PURPOSE: This rule describes personnel policies and procedures for Alcohol and Drug Abuse Programs, Comprehensive Substance Treatment and Rehabilitation Programs (CSTAR), Compulsive Gambling Treatment Programs, Substance Abuse Traffic Offender Programs (SATOP), Required Education Assessment and Community Treatment Programs (REACT), Community Psychiatric Rehabilitation Programs (CPRP), and Psychiatric Outpatient Programs.

1. (1) Policies and Procedures. The organization shall maintain personnel policies, procedures and practices in accordance with local, state and federal law and regulation. In addition to the requirements of this rule, the organization must also comply with 9 CSR 10-5.190 regarding criminal record background check and eligibility for employment.

   1. (A) The policies and procedures shall include written job descriptions for each position and a current table of organization reflecting each position and, where applicable, the relationship to the larger organization of which the program or service is a part.
   2. (B) Policies and procedures shall be consistently and fairly applied in the recruitment, selection, development and termination of staff.

2. (2) Qualified and Trained Staff. Qualified staff shall be available in sufficient numbers to ensure effective service delivery.

   1. (A) The organization shall ensure that staff possess the training, experience and credentials to effectively perform their assigned services and duties.
   2. (B) A background screening shall be conducted in accordance with 9 CSR 10-5.190.
   3. (C) Qualifications and credentials of staff shall be verified prior to employment, with primary source verification completed within ninety (90) days.
   4. (D) There is clinical supervision of direct service staff that ensures adequate supervisory oversight and guidance, particularly for those staff who may lack credentials for independent practice in Missouri.

   5. (E) Training and continuing education opportunities are available to all direct service staff, in accordance with their job duties and any licensing or credentialing requirements.

      1. 1. All staff who provide services or are

responsible for the supervision of persons served shall participate in at least thirty-six (36) clock hours of relevant training during a two (2)-year period.

1. 2. Training shall assist staff in meeting

the needs of persons served, including persons with co-occurring disorders.

1. 3. The organization shall maintain a

record of participation in training and staff development activities.

1. (F) When services and supervision are provided twenty-four (24) hours per day, the organization maintains staff on duty, awake and fully dressed at all times. A schedule or log is maintained which accurately documents staff coverage.

1. (3) Ethical Standards of Behavior. Staff shall adhere to ethical standards of behavior in their relationships with individuals being served.

   1. (A) Staff shall maintain an objective, professional relationship with individuals being served at all times.
   2. (B) Staff shall not enter dual or conflicting relationships with individuals being served which might affect professional judgment or increase the risk of exploitation.
   3. (C) The organization shall establish policies and procedures regarding staff relationships with both individuals currently being served and individuals previously served.
2. (4) Volunteers. If the agency uses volunteers, it shall establish and consistently implement policies and procedures to guide the roles and activities of volunteers in an organized and productive manner. The agency shall ensure that volunteers have a background screening in accordance with 9 CSR 10-5.190 and adequate supervision.

3. (5) Practicum/Intern Students. A practicum/intern student if used in a Department of Mental Health (DMH) program must be enrolled and participating in an accredited college/university in a field of study including but not limited to social work, psychology, sociology or nursing.

   1. (A) The student and agency must have a written plan documenting the following:

      1. 1. Name of individual, educational insti-

tution, and degree program;

1. 2. Brief description of the status of the

individual with respect to degree completion, including: semester/hours remaining, projected completion date, and time period of the practicum or internship;

1. 3. A description of the specific job sta-

tus of the individual with respect to agency program and client population;

1. 4. A specific plan for supervision of the

student, including name and title of the direct supervisor. The plan must detail the frequency and duration of the supervision activities including the scope of case/record reviews, the location of the supervisor with respect to the service delivery locations, and emergency backup supervision arrangements; and

1. 5. A list of the specific Purchase of Ser-

vice (POS) services the agency has approved for the student to deliver. Students may not deliver Medicaid-eligible services unless they meet the provider eligibility requirements through prior experience and education.

1. (B) The student must have a letter from their academic advisor attesting to their qualifications and eligibility for the proposed practicum.

2. (C) The student must be under the close supervision of the direct clinical supervising professional of the agency. The person providing the supervision must be qualified to provide the services they are supervising.

   1. 1. For providing counseling services a

student must be in a master’s program or above, and be approved for the practicum by the college/university.

1. 2. To provide case management and

community support work, and other support services, a student must be in the final year of a bachelor’s program or above.

1. 3. A student may be assigned a limited

caseload based on background and prior experience.

1. (D) A student must be background screened, oriented and trained as consistent with the agency’s policies for new employees.

2. (E) Service delivery by the student must be documented according to department standards and policy.

   1. 1. All documentation of billable services

must be reviewed and countersigned by an individual who meets the division criteria for a qualified mental health professional or supervisor of counselors, a community support worker, or case manager, as appropriate.

1. 2. Services shall be billed using appro-

priate existing service codes and reimbursed at the established contract rate for the anticipated degree, unless a distinct student rate has been established for the service.

1. (F) For Division of Alcohol and Drug Abuse funded contracts, the services are limited to individual counseling, group counseling, group education and community support work.

AUTHORITY: sections 630.050 and 630.055, RSMo 2000.* Original rule filed Feb. 28, 2001, effective Oct. 30, 2001. Amended: Filed Aug. 28, 2002, effective April 30, 2003. *Original authority: 630.050, RSMo 1980, amended 1993, 1995 and 630.055, RSMo 1980.