14 CRR-NY 819.7NY-CRR

STATE COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 14. DEPARTMENT OF MENTAL HYGIENE
CHAPTER XXI. OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES
PART 819. CHEMICAL DEPENDENCE RESIDENTIAL SERVICES
14 CRR-NY 819.7
14 CRR-NY 819.7
819.7 General staffing.
(a) Staff may be either specifically assigned to the chemical dependence residential service or may be part of the staff of the facility within which the chemical dependence residential service is located. However, if these staff members are part of the general facility staff, they must have specific training and experience in the treatment of chemical use, abuse and dependence specific to the services provided. The percentage of time that each shared staff is assigned to the chemical dependence residential service must be documented.
(b) Each residential program must provide clinical supervision and ensure and document that all clinical staff have a training plan based on individual employee needs. Such training may be provided directly or through outside arrangements and must be provided at least every three years. Training must be ongoing and documented in each employee's personnel record. Training may include, but is not limited to, the following areas:
(1) chemical dependence;
(2) individual, group and family counseling;
(3) child abuse and domestic violence;
(4) therapies and other activities supportive of recovery;
(5) co-occurring disorders;
(6) communicable diseases such as tuberculosis, sexually transmitted diseases, hepatitis, HIV/AIDS;
(7) infection control procedures;
(8) clinical supervision;
(9) quality improvement;
(10) vocational rehabilitation and employment preparation services;
(11) cultural diversity and cultural competence;
(12) tobacco dependence;
(13) problem gambling; and
(14) community based recovery supports and services.
(c) All chemical dependence residential services shall identify a clinical supervisor who shall be responsible for the day-to-day clinical operation of each residence and provide routine supervision for the staff. The clinical supervisor shall be a qualified health professional with at least three years of administrative and clinical experience in chemical dependence residential services.
(d) All chemical dependence residential services shall have sufficient clinical staff who have received training in, and are designated by the clinical supervisor to perform, the following tasks:
(1) evaluation of resident needs, development and implementation of individualized treatment/service plans for each resident, including individual, group and family counseling;
(2) participation with staff and, as necessary, other services and agencies to assure the development, management and implementation of comprehensive services for each resident, reflecting both chemical dependence issues and other habilitation or rehabilitation needs; and
(3) preparation and maintenance of case records for each individual resident.
(e) At least 25 percent of all clinical staff members shall be qualified health professionals. For three years following the effective date of this Part, when determining the number of qualified health professionals pursuant to the foregoing, a residential service may count all of the qualified health professionals that are employed by, or at the direction of, the residential service at all of the residential service's facilities located within the State of New York, including Public Health Law, article 28 facilities. Individuals who have completed a minimum of 350 education and training clock hours in the areas required by Part 853 of this Title governing credentialed alcoholism and substance abuse counselors, as well as individuals who have completed a minimum of 4,000 hours of appropriate work experience and a minimum of 85 clock hours of education and training related to knowledge of alcoholism and substance abuse as required by Part 853 of this Title governing credentialed alcoholism and substance abuse counselors, may be counted towards satisfying the 25-percent requirement provided that such individuals, also known as CASAC Trainees, may not be considered qualified health professionals for any purpose under this Part. Notwithstanding the foregoing, during the three-year period following the effective date of this Part, each residential service shall have sufficient qualified health professional staffing levels to meet the requirements of this Part which mandate that certain duties be performed by, under the supervision of, or at the direction of, a qualified health professional.
(f) Each residential service shall have a qualified individual designated as the health coordinator who will ensure the provision of education, risk reduction, counseling and referral services to all residents regarding HIV and AIDS, tuberculosis, hepatitis, sexually transmitted diseases, and other communicable diseases.
(g) There shall be sufficient staff available to ensure that the space and equipment of the service is clean and maintained in working order to minimize the need for treatment staff to perform nontreatment functions and to optimize operational efficiency.
(h) Clinical staff members who are not qualified health professionals shall have qualifications appropriate to their assigned responsibilities as set forth in the service's personnel policies and shall be subject to appropriate professional staff supervision and continuing education and training.
(i) In addition to staffing requirements of this Part, a residential service may utilize volunteers, students or trainees, on a salaried or nonsalaried basis if such volunteers, students or trainees are provided close professional staff supervision and necessary didactic education from both internal and external sources.
14 CRR-NY 819.7
Current through May 31, 2021
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