Md. Code Regs. 10.21.18.06

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.21.18.06 - Treatment and Support Services

A. Therapies. The therapeutic nursery program shall provide the following therapies:

(1) If required by the ITP, individual therapy:

(a) With the therapeutic nursery mental health professional staff,

(b) With the community psychotherapist who is currently treating the child, or

(c) By referral;

(2) For children in Program A, conjoint therapy involving an individual child or groups of children with their primary caretakers;

(3) Milieu therapy that uses the environment as a tool to assist the child, in keeping with routine developmental expectations, to manage behavior and function appropriately and cooperatively with peers and adults.

B. Daily Activities. The therapeutic nursery program shall implement, on a consistent, regular basis, a plan for daily activities that:

(1) Incorporate a variety of experiences with language, music, art, science, dramatic play, block play, and equipment and materials that promote large and small muscle development;

(2) Allow for self-selected and planned as well as individual and small group activities; and

(3) Include safe, regular, and developmentally appropriate outdoor play, with supervision consistent with the staff-to-child ratio required under Regulation .08D of this chapter.

C. Services for Families. The therapeutic nursery program shall provide services to families, including but not limited to:

(1) As indicated by the ITP, counseling or therapy:

(a) With the therapeutic nursery mental health professional staff,

(b) With the community psychotherapist who is currently treating the child, or

(c) By referral;

(2) Orientation for parents, guardians, or primary caretakers to the specialized treatment interventions that are designed to facilitate the child's continued development;

(3) Mental health support groups; and

(4) Therapeutic home visits.

D. Interagency Consultation and Referral.

(1) Services to Center. If the therapeutic nursery is included within another early childhood program, the therapeutic nursery staff shall provide those services to the early childhood program that the therapeutic nursery staff determine to be appropriate, including, but not limited to:

(a) Staff development and training;

(b) Mental health consultation regarding specific clinical interventions to be used in relating to therapeutic nursery children;

(c) Classroom consultation, including observation and feedback; and

(d) When necessary, psychoeducational strategic consultation.

(2) Referral Services. For those services indicated in a child's ITP and not provided by the therapeutic nursery staff, the program shall have a policy and procedure for referral for:

(a) Therapy, pursuant to A(1)(c) and C(1)(c) of this regulation; and

(b) Evaluative or support services, including but not limited to:

(i) Speech and language,

(ii) Vision and hearing,

(iii) Special instruction, special education, or other early intervention,

(iv) Somatic care,

(v) Occupational therapy assessment and treatment, and

(vi) Psychological testing.

Md. Code Regs. 10.21.18.06