1. (a) Team Composition. The team shall be interdisciplinary in order to carry out the varied activities needed to meet the complex needs of clients and shall include:

   1. (1) a qualified professional, appropriate to the diagnoses of the clients being served;
   2. (2) a Registered nurse;
   3. (3) an MD (at least .25 FTE per 50 clients); and
   4. (4) one or more paraprofessional staff trained to meet the needs presented by the facility's client population.
2. (b) Team Qualifications. Each member of the team shall be privileged and supervised based on their training, experience, and qualifications.
3. (c) Client To Staff Ratio. The client/staff ratio shall be based on the needs of the clients for whom the team is assigned responsibility. The usual and customary client/staff ratio shall be 10 to 1, and in no circumstance shall the ratio exceed 12 to 1.

4. (d) Organization And Operation Of The Team. The area program shall develop a program description and policies that address the following:

   1. (1) team composition consistent with staffing pattern based on anticipated client population and with the team composition, client/staff ratio, and staff qualifications described above;
   2. (2) training and supervision (including initial and ongoing cross-disability training if applicable);
   3. (3) communication between and among team members regarding clients' condition by assignment of daily staff responsibilities and regular, frequent staffing;
   4. (4) days and hours of operation;
   5. (5) after-hours plan including on-call coverage and linkages with appropriate after-hours emergency services;
   6. (6) client selection procedures and criteria consistent with this service definition;
   7. (7) description of service provision by ACTT and provisions for rapid access to consultation from other professionals as needed; and
   8. (8) policies regarding Quality Assurance and Quality Improvement including outcome measures.

History Note: Authority G.S. 143B-147;
Eff. May 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. July 20, 2019.