N.J. Admin. Code § 10:37B-5.3

Current through Register Vol. 56, No. 9, May 6, 2024

Section 10:37B-5.3 - Staff training

(a) The PA shall develop, update, administer, and document a comprehensive training program and community support services training manual for all staff. The training program shall be consistent with the requirements set forth at N.J.A.C. 10:37D-2.14 and 10:77A-2.4. The evaluation of staff competencies after completion of any training module shall include demonstrated, documented evidence of the knowledge and skills acquired by each participating employee.

(b) Training manual. The training manual shall delineate the curriculum for the topics and subtopics set forth in (c) below and shall state the qualifications of individuals or sources that will provide training to the staff. The manual shall include a detailed description of the information to be covered; the training format to be used; any hand-outs, presentation outline, or other training materials to be used; and a description of how skill attainment will be measured, including a description or sample of any measurement test or instrument.

(c) The training curriculum shall include, at a minimum, the following topics:

1. An overview of adult mental health rehabilitation services delivery, including:

i. Psychiatric rehabilitation principles and methods;

ii. Illness management and recovery;

iii. Wellness and recovery action planning;

iv. Advance directives for mental health care;

v. Professional ethics and boundaries; and

vi. Confidentiality;

2. Emergency preparedness including:

i. CPR training/first aid;

ii. Obstructed airway training;

iii. Infection control; and

iv. Fire safety;

3. Suicide prevention, including, but not limited to, risk factors and warning signs;

4. Substance use disorders in conjunction with mental illness;

5. Crisis intervention and prevention issues, including:

i. Development of a crisis plan;

ii. Crisis assessment;

iii. Crisis prevention techniques;

iv. Verbal intervention;

v. Crisis resolution; and

vi. Mobilization of supports and how and when to access additional resources;

6. Documentation and recordkeeping procedures, including:

i. Assessment;

ii. Individualized rehabilitation plan;

iii. Progress notes;

iv. Termination summary; and

v. Objective versus subjective recording of information;

7. Policies and procedures for verbally assisting the consumer in self-administering prescription and non-prescription medication;

8. Other medication/clinical issues, including:

i. Classes of medication, therapeutic objectives, side effects, and interactions, including documentation and reporting of side effects to appropriate medical professional; and

ii. Clinical communication, including how to report symptoms when encountering problematic medical/clinical situations and pertinent information to share with medical providers during emergencies;

9. Activities of daily living and personal care management, including:

i. Personal hygiene;

ii. Food preparation and nutrition;

iii. Household maintenance, laundry, and budgeting; and

iv. Monitoring of prescribed individual eating modifications; and

10. Self-care health management and chronic health conditions.

(d) A training completion summary sheet shall be documented for each employee, listing each topic and subtopic required by (c) above and indicating the date that each training was provided, the source of the training, and the competency (as indicated by a completed test, if applicable) or certification achieved. On-line training may serve as the delivery method for each topic or subtopic. In addition, a certificate of completion of cardiopulmonary resuscitation (CPR) and first aid training issued by a trainer certified by the American Heart Association or the American Red Cross is required and must be renewed upon expiration.

(e) Individuals who have not completed the required training elements delineated at (c)1 through 7 above may only deliver services with a co-signature by a person who has been so trained. The co-signer shall be on site and available at all times to provide in-person guidance. Within six months of beginning employment or August 15, 2016, whichever comes later, all employees must have completed all required training elements.

N.J. Admin. Code § 10:37B-5.3

Adopted by 48 N.J.R. 1636(a), effective 8/15/2016