1. (a) Primary responsibilities of program staff shall include:

   1. (1) Treatment planning;
   2. (2) Leadership of the treatment team;
   3. (3) Case management;
   4. (4) Clinical and administrative supervision;
   5. (5) Twenty-four-hour crisis intervention; and
   6. (6) Discharge planning.

2. (b)

   1. (1) The therapeutic foster care agency shall employ a clinical director who shall be clearly responsible for implementation of treatment planning and service delivery.

   2. (2) The clinical director shall:

      1. (A) Have a master’s degree in a human service field;
      2. (B) Have two (2) years’ experience in placement or treatment; and
      3. (C) Be currently licensed in Arkansas as a mental health professional, as recognized by the Arkansas Medicaid Program.

3. (c)

   1. (1) The therapeutic foster care agency shall employ at least one (1) caseworker who shall coordinate the implementation of the treatment plan.
   2. (2) The caseworker shall either have a bachelor’s degree in a human service field or be a mental health paraprofessional.
   3. (3) The caseworker shall be supervised by the clinical director.

4. (d) The agency shall assign a caseworker to each child to be responsible for doing:

   1. (1) Assessments;
   2. (2) Treatment planning; and
   3. (3) Casework services.
5. (e) No caseworker shall be responsible for managing more than twelve (12) children’s cases.
6. (f) All casework staff shall be trained in crisis prevention and intervention as well as CPR and first aid within the first sixty (60) days of employment.

7. (g) All casework staff shall be provided with eight (8) hours of orientation either prior to employment or within the first week of employment that shall provide an overview of the following areas:

   1. (1) The agency’s policies and procedures;
   2. (2) The client’s rights, including confidentiality;
   3. (3) How to handle medical and nonmedical emergencies;
   4. (4) The caseworker’s clinical limitations;
   5. (5) How to document clinical information in the child and family records; and
   6. (6) General information regarding commonly prescribed medications and their side effects.
8. (h) The agency shall provide twenty-four-hour on-call crisis intervention support to supplement the support provided by the caseworker.

Codification Notes: “CPR” means cardiopulmonary resuscitation.