N.M. Code R. § 7.20.11.27

Current through Register Vol. 35, No. 16, August 27, 2024

Section 7.20.11.27 - DAY TREATMENT SERVICES

A. Day treatment services as defined herein are provided in a school or other community setting and are distinct from partial hospitalization servicesprovided in a psychiatric hospital. Education services are provided through the public school system or through a New Mexico accredited private school in coordination with the day treatment services.

B. Personnel:

(1) Direct service staff may be unlicensed or uncertified paraprofessionals such as teacher aides, mental health workers, psychiatric technicians or similar direct service workers. At least one staff member who has received all training required in 27.B (a) through (f) is present during program hours. The direct service staff receives documented clinical supervision for a minimum of two hours per month. The agency's direct service staff must have at least a high school education or GED and 20 hours of documented pre-service training, including, but not limited to crisis management/intervention, behavior management, and emergency procedures, that include current CPR and first aid certificates. Within 90 days of hire, the staff will receive an additional 20 hours of documented training, including but not be limited to:

(a) etiology and symptoms of emotional disturbances and neurobiological disorders;

(b) family systems;

(c) basic communication and problem solving skills;

(d) child and adolescent development;

(e) issues related to ethnic and cultural considerations of the clients served; and

(f) action and potential side effects of medications.

(2) Clinical director:

(a) Clinical director qualifications: The clinical director possesses one of the following New Mexico licenses; physician (physicians must be board-certified in psychiatry or eligible to attain such certification), psychologist, licensed independent social worker (LISW), licensed master social worker (LMSW), clinical nurse specialist in child psychiatric nursing, registered nurse (RN) with a master's degree in psychiatric nursing, licensed professional clinical mental health counselor (LPCC), licensed marriage and family therapist (LMFT), or licensed independent school psychologist.

(b) In addition to having one of the above licenses, the clinical director is required to have a minimum of two years of experience in clinical practice with children, adolescents and families.

(c) Clinical director responsibilities: The responsibilities of the clinical director are to provide clinical oversight of the services, as well as to provide supervision, support, and consultation to all agency direct service staff.

(3) Clinical supervisor:

(a) Clinical supervisor qualifications: The clinical supervisor possesses one of the following New Mexico licenses: physician (physicians must be board-certified in psychiatry or eligible to attain such certification), psychologist, licensed independent social worker (LISW), clinical nurse specialist in child psychiatric nursing, registered nurse (RN) with a master's degree in psychiatric nursing, licensed professional clinical mental health counselor (LPCC), licensed marriage and family therapist (LMFT), or licensed independent school psychologist.

(b) In addition to having one of the above licenses, the clinical supervisor is required to have a minimum of two years of experience in clinical practice with children, adolescents and families.

(4) Therapist: Therapist qualifications: The therapist possesses one of the following New Mexico licenses: Physician (physicians must be board-certified in psychiatry or eligible to attain such certification), psychologist, licensed independent social worker (LISW), licensed master social worker (LMSW), clinical nurse specialist in child psychiatric nursing, registered nurse (RN) with a master's degree in psychiatric nursing, licensed professional clinical mental health counselor (LPCC), licensed marriage and family therapist (LMFT), licensed independent school psychologist, licensed professional mental health counselor (LPC), licensed professional art therapist (LPAT), licensed entry level school psychologist, or licensed mental health counselor (LMHC).

C. Services:

(1) Assessment and treatment planning conform to Section 23 of these certification requirements.

(2) The agency provides adequate care and continuous supervision of the client at all times in accordance with the client's developmental and clinical needs.

(3) The structured program of care is scheduled for a minimum of four hours per day, two to five days per week based on the acuity and the clinical needs of the client and family. The agency provides the following, pursuant to the client's treatment plan:

(a) individual, family, group or other therapy, in whatever combination is appropriate to meet the needs of the client;

(b) other services as provided in the treatment plan;

(c) development of life skills activities;

(d) crisis intervention;

(e) therapeutic recreation, when indicated by the child's needs;

(f) documentation of services provided, and of the client's progress or lack thereof on each day that service is provided.

(4) The agency documents that:

(a) the child has access to the appropriate educational services;

(b) the child has opportunities for involvement in community, social, athletic and recreational programs;

(c) the child has opportunities to pursue personal, ethnic or cultural interests; and

(d) advance schedules are posted for structured and supervised activities which include individual, group and family therapy, and other planned activities appropriate to the age, behavioral and emotional needs of the client pursuant to the treatment plan.

(5) The agency maintains a written agreement with the public school district or private school so that appropriate educational services are provided to clients in the day treatment services program.

N.M. Code R. § 7.20.11.27

7.20.11.27 NMAC - Rp 7 NMAC 20.11.26, 03/29/02