified to provide behavior analytic services or behavior
					 consultation-ABA services.
(b) The
					 assessment shall be completed in collaboration with the child, youth, young
					 adult or parent, legal guardian or caregiver of the child or youth, as
					 appropriate.
(c) The assessment
					 shall be individualized and include the following:
(1) The strengths and needs across
					 developmental and behavioral domains of the child, youth or young
					 adult.
(2) The strengths and needs
					 of the family system in relation to the child, youth or young adult.
(3) Existing and needed natural and formal
					 supports.
(4) Clinical information
					 that includes the following:
(i) Survey data
					 gathered from a parent, legal guardian or caregiver.
(ii) Treatment history.
(iii) Medical history.
(iv) Developmental history.
(v) Family structure and history.
(vi) Educational history.
(vii) Social history.
(viii) Trauma history.
(ix) Adaptive skills assessment.
(x) Other relevant clinical
					 information.
(5)
					 Completion of standardized behavioral assessment tools as needed.
(6) Compilation of observational data to
					 identify developmental, cognitive, communicative, behavioral and adaptive
					 functioning across the home, school and other community settings.
(7) Identification and analysis of skill
					 deficits, targeted behaviors or both, in measurable terms to address
					 needs.
(8) The cultural, language
					 or communication needs and preferences of the child, youth or young adult and
					 the parent, legal guardian or caregiver.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › APPLIED BEHAVIOR ANALYSIS › Section 5240.86 - Individual treatment plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 written ITP shall be completed by an individual qualified to provide behavior
					 analytic services or behavior consultation-ABA services within 45 days after
					 the initiation of ABA services and be based on the assessment completed in
					 accordance with §
											5240.85 (relating to
					 assessment).
(b) The ITP must
					 include the recommendations from the licensed professional who completed the
					 written order for ABA services in accordance with §
											1155.33(a)(1)
					 (relating to payment conditions for ABA services).
(c) The ITP must be strength-based with
					 individualized goals and objectives to address the identified skill deficits,
					 targeted behaviors or both for the child, youth or young adult to function at
					 home, school or in the community.
(d) The ITP must include the following:
(1) Service type and number of hours of each
					 service.
(2) Specific measurable
					 long, intermediate and short-term goals and objectives to address socially
					 significant behaviors, skill deficits or both.
(3) Delineation of the frequency of baseline
					 behaviors, the treatment planned to address behaviors, skill deficits or both,
					 and the frequency at which the child's, youth's or young adult's progress in
					 achieving each goal is measured.
(4) Time frames to complete each
					 goal.
(5) Whether and how parent,
					 legal guardian or caregiver training, support and participation is needed to
					 achieve the identified goals and objectives.
(6) ABA interventions that are tailored to
					 achieving the child's, youth's or young adult's goals and objectives.
(7) Settings where services may be
					 provided.
(8) Number of hours of
					 service at each setting.
(9) Safety
					 plan to prevent a crisis, a crisis intervention plan and a transition
					 plan.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › APPLIED BEHAVIOR ANALYSIS › Section 5240.87 - ABA services provision

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Behavior analytic services and behavior consultation-ABA services consist of
					 clinical direction of services to a child, youth or young adult; development
					 and revision of the ITP; oversight of the implementation of the ITP and
					 consultation with a child's, youth's or young adult's treatment team regarding
					 the ITP.
(b) In addition to the
					 services listed in subsection (a), behavior analytic services include
					 functional analysis.
(c) Assistant
					 behavior consultation-ABA services consist of assisting an individual who
					 provides behavior analytic services or behavior consultation-ABA services and
					 providing face-to-face behavioral interventions.
(d) BHT-ABA services consist of implementing
					 the ITP.
(e) An individual who
					 provides assistant behavior consultation-ABA services and BHT-ABA services may
					 not provide interventions requiring skills, experience, credentials or
					 licensure that the individual does not possess.
This section cited in 55 Pa. Code §
													5240.97 (relating to group
						  services provision); and 55 Pa. Code §
													5240.98 (relating to requirements
						  for group services in school
						  settings).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › GROUP SERVICES › Section 5240.91 - Staff requirements and qualifications for group services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) In addition to
					 the staff required under §
											5240.11 (relating to staff
					 requirements), an IBHS agency that provides group services shall have a
					 graduate-level professional who meets one of the following qualifications:
(1) The qualifications to provide behavior
					 consultation services in §
												5240.71(a) 
					 (relating to staff qualifications for individual services).
(2) The qualifications to provide mobile
					 therapy services in § 5240.71(c).
(3) The qualifications to provide behavior
					 analytic services in §
												5240.81(d)
					 (relating to staff qualifications for ABA services).
(4) The qualifications to provide behavior
					 consultation-ABA services in § 5240.81(e).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › GROUP SERVICES › Section 5240.92 - Supervision of staff who provide group services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An individual who meets the
					 qualifications of a clinical director shall provide the following supervision
					 to a graduate-level professional:
(1) One
					 hour of individual face-to-face supervision per month that includes oversight
					 of the following:
(i) The specific
					 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.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › GROUP SERVICES › Section 5240.93 - Training requirements for staff who provide group services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An IBHS agency
					 that provides group services shall ensure that staff complete initial and
					 annual training requirements.
(b) A
					 graduate-level professional who is qualified to provide behavior consultation
					 services in accordance with §
											5240.71(a)
					 (relating to staff qualifications for individual services) shall complete the
					 annual training requirements included in §
											5240.73(b), (g) and
					 (h) (relating to training requirements for
					 staff who provide individual services).
(c) A graduate-level professional who is
					 qualified to provide mobile therapy services in accordance with §
											5240.71(c) shall
					 complete the training required by § 5240.73(b), (g) and (h).
(d) A graduate-level professional who is
					 qualified to provide behavior analytic services or behavior consultation-ABA
					 services in accordance with §
											5240.81(d) or (e)
					 (relating to staff qualifications for ABA services) shall complete the training
					 required by §
											5240.83(b), (e) and
					 (f) (relating to training requirements for
					 staff who provide ABA services).
(e) An individual who meets the
					 qualifications to provide BHT services in accordance with §
											5240.71(d) shall
					 complete the training required by § 5240.73(c)-(h).
(f) An individual who meets the
					 qualifications to provide BHT-ABA services in accordance with §
											5240.81(g) shall
					 complete the training required by §
											5240.83(d)-(f).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › GROUP SERVICES › Section 5240.94 - Group services initiation requirements

