§ 5240.72. Supervision of staff who provide individual services.
(a) An individual who meets the qualifications of a clinical director shall provide the following supervision to individuals who provide behavior consultation services and mobile therapy services:
(1) One hour of individual face-to-face supervision per month that includes oversight of the following:
(i) The interventions being implemented.
(ii) The child’s, youth’s or young adult’s progress towards the goals of the ITP.
(iii) Consideration of adjustments needed to the ITP.
(iv) The staff person’s skill in implementing the interventions in the ITP.
(2) If the individual who provides behavior consultation services or mobile therapy services supervises an individual who provides BHT services, the individual shall receive an additional hour of face-to-face supervision per month that includes a discussion of the BHT services being provided.
(3) Thirty minutes of direct observation of services being provided every 6 months.
(b) An individual who meets the qualifications of a clinical director or is qualified to provide behavior consultation services or mobile therapy services shall provide the following supervision to individuals who provide BHT services:
(1) One hour of supervision each week if the individual who provides BHT services works at least 37.5 hours per week or 1 hour of supervision two times a month if the individual who provides BHT services works less than 37.5 hours a week. An individual who provides BHT services must receive 1 hour of individual face-to-face supervision each month.
(2) If the individual has not previously provided BHT services, 6 hours of onsite supervision during the provision of services to a child, youth or young adult prior to providing services independently.
(3) One hour of direct observation of the provision of individual services to a child, youth or young adult during the implementation of the ITP every 4 months, unless the individual meets the qualifications to provide BHT services included in § 5240.71(d)(5) (relating to staff qualifications for individual services). If the individual meets the qualifications to provide BHT services included in § 5240.71(d)(5), the individual shall receive 1 hour of direct observation of the provision of individual services to a child, youth or young adult during the implementation of the ITP every 2 months.
(4) The supervision must include oversight of the following:
(i) The interventions being implemented.
(ii) The child’s, youth’s or young adult’s progress towards the goals of the ITP.
(iii) Consideration of adjustments needed to the ITP.
(iv) The staff person’s skills in implementing the interventions in the ITP.
(c) An individual may supervise a maximum of 12 full-time equivalent staff who provide individual services, but only nine of the full-time equivalent staff can provide BHT services.
(d) Group supervision may be provided to no more than 12 staff who provide individual services, but only nine of the staff can provide BHT services.
(e) Face-to face supervision may be delivered through secure, real-time, two-way audio and video transmission that meets technology and privacy standards required by the Health Insurance Portability and Accountability Act of 1996 (Pub.L. No. 104-191).
(f) A supervisor shall maintain documentation about each supervision session in the supervised staff person’s personnel file that includes the following:
(1) The date of the supervision session.
(2) The location and modality of the session, such as in-person or through secure, real-time, two-way audio and video transmission.
(3) The format of the session, such as individual, group or onsite.
(4) The start and end time of the supervision session.
(5) A narrative summary of the points discussed during the session.
(6) The signature and signature date of the supervisor and the staff person receiving supervision.
(g) A supervisor shall be available to consult with staff during the hours that individual services are being provided, including evenings and weekends.
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