N.J. Admin. Code § 10:76-2.2

Current through Register Vol. 56, No. 24, December 18, 2024

Section 10:76-2.2 - Clinical supervision of PACT teams

(a) Each PACT team shall consist of a minimum of five separate clinical disciplines, including psychiatry, nursing, supportive counseling, substance abuse, and rehabilitation or occupation/vocational services, in accordance with N.J.A.C. 10:37J-2.8.

(b) The PACT Director shall provide administrative supervision and shall assure clinical oversight, as necessary, for the overall operation of the team, including, but not limited to, individual case reviews and quality assurance reviews of the clinical record.

(c) The PACT team psychiatrist, or other appropriately licensed clinical professional as permitted by DMHAS, shall provide supervision to the team regarding medication administration and monitoring for all beneficiaries served by the team.

(d) The clinical status of each beneficiary shall be reviewed by the team as a whole a minimum of 95 percent of the regular workdays in any given calendar month. Clinical supervision shall be provided as needed during these daily meetings by the Masters-level clinician or the team psychiatrist.

1. Notes for each meeting shall be maintained by each PACT team and shall include, at a minimum, a list of team members who attended the meeting and a list of cases that were discussed. This information need not be included in each beneficiary's individual record except as stated in (f) below.

2. A record of all team members present at the meeting shall also be documented on an attendance log. The participation of any team member from an off-site location via conference call shall be documented and that staff person shall sign the documentation within 30 days of the meeting.

3. If the daily meeting does not occur on any given day, the reason shall be clearly documented.

(e) The PACT team psychiatrist provides supervision to the PACT team a minimum of once per week through the daily review process and through individual case conferences for specific beneficiaries. The psychiatrist shall also complete a psychiatric evaluation for all new PACT beneficiaries and shall review and sign all initial, comprehensive and revised service plans.

1. During the first year of the beneficiary receiving services, clinical updates to the service plan shall be made every three months. Clinical updates shall be made every six months in subsequent years.

(f) Any significant changes to a beneficiary's service plan resulting from any of the methods of clinical supervision discussed above shall be documented in the beneficiary's individual progress notes.

N.J. Admin. Code § 10:76-2.2

Amended by 48 N.J.R. 79(b), effective 1/4/2016