PURPOSE: This rule sets out responsibilities and authority of the governing body and director of a community psychiatric rehabilitation program.

1. (1) Each agency that is certified shall comply with requirements set forth in Department of Mental Health Core Rules for Psychiatric and Substance Abuse Programs, 9 CSR 10-7.090 Governing Authority and Program Administration.
2. (2) A CPR program director shall be appointed whose qualifications, authority and duties are defined in writing. The director shall have responsibility and authority for all operating elements of the CPR program, including all administrative and service delivery staff. If the CPR program director is not a qualified mental health professional as defined in 9 CSR 30-4.030, then the agency shall identify a clinical supervisor who is a qualified mental health professional who has responsibility for monitoring and supervising all clinical aspects of the program. If the agency is certified to provide services to children and youth, then the CPR program director shall have at least two (2) years of supervisory experience with children and youth. If the CPR program director does not meet these requirements, the agency shall identify a clinical supervisor for children and youth services who is a qualified mental health professional who has responsibility for monitoring and supervising all clinical aspects of the program and meets the above requirements.

3. (3) The CPR provider shall maintain a policy and procedure manual for all aspects of its operations. CPR program plans, policies and procedures shall include descriptions, details and relevant information about—

   1. (A) The philosophy, types of services and organization of the CPR provider;
   2. (B) Goals and objectives;
   3. (C) Organization and methods of personnel utilization;
   4. (D) Relationship among components within the organization and with agencies outside of the program;
   5. (E) Location of service sites;
   6. (F) Hours and days of operation of each site;
   7. (G) The outreach plan for all services offered;
   8. (H) Infection control procedures, addressing at least those infections that may be spread through contact with bodily fluids;
   9. (I) The scope of volunteer activities;
   10. (J) Safety precautions and procedures for clients, volunteers, employees and others;
   11. (K) Staff communication with the governing body;
   12. (L) The on-site use of tobacco, alcohol and other substances;

   13. (M) Emergency policies and procedures by staff, volunteers, clients, visitors and others for—

       1. 1. Medical emergencies;
       2. 2. Natural emergencies, such as earth-

quakes, fires, severe storms, tornado or flood;

1. 3. Behavioral crisis;
2. 4. Abuse or neglect of clients;
3. 5. Injury or death of a client; and
4. 6. Arrest or detention of a client;
5. (N) Policies and procedures which address commonly occurring client problems such as missed appointments, appearing under the influence of alcohol or drugs, broken rules, suicide attempts, loitering, accidents, harassment and threats; and
6. (O) Relevant information about service provision for children and youth addressing any and all aspects of subsections (A) through

1. (N) of this rule.
2. (4) The governing body shall establish a formal mechanism to solicit recommendations and feedback from clients, client family members and client advocates regarding the appropriateness and effectiveness of services, continuity of care and treatment. The CPR provider shall document issues raised, including recommendations made by clients, client family members and client advocates; actions taken by the governing body, director and CPR program staff; an implementation plan and schedule to resolve issues cited. AUTHORITY: section 630.655, RSMo 2000.* Original rule filed Jan. 19, 1989, effective April 15, 1989. Amended: Filed Dec. 13, 1994, effective July 30, 1995. Amended: Filed Feb. 28, 2001, effective Oct. 30, 2001. Emergency amendment filed Dec. 28, 2001, effective Jan. 13, 2002, expired July 11, 2002. Amended: Filed Dec. 28, 2001, effective July 12, 2002.

*Original authority: 630.655, RSMo 1980.