Section 5122-41-06 - Staffing, staffing qualifications, and staff ratiosPRTF staff will be:
(A) Physician medical director. If the medical director is not a board certified or board eligible psychiatrist, the PRTF will also employ or contract with a psychiatrist who meets this qualification.(B) Administrative director, who will meet one of the following qualifications: (1) Master's degree in human services field plus two years prior human services supervisory experience; or,(2) Bachelor's degree in human services field plus four years prior human services program supervisory experience.(C) Clinical director with two years clinical experience in a mental health setting that served children or adolescents with emotional problems. (1) The clinical director may also serve as the administrative director.(2) The physician medical director may also serve as the clinical director if employed at least forty hours per week.(D) Sufficient clinical staff to meet each youth's treatment needs and who are appropriately credentialed to provide mental health services. If the PRTF provides services to youth with co-occurring substance use disorders, sufficient clinical staff will be credentialed to provide substance use disorder treatment. If the PRTF provides services to youth with intellectual or developmental disabilities, the PRTF will have sufficient clinical staff with expertise in treatment for youth with disabilities.(E) Sufficient direct care staff to meet all youths' supervisory and care needs.(1) During the hours of eight a.m. until ten p.m., the PRTF will maintain a staffing ratio of at least one direct care staff for each three youths, except that the ratio will be one direct care staff for each two youths with intellectual or developmental disabilities. The PRTF will have a minimum of two direct care staff at all times, including a practitioner with a scope of practice of at least a registered nurse, physician assistant, or advance practice nurse.(2) During the hours of ten p.m. until eight a.m., the PRTF will maintain a staffing ratio of at least one direct care staff for each six youths. The PRTF will have a minimum of two direct care staff at all times, including a practitioner with a scope of practice of at least a licensed practical nurse.(F) The PRTF includes additional staff as needed to meet youth's dietary, educational, social recreational, and other needs.(G) If there is another residential facility or outpatient services on the grounds where the PRTF is located, when direct care and nursing staff are on-duty in the PRTF, these staff are specifically assigned to the PRTF with duties separate from other services, e.g. acute, other residential, or outpatient services.(H) The PRTF increases staff when necessary to meet the acuity needs of the youth.(I) The following staff will be on call at all times and available to come on-site to the PRTF when one is not available on-site:(1) A psychiatrist, doctorate level behavioral health professional, clinical nurse specialist, certified nurse practitioner, physician's assistant, or physician with behavioral health experience; and,(2) Licensed clinician. With the exception of a certified nurse practitioner, this does not include staff who are registered or certified by an Ohio licensing board, e.g. a registered social work assistant or certified chemical dependency counselor assistant.Ohio Admin. Code 5122-41-06
Effective: 10/1/2023
Five Year Review (FYR) Dates: 10/01/2028
Promulgated Under: 119.03
Statutory Authority: 5119.141
Rule Amplifies: 5119.141, 5119.34