Staffing Pattern

In addition to the requirements of 105 CMR 164.424, 105 CMR 164.048 excluding 105 CMR 164.048(A)(2), and 105 CMR 164.082(B), the Licensed or Approved Provider shall require that all staff are knowledgeable about adolescent development and adolescent substance use disorder as well as co-occurring mental disorders. The Licensed or Approved Provider shall establish a staffing pattern in sufficient numbers and positions necessary for the service type provided. No on-duty staff shall be permitted to sleep during their shift. Staffing pattern shall include the following positions, which shall be adjusted upward to address patient acuity and programmatic need: (A) a Clinical Supervisor who meets the definition of a Senior Clinician responsible for reviewing and approving mental health assessments conducted by Clinicians; (B) at least one full-time counselor or case manager; and (C) at least two direct care staff or recovery specialists on each shift.