5122-29-30 Eligible providers and supervisors.

(A) Appendix A to this rule defines and appendix B to this rule identifies those individuals who are eligible to provide and supervise the following mental health services as described in Chapter 5122-29 of the Administrative Code:

(1) Behavioral health counseling and therapy service;

(2) Mental health assessment service;

(3) Pharmacologic management service;

(4) Partial hospitalization service;

(5) Forensic evaluation service;

(6) Behavioral health hotline service;

(7) Crisis intervention mental health service, including paragraph (C)(1) of rule 5122-29-10 of the Administrative Code.

(8) Employment/vocational service;

(9) Adult educational service;

(10) Social and recreational service;

(11) Community psychiatric supportive treatment (CPST) service;

(12) Consultation service;

(13) Prevention service;

(14) Mental health education service;

(15) Adjunctive therapy service;

(16) Occupational therapy service;

(17) School psychology service;

(18) Intensive home based treatment (IHBT) service; and

(19) Assertive community treatment (ACT) service.

(B) Licensed, certified or registered individuals shall comply with current, applicable scope of practice and supervisory requirements identified by appropriate licensing, certifying or registering bodies. Appendix B to this rule contains a supplement which describes additional provider and supervisory requirements for the following individuals:

(1) Aide (aide);

(2) Psychology aide (PSY aide);

(3) Psychology fellow (PF);

(4) Psychology intern (PI);

(5) Psychology postdoctoral trainee (PPT);

(6) Psychology resident (PR);

(7) Psychology trainee (PT);

(8) School psychology intern (S. PSY I.);

(9) School psychology trainee (S. PSY T.);

(10) Social worker (SW); and

(11) Social worker assistant (SWA).

Appendix A

5122-29-30 Eligible Providers and Supervisors

Ohio Department of Mental Health

Provider & Supervisor Definitions

“Activity Therapist” (AT/QMHS) means an individual who has training and demonstrates competency to assist people in developing or maintaining creative physical or social skills through participation in social and other activities, and who also meets the requirements of a “qualified mental health specialist” as defined in this appendix. The training may be acquired by education, experience, or a combination of both.

“Aide” (Aide) means an individual who is registered with the state board of psychology according to Chapter 4732. of the Administrative Code.

“Art therapist” (ATR) means an individual who is registered as an art therapist with the “art therapy credentials board”.

“Assistant” (Assistant) means an individual who is registered with the state board of psychology according to Chapter 4732. of the Administrative Code

“Certified therapeutic recreation specialist” (CTRS) means an individual certified as a certified therapeutic recreation specialist by “the national council for therapeutic recreation certification”.

“Clinical nurse specialist” (CNS) means a registered nurse who holds a current, valid certificate of authority issued by the Ohio board of nursing that authorizes the practice of nursing as a clinical nurse specialist in accordance with Chapter 4723. of the Revised Code.

“Counselor trainee” (CT) means an individual registered with the state of Ohio, counselor, social worker and marriage and family therapists board, as a counselor trainee according to Chapter 4757. of the Administrative Code.

“Doctor of osteopathic medicine” (DO) means a doctor of osteopathic medicine who is a physician as defined in Chapter 4731. of the Revised Code.

“Independent marriage and family therapist” (IMFT) means an individual who holds a current, valid license as an independent marriage and family therapist, issued by the state of Ohio, counselor, social worker and marriage and family therapists board, according to Chapter 4757. of the Revised Code.

“Independent social worker” (ISW or ISW-S) means an individual who holds a current, valid license as an independent social worker, issued by the state of Ohio, counselor, social worker and marriage and family therapist board, according to Chapter 4757. of the Revised Code.

“Licensed occupational therapist” (OT/L) means an individual who holds a current valid license as an occupational therapist from the Ohio occupational therapy, physical therapy, and athletic trainer board according to Chapter 4755. of the Revised Code.

“Licensed occupational therapy assistant” (OTA/L) means an individual who holds a current valid license as an occupational therapy assist from the Ohio occupational therapy, physical therapy, and athletic trainer board according to Chapter 4755. of the Revised Code.

“Licensed practical nurse” (LPN) means an individual who holds a current, valid license as a licensed practical nurse from the Ohio board of nursing according to Chapter 4723. of the Revised Code.

“Licensed school psychologist” (L.S. PSY) means an individual who holds a current, valid license from the state board of psychology to practice school psychology according to Chapter 4732. of the Revised Code.

“Marriage and family therapist” (MFT) means an individual who holds a current valid license as a marriage and family therapist, issued by the state of Ohio, counselor, social worker and marriage and family therapists board, according to Chapter 4757. of the Revised Code.

“Master of science in nursing” (MSN) means an individual who holds a current, valid license as a registered nurse from the Ohio board of nursing according to Chapter 4723 of the Revised Code, a certificate of authority (COA) issued by the board, and holds a masters degree or doctorate in nursing with a specialization in psychiatric nursing or graduate equivalent, as accepted by the Ohio board of nursing, i.e., R.N.C., M.S., N.D., or M.A.

“Medical doctor” (MD) means an individual who is a physician licensed by the state medical board according to Chapter 4731. of the Revised Code to practice medicine, or a medical officer of the government of the United States while in this state in the performance of his or her official duties.

“Music therapist/board certified” (MT-BC) means an individual who is certified by “the certification board for music therapists”.

“Nurse practitioner” (NP) means a registered nurse who holds a current, valid certificate of authority issued by the Ohio board of nursing that authorizes the practice of nursing as a nurse practitioner in accordance with Chapter 4723. of the Revised Code.

“Pharmacist” (PHAR) means an individual who holds a current, valid license from the Ohio board of pharmacy according to Chapter 4729. of the Revised Code.

“Physician assistant” (PA) means an individual who is registered with the state of Ohio medical board as a physician assistant under Chapter 4730. of the Revised Code to provide services under the supervision and direction of a licensed physician or a group of physicians who are responsible for his or her performance.

“Professional clinical counselor” (PCC or PCC-S) means an individual who holds a current, valid license issued by the state of Ohio, counselor, social worker and marriage and family therapist board, as a professional clinical counselor according to Chapter 4757. of the Revised Code.

“Professional counselor” (PC) means an individual who holds a current, valid license issued by the state of Ohio, counselor, social worker and marriage and family therapist board, as a professional counselor according to Chapter 4757. of the Revised Code.

“Provisional professional clinical counselor” (PCC-Temp) means an individual who has been issued a temporary license as a provisional professional clinical counselor by the state of Ohio, counselor, social worker and marriage and family therapists board, according to Chapter 4757. of the Revised Code.

“Provisional professional counselor” (PC-Temp) means an individual who has been issued a temporary license as a provisional professional counselor by the state of Ohio, counselor, social worker and marriage and family therapists board, according to Chapter 4757. of the Revised Code.

“Psychologist” (PSY) means an individual who holds a current valid license from the state board of psychology, issued under Chapter 4732. of the Revised Code and who, in addition, meets either of the criteria as set forth in divisions (I)(1) and (I)(2) of section 5122.01 of the Revised Code.

“Psychology aide” (PSY Aide) means an individual who is registered with the state board of psychology according to Chapter 4732 of the Administrative Code.

“Psychology assistant (PSY ASST) means an individual who is registered with the state board of psychology according to Chapter 4732 of the Administrative Code.

“Psychology fellow” (PF) means an individual who is registered with the state board of psychology according to Chapter 4732 of the Administrative Code.

“Psychology intern” (PI) means an individual who is registered with the state board of psychology according to Chapter 4732 of the Administrative Code.

“Psychology postdoctoral trainee” (PPT) means an individual who is registered with the state board of psychology according to Chapter 4732 of the Administrative Code.

“Psychology resident” (PR) means an individual who is registered with the state board of psychology according to Chapter 4732 of the Administrative Code.

“Psychology trainee” (PT) means an individual who is registered with the state board of psychology according to Chapter 4732 of the Administrative Code.

“Qualified mental health specialist” (QMHS) means an individual who has received training for or education in mental health competencies and who has demonstrated, prior to or within ninety days of hire, competencies in basic mental health skills along with competencies established by the agency, and who is not otherwise designated as a provider or supervisor, and who is not required to perform duties covered under the scope of practice according to Ohio professional licensure. Basic mental health competencies for each QMHS shall include, at a minimum, an understanding of mental illness, psychiatric symptoms, and impact on functioning and behavior; how to therapeutically engage a mentally ill person; concepts of recovery/resiliency; crisis response procedures; an understanding of the community mental health system; de-escalation techniques and understanding how his/her behavior can impact the behavior of individuals with mental illness. The agency shall establish additional competency requirements, as appropriate, for each QMHS based upon the mental health services and activities to be performed, characteristics and needs of the persons to be served, and skills appropriate to the position.

“Registered nurse” (RN) means an individual who holds a current, valid license as a registered nurse from the Ohio board of nursing according to Chapter 4723. of the Revised Code.

“School psychology assistant” (S. PSY A.) means an individual who is registered with the state board of psychology according to Chapter 4732 of the Administrative Code.

“School psychology intern”(S. PSY I.) means an individual who is registered with the state board of psychology according to chapter 4732 of the Administrative Code.

“School psychology trainee”(S. PSY T.) means an individual who is registered with the state board of psychology according to chapter 4732 of the Administrative Code.

“Social worker” (SW) means an individual who holds a current, valid license as a social worker, issued by the state of Ohio, counselor, social worker and marriage and family therapist board, according to Chapter 4757. of the Revised Code.

“Social worker assistant” (SWA) means an individual who holds a current, valid license as a social worker assistant, issued by the state of Ohio, counselor, social worker and marriage and family therapist board, according to Chapter 4757. of the Revised Code.

“Social worker trainee” (SWT) means an individual who is a graduate student seeking licensure as a social worker or an independent social worker who is currently enrolled in a practicum, internship, or field work course in a social work education program accredited by the “counsel on social work education (CSWE)” and is registered as a social worker trainee with the state of Ohio, counselor, social worker and marriage and family therapist board according to Chapter 4757. of the Revised Code.

“Temporary independent marriage and family therapist” (IMFT-Temp) means an individual who has been issued a temporary license as an independent marriage and family therapist by the state of Ohio, counselor, social worker and marriage and family therapists board, according to Chapter 4757 of the Ohio Revised Code.

“Temporary independent social worker” (ISW-Temp) means an individual who has been issued a temporary license as an independent social worker by the state of Ohio, counselor, social worker and marriage and family therapists board, according to Chapter 4757 of the Ohio Revised Code.

“Temporary marriage and family therapist” (MFT-Temp) means an individual who has been issued a temporary license as a marriage and family therapist by the state of Ohio, counselor, social worker and marriage and family therapists board, according to Chapter 4757 of the Ohio Revised Code.

“Temporary social worker” (SW-Temp) means an individual who has been issued a temporary license as a social worker by the state of Ohio, counselor, social worker and marriage and family therapists board, according to Chapter 4757 of the Ohio Revised Code.

“Trained Other” (QMHS) means an individual who has received training for or education in mental health competencies and who has demonstrated, prior to or within ninety days of hire, competencies in basic mental health skills along with competencies established by the agency, and who is not otherwise designated as a provider or supervisor, and who is not required to perform duties covered under the scope of practice according to Ohio professional licensure. Basic mental health competencies for each QMHS shall include, at a minimum, an understanding of mental illness, psychiatric symptoms, and impact on functioning and behavior; how to therapeutically engage a mentally ill person; concepts of recovery/resiliency; crisis response procedures; an understanding of the community mental health system; de-escalation techniques and understanding how his/her behavior can impact the behavior of individuals with mental illness. The agency shall establish additional competency requirements, as appropriate, for each QMHS based upon the mental health services and activities to be performed, characteristics and needs of the persons to be served, and skills appropriate to the position. A trained other shall have the same definition and meaning as a “qualified mental health specialist” as defined in this appendix.

APPENDIX B

See Appendix at http://www.registerofohio.state.oh.us/pdfs/5122/0/29/5122-29-30_PH_FF_N_APP2_20090619_1017.pdf

Effective: 07/01/2009

R.C. 119.032 review dates: 07/01/2014

Promulgated Under: 119.03

Statutory Authority: 5119.22, 5119.61(A), 5119.611(C)

Rule Amplifies: 5119.22, 5119.61(A), 5119.611(C)