CABINET FOR HEALTH AND FAMILY SERVICES

Department for Behavioral Health, Developmental

and Intellectual Disabilities

Division for Behavioral Health

(As Amended at ARRS, May 13, 2014)

 

      908 KAR 2:250. Community support associate; eligibility criteria and training.

 

      RELATES TO: KRS 202A.011(12), 210.010, 210.040, 210.370 – 210.485, 309.080 – 309.089, 309.130 – 309.1399, 311.571, 314.042, 319.050, 319.056, 319.064, 335.100, 335.080, 335.500 – 335.599

      STATUTORY AUTHORITY: KRS 210.450

      NECESSITY, FUNCTION, AND CONFORMITY: KRS 210.450 authorizes the secretary of the Cabinet for Health and Family Services to promulgate administrative regulations which prescribe standards for qualifications of personnel in community programs for mental health. This administrative regulation establishes the eligibility criteria and training requirements for community support associates employed by an entity which provides comprehensive community support services.

 

      Section 1. Definitions. (1) "Client" means an adult or child who receives comprehensive community support services and has a primary mental health disorder diagnosis or a co-occurring disorder.

      (2) "Co-occurring disorder" means the primary diagnosis of a mental health disorder and one (1) or more of the following:

      (a) Substance use disorder;

      (b) Intellectual disability; or

      (c) Physical health disorder or condition.

      (3)["Comprehensive community support entity" means a rendering practitioner, group of practitioners, or entity which meets the following criteria:

      (a) Demonstrates capacity to employ qualified staff and coordinate the provision of services;

      (b) Demonstrates capacity to provide comprehensive community support services;

      (c) Has experience serving individuals who have a mental health disorder, substance use disorder, intellectual disability, or co-occurring disorders;

      (d) Demonstrates administrative capacity to insure quality of services in accordance with state and federal requirements;

      (e) Maintains a financial management system that provides documentation of services and costs; and

      (f) Documents and maintains individual case records in accordance with state and federal requirements.

      (4)] "Comprehensive community support services" means activities necessary to allow clients to live with maximum independence in the community and consists of one (1) or more of the following:

      (a) Skills training, cueing, or supervision as identified in the client’s individualized treatment plan;

      (b) Medication adherence[Reminders for medications] and recognizing symptoms and side effects;

      (c) Non-clinical but therapeutic behavioral intervention, support, and skills training;

      (d) Assistance in accessing and utilizing community resources;

      (e) Emotional regulation skills;

      (f) Crisis coping skills; and

      (g) Developing and enhancing interpersonal skills.

      (4)[(5)] "Department" means the Department for Behavioral Health, Developmental and Intellectual Disabilities.

      (5)[(6) "Mental health associate" means an individual who:

      (a) Has a minimum of a bachelor’s degree in:

      1. Psychology;

      2. Sociology;

      3. Social work; or

      4. A human services-related field; and

      (b) Works under the supervision of a qualified mental health professional.

      (7)] "Professional equivalent" means a person who meets the professional equivalent requirements established in the Community Mental Health Services Manual that is incorporated by reference in 907 KAR 1:044.

      (6)[an individual who has:

      (a)1. A bachelor’s degree in:

      a. Psychology;

      b. Sociology;

      c. Social work, or

      d. A human services-related field; and

      2. Three (3) years of full-time supervised experience;

      (b)1. A master’s degree in:

      a. Psychology;

      b. Sociology;

      c. Social work;

      d. Pastoral counseling; or

      e. A human services-related field; and

      2. Six (6) months of full-time supervised experience; or

      (c) A doctoral degree in:

      1. Psychology;

      2. Sociology;

      3. Social work;

      4. Pastoral counseling; or

      5. A human services-related field.

      (8)] "Qualified mental health professional" is defined by KRS 202A.011(12).[(9) "Qualified substance abuse treatment professional" means an individual who is:

      (a) An alcohol and drug counselor certified by the Kentucky Board of Certification for Alcohol and Drug Counselors as required by KRS 309.080 to 309.089;

      (b) An individual certified or licensed as one (1) of the following:

      1. A Kentucky physician licensed in accordance with KRS 311.571 to practice medicine or osteopathy or a medical officer of the government of the United States while engaged in the performance of official duties;

      2. A psychiatrist licensed in accordance with KRS 311.571 to practice medicine or osteopathy or a medical officer of the government of the United States while engaged in the performance of official duties who is certified or eligible to apply for certification with the American Board of Psychiatry and Neurology;

      3. A licensed psychologist who holds the health service provider designation in accordance with KRS 319.050;

      4. A certified psychologist with autonomous functioning certified by the Kentucky Board of Examiners of Psychology in accordance with KRS 319.056;

      5. A certified psychologist certified by the Kentucky Board of Examiners of Psychology in accordance with KRS 319.056;

      6. A licensed psychological practitioner licensed by the Kentucky Board of Examiners of Psychology in accordance with KRS 319.056;

      7. A licensed psychological associate licensed by the Kentucky Board of Examiners of Psychology in accordance with KRS 319.064;

      8. A clinical social worker licensed for the independent practice of clinical social work by the Kentucky Board of Social Work in accordance with KRS 335.100;

      9. A social worker certified by the Kentucky Board of Examiners of Social Work in accordance with KRS 335.080;

      10. An advanced practice registered nurse licensed by the Kentucky Board of Nursing in accordance with KRS 314.042 with scope of practice in psychiatric or mental health nursing;

      11. A registered nurse licensed by the Kentucky Board of Nursing in accordance with KRS Chapter 314 with a master’s degree in psychiatric nursing from an accredited college or university and two (2) years of full-time clinical experience in psychiatric nursing;

      12. A registered nurse licensed by the Kentucky Board of Nursing in accordance with KRS Chapter 314 with a bachelor of science degree in nursing from an accredited college or university who is certified as a psychiatric and mental health nurse by the American Nurses Association, and who has three (3) years of full-time clinical experience in psychiatric nursing;

      13. A registered nurse licensed by the Kentucky Board of Nursing in accordance with KRS Chapter 314, and who has one (1) of the following combinations of education and work experience:

      a. A bachelor of science in nursing from a four (4) year program from an accredited college or university and one (1) year clinical work experience in the substance abuse or mental health field;

      b. A diploma graduate in nursing and two (2) years clinical work experience in the substance abuse or mental health field; or

      c. An associate degree in nursing from a two (2) year program from an accredited college or university and three (3) years clinical work experience in the substance abuse or mental health field;

      14. A marriage and family therapist licensed by the Kentucky Board of Licensure of Marriage and Family Therapists in accordance with the provisions of KRS 335.300 to 335.399;

      15. A professional counselor licensed by the Kentucky Board of Licensed Professional Counselors in accordance with the provisions of KRS 335.500 to 335.599; or

      16. A professional art therapist certified by the Kentucky Board of Certification for Professional Art Therapists in accordance with the provisions of KRS 309.130 to 309.1399; or

      (c) A qualified mental health professional with eighty (80) hours of substance abuse training.]

 

      Section 2. Eligibility Criteria. (1) A community support associate[employed by a comprehensive community support entity] shall:

      (a) Be eighteen (18) years of age or older;

      (b) Have a high school diploma, a general equivalency diploma (GED), or qualifying documentation from a comparable educational entity;

      (c) Have one (1) year of full-time experience working with individuals who receive services for treatment of a:

      1. Mental health disorder; or

      2. [Substance use disorder; or

      3.] Co-occurring disorder; and

      (d) Successfully complete within six (6) months of hire the department-led or approved training program described in Section 3 of this administrative regulation.

      (2) Supervision. A community support associate shall:

      (a) Work under the supervision of one (1) of the following:

      1. Physician;

      2. Psychiatrist;

      3. Advanced practice registered nurse;

      4. Physician assistant;

      5. Licensed psychologist;

      6. Licensed psychological practitioner;

      7. Licensed clinical social worker;

      8. Licensed professional clinical counselor;

      9. Licensed marriage and family therapist;

      10. Certified psychologist;

      11. Certified psychologist with autonomous functioning;

      12. Licensed psychological associate;

      13. Marriage and family therapy associate;

      14. Certified social worker;

      15. Licensed professional counselor associate;

      16. Licensed professional art therapist;

      17. Professional equivalent;

      18. Certified alcohol and drug counselor;

      19. Psychiatric nurse; or

      20. Licensed board certified behavior analyst[Qualified mental health professional;

      2. Qualified substance abuse treatment professional;

      3. Professional equivalent;

      4. Mental health associate;

      5. Mental health case manager; or

      6. Substance use disorder case manager]; and

      (b) Meet face-to-face no less than one (1) time every two (2) weeks with his or her supervisor as described in paragraph (a) of this subsection.

      (3) The supervisor shall maintain a written record of supervision that:

      1. Is dated and signed by the supervisor for each meeting; and

      2. Includes a description of the encounter that specifies:

      a. The topic discussed;

      b. Any specific action to be taken;

      c. An update for any issue previously discussed that required follow-up; and

      d. A plan for additional training needs if any were identified.

 

      Section 3. Initial Training Requirements. A department-led or approved training curriculum for a community support associate shall consist of ten (10) clock hours of planned program instruction at a minimum in the following areas:

      (1) Principles of recovery and resilience;

      (2) Principles of psychiatric[psychosocial] rehabilitation;

      (3) Effective listening and communication skills;[and]

      (4) Diagnosis and medication management of mental health disorders[, substance use disorders,] or co-occurring disorders; and

      (5) Crisis coping skills.

 

      Section 4. Annual Training. During each subsequent year of employment, a community support associate shall complete and maintain documentation of a minimum of six (6) hours of training or education related to the specification described in Section 3(1) through (5)[(4)] of this administrative regulation.

 

MARY REINLE BEGLEY, Commissioner

AUDREY TAYSE HAYNES, Secretary

      APPROVED BY AGENCY: January 29, 2014

      FILED WITH LRC: February 6, 2014 at noon

      CONTACT PERSON: Tricia Orme, Office of Legal Services, 275 East Main Street 5 W-B, Frankfort, Kentucky 40621, phone (502) 564-7905, fax (502) 564-7573, email tricia.orme@ky.gov.