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An IBHS agency shall provide group
					 services to a child, youth or young adult in accordance with a written order
					 under §
											1155.34(a)(1)
					 (relating to payment conditions for group services).
(b) Prior to the initiation of group
					 services, the IBHS agency shall obtain written consent to receive the group
					 services identified in the written order from the youth, young adult or parent
					 or legal guardian of a child or youth.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › GROUP SERVICES › Section 5240.95 - Assessment

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A face-to-face
					 assessment shall be completed by a graduate-level professional for a child,
					 youth or young adult within 15 days of the initiation of group services in
					 accordance with §
											5240.21(b)-(d) and
					 (f) (relating to assessment) and prior to
					 completing the ITP.
(b) The
					 assessment shall be reviewed and updated in accordance with §
											5240.21(e) and
					 (f).
This section cited in 55 Pa. Code §
													1155.34 (relating to payment
						  conditions for group services); 55 Pa. Code §
													5240.41 (relating to individual
						  records); 55 Pa. Code §
													5240.96 (relating to individual
						  treatment plan); and 55 Pa. Code §
													5240.102 (relating to assessment
						  and individual treatment plan).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › GROUP SERVICES › Section 5240.96 - Individual treatment plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 written ITP shall be completed by a graduate-level professional within 30 days
					 after the initiation of group services and be based on the assessment completed
					 in accordance with §
											5240.95 (relating to
					 assessment).
(b) The ITP must
					 include the recommendations from the licensed professional who completed the
					 written order for group services in accordance with §§
											1155.32(a)(1) and
					 1155.34(a)(1) 
					 (relating to payment conditions for individual services; and payment conditions
					 for group services).
(c) The ITP
					 shall be strength-based with individualized goals and objectives to address the
					 identified therapeutic needs for the child, youth or young adult to function at
					 home, school or in the community.
(d) The ITP must include the following:
(1) Specific goals and objectives to address
					 the identified therapeutic needs with definable and measurable
					 outcomes.
(2) Whether and how
					 parent, legal guardian or caregiver participation is needed to achieve the
					 identified goals and objectives.
(3) Structured therapeutic activities,
					 community integration activities and individual interventions to address
					 identified therapeutic needs for the child, youth or young adult to function at
					 home, school or in the community.
(4) Time frames to complete each
					 goal.
(5) Settings where group
					 services may be provided.
(6)
					 Number of hours that group services will be provided to the child, youth or
					 young adult.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VII - Mental Health Manual › Subpart D - Nonresidential Agencies/Facilities/Services › Chapter 5240 - INTENSIVE BEHAVIORAL HEALTH SERVICES › GROUP SERVICES › Section 5240.97 - Group services provision

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 graduate-level professional may provide individual, group and family
					 psychotherapy; design of psychoeducational group activities; clinical direction
					 of services to a child, youth or young adult; create and revise the ITP;
					 oversee implementation of the ITP and consult with the child's, youth's or
					 young adult's treatment team regarding the ITP.
(b) An individual who meets the
					 qualifications to provide BHT services or BHT-ABA services may assist with
					 conducting group psychotherapy, facilitate psychoeducational group activities
					 and implement the child's, youth's or young adult's ITP.
(c) Group services shall be structured to
					 address the goals and objectives identified in the child's, youth's or young
					 adult's ITP.
(d) Group services can
					 be provided in a school, community setting or community like setting.
(e) An IBHS agency that provides group
					 services and ABA services shall also comply with §§
											5240.81-5240.87 (relating to applied
					 behavior analysis).
(f) A
					 graduate-level professional shall be present while group services are being
					 provided.