1. (1) Treatment and rehabilitation services must be provided by mental health professionals or mental health personnel and under the direct clinical supervision of a licensed mental health professional. ADULT RESIDENTIAL TREATMENT SERVICES
2. (2) The program must provide access to medical services via a written agreement or employment of a licensed physician.
3. (3) If the physician is not a psychiatrist, the program must arrange for the regular, consultative, and emergency services of a licensed psychiatrist;
4. (4) During normal waking hours, all programs must provide a least one (1) on-duty/on-site staff person for every ten (10) service recipients present in the program. Staff persons counted in the staff-to-service recipient ratio may only be persons who are assigned to provide direct program services as described by written job description. Support staff such as clerical, housekeeping, van and bus driver staff; students involved in an on-site practicum for academic credit; and volunteers may not be counted in the staff-to-recipient ratio. During normal sleeping hours, all programs must provide one (1) on-duty/on-site staff in each building where service recipients are housed; and in any building housing more than ten (10) service recipients, programs must provide one (1) additional on-duty/on-site staff for each additional ten (10) service recipients.
5. (5) The program must provide a ratio of one (1) on-site, on-duty direct-treatment staff member to ten (10) service recipients for not less than three (3) hours of treatment/rehabilitation services on site per week day.
6. (6) The program must provide at all times at least one (1) on-duty staff member certified in cardiopulmonary resuscitation (CPR) and trained in First aid, and the Heimlich maneuver.

Authority: T.C.A. §§ 4-4-103, 4-5-202, 4-5-204, 33-1-302, 33-1-305, 33-1-309, 33-2-301, and 33-2-302. Administrative History: Original rule filed May 26, 1988; effective July 11, 1988. Amendment filed December 30, 2002; effective March 15, 2003.