N.J. Admin. Code § 10:77A-2.4

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:77A-2.4 - Staff training

(a) All providers shall comply with the general training requirements prescribed by the Division of Mental Health and Addiction Services (DMHAS) at N.J.A.C. 10:37D-2.14.

(b) In addition to the general training requirements at N.J.A.C. 10:37D-2.14, each provider shall develop, update, and administer a comprehensive, competency-based training program for individuals providing adult mental health residential services. Competency-based training programs involve measurable skill development and demonstrated, documented evidence of employee skill attainment. Training in CPR and First Aid shall be provided by an American Heart Association (AHA) or Red Cross certified trainer, which, upon successful completion of the training, issues a certificate to the employee confirming that competency was achieved. The DMHAS will be responsible for monitoring the provider's training programs. The following topics, at a minimum, shall be included in the training curriculum:

1. Overview to adult mental health rehabilitation services, including, but not limited to:

i. Psychiatric rehabilitation;

ii. Resident populations;

iii. Working with persons with mental illness;

iv. Continuum of care and discharge orientation;

v. Professional ethics and boundaries; and

vi. Confidentiality;

2. Emergency preparedness, including, but not limited to:

i. CPR/first aid;

ii. The Heimlich maneuver/abdominal thrusts;

iii. Crisis prevention and management; and

iv. Infection control;

3. Medication/clinical issues, including:

i. Policies and procedures for distribution and facilitation of the administration of prescription and non-prescription medication;

ii. Classes of medication, therapeutic objectives, side effects, and interactions, including documentation and reporting of side effects to appropriate medical professional;

iii. Facilitation of proper administration techniques, including dispensing and observation; and

iv. Clinical communication, including how to report symptoms when encountering problematic medical/clinical situations and pertinent information to share with medical providers during emergencies;

4. Substance abuse issues in conjunction with mental illness;

5. Suicide prevention, including, but not limited to, risk factors and warning signs;

6. Activities of daily living and personal care management, including, but not limited to:

i. Personal hygiene;

ii. Food preparation and nutrition;

iii. Household maintenance, laundry, budgeting; and

iv. Monitoring of prescribed individual eating modifications; and

7. Documentation, including, but not limited to:

i. Daily attendance logs where applicable (for programs reimbursed on a per day basis);

ii. Daily recording of nature of services rendered, including the total number of units of service provided;

iii. Weekly progress notes; and

iv. Objective versus subjective recording of information.

(c) All individuals who provide AMHR services, other than a psychiatrist, regardless of credentials, shall have completed the training required by (a) and (b) above in order for their service time to be counted toward the minimum service requirements necessary for Medicaid/NJ FamilyCare reimbursement.

(d) Individuals who are delivering services who have not completed the required training shall not deliver services alone. Such individuals shall be supervised by, and shall deliver the services in conjunction with, a trained person who is on-site and provides in-person supervision.

N.J. Admin. Code § 10:77A-2.4

Amended by 49 N.J.R. 201(b), effective 1/17/2017