<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".11" citation="COMAR 10.21.26.11" title_num="10" subtitle_num="21" chapter_num="26" heading="Staff Support and Mental Health Services — Treatment Foster Care.">
  <paragraph num="A.">
    <text>Staff Support. The RCS program director shall assure that:</text>
    <paragraph num="(1)">
      <text>RCS mental health professional staff provides, to the foster care provider, specialized training in mental health crisis recognition, management, and intervention, before placing any individuals in the foster home; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The RCS program has the capacity to provide staff to deliver, in the foster home, on an emergency basis:</text>
      <paragraph num="(a)">
        <text>24-hour, awake supervision; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>One-to-one support.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Psychiatric Evaluation and Intervention. The program director shall ensure appropriate evaluation and documentation of needed treatment interventions:</text>
    <paragraph num="(1)">
      <text>By consultation with the psychiatrist who is currently treating the individual;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Through a written agreement with a provider of mental health treatment, who will provide face-to-face evaluation by a psychiatrist before the development of the ITP; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Through a written agreement with an outpatient mental health clinic, approved under COMAR 10.21.20, that will provide consultation with a psychiatrist and face-to-face evaluation by a mental health professional privileged by the program and appointed by the medical director to provide the service.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Treatment and Support Services.</text>
    <paragraph num="(1)">
      <text>The program director shall assure that:</text>
      <paragraph num="(a)">
        <text>An individual receives the care or treatment outlined in the ITP under Regulation .07A of this chapter; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>As required by an individual's ITP, a mental health professional is available to provide mental health services on site at the foster home.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Medication Services.</text>
      <paragraph num="(a)">
        <text>A foster care provider shall:</text>
        <paragraph num="(i)">
          <text>Administer an individual's medications, as permitted under COMAR 10.27.11; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Monitor an individual's self-administration of medications.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>The program director shall assure that, if an individual's ITP requires that RCS staff provide medication services, monitoring or administration of medication is carried out as outlined under Regulation .09C(2) of this chapter.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>