The 2014 Standards Manuals and all changes will be effective on July 1, 2014. Will your organization be ready to implement the changes? Our March-April 2014 e-newsletter provides information about standards that will pertain to all CARF-accredited organizations. These changes were discussed by CARF managers at a CARF 101 training held in Tucson in March 2014.
Training Requirements – 2.E.2. In previous editions of the BH/CYS Standards Manuals, standard 2.E.2 only pertained to organizations that prescribe, dispense, control, or administer medications in accredited programs and they were required to consider applying the standard. However, new to the 2014 Standards Manuals is a change in wording so that all organizations must apply 2.E.2 whether or not medications are used in the programs. If the organization does not prescribe, dispense, control, or administer medications, then this requirement for documented ongoing training and education of 16 topics only pertains to personnel. (If the organization uses medications in the programs, then the training requirement also pertains to persons served and family members.)
As stated in the Intent Statement (BH, p. 128; CYS, p. 134): “If a program seeking accreditation does not provide medication control, prescribing, dispensing, or administering, it would not be required to provide ongoing training and education regarding medications to the persons served or any family member. Training and education should be provided to personnel providing direct service to the persons served in all programs seeking accreditation.”
This standard indicates that the training and education of personnel only needs to be documented. It is not required to be competency-based. Therefore, an easy way for an organization to comply with this standard is to have a medical professional (e.g., physician, nurse practitioner, nurse, pharmacist) provide a 1-2 hour workshop on-site with an agenda that includes all 16 required topics and an attendance sheet that is dated and includes signatures of all participants. NOTE: If some, but not all, direct-service personnel attend the training, this would be partial conformance and a recommendation would be given during an on-site survey.
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