<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".11" citation="COMAR 10.21.17.11" title_num="10" subtitle_num="21" chapter_num="17" heading="Human Services Development.">
  <paragraph num="A.">
    <text>Supervision. The program director shall:</text>
    <paragraph num="(1)">
      <text>Establish a system to ensure ongoing supervision of staff; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Determine the need for staff supervision on the basis of:</text>
      <paragraph num="(a)">
        <text>Credentials, competencies, experience, education, and training;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Performance standards and outcome measures identified by the quality management process;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Size of caseload; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Severity of illness of individuals enrolled in the program.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Orientation. The program director shall assure that staff:</text>
    <paragraph num="(1)">
      <text>Within the first week of employment, receive an orientation regarding the:</text>
      <paragraph num="(a)">
        <text>Mission of the program;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Fundamental rights of the individuals the program serves, including grievance, complaint, and confidentiality procedures of the program;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Psychiatric and medical emergency procedures of the program, including crisis management and suicide prevention; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>If the program provides services in a facility, emergency evacuation procedures; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Within 2 months, receive orientation including, but not limited to, the following:</text>
      <paragraph num="(a)">
        <text>Program policies and procedures;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Personnel policies and procedures; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Overview of the public mental health services delivery system.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Continuing Education. The program director shall assure that staff who provide direct services to individuals participate in at least 8 hours of annual educational activities related to the provision of the program's services.</text>
  </paragraph>
  <paragraph num="D.">
    <text>CPR and First Aid. The program director shall ensure that at least one staff member with certification in cardiopulmonary resuscitation (CPR) and standard first aid is on-site during the hours the program is open.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Students. A program may use students to provide services to individuals only if the students:</text>
    <paragraph num="(1)">
      <text>Are pursuing degrees at accredited colleges or universities toward state licensure as mental health professionals;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Deliver services as part of formal fieldwork placements through accredited colleges and universities;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Comply with their respective professional licensing laws, including supervision requirements, as outlined in Health Occupations Article, Annotated Code of Maryland; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Are appropriately screened, oriented to the program's policies and procedures, and supervised.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Volunteers.</text>
    <paragraph num="(1)">
      <text>A program may use volunteers to assist with program activities only if the:</text>
      <paragraph num="(a)">
        <text>Volunteers are at least 16 years old, and with proper consent, if applicable;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Volunteers are appropriately screened, oriented to the program's policies and procedures, and supervised; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Program has a written policy regarding the scope of the volunteers' duties.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A volunteer may not substitute for required program staff.</text>
    </paragraph>
  </paragraph>
</regulation>