309-023-0110 Definitions In addition to the definitions in OAR chapter 309 division 033 the following definitions apply to these rules: (1) “Behavioral Health” means mental health, mental illness, substance use disorders, and gambling disorders. (2) “Behavioral Health Assessment” means a process which determines a patient’s need for immediate crisis stabilization through evaluation of the patient’s strengths, goals, needs, and current level of functioning. (3) “Best Practice Risk Assessment” means a research-informed methodology that provides guidelines or tools to determine an individual’s level of risk for attempting or completing self-inflicted injury or death and may include tools such as the Columbia Suicide Severity Rating Scale or other tools accepted for the Substance Abuse and Mental Health Services Administration National Registry of Evidence-based Programs and Practices or the Suicide Prevention Resource Center Best Practices Registry. (4) “Care Coordination” means a process-oriented activity to facilitate ongoing communication and collaboration to meet multiple needs Including facilitating communication between family, natural supports, community resources, and involved providers and agencies; organizing, facilitating and participating in team meetings; and providing for continuity of care by creating linkages to and managing transitions between levels of care. (5) "Case Management" means the services provided to assist individuals, who reside in a community setting, or are transitioning to a community setting, in gaining access to needed medical, behavioral health, social, educational, government entitlement programs, and other applicable community services. (6) "Crisis" means either an actual, or perceived, urgent or emergent situation that occurs when an individual’s stability or functioning is disrupted and there is an immediate need to resolve the situation to prevent a serious deterioration in the individual’s mental or physical health or to prevent referral to a significantly higher level of care. (7) "Crisis Intervention" means short-term services to address an immediate crisis need. (8) “Crisis Stabilization Plan” means an individualized written plan defining specific short-term rehabilitation objectives and proposed crisis interventions derived from the patient’s mental and physical health assessment. (9) “Family” has the meaning given that term in 309-018-0150. (10) "Hospital" has the meaning given that term in ORS 442.015. (11) “Lethal Means Counseling” means providers implement counseling strategies to help patients at risk for suicide, and their families, reduce access to lethal means, including but not limited to firearms. It includes but is not limited to several components; background on suicide data and lethal means, introduction to firearms, video presentation that models the counseling strategy, presentation and discussion on conducting a counseling session, optional role plays, and a course evaluation. (http://www.sprc.org/resources-programs/calm-counseling-access-lethal-means-0). (12) “Living Room Setting” means a care setting that reflects the relaxed, warm, welcoming and non-clinical qualities of a typical living room. (13) “Medically Appropriate Treatment” has the meaning given that term in OAR 410-172-0630. (14) “Mental Status Examination” means an overall assessment of an individual’s mental functioning. (15) “Peer” has the meaning given that term in OAR 410-180-0305. (16) “Peer Delivered Services” has the meaning given that term in OAR 309-019-0100. (17) “Peer Support Specialist” has the meaning given that term in OAR 410-180-0300 and also means an individual who has completed a Division approved training program (see OAR 410-180-0312) and is providing peer delivered services to an individual or family member with similar life experience, under the supervision of a qualified clinical supervisor. (18) “Psychiatric Emergency Services (PES)” means medical and behavioral health services provided to individuals experiencing an acute disturbance of thought, mood, behavior, or social relationship that requires an immediate intervention as defined by the patient, family or the community, to prevent harm to the patient or others. (19) “Safety Plan” means a patient directed document developed through a collaborative process in which the provider assists the patient in listing strategies for the patient to use when suicide ideation is elevated or after a suicide attempt. A safety plan template is available from the Suicide Prevention Resource Center at http://www.sprc.org/resources-programs/calm-counseling-access-lethal-means-0. (20) “Transition of Care Coordination” also known as a Warm Handoff, means the process of transferring a patient from one provider to another, prior to discharge. (21) “Trauma Informed Services” has the meaning given that term in OAR 309-018-0105(77). The Authority’s trauma informed service policy may be found at https://www.oregon.gov/oha/amh/pages/trauma.aspx. Statutory/Other Authority: ORS 413.042 Statutes/Other Implemented: ORS 413.042 History: MHS 29-2016, f. & cert. ef. 12-29-16 MHS 15-2016(Temp), f. & cert. ef. 10-6-16 thru 4-3-17