Rhode Island Code of Regulations › Title 214 - DEPARTMENT OF CHILDREN, YOUTH AND FAMILIES › Chapter 40 - Licensing › Subchapter 00 - N/A › Part 5 - Child Placing Regulations (214-RICR-40-00-5) › Section 214-RICR-40-00-5.9 - ADDITIONAL REGULATIONS FOR ALTERNATIVE TREATMENT PROGRAMS

Current through June 14, 2024
A. A program shall formulate and follow a
				 written policy statement describing its philosophy of treatment, treatment
				 goals and performance objectives for the children it purports to serve, as well
				 as the geographic area to be served. The extent and mix of professional
				 services utilized by a program shall correlate with its policy
				 statement.
B. Child care staff
				 shall function as the provider of services or as the service coordinator for
				 each child assigned to him/her in accordance with the treatment plan.
C. Child care staff shall provide intensive
				 supervision and support for no more than four (4) children at one
				 time.
D. Child care staff shall
				 receive supervision from a credentialed clinical worker(s) a minimum of one (1)
				 hour per week.
E. Direct child care
				 staff shall participate in the development of the initial service plan and in
				 subsequent clinical reviews conducted quarterly.
F. Child care staff shall receive in-service
				 training in, at minimum, the following areas: interviewing, child and family
				 counseling, psychological interventions, problem management, including
				 techniques of passive physical restraint, the effects of psychotropic
				 medications, group work techniques with children, and networking of mental
				 health, educational and community resources. This training shall be at least
				 twenty (20) hours annually and staff participation shall be
				 documented.
G. The following
				 professionals shall be employed as staff or retained as consultants to the
				 program: psychiatrist, clinical psychologist, clinical social worker, and
				 education specialist. Professionals filling these positions shall meet national
				 standards or state certification requirements. Program files shall contain the
				 credentials of these staff and shall include written contracts for consultants,
				 including itemized descriptions of services provided as well as actual service
				 hours rendered on an annual basis by each consultant.
H. Professional staff, as delineated in
				 §
										5.8(B)(7)     of
				 this Part above, shall participate in each child's service plan and in
				 quarterly clinical reviews. Respective reports and recommendations of staff
				 shall be documented in the child's case record.
I. Where appropriate, and in accordance with
				 the program's written philosophy and goals, professional staff, as delineated
				 in §
										5.8(B)(7)     of
				 this Part above, shall provide direct clinical or educational services to
				 children in care.
J. Professional
				 clinical staff, as delineated in §
										5.8(B)(7)     of
				 this Part above, shall provide not less than one (1) hour of supervision
				 monthly for each clinical supervisor and child care supervisor.
K. A program shall maintain a continuous
				 written log of all staff, their respective job positions and staffing
				 ratios.
L. A purchase of service
				 agreement shall be signed by both the program and the purchasing agency in
				 which, at minimum, is included: the services to be provided by the program, the
				 conditions of payment and the financial agreement between the
				 parties.
M. The program shall have
				 written procedures concerning staff responsibilities in the event of a medical
				 emergency.
N. The program shall
				 provide staff with knowledge of rudimentary first aid procedures and of
				 appropriate medical resources in the community.