Section 22-A3413. QUALIFIED PRACTITIONERS AND CREDENTIALED STAFF

 

3413.1MHRS shall be provided by qualified practitioners either directly or under the supervision of another qualified practitioner as set forth in this chapter. Qualified practitioners are:

 

(a)Psychiatrists;

 

(b)Psychologists;

 

(c)LICSWs;

 

(d)APRNs;

 

(e)RNs;

 

(f)LPC;

 

(g)LISWs; and

 

(h)Addiction counselors.

 

3413.2Only four (4) categories of qualified practitioners shall be authorized to diagnose mental illness for purposes of determining eligibility for MHRS. Those qualified practitioners are:

 

(a)Psychiatrists;

 

(b)Psychologists;

 

(c)LICSWs; and

 

(d)APRNs.

 

3413.3Qualified practitioners and credentialed staff shall provide MHRS to the extent permitted by and in accordance with District law. Credentialed staff shall be authorized to provide MHRS or components of MHRS under the supervision of an appropriate qualified practitioner in accordance with applicable federal and District law.

 

3413.4A psychiatrist shall include a:

 

(a)Physician licensed by the District who is, at a minimum a board-eligible psychiatrist;

 

(b)Psychiatric resident providing care in an approved clinical rotation; or

 

(c)Moonlighting psychiatric resident.

 

3413.5A psychiatric resident is a medical school graduate from a program that meets the standards for medical education found in 17 DCMR § 4602.3, who:

 

(a) Has completed at least one year of a psychiatric residency program that satisfies the requirements of 17 DCMR § 4611.4;

 

(b) Is currently in a psychiatric residency program that satisfies the requirements of 17 DCMR § 4611.5 and is approved by DMH's chief clinical officer as a training program in community psychiatry;

 

(c) Is supervised by a licensed psychiatrist who satisfies the requirements of 17 DCMR § 4611.6;

 

(d)Complies with the requirements of 17 DCMR §§ 4611.7 and 8; and Complies with the standards of conduct for licensed physicians found in 17 DCMR § 4612

 

3413.6A moonlighting psychiatric resident is a medical school graduate who:

 

(a)Satisfies all of the requirements of § 3413.4; and

 

(b)Is working under the supervision of the medical director or consulting psychiatrist of a certified MHRS provider in accordance with protocols approved by DMH's chief clinical officer.

 

3413.7Qualified practitioners are authorized to provide MHRS as described below:

 

(a)Psychiatrists are authorized to provide:

 

(1)Diagnostic/Assessment;

 

(2)Medication/Somatic Treatment;

 

(3)Counseling;

 

(4)Community Support

 

(5)Crisis/Emergency;

 

(6)Rehabilitation/Day Services;

 

(7)Intensive Day Treatment;

 

(8)CBI; and

 

(9)ACT;

 

(b)Psychologists are authorized to provide:

 

(1)Diagnostic/Assessment;

 

(2)Counseling;

 

(3)Community Support

 

(4)Crisis/Emergency;

 

(5)Rehabilitation/Day Services;

 

(6)Intensive Day Treatment;

 

(7)CBI; and

 

(8)ACT;

 

(c)LICSWs are authorized to provide:

 

(1)Diagnostic/Assessment;

 

(2)Counseling;

 

(3)Community Support;

 

(4)Crisis/Emergency;

 

(5)Rehabilitation/Day Services;

 

(6)Intensive Day Treatment; and

 

(7)CBI;

 

(d)LISWs are authorized to provide:

 

(1)Diagnostic/Assessment (assessment only);

 

(2)Counseling;

 

(3)Community Support;

 

(4)Crisis/Emergency;

 

(5)Rehabilitation/Day Services;

 

(6)Intensive Day Treatment; and

 

(7)CBI;

 

(e)APRNs are authorized to provide:

 

(1)Diagnostic/Assessment;

 

(2)Medication/Somatic Treatment;

 

(3)Counseling;

 

(4)Community Support;

 

(5)Crisis/Emergency;

 

(6)Rehabilitation/Day Services;

 

(7)Intensive Day Treatment;

 

(8)CBI; and

 

(9)ACT;

 

(f)RNs are authorized to provide:

 

(1)Diagnostic/Assessment (assessment only)

 

(2)Medication/Somatic Treatment;

 

(3)Counseling;

 

(4)Community Support;

 

(5)Rehabilitation/Day Services;

 

(6)Intensive Day Treatment;

 

(7)CBI; and

 

(8)ACT;

 

(g)LPCs are authorized to provide:

 

(1)Diagnostic/Assessment (assessment only);

 

(2)Counseling;

 

(3)Community Support;

 

(4)Rehabilitation/Day Services;

 

(5)Intensive Day Treatment; and

 

(6)CBI;

 

(h)Addiction Counselors are authorized to provide:

 

(1)Diagnostic/Assessement (assessment only)

 

(2)Counseling;

 

(3)Community Support;

 

(4)Rehabilitation/Day Services;

 

(5)Intensive Day Treatment;

 

(6)CBI; and

 

(7)ACT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3413.8The staffing requirements for MHRS are described below.

 

MHRS	QUALIFIED PRACTITIONERS	QUALIFIED PRACTITIONERS AND CREDENTIALED STAFF WITH SUPERVISION
Diagnostic/ Assessment	 Psychiatrist  Psychologist  LICSW  APRN May diagnose and assess May serve as the approving qualified practitioner for the development of the IRP/IPC	 Registered Nurse  LPC  LISW  Addiction Counselor  Credentialed Staff May provide assessment services only An LPC may serve as the approving qualified practitioner for the development of the IRP/IPC
Medication/ Somatic Treatment	 Psychiatrist  APRN  Registered Nurse	None
Counseling	 Psychiatrist  Psychologist  LICSW  APRN  RN  LPC  LISW  Addiction Counselor	 Licensed Graduate Social Worker may provide Counseling under the supervision of an LICSW or an LISW.  Credentialed Staff
Community Support	 Psychiatrist  Psychologist  LICSW  APRN  Registered Nurse  LPC  LISW  Addiction Counselor	Credentialed Staff
Crisis/ Emergency	 Psychiatrist  Psychologist  LICSW  APRN	 Registered Nurse  LPC  LISW  Addiction Counselor  Credentialed Staff
Rehabilitation/Day Services	 Psychiatrist  Psychologist  LICSW  APRN  Registered Nurse  LPC  LISW  Addiction Counselor	Credentialed Staff
Intensive Day Treatment	 Psychiatrist  Psychologist  LICSW  APRN  Registered Nurse  LPC  LISW  Addiction Counselor	Credentialed Staff
CBI	 Psychiatrist  Psychologist  LICSW  APRN  Registered Nurse  LPC  LISW  Addiction Counselor	Credentialed Staff
ACT	 Psychiatrist  APRN  RN  Addiction Counselor	Credentialed Staff

 

 

authority

Sections 104 and 105 of the Department of Mental Health Establishment Amendment Act of 2001, effective December 18, 2001 (D.C. Law 14-56; D.C. Official Code §§ 7-1131.04 and 7-1131.05 (2008 Repl.)).

source

Final Rulemaking published at 48 DCR 10297 (November 9, 2001); as amended by Final Rulemaking published at 51 DCR 9308 (October 1, 2004); as amended by Final Rulemaking published at 52 DCR 5682 (June 17, 2005); as amended by Final Rulemaking published at 58 DCR 8366, 8369 (September 30, 2011).