ARM 37.87.1410. HOME SUPPORT SERVICES (HSS) AND THERAPEUTIC FOSTER CARE (TFC), PROVIDER REQUIREMENTS

(1) The youth may be discharged from this level of care based upon at least one the following criteria: (a) the caregiver no longer needs this level of support or is actively using other formal and informal support networks; (b) the treatment plan for the youth indicates the goals and objectives for the services have been substantially met; (c) the caregiver is not engaged in the services. The lack of engagement is of such a degree that this type of support becomes ineffective or unsafe, despite documented attempts to address the engagement issues; (d) the caregiver withdraws consent for the treatment; (e) the youth is placed in a residential treatment setting with no plan for return to the home setting; or (f) the youth has moved to an independent living situation and is no longer in or returning to the family setting. (2) A discharge summary must be documented and indicate the reason for the discharge. (4) The clinical lead must: (a) provide direction and consultation to the HSS-S to address the clinical needs of the youth and the caregiver as identified in the individualized treatment plan (ITP); (b) provide therapy to the caregiver and family when identified as a need in the ITP; (c) respond to the youth and the caregiver's needs when the HSS-S is not available; (d) orient, train, and coach the HSS-S; and (e) provide one-on-one supervision at least monthly to the HSS-S. (5) A full-time HSS-S is responsible for not more than ten youths at a time. (6) The following requirements must be met by either the clinical lead or the HSS-S or both: (a) provide contacts at the frequency, location, and duration that are sufficient to meet the identified needs of the youth and the caregiver, the duration of the contacts are not limited; (b) conduct a minimum of four scheduled contacts or sessions with the caregiver in each four-week period, two of which must be face-to-face, based on the needs of the caregiver and documented in the ITP; and (c) conduct a minimum of two scheduled face-to-face treatment sessions with the youth in each four-week period, based on the needs of the youth and documented in the ITP. (7) 24/7 face-to-face and telephonic crisis response is expected. (8) Providers of HSS and TFC must use a research-based practice curriculum specific to provide family-based services. Staff training in the research-based practice must be documented in the provider personnel records.