309-091-0005 Definitions (1) “Authority” means the Oregon Health Authority. (2) “Chief Medical Officer” (CMO) means the physician designated by the superintendent of each state institution who is responsible for the administration of medical treatment, or his or her designee. (3) “Choice Contractor” means a corporation, governmental agency, public corporation, or other legal entity that provides coordination of care services to individuals with SPMI, as directed in contract with the Health Systems Division. (4) “Civil Commitment” means the individual has been committed to the Authority for emergency psychiatric care and treatment pursuant to ORS 426.070, 426.228 to 426.235 or 426.237. (5) “Clinical Reviewer” means the Division employee designated to the role of determining eligibility for state hospital admissions. (6) “Community Mental Health Program” (CMHP) means an entity that is responsible for planning and delivery of safety net services for persons with mental or emotional disturbances, drug abuse problems, and alcoholism and alcohol abuse, in a specific geographic area of the state, under a contract with the Division or a local mental health authority. (7) “Coordinated Care Organization” (CCO) means a corporation, governmental agency, public corporation, or other legal entity, that is certified as meeting the criteria adopted by the Oregon Health Authority, under ORS 414.625, to be accountable for care management, and to provide integrated and coordinated healthcare, for each of the organization’s members. (8) “Division” means the Health Systems Division of the Oregon Health Authority. (9) “DSM” means the most recent edition of the Diagnostic and Statistical Manual of Psychiatric Disorders, published by the American Psychiatric Association. (10) “DOC” means the Oregon Department of Corrections. (11) “Forensic” means related to the law, and references individuals committed to treatment and supervision by the courts pursuant to Oregon Revised Statutes (ORS) 161.290 – 161.400. (12) “Health care representative” means: (a) An attorney-in-fact: (b) A person who has authority to make health care decisions for a principal under the provisions of ORS 127.635 (2) or (3); (c) A guardian or other person, appointed by a court to make health care decisions for a principal. (13) “Legal Guardian” in this rule means an individual appointed by a court of law to act as guardian of an adult having been determined to be legally incapacitated. (14) “Licensed Residential Facility or Licensed Residential Home” means those residences defined in OAR 309, Chapter 035. (15) “Local Mental Health Authority” (LMHA) means one of the following entities: (a) The Board of County Commissioners of one or more counties that establishes or operates a CMHP; (b) The tribal council of a federally recognized tribe of Native Americans that elects to enter into an agreement to provide mental health services or (c) A regional LMHA comprised of two or more boards of county commissioners. (16) “Primary Diagnosis” means the diagnosis which identified the condition considered the most severe for which the individual receives treatment. (17) “Psychiatric Security Review Board” (PSRB) means board appointed by the Governor and authorized in ORS 161.385. (18) “Ready to Transition” means a patient no longer meets admission criteria for hospitalization. (19) “Ready to Transition” means a patient no longer meets admission criteria for hospitalization. (20) “Responsible Party” means the LMHA, community mental health program, Medicaid Coordinated Care Organization, Choice Model contractor, and when applicable the individual’s legal guardian or health care representative, and other parties identified by the Oregon Health Authority (21) “Serious and Persistent Mental Illness” (SPMI) means the current DSM diagnostic criteria for at least one of the following conditions, as a primary diagnosis, for an adult age 18 years or older: (a) Schizophrenia and other psychotic disorders; (b) Major Depressive Disorder; (c) Bipolar Disorder; (d) Obsessive Compulsive Disorder (OCD); (e) Post Traumatic Stress Disorder (PTSD); (f) Schizotypal Personality Disorder; or (g) Borderline Personality Disorder. (22) “State Hospital” means any campus of the Oregon State Hospital (OSH) system. (23) “OYA” means the Oregon Youth Authority (24) “PAITS” means Post Acute Intermediate Treatment Service is a mix of rehabilitation services designed for adults who have received acute psychiatric care services in a local hospital, who have been approved for Long Term Psychiatric Care, whose symptoms have improved, sufficiently, such that they no longer require hospital level of care, yet, still require intensive treatment services to continue psychiatric stabilization, prior to placement, in another community setting. Statutory/Other Authority: ORS 413.042 Statutes/Other Implemented: ORS 179.321, 426.010, 426.020, 426.072, ORS 125.300 to 125.330 & ORS 127.005 to 127.660 History: BHS 16-2023, amend filed 07/11/2023, effective 07/11/2023 BHS 8-2019, amend filed 06/24/2019, effective 06/24/2019 BHS 1-2019, temporary amend filed 01/04/2019, effective 01/04/2019 through 07/02/2019 MHS 6-2012, f. 5-3-12, cert. ef. 5-4-12 MHS 16-2011(Temp), f. 12-29-11, cert. ef. 1-1-12 thru 6-29-12