Rhode Island Code of Regulations › Title 212 - Department of Behavioral Healthcare, Developmental Disabilities and Hospitals › Chapter 10 - Licensing and General Administration › Subchapter 10 - Behavioral Healthcare Organizations › Part 1 - Rules and Regulations for Behavioral Healthcare Organizations › Section 212-RICR-10-10-1.6 - Services and Programs

Current through June 14, 2024
A. All
				  organizations licensed by the Department to provide services and programs shall
				  have staff with appropriate training, education, experience, credentials and
				  licenses to deliver the services and programs covered in this Part.
B. Direct Service Staff
1. All staff providing direct services in
				  licensed behavioral health organizations who are not licensed independent
				  practitioners will receive clinical supervision by a supervisor who meets the
				  qualifications in §
											1.6(C)     of this Part.
2. Hours of supervision will be pro-rated for
				  actual hours worked each month.
3.
				  Licensed staff - all professionally licensed staff, including Licensed
				  Practical Nurses (L.P.N.s), who provide a clinical or medical service, and are
				  not independent practitioners, except nurses in an OTP who have no counseling
				  responsibilities, shall receive supervision on a regular and predictable
				  schedule that occurs at least monthly with preference for a minimum of four (4)
				  hours of clinical supervision per month (pro-rated for part-time clinicians),
				  that shall consist of no less than one (1) hour of individual supervision. Each
				  month the remaining three (3) hours of clinical supervision may be in a group
				  setting.
a. L.P.N.s must be supervised on an
				  ongoing basis by a person licensed in the State of Rhode Island as a Registered
				  Nurse (R.N.), an Advanced Practice Registered Nurse (A.P.R.N.), or a physician.
				  Dates and times of supervision of an L.P.N. by any of the professionals listed
				  in this subparagraph must be documented and maintained by the
				  organization.
b. All L.P.N.s must
				  have the knowledge and skill level commensurate with education and clinical
				  expertise within the scope of work. L.P.N.s must have the required trainings
				  and certifications to perform the work responsibilities at the level of
				  practice for which they are hired or are currently employed.
4. Staff without a license - All
				  direct service staff who do not have a professional license, except those who
				  work the third (3rd) shift in a residential program, shall receive supervision
				  on a regular and predictable schedule that occurs at least monthly with
				  preference for a minimum of four (4) hours of clinical supervision per month
				  (pro-rated for part-time direct service staff) of which at least two (2) hours
				  shall be individual clinical supervision. Each month the remaining two (2)
				  hours of documented clinical supervision may be in a group setting. The
				  supervision must be provided by a supervisor who meets the qualifications in
				  §
											1.6(C)     of this Part below.
5. Direct service staff who work the third
				  (3rd) shift in a residential program shall receive a minimum of one (1) hour of
				  clinical supervision each month, at least thirty (30) minutes of which shall be
				  individual clinical supervision. The supervision must be provided by a
				  supervisor who meets the qualifications in §
											1.6(C)     of this Part
				  below.
6. All clinical supervision
				  shall relate to the service the staff person is providing and shall be
				  documented.