(a) Policies and procedures. The comprehensive provider
agency must develop and implement written policies and procedures
for supervision of all applicable levels of staff members providing
services to individuals.
(b) Licensed staff member supervision. All licensed
staff members must be supervised in accordance with applicable law
and rules.
(c) Clinical supervision.
(1) Clinical supervision must be provided by an LPHA
or a QMHP-CS.
(2) The supervising LPHA or QMHP-CS must conduct at
least monthly documented meetings with each staff member being supervised.
(3) For staff members providing mental health rehabilitative
services, the supervising LPHA or QMHP-CS must be an employee of the
comprehensive provider agency and conduct a documented observation
of the staff member providing mental health rehabilitative services
at a frequency determined by the supervisor based on the staff member's
skill level.
(4) For staff members providing mental health targeted
case management, the supervising QMHP-CS must:
(A) be an employee of the comprehensive provider agency;
(B) demonstrate competency in mental health targeted
case management evidenced-based practices; and
(C) demonstrate competencies outlined in §353.1413
of this subchapter (relating to Staff Member Competency).
(d) QMHP-CS supervision. A QMHP-CS's designated clinical
duties must be clinically supervised by:
(1) a QMHP-CS; or
(2) an LPHA if the QMHP-CS is clinically supervising
another QMHP-CS for the provision of mental health targeted case management
and mental health rehabilitative services.
(e) CSSP supervision. A CSSP's designated clinical
duties must be clinically supervised by a QMHP-CS. The CSSP must have
access to clinical consultation with an LPHA when necessary.
(f) CFP supervision. A CFP must be directly supervised
by a QMHP-CS who has at least one year's experience in the HHSC-approved
recovery and resilience protocol.
(g) Peer provider supervision.
(1) A peer provider's designated clinical duties must
be under the direct clinical supervision of an LPHA.
(2) The supervising LPHA must conduct at least monthly
documented meetings with each peer provider being supervised.
(3) The supervising LPHA must conduct and document
an additional monthly observation of each peer provider providing
mental health rehabilitative services.
(h) Peer review. The comprehensive provider agency
must implement a peer review process for licensed staff members that:
(1) promotes sound clinical practice consistent with
the HHSC-approved resiliency and recovery protocol;
(2) promotes professional growth; and
(3) complies with applicable state laws and rules.
(i) Documentation. All clinical supervision must be
documented.
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