DHS 40.10(2)(b)(b) If more than 10 youth are present at a hospital-based program, an additional staff member qualified under s. DHS 40.09 (3) shall be present for every 5 additional youth. DHS 40.10(3)(3) Service requirements. A program shall make available at least the following hours of direct clinical services, provided either by program staff members or professionals under contract to the program: DHS 40.10(3)(a)(a) A community-based day treatment program shall comply with all of the following: DHS 40.10(3)(a)1.1. One hour per week of consultation shall be provided by a psychiatrist or advanced practice nurse prescriber. If a program is unable to utilize a psychiatrist or advanced practice nurse prescriber, they may utilize a psychologist as long as there is a written plan in place assuring that consultation with a psychiatrist or advanced practice nurse prescriber occurs for medication related concerns at least monthly or more frequently based on the individual needs of the youth. DHS 40.10(3)(a)2.2. One hour per week of health-related services shall be provided by a physician, physician assistant, advanced practice nurse, or registered nurse for every 4 full-time youth in the program. DHS 40.10(3)(a)3.3. Six hours per week of group sessions shall be provided in the program. Only a master’s-level mental health professional may provide psychotherapy group sessions. A mental health support worker may provide non-psychotherapy group sessions. Group sessions shall include no more than 10 youth with one staff or a maximum of 12 youth if 2 staff are present with the group. DHS 40.10(3)(a)4.4. One hour per week of care coordination services shall be provided by a mental health support worker or a mental health professional for every 2 full-time youth in the program. DHS 40.10(3)(a)5.5. Two hours per week of individual or family psychotherapy shall be provided by a mental health professional for each full-time youth in the program. One of the two required hours may be provided by a mental health support worker if they are under the supervision of the mental health professional implementing a piece of the individualized treatment plan. DHS 40.10(3)(a)6.6. At least 2 hours per week of support services shall be provided by mental health professionals, mental health support workers, mental health technicians, occupational therapists, or therapeutic specialists in the program. DHS 40.10(3)(b)(b) Intensive hospital-based day treatment programs shall comply with all of the following: DHS 40.10(3)(b)1.1. One hour per week of consultation shall be provided by a psychiatrist or advanced practice nurse prescriber. DHS 40.10(3)(b)2.2. One hour per week of health-related services shall be provided by a physician, physician assistant, advanced practice nurse, or registered nurse for every 4 full-time youth in the program. DHS 40.10(3)(b)3.3. Crisis response, medical, and nursing services shall be readily available at all times youth are present in the program. DHS 40.10(3)(b)4.4. A physician, physician assistant, registered nurse, or advanced practice nurse shall be on duty and on-site in the program at all times that youth are present. DHS 40.10(3)(b)5.5. Eight hours per week of group sessions shall be provided in the program. Only a master’s-level mental health professional may provide psychotherapy group sessions. A mental health support worker may provide non-psychotherapy group sessions. Group sessions shall include no more than 10 youth with one staff or a maximum of 12 youth if 2 staff are present with the group. DHS 40.10(3)(b)6.6. One hour per week of care coordination services shall be provided by a mental health support worker or mental health professional for every full-time youth in the program. DHS 40.10(3)(b)7.7. Four hours per week of individual or family psychotherapy shall be provided by a mental health professional for each full-time youth in the program. Two of the four required hours may be provided by a mental health support worker if they are under the supervision of the mental health professional implementing a piece of the individualized treatment plan. DHS 40.10(3)(b)8.8. At least 4 hours per week of support services shall be provided by mental health professionals, mental health support workers, mental health technicians, occupational therapists, or therapeutic specialists in the program. DHS 40.10(4)(4) Hours of operation. The amount of time a youth spends at a program shall be established by the individual treatment plan developed under s. DHS 40.14 for each youth, but a program shall be in operation and able to provide services for the following period: DHS 40.10(4)(a)(a) A community-based program shall be in operation and available to provide services to youth for a minimum of 4 hours a day, 5 days a week, and may suspend operations for no more than 4 weeks each year. DHS 40.10(4)(b)(b) An intensive hospital-based program shall be in operation and available to provide services to youth for a minimum of 6 hours a day, 5 days a week, and may suspend operations for no more than 4 weeks each year. DHS 40.10(4)(c)(c) Any youth participating for less than the minimum hours of operation in par. (a) or (b) shall be designated a part-time youth. Two part-time youth shall be calculated as the equivalent of one full-time youth. DHS 40.10(5)(a)(a) The clinical coordinator shall have responsibility for oversight of the job performance and actions of each staff member who is providing clinical services and support services, and require each staff member to adhere to all laws and regulations governing care and treatment and the standards of practice for their individual professions. DHS 40.10(5)(b)(b) Each program shall develop and implement a written policy for clinical supervision and clinical collaboration designed to provide sufficient guidance to assure the delivery of effective services. Each policy shall address all of the following: DHS 40.10(5)(b)1.1. A system to determine the status and achievement of youth outcomes to determine if treatment provided is effective, and a system to identify any necessary corrective actions. DHS 40.10(5)(b)2.2. Identification of clinical issues, including incidents that pose a significant risk of an adverse outcome for youth that should warrant clinical collaboration, or clinical supervision that is in addition to the supervisions specified under s. MPSW 4.01, 12.01, or 16.04, or s. Psy 2.10, or for a recognized psychotherapy practitioner, whichever is applicable. DHS 40.10(5)(c)(c) Clinical supervision shall be documented in a supervision or collaboration record, containing entries that are signed and dated by the staff member providing supervision.