Pa. Code 5240.72

Supervision of staff who provide individual services

This regulation establishes supervision requirements for staff who provide individual behavioral health services—specifically behavior consultation services, mobile therapy services, and behavioral health technician (BHT) services—under Pennsylvania's Chapter 5240 (Behavioral Health Services for children and youth). Supervisors must provide specified frequencies of face-to-face, group, and direct observation supervision, maintain caseload limits, and document each supervision session in the supervised staff member's personnel file. Supervisors must also remain available for consultation during all hours that individual services are delivered, including evenings and weekends.

55 Pa. Code § 5240.72 - Supervision of staff who provide individual services 

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(a)
 An individual who meets the
 qualifications of a clinical director shall provide the following supervision
 to individuals who provide behavior consultation services and mobile therapy
 services:
(1)
 One hour of individual
 face-to-face supervision per month that includes oversight of the following: 
 
(i)
 The interventions being
 implemented.

(ii)
 The child's,
 youth's or young adult's progress towards the goals of the ITP.

(iii)
 Consideration of adjustments needed to
 the ITP.

(iv)
 The staff person's
 skill in implementing the interventions in the ITP.

(2)
 If the individual who provides behavior
 consultation services or mobile therapy services supervises an individual who
 provides BHT services, the individual shall receive an additional hour of
 face-to-face supervision per month that includes a discussion of the BHT
 services being provided.

(3)
 Thirty
 minutes of direct observation of services being provided every 6
 months.

(b)
 An individual
 who meets the qualifications of a clinical director or is qualified to provide
 behavior consultation services or mobile therapy services shall provide the
 following supervision to individuals who provide BHT services: 
 
(1)
 One hour of supervision each week if the
 individual who provides BHT services works at least 37.5 hours per week or 1
 hour of supervision two times a month if the individual who provides BHT
 services works less than 37.5 hours a week. An individual who provides BHT
 services must receive 1 hour of individual face-to-face supervision each
 month.

(2)
 If the individual has
 not previously provided BHT services, 6 hours of onsite supervision during the
 provision of services to a child, youth or young adult prior to providing
 services independently.

(3)
 One
 hour of direct observation of the provision of individual services to a child,
 youth or young adult during the implementation of the ITP every 4 months,
 unless the individual meets the qualifications to provide BHT services included
 in §
 
5240.71
(d)(5) 

 (relating to staff qualifications for individual services). If the individual
 meets the qualifications to provide BHT services included in §
 
5240.71
(d)(5)
,
 the individual shall receive 1 hour of direct observation of the provision of
 individual services to a child, youth or young adult during the implementation
 of the ITP every 2 months.

(4)
 The
 supervision must include oversight of the following: 
 
(i)
 The interventions being
 implemented.

(ii)
 The child's,
 youth's or young adult's progress towards the goals of the ITP.

(iii)
 Consideration of adjustments needed to
 the ITP.

(iv)
 The staff person's
 skills in implementing the interventions in the ITP.

(c)
 An individual may supervise a
 maximum of 12 full-time equivalent staff who provide individual services, but
 only nine of the full-time equivalent staff can provide BHT services.

(d)
 Group supervision may be provided to no
 more than 12 staff who provide individual services, but only nine of the staff
 can provide BHT services.

(e)

 Face-to face supervision may be delivered through secure, real-time, two-way
 audio and video transmission that meets technology and privacy standards
 required by the Health Insurance Portability and Accountability Act of 1996
 (
Pub.L. No.
 
104-191
).

(f)
 A supervisor shall maintain documentation
 about each supervision session in the supervised staff person's personnel file
 that includes the following: 
(1)
 The date of
 the supervision session.

(2)
 The
 location and modality of the session, such as in-person or through secure,
 real-time, two-way audio and video transmission.

(3)
 The format of the session, such as
 individual, group or onsite.

(4)

 The start and end time of the supervision session.

(5)
 A narrative summary of the points
 discussed during the session.

(6)

 The signature and signature date of the supervisor and the staff person
 receiving supervision.

(g)

 A supervisor shall be available to consult with staff during the hours that
 individual services are being provided, including evenings and
 weekends.

Notes

55

 Pa. Code §
 
5240.72

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