(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.