Personnel Requirements

(1) The program must ensure that all staff providing service have the necessary skills, qualifications, training and supervision to provide the services specified in the individual plan of care. (a) The program must be under the direction of a Tennessee licensed physician. Treatment and/or rehabilitation services must be provided by mental health professionals or by mental health personnel. Treatment services, staff type and ratio must be adequately justified according to level of care provided in program. (b) The program must provide access to medical services either by a written agreement with or employ a licensed physician. (c) If the physician is not a psychiatrist, the program must arrange for the regular , consultative, and emergency services of a psychiatrist; (d) The psychiatrist or physician must be available during program hours. All diagnostic services must be provided by a psychiatrist, a psychologist, or an addictionologist, as applicable. (e) The program must have at least one (1) Tennessee licensed nurse or physician assistant, to be on duty, and on-site during operating hours. The program must additionally have at least one (1) staff person who is a assigned to provide direct program services, is on duty, on-site for each eight (8) adult service recipients present and one (1) to five (5) children/youth service recipients present. Support staff such as clerical, housekeeping, van and bus driver staff, volunteers and students involved in an on-site practicum for academic credit may not be counted in the staff-to-recipient ratio. (f) The program must provide at least one on duty staff certified in CPR and trained in first aid and the Heimlich maneuver